HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH l,�
SEWAGE PLAN REVIEW CHECKLIST / 1i/k--a ) 6‘e/
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Location: A.M. /OP Lot 0 2.- Zone of Contribution: In ,lout_ Acreage 2 � S-----1---S-.2Y'
Commercial: Residential: �.
Street: SL_ 6
Village: /A. Floor Plan: #Bedrooms: 2---
Owner: ;„
Owner: .i_ Installer: 1�Yd' J�'1 d C'
Address: ;„ Phone: S-e -3‘2_- a 2-3 7
Phone:
Builder: Engineer: 6' 5 , ' ,
Address: Phone: -44V -3@Y
Phone:
N/A YES NO
1.Required#of copies received t -- /
2. Date of soils exam and percolation test not older than 2 years
3.4-5 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.:
L..----
6. Benchmark indicated and shown-NGVD if near wetlands L...-/-
7.
/7. Septic tank minimum 10 ft from foundation, deck Var.: ..:_.-----
8.
/8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ✓"
9. Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: L_..---
11.
11. Tank/leaching minimum 10 ft from property line Var.: In [ ( (-�
12. System meets all other setback requirements Var.: L------
13. Uses adjustment for maximum high groundwater Var.: c____---
14. Leaching set 4-5 ft above adj.water or bottom of test hole Var.: 1%
15. System not in top or subsoil(A,B horizons)or 5' removal
16.Proposed contours are suitable \_-
17. System meets slope requirements-min. 1/8", 1/4"preferred C.---
18. System meets breakout requirements PVC liner: Wall: 1„//
19. Specified tee sizes are proper,gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
t_.-----
21.
/21.No garbage disposal
22. System adequately sized for its intended use 4t5_,,,›
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 tY
26. Electrical permit for pump chamber/Separate meter for duplexes C_-/
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 c c------
30.
/30. Buoyancy calculations for tank/pump chamber L.,/
31. Engineer to inspect and certify soils: wall: commercial: ‘......7.-
32.
l32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature L._------
33. H-20 loading is subject to vehicular traffic,groundwater ,------
34.
f34. Title V Application and permit fee, installer signature `---.
35. Foundation footing min.2 feet above adjusted ground water for new house .J-
36. Deed Restriction required max. #bedrooms: max. flow: gpd __.---
37.
-37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: ( 6/03/03