Review Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. CO/ Lot 710 Zone of Contribution: In Out'------Acreage
Commercial: Residential: `�
Street: 56 6 ,,,,,4-
g ��
Village: < Floor Plan: c------- #Bedrooms: O
- /
Owner: p,d�o Installer: 4Vgels-e....Address: Phone: ,FT
7
Phone: �*"_
Builder: Engineer: , ii*,'
Address: Phone: ?7-3 -h 37 7
Phone: ��,��,,yy,,
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 --'
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: 1_ _---'
5. Water line 10 ft from septic components Var.: l.f
6.Benchmark indicated and shown-NGVD if near wetlands C----•
7. Septic tank minimum 10 ft from foundation, deck Var.: iv.--
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 1.----"'
9.Leaching minimum 100 ft from wetlands Var.: t.....---•
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: L....----
11.Tank/leaching minimum 10 ft from property line Var.: L.---
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.: ®,7 " �i)- %._----
15. System not in top or subsoil(A,B horizons)or 5' removal t.------
16.
./16.Proposed contours are suitable L.----
17. System meets slope requirements-min. 1/8", '/4"preferred L
18. System meets breakout requirements _ PVC liner: Wall: ��
19. Specified tee sizes are proper, gas baffle on outlet tee L--
20. Sewage is under 10,000 gpd for parcel 1'-
21.No garbage disposal ,L.----".
22. System adequately sized for its intended use 1-----.
23.Minimum 6" stone or compacted below tank and dbox L�
24.Manhole covers within 6"of grade,pump chamber cover to grade L_.--
25.Inspection port on plastic chambers/leach field L_..
26.Electrical permit for pump chamber/Separate meter for duplexes
27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size L.e-
28. Septic tank/pump chamber to be factory waterproofed Lam-
29.Vent provided if leaching below 3 feet,under driveway/parking L.--
30.
30.Buoyancy calculations for tank/pump chamber %.----
31.Engineer to inspect and certify soils: wall: commercial: L.--
32.
.32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature �...---•
33.H-20 loading is subject to vehicular traffic, groundwater C-_-,
34.Title V Application and permit fee, installer signature L__.
35.Foundation footing min. 2 feet above adjusted ground water for new house L..--
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