HomeMy WebLinkAboutReview Checklist `l 1' TOWN OF YARMOUTH 4 c-'57.- -"-ti -
• SEWAGE PLAN REVIEW CHECKLIST - '
Location: A.M. Lot Z'� Zone of Contribution: In ut_ Acreage /- 77
( v �� _ _
Commercial: Residential: ��
L
Street:
Village: Z ,Q,r Floor Plan: `--"*** #Bedrooms:
Owner: I e,-- `411. -� iInstaller: he S
Address: Phone: sig-¢' -dP/J„--
Phone:
Builder: /7.-- Engineer: �{ -e - !' a%,y-
Address: Phone: r- " �-- ,
S-14-
Phone: ( _ 4,64/4-7;-7 zi.
N/A YES NO
1.Required#of copies received
L....-------
2.
j2. Date of soils exam and percolation test not older than 2 years (,/'
j 3.4-5 ft of naturally occurring pervious material, above water table c..._---
, 4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: L.-/
1 5. Water line 10 ft from septic components Var.: Li-'
6.Benchmark indicated and shown-NGVD if near wetlands ( �/
7. Septic tank minimum 10 ft from foundation, deck Var.: �/
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: y f
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: --
11. Tank/leaching minimum 10 ft from property line Var.: .L.-----
12.
,,..--12. System meets all other setback requirements Var.: '
13.Uses adjustment for maximum high groundwater Var.: ,- •
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: ✓'`
15. System not in top or subsoil(A,B horizons)or 5' removal
16.Proposed contours are
p suitable i-----
17. System meets slope requirements-min. 1/8", I/4"preferred ‘......----
18. System meets breakout requirements PVC liner: Wall: L.-,.,.--
19. Specified tee sizes are proper, gas baffle on outlet tee i..
20. Sewage is under 10,000 gpd for parcel v
- 21.No garbage disposal
22. System adequately sized for its intended use L...-----
23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade, pump chamber cover to grade L-/
25. Inspection port on plastic chambers/leach field ,,----
26.Electrical permit for pump chamber/Separate meter for duplexes ��---
27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size
28. Septic tank/pump chamber to be factory waterproofed
29.Vent provided if leaching below 3 feet,under driveway/parking
30.Buoyancy calculations for tank/pump chamber _ ----•
31.Engineer to inspect and certify soils: • wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature
33. H-20 loading is subject to vehicular traffic, groundwater �-
34.Title V Application and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ground water for new house
36. Deed Restriction required max. #bedrooms: max. flow: gpd
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: 'a
6/03/03