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'/oma/7, TOWN OF YARMOUTH
- SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 79 Lot ?S-1 Zone of Contribution: In OutAcreage
' `� �' Commercial: Residential.
Street:
Village: 4/* ffff Floor Plan: �-'e--- #Bedrooms: 3
Owner: t/'()// /73/40(i Installer: 7
Address: Phone:
Phone:
Builder: Engineer: t f .ft '-. . X/ k
Address: Phone: -ac -/`rtcj
Phone: /�
i , v`�
N/A YES(.....„,")).10
1.Required#of copies received vJ
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 Lei
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: ...------
5.Water line 10 ft from septic components Var.: .------7-
6.Benchmark indicated and shown-NGVD if near wetlands tl
7. Septic tank minimum 10 ft from foundation, deck Var.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �...---.
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.: 1/4.----
12. System meets all other setback requirements Var.: 4------*
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 �`.
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '/4"preferred L..-----
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 C___-•
23.Minimum 6"stone or compacted below tank and dbox �,r,
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 C o
28. Septic tank/pump chamber to be factory waterproofed -
29.Vent provided if leaching below 3 feet,under driveway/parking 1®
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 -
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: 6/03/03