HomeMy WebLinkAboutReview Checklist "f '7.
TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST •
Location: A.M. W Lot X Zone of Contribution: In Out creage
2 --- 7?' �L /1� Commercial: Residential: E--------Street:
Village: (.O. �/• Floor Plan: L/ #Bedrooms:
Owner: koeR % (< 67/y41 S3 Installer: ..moi✓! - A !G!
Address: Phone: `I7/4Z7
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Phone: �Pi /k(���
Builder: Engineer: ! 1%lL�/
Address: Phone: �/ . Z
Phone: , '-6 1 4 Mie-t. t
/�'rA / N/A YES NO
1.Required#of copies received (.../
2. Date of soils exam and percolation test not older than 2 years C._.- _
3. 4-5 ft of naturally occurring pervious material, above water table 1/4.---
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: �v.
5. Water line 10 ft from septic components Var.: �---
6.Benchmark indicated and shown-NGVD if near wetlands t._
7. Septic tank minimum 10 ft from foundation, deck Var.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: (......---0--
9.Leaching minimum 100 ft from wetlands Var.: C.------
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: .......----
11.
_,/11.Tank/leaching minimum 10 ft from property line Var.: l.1
12. System meets all other setback requirements Var.: L..---
13.Uses adjustment for maximum high groundwater Var.: I. C) L......
14. Leaching set 4-5 ft above adj.water or bottom of test hole Var.: t------""
15. System not in top or subsoil(A,B horizons) or 5' removal
16.Proposed contours are suitable t.-----
17.
.117. System meets slope requirements-min. 1/8", '/4"preferred k------
18. System meets breakout requirements PVC liner: Wall:
19. Specified tee sizes are proper, gas baffle on outlet tee ._
_20. Sewage is under 10,000 gpd for parcel �1
21.No garbage disposal t___....---
22. System adequately sized for its intended use L.-.---• .
23.Minimum 6"stone or compacted below tank and dbox L..-----
24.Manhole covers within 6"of grade,pump chamber cover to grade
25.Inspection port on plastic chambers/leach field ,
26.Electrical permit for . .. maw ber/Ser n l ,•u•lex-
27.Pump system-2" 1' M 5 . !�! f. ump s' -
28. Septic tank/pump chamber to be o , . • • ►: • dippo
29.Vent provided if leaching below 3 feet, under driveway/parking �._.
30. Buoyancy calculations for tank/pump chamber ....,----
31.
/31.Engineer to inspect and certify soils: wall: commercial: �----
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature k.......-------
33.H-20 loading is subject to vehicular traffic, groundwater -....„.----
34.
.�34.Title V Application and permit fee, installer signature - L..------"
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