HomeMy WebLinkAboutReview Checklist SEWAGE PLANTOWNOF REVIEWYARMOUTH CHECKLIST
Location: A.M. Lot 5-3 Zone of Contribution: In_ Out Le Acreage
/ Commercial: Residential: Sp
Street: 7/, /�((Q
/ S
Village: fib+ Floor Plan: ✓ #Bedrooms: 2--
Owner:
--
Owner: v7/ht./a/U/ Installer: J(04 to kithy
Address: Phone: f S ),P0 -q---, S-6
Phone:
Builder: Engineer: j 4i3 CO
Address: 7 Phone: 8-- )_4.2_ --
Phone:
N/A YES NO
1.Required#of copies received L.-------
2.
/2. Date of soils exam and percolation test not older than 2 years L.-----
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.
�5.Water line 10 ft from septic components Var.: (.....--------
6.
/6.Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: L-----".
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.
_/12. System meets all other setback requirements Var.: kz._.----
13.Uses adjustment for maximum high groundwater Var.: .�
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: 4........--
15. System not in top or subsoil(A,B horizons)or 5'removal ;��
16.Proposed contours are suitable L,._.---
17. System meets slope requirements-min. 1/8", ' "preferred `_----
18. System meets breakout requirements PVC liner: Wall: `..---
19. Specified tee sizes are proper,gas baffle on outlet tee •-...._�
20. Sewage is under 10,000 gpd for parcel 1/4..........--
21.
�21.No garbage disposal L......-----
22. System adequately sized for its intended use
., 23.Minimum 6"stone or compacted below tank and dbox i
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 c.-----
27.
.---"27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size t.-------
28.
��28. Septic tank/pump chamber to be factory waterproofed
29.Vent provided if leaching below 3 feet, under driveway/parking ,------
30.
-r30. 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.
/'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.
/36.Deed Restriction required max. #bedrooms: max. flow: gpd z.,------
37.
-37.Check area lots for groundwater/Label groundwater in Assessor's Map -----
Plan
-Plan reviewed by: 0,k 6/03iO3