HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Z Lot zZ7 Zone of Contribution: In_ Out Acreage
�s �/n� / �, / Commercial: Residential:
Street: � �/�/lam /
Village: Floor Plan: ' #Bedrooms: .2 "
a2 Ka -
Owner: ("i/4/ Installer: / , / _ J./ , /„/.. i
Address: Phone: /i - Z/ ,
Phone:
Builder: Engineer: 7-11-1) '
Address: 7 Phone: -xa 5 24-25-
Phone: (�,/ 4 f
N/A YES NO
1.Required#of copies received //
2. Date of soils exam and percolation test not older than 2 years
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.: t-----"-
5.
/5. Water line 10 ft from septic components Var.:
6. Benchmark indicated and shown-NGVD if near wetlands ‘.. e:,„
7. Septic tank minimum 10 ft from foundation,deck Var.: �✓
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L.,
9.Leaching minimum 100 ft from wetlands Var.: �/
��1110.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: '1/4.../".--
11.
.Tank/leaching minimum 10 ft from property line Var.: / t7H....z.,
12. System meets all other setback requirements Var.: d `
13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or botto e]� Var.: ,
15. System not in top or subsoil(A,B horizons)or 5'remova
16.Proposed contours are suitable ,_/
17. System meets slope requirements-min. 1/8", 'A"preferred /�_' �'
18. System meets breakout requirements PVC liner: q-0 wiWall: <,_%
19. Specified tee sizes are proper,gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
21.No garbage disposal -
11 22. System adequately sized for its intended use 1/'
23.Minimum 6"stone or compacted below tank and dbox cI/
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 k.7: .
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:
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature
33. H-20 loading is subject to vehicular traffic, groundwater `/
34. Title V Application and permit fee, installer signature i.�
35.Foundation footing min.2 feet above adjusted ground water for new house __.----
36. Deed Restriction required max. #bedrooms: max. flow: gpd ,--- r
37.Check area lots for groundwater/Label groundwater in Assessor's Map ----'
Plan reviewed by: 6 6/03/03