HomeMy WebLinkAboutReview Checklist :Ze TOWN OF YARMOUTH /7 d � �
SEWAGE PLAN REVIEW CHECKLIST )
` Location: A.M. /6- Lot /6 Zone of Contribution: In Out Acreage
Commercial: Residential: k
Street: l/S
Village: �� Floor Plan: #Bedrooms: 4) _
Owner:Installer: .�lj5`- d ,'yl
Address: i ��`` Phone:
Phone:
Builder: Engineer: gr-ep,./Ze, ,7-
,/teikil
Address: Phone: 9J'-39?
Phone: - vfeo lJ/c 6 6/1/7/4-rd
N/A
N/A YES /NO
1.Required#of copies received i_/'
�32.Date of soils exam and percolation test not older than 2 years i.----
3.4-5
.4-5 ft of naturally occurring pervious material,above water table L./'-
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.:
5. Water line 10 ft from septic components Var.: t....-----
6.
/6.Benchmark indicated and shown-NGVD if near wetlands [--------.
7. Septic tank minimum 10 ft from foundation,deck Var.: t----' /
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 49 i..1 ' ✓
9.Leaching minimum 100 ft from wetlands Var.: Gil'
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: 1
11.Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: \...7:,
13.Uses adjustment for maximum high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: .✓/
15.System not in top or subsoil(A,B horizons)or 5'removal
16.'Proposed contours are suitable t/
17.System meets slope requirements-min. 1/8", Vs"preferred _ �/
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 L
22. System adequately sized for its intended use
• 23.Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade,pump chamber cover to grade
25.Inspection port on plastic chambers/leach field IV
26. Electrical permit for pump chamber/Separate meter for duplexes L/
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size
28. Septic tank/pump chamber to be factory waterproofed i..7
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 L�
34.Title V Application and permit fee,installer signature
35.Foundation footing min. 2 feet above adjusted ground water for new house L-----
36.Deed Restriction required max. #bedrooms: max. flow: gpd c(?
``
37.Check area lots for groundwater/Label groundwater in Assessor's Map j
Plan reviewed by: 7 6/03/03