HomeMy WebLinkAboutReview Checklist I---)-4*-7,7
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot ZZ Zone of Contribution: In Out( creage
Commercial: Residential: '-
Street: �f( CGYG /t!c$
Village: t.4. ik Floor Plan: #Bedrooms: -"2---
Owner:
_Owner: ZiodE'Citji? Installer: A'17.--Ve..--7
Address: Phone: - f d7- 7/S'5
Phone:
bhry" £ 4
,00-‘azAe ‘ii•
Builder: Engineer: G
Address: Phone: G d" if T'-5--/9
Phone: , y/L S- o,�4 C-/. cavi//Coire/
/3� A)7i -e .-7`..S 1,>
N/A YES NO
/
1.Required# of copies received L.----- _
2. Date of soils exam and percolation test not older than 2 years L...---
3.
3. 4-5 ft of naturally occurring pervious material, above water table v-
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: t_ --:-
5.
5. Water line 10 ft from septic components Var.: (----
6.
-/6.Benchmark indicated and shown-NGVD if near wetlands c......----
7.
�7. Septic tank minimum 10 ft from foundation, deck Var.: ,_•,i-
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: k..--
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from property line Var.: 3' ( )) c___.-
12.
___.12. System meets all other setback requirements Var.: 1-------
13. Uses adjustment for maximum high groundwater Var.: k.i•
14. Leaching set 4-5 ft above adj.water or botto st-hole Var.: L--.
15. System not in top or subsoil(A,B horizons) or 5'removal\
16.Proposed contours are suitable t:' ---'7
7
17. S stem meets sloe re•uirements-min. 1/8", 1/4" . eferred
18. System meets breakout requirements PVC liner: ,fall:
19. Specified tee sizes are proper, gas baffle on outlet tee Li•
20. Sewage is under 10,000 gpd for parcel lam"
21.No garbage disposal l•----
22. System adequately sized for its intended use l-----
23.
•/23. Minimum 6" stone or compacted below tank and dbox 1/4----
24.Manhole covers within 6"of grade,pump chamber cover to grade o„,-----
25.
„125. Inspection port on plastic chambers/leach field k.----•
26. Electrical permit for pump chamber/Separate meter for duplexes L----'
27.Pump system-2"line,weep hole,check valve,tee in dbox, pump size `----'
28. Septic tank/pump chamber to be factory waterproofed L.-----
29. Vent provided if leaching below 3 feet, under driveway/parking �2--)
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 Lam'
33.H-20 loading is subject to vehicular traffic, groundwater l----.
34.Title V Application and permit fee, installer signature - ( _)
35.Foundation footing min. 2 feet above adjusted ground water for new house `-f
36. Deed Restriction required max. #bedrooms: max. flow: gpd ' -----'
37. Check area lots for groundwater/Label groundwater in Assessor's Mapn �_J
Plan reviewed by: (t(�J eiO3iO3