HomeMy WebLinkAboutReview Checklist 6.- '1) 77
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot 7' / Zone of Contribution: In Out_Acreage
Commercial: Residential:
{D Street: f A i// ///
Village: J - / Floor Plan: #Bedrooms:
d
Owner: max Q Installer: 7 sC f U f e7-7-7Address: �"!� Phone:
Phone:
Builder: Engineer: 5 ' zit,i" a
ll.fr
Address: Phone: '7"5-11- c-�--5krP 66
Phone:
N/A YES NO
1.Required#of copies received
2.Date of soils exam and percolation test not older than 2 years t..-------
3.4-5
.-------3.4-5 ft of naturally occurring pervious material, above water table t_.-✓
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: (...,-'--
5.
.r.f5.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.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.: v___-.----
15.System not in top or subsoil(A,B horizons)or 5' removal 1/4------
16.Proposed contours are suitable l--�
17. System meets slope requirements-min. 1/8", 1/4"preferred k....---''r
18. System meets breakout requirements PVC liner: Wall: �-----
19. Specified tee sizes are proper, gas baffle on outlet tee c_✓'--
T20. Sewage is under 10,000 gpd for parcel
21.No garbage disposal (.-
22. System adequately sized for its intended use L/'
23.Minimum 6"stone or compacted below tank and dbox C....-----
24.
.o_✓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
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: .f '
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature J
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: 6/03/03