HomeMy WebLinkAboutReview Checklist 7.2 tj'Ci
TOWN OF YARMOUTH /c)
SEWAGE PLAN REVIEW CHECKLIST ''"7- ' �-
Location: A.M. Sk Lot >4..c.' Zone of Contribution: In ut Acreage Q J-9 /5#&11€S
y 4'1* / Q� Commercial: Residential:
Street: /� /� /
Village: 444 Floor Plan: ✓ #Bedrooms: 2�
Owner: Installer: 61%-a
Address: Phone: Cyd "' / n
Phone: C ' 7 1 ,�` ��` ` C '�/r�'
Builder: Engineer:
Address: Phone: �� f 7 /c(/7
Phone: _ % )/(.>
N/A YES NO
1.Required# of copies received
2.Date of soils exam and percolation test not older than 2 years
3.4-5 ft of naturally occurring pervious material, above water table
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic components Var.:
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.:
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.:
11.Tank/leaching minimum 10 ft from property line Var.: �--
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 `rte
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '/4"preferred
18. System meets breakout requirements PVC liner: Wall: �--
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel L/
21.No garbage disposal
22. System adequately sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade,pump chamber cover to grade t
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: commocial:
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature /,//'Z - 7
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: --7_,:)-(..,gpd ✓�
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: , .ij 6/03/03