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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: AM 'IL(e) LOT '/ Date of Subdivision Approval
Street .2( ? it 9 S 6,1�dN Zone of Contribution: In Ce Out
Village a.),-1 ak--• Commercial Residential
Owner: Ade ( 2 1 Installer C41,-/ -0
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Builder: / Engineer 267)c---
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N/A YES NO
• 1.-Required number of co.ies received. L.-------
2. ,aeof �.'l e,,, t, . • ..: • • jot it.21 R. ode t • . -
3. 4 feet of naturally occurring pervious material, above water table(new constructions c�
` 4. Foundation 2 feetabove high point of fronting road for new construction.
5. Water availability letter from Water Department for new construction t.-----"' t_.,.�
. . - IC..,._IIS 1 • .' •_.a I 0 it - 11. i Ifs Wq. -_ase
7. Building sewer does not exit center of house. `---•-
8. Septic tank a minimum of 10 feet from house and deck. ... -'---
9. Leaching a minimum of 20 feet from house and 10 feet from deck. Li-
10. Leaching a minimum of 100 feet from wetlands. c.------
11. Leaching,a minimum of 150 feet from drinking wells/25 feet from irrigation wells. ✓
12. System meets all other setback requirements. t/
13. Uses adjustment for maximum high groundwater. .....----
14. Leaching 4-5 feet above adjusted water table or bottom of test pit. ‘....-----
15 System not in top or subsoil or 5 foot removal. t.�
16. Proposed contours are suitable. ....-----
17. System meets slope requirements-min. 118". 1/4" preferred. c-----
18. System meets breakout requirements- peastone elevation carried out 15 feet minimum.
19. Specified tee sizes are proper. gas baffle on outlet tee. ......-----
20. Sewage flow under 10.000 gpd for parcel. ,�-----"
1„ No garbage disposal. c..------
2Z
�2Z System adequately sized for its intended use: 1.-----
23. Minimum 6" stone or mechanically compacted below the tank and d-box.
24. Manhole covers within 6" of grade- septic tank and pump chamber. %...--
25. Electrical permit for pump chamber. (....----•
26. Pump system- 2" line, weep hole. check valve, sanitary in d-box. alarm on separate circuit..--/
27. Septic tank and pump chamber to be Factory watenroofed. (.../-
28. Vent provided if leaching below 3 feet or under driveway or parking. ._.-----
29. Engineer to inspect and certify : a. clay removal
b wall cons ruction schedule
c; commercial system •••••��
30. Engineer and Land Surveyor stamp and signature.
31. H2O loading when system subject to vehicular trafficL.....--"1
32. Title V application and fee signed by a licensed installer
33. Foundation footing.2 feet above adjusted water table.
34. Lot subdivided prior to July 31. 1986 - Nitrate Loading, ../
35. Subdivided p 'or co April 7. 1989 - Phosphorus Zone 300'.
Plan reviewed by: h'