HomeMy WebLinkAboutReview Checklist 3-1f7Y 2 ,e-e'- ---; /.
TOWN OF YARMOUTH � �� �=�`
- SEWAGE PLAN REVIEW CHECKLIST AC-
Location: A.M. Lodi 9e.....--
of Contribution: In Out_ Acreage 1/ (FO‘'
c���j Commercial: Residential:✓y
Street: G / I
n
Village: V - Floor Plan: V #Bedrooms:
Owner: 4(4£ el Installer: 412 S2°%�
Address: Phone: QS --1‘.-/-5 oP L_
Phone:
,
Builder: Engineer: re/VI
Address: Phone: -_7 7.sem-'97
01
Phone: �2�jyjr. ,'� Sur /,eJ_.
N/A YES NO
1.Required#of copies received l/'
2. Date of soils exam and percolation test not older than 2 years _ (....--'-
3. 4-5
/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.: 1. .
5.Water line 10 ft from septic components Var.: _t_....------
6. Benchmark indicated and shown-NGVD if near wetlands (....-----
7. Septic tank minimum 10 ft from foundation, deck Var.: r>, L___
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: L.-----
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.: L.-----
13. Uses adjustment for maximum high groundwater Var.: L,o'
14. Leaching set 4-5 ft above adj.water or bottom of test hole Var.: t.-
15. System not in top or subsoil(A,B horizons) or 5' removal L.------
16.
'16.Proposed contours are suitable L----
17. System meets slope requirements-min. 1/8", 1/4"preferred t.....----
18. System meets breakout requirements PVC liner: Wall: L/
19. Specified tee sizes are proper, gas baffle on outlet tee L.-----
20.
/20. Sewage is under 10,000 gpd for parcel (-------
21.
/21.No garbage disposal _ (f
22. System adequately sized for its intended use 1/
;23.Minimum 6"stone or compacted below tank and dbox L�
24.Manhole covers within 6"of grade,pump chamber cover to grade L.------
25.
/25. Inspection port on plastic chambers/leach field k....----
26.
L26. Electrical permit for pump chamber/Separate meter for duplexes L /
27.Pump system-2" line,weep hole,check valve,tee in dbox,pump size `/
28. Septic tank/pump chamber to be factory waterproofed L�
29.Vent provided if leaching below 3 feet,under driveway/parking .....------
30. Buoyancy calculations for tank/pump chamber L .----"
31.Engineer to inspect and certify soils: wall: commercial: t/ `�
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 L�
36.Deed Restriction required max. #bedrooms: max. flow: gpd -
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: ) 6/03/03