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t..aTOWN OF YARMOUTH
/0 A/7C SEWAGE PLAN REVIEW CHECKLIST
Lrocation: AM /l LOT..--7 Date of Subdivision Approval
i� � /-/C // /0 -3 W=
Street'9 ez ' Zone of Contribution: In (�' Out
Village � Commercial Residential ]
Owner: ,-� °! / _CT( Installer 74
Builder: Engineer ag 9 V(--l'ef
N/A YES NO /
1. Required number of copies received. ,/
2. Date of soils exam and percolation test not older than 2 years. 17
3. 4 feet of naturally occurring pervious material, above water table(new construction) t/'
4. Foundation 2 feet above high point of fronting road for new construction.
5. Water availability letter from Water Department for new construction.
6. Benchmark indicated and shown-NGVD if near wetlands.
7. Building sewer does not exit center of house. ,
8. Septic tank a minimum of 10 feet from house and deck.
9. Leaching a minimum of 20 feet from house and 10 feet from deck. ,..------
10.
/10. Leaching a minimum of 100 feet from wetlands. t..------
11.
11. Leaching a minimum of 150 feet from drinking wells/25 feet from irrigation wells. t_.----
12. System meets all other setback requirements. �-
13. Uses adjustment for maximum high groundwater. L.----
14.
/14. Leaching 4 -5 feet above adjusted water/able or bottom of test pit.
15. System not in top or subsoil or 5 foot removal.
16. Proposed contours are suitable
17. System meets slope requirements - min. 1/8", 1/4" preferred.
18. System meets breakout regujrements- peastone elevation carried out 15 feet minimum.
J9. Specified tee sizes are proper,gas baffle on outlet tee. L./,
20. Sewage flow under 10.000 gad for parcel ✓
21. No garbage disposal.
22. System adequately sized for its intended use.
23. Minimum 6" stone or mechanically compacted below the tank and d-box.
24. Manhole covers within 6" of grade - septic tank and pump chamber. c/
25. Electrical permit for pump chamber. ;/
26. Pump system - 2" line, weep hole. check valve, sanitary in d-box. alarm on separate circuit.
27. Septic tank and pump chamber to be Factory waterped. L/
28. Vent provided if leaching below 3 feet or under driveway or parking.
29. Engineer to inspect and certify : a. clay removal
b. wall construction schedule -�
c: commercial system
30. Engineer and Land Surveyor stamp and signature
31. H2O loading when system subject to vehicular traffic. 1-----
32.
/32. Title V anplication and fee signed by a licensed installer. -.e --�/-
33. Foundation footing 2 feet above adjusted water table (....---
4. of su'divided . fort. 1 31 '8. - Ni .te s .d'l ‘....----
35.
/35. Subdivided prior to April 7. 1989 - Phosphorus Zo a 300'.
Plan reviewed by: