HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH 2
SEWAGE PLAN REVIEW CHECKLIST ,, r
Location: A.M. Lot /1,72.- Zone of Contribution: In_t011t.= Acreage
Commercial: Residential: L-.----
Street:
--Street: 07 *, /li /r .67 '
'
/(l
Village: /? Floor Plan: (� #Bedrooms: /
7
Owner: $4/`P Installer: 7
Address: a ♦ if Phone: /
Phone: - 7 -1 +/.' -. C't,'Z'�' `` -r 57,.; / *' ' 74'7
Builder: /4?'�� (0141 Engineer: .._..1,14. 0 /'< //
Address: !� Phone: Wp-- t --�j i/ 7,-
Phone:
Phone: 5 di)" - 7 (.� -fre7-#1 7i COL-:??aa (),
N/A _YES NO
1.Required# of copies received
2. Date of soils exam and percolation test older than 2years ( f -�
Q ( � f �� ' 1G�
3. 4-5 ft of naturally occurring pervious material, above water table c_�-
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: (...-----
5.Water line 10 ft from septic components Var.: t..------
6.Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L..-
9.Leaching minimum 100 ft from wetlands Var.: -_-�" �
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: tC__.--F'
11.Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: ---
13.Uses adjustment for maximum high groundwater; --V�---- ,,J�
14. Leaching set 4-5 ft above adj.water or botto9a4 test hole' Yar.: (.
15. System not in top or subsoil(A,B horizons) ' remo
16.Proposed contours are suitable -
17. System meets slope requirements-min. 1/8", ' "preferred l._._/
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
21.No garbage disposal _----
22.
i22. System adequately sized for its intended use \.
23.Minimum 6" stone or compacted below tank and dbox c -- '
24.Manhole covers within 6"of grade, pump chamber cover to grade l
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 �-- '.
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 --'"
37. Check area lots for groundwater/Label groundwater in Assessor's Map e,
Plan reviewed by: fZ i 6/03/03