HomeMy WebLinkAboutReview Checklist 7-4- j
TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. /'3 Lot /2--- Zone of Contribution: In Out 4creage
Street: PS-- 4'' '�� �� � Commercial: Residential:
Village: Floor Plan: L/ #Bedrooms: //
Owner: 9 / U -7 Installer: i'�
Address: Phone: /� � - 3
Phone:
'/ �
Q1(7e--e:/r ..
Builder: Engineer: r
Address: Phone: 0' �O - �.
Phone: 'a , 1 G2'' 0``7441
N/A YES NO
1.Required#of copies received t/
2. Date of soils exam and percolation test not older than 2 years �:
1....----""
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.: c.._----
5.
`5. Water line 10 ft from septic components Var.: ✓itif-to7'
6.Benchmark indicated and shown-NGVD if near wetlands
.--(.13
1
7. Septic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:Kfkdow 01,14404,-f Ct
9.Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: -----
11.
11.Tank/leaching minimum 10 ft from property line Var.: C.--""
12. System meets all other setback requirements Var.: V
13. Uses adjustment for maximum high groundwater Var.: 'L_.--''
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 �_.---'
16.Proposed contours are suitable L_',
17. System meets slope requirements-min. 1/8", 'A"preferred l � .
18. System meets breakout requirements PVC liner: Wall: L...---'.
19. Specified tee sizes are proper, gas baffle on outlet tee L.-----/
20. Sewage is under 10,000 gpd for parcel �.
21.No garbage disposal 1 /
22. System adequately sized for its intended use C�
' 23.Minimum 6"stone or compacted below tank and dbox 1.------
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 L/"
29.Vent provided if leaching below 3 feet,under driveway/parking
k.....----•
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 L.-----
33.H-20 loading is subject to vehicular traffic, groundwater L/
34.Title V Application and permit fee, installer signature t-,-,.
35.Foundation footing min. 2 feet above adjusted ground water for new house `.---"
36.Deed Restriction required max. #bedrooms: max. flow: gpd ----
......----
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by:
G.,,,-).
6/03/03