HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. -3?-0 Lot Zone of Contribution: In Out C" Acreage
Commercial: Residentia
Street: r // ii
Village: P7 i. Floor an: #Bedrooms:
Owner: p,,,,,,ed 0 azi7 Installer: �''lIL/K, /zdy 'd'!c AC/')Si,!'(i
CO-Address: a�G(1 Phone: Saf- C---3/1)
Phone: L(too( Ptill/ itof* .-
Builder: Engineer: C,Q L Q$ S
Address: 7 Phone: SR.-5-'341--. 7 �
Phone: .--�� � l�411
N/A YES .,,,, NO
1.Required#of copies received /
2. Date of soils exam and percolation test not older than 2 years .i,/
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.: ,_..--------
5.
=-�5. Water line 10 ft from septic components Var.:
6. Benchmark indicated and shown-NGVD if near wetlands ` ��
7. Septic tank minimum 10 ft from foundation, deck Var.: 4 uywy 7-E,�J1LL L...--------
8.
/8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: t__/--
9.
_/9.Leaching minimum 100 ft from wetlands Var.: L---
10.
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: 1/4_...-----
11.
_111.Tank/leaching minimum 10 ft from property line Var.: �/
12. System meets all other setback requirements Var.:
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 L...--<,,-
16.
�16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '/4"preferred L....---
18.
/18. System meets breakout requirements PVC liner: Wall: L.
19. Specified tee sizes are proper, gas baffle on outlet tee t../'
20. Sewage is under 10,000 gpd for parcel L...----
21.
f21.No garbage disposal 1..--- -
" 22.System adequately sized for its intended use (.....-----
23.
..123.Minimum 6"stone or compacted below tank and dbox L/
24.Manhole covers within 6"of grade, pump chamber cover to grade c....----
25.
./25.Inspection port on plastic chambers/leach field i./
26.Electrical permit for pump chamber/Separate meter for duplexes ------
27.Pump system-2" line,weep hole,check valve,tee in dbox,pump size L./°
28. Septic tank/pump chamber to be factory waterproofed L...----
29.
�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
35.Foundation footing min. 2 feet above adjusted ground water for new house `�
36.Deed Restriction required max. #bedrooms: max. flow: gpd L....------
....---''
f `..---''
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: (52>
6/03/03