HomeMy WebLinkAboutReview Checklist //r( TOWN OF YARMOUTH
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SEWAGE PLAN REVIEW CHECKLIST �- /15-57
Location: A.M. 77 Lot yS Zone of Contribution: Iny Out_ Acreage Q /f9-64-�'J
`/�`� At) Commercial: Residential: (�
Street:( '
Village: _ Floor Plan: #Bedrooms:--
Owner: 4.7, (;)? ......w Installer:
Address: Phone:
Phone: '2 4 -- 4_,:via .*
�
Builder: Engineer: �
Address: Phone: lam}( . - t G -5 //
Phone: &i .• 7 �, '&-e-4
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 highpoint of road H.P.: Fnd: Var.: C�----
5. Water line 10 ft from septic components Var.: (,,,.--,
6. Benchmark indicated and shown-NGVD if near wetlands t/•
7. Septic tank minimum 10 ft from foundation, deck Var.: / t��-
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: S ) (------
9.
(----_
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.: C....--
12.
�12. System meets all other setback requirements Var.: k_.--'
13. Uses adjustment for maximum high groundwater Var.: -
14. Leaching set 4-5 ft above adj.water or bottom of test hole Var.: L..----
15. System not in top or subsoil(A,B horizons) or 5' removal Z----'
16.Proposed contours are suitable .....-..---•
17. System meets slope requirements-min. 1/8", 1A"preferred (._o.
18. System meets breakout requirements PVC liner: Wall: L,..--.
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
. 21.No garbage disposal `.--'
22. System adequately sized for its intended use ��.
23.Minimum 6" stone or compacted below tank and dbox Lr
24.Manhole covers within 6"of grade,pump chamber cover to grade < -
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.-----"
28. Septic tank/pump chamber to be factory waterproofed L�
29. Vent provided if leaching below 3 feet, under driveway/parking `._...---,
30. Buoyancy calculations for tank/pump chamber ...s
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 L...---.
34.Title V Application and permit fee, installer signature - C.:2)
35.Foundation footing min. 2 feet above adjusted ground water for new house �-
36.Deed Restriction required max. #bedrooms: _max. flow: _)-(J gpd _
37. Check area lots for groundwater/Label groundwater in Assessor's Map �------""
Plan reviewed by: 6/03/03