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TOWN OF YARMOUTH
=' SEWAGE PLAN REVIEW CHECKLIST
Location: AM 55 LOT .:;-•- ' Date of Subdivision Approval
// .9..2.1 S-*
Street _ .4 _ :. S 1. 1. 6/ Zone of Contribution: In Out
Village, / .. Commercial Residential
Owner: ,ZZc4 /4eg4 Installer %�%
Builder: Engineer /%5d,(.(if 90v7
,,z/irc,e, _...__ ____:
N/A YES NO
1. Required number of copies received.
2. Date of soils exam and percolation test not older than 2 yews. i/-
3. 4
/3. 4 feet of naturally occurring pervious material. above :ter table(new construction) L,-
4. Foundation 2 feet above high point of frontingroad for new construction. �i'
5. Water availability letter frm Water t for new construction. ✓
6. Benchmark indicated and shown-NGVDif near wetlands.
7. Building sewer does not exit center ofhouse. ‘7--
8.
/8. Septic tank a minimum of 10 feet from house and deck.
9. Leaching a minimum of 20 feet from house and 10 feet from_deck- `/'
10.Leaching a minimum of 100 feet from wetlands. �l
11. Leaching a minimum of 150 feet from drinking wells/25 feet from irrigation wells. t_...-----'
12. System meets all other setback L-•uirements_ , _....-----
13.
13. Uses adjustment for maximum hi ! J oundwater. i. /
14. Leaching 4-5 feet above ad-.• -. water table or bottom of test pit.
15. System not in top or subs& or 5 foot removal. ,-
16. Proposed contours are suitable. ;✓
17. System meets slope requirements- min 1/8"-1/4"preferre t/
18. System meets breakout requirements- peastone elevation carried out 15 feet minimum. ,t,,y
19. Specified tge sizes are proper ggd�ss baffle on outlet tee,
"`20. Sewage flow under 10.000 gpd for parcel. : . ,..
21..No garbage disposal.
L 22. System adequately sized for its intended use. -
. LI !_I11 1.1 6" Y. , 6 !^S- 1%__L... i ilia._ - . D. o 1 t• ' . d ....9,11 ..
24. Manhole covers within 6" of grade-septic tank and pump chamlcr. .�
25. Electrical prmit for pump chamber.aomber.
26.
Pump system " - weep e.check valve. salutary in d-box. alarm on sate circuit.
27. Septic tank and pump chamber to be Factory waterpfed.
28.Vent provided if leaching below 3 feet or under driveway or parking.
29. Engineer to inspect and certify : a. clay removal .-
b. wall construction schedule
c; commercial system c/
30. Engineer and Land Surveyor stamp and signature. _�
31. H2O loading when system subject to vehicular traffic. %/.
32. Title V application and fee signed by a licensed installer.
33. Foundation faotin2 feet above adjusted water table. �/
L'
34. Lot subdivided prior to July 31. 1986 - Nitrate Loading.
35. Subdivided prior to April 7. 1989 - Phosphorus Zon 00'. ..�
Plan reviewed by: r 7