HomeMy WebLinkAboutReview Checklist -2-z 7e
TOWN OF YARMOUTH `1
SEWAGE PLAN REVIEW CHECKLIST 476 y j , ', '/C' i,,
Location: A.M. 7c Lot /0 ' Zone of Contribution: Inut Acreage 2.1 6.17Z)
���i �����Ol� Commercial: Residential: �I
Street: ����,, 4/4'
Village: !�(/.- Q` Floor Plan: IZ #Bedrooms:
Owner: g ef),Id'ea//�' d Installer: fi a A G
Address: Phone: C`Pif -1-3 2 .0'5.-3D
Phone: /�
Builder: Engineer: S 566r-t,/v-- TditfiG,
Address: Phone: _IV/ �Zr
Phone: ) ty z' / C''e-e C7
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.: ; ---"
5.Water line 10 ft from septic components Var.: L_ -----
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.
✓"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.: c-----
13.
r13.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 suitable 4.....-.,-
17. System meets slope requirements-min. 1/8", ' "preferred �..-
18. System meets breakout requirements PVC liner: Wall: L-------
19. Specified tee sizes are proper, gas baffle on outlet tee C_-----
20.
am`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 (------
25.Inspection port on plastic chambers/leach field �-
26.Electrical permit for pump chamber/Separate meter for duplexes �j,
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.
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: J 6/03/03