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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST d �2
Location: A.M. 7 .7 Lot -3 7 Zone of Contribution: In Out Acreage/ ,, 2- 9
` \ ( � caal‘47 Commercial: Residential:Street: l L �"Village: K1, Floor Plan: C #Bedrooms: 3
Owner: 9/(2-eolil�l°l/~ Installer: 7 / `/Z 4t I
Address: Phone:
Phone:
Builder: Engineer: 4,41�!71 -4
Address: Phone: l-- ' A--'z i ,K 1 r t56
Phone: �44% -
ti,deete7
N/A YES ATO
1.Required#of copies received i.--------
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 L.✓
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: •-------
5.Water line 10 ft from septic components Var.: l_._...----
6.
_„r6.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.: t--
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: ___.----
11.
---'"11.Tank/leaching minimum 10 ft from property line Var.: 'ter'
12. System meets all other setback requirements Var.:
13.Uses adjustment for maximum high groundwater Var.: t j� +I f 0,t.--
14.Leaching set 4-5 ft above adj. water or botto ii : .: - Var.: �',/
15. System not in top or subsoil(A,B horizons) o 'remo : ,.... *-----
16.
r16.Proposed contours are suitable L------
17. System meets slope requirements-min. 1/8", ' "preferred 1../".
18. System meets breakout requirements PVC liner: Wall: •(r/
19. Specified tee sizes are proper, gas baffle on outlet tee t
20. Sewage is under 10,000 gpd for parcel t
21.No garbage disposal '
22. System adequately sized for its intended use i-----
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 c_------
26.Electrical permit for pump chamber/Separate meter for duplexes ;,„,..-
27.Pump system-2" line,weep hole,check valve,tee in dbox,pump size u'
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 -----r
36.Deed Restriction required max. #bedrooms: ...___max. flow:2 .-(�' gpd
37.Check area lots for groundwater/Label groundwater in Assessor's MapL.----''
Plan reviewed by: 6/03/03