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TOWN OF YARMOUTH
tel' 7 7 SEWAGE PLAN REVIEW CHECKLIST
Location: AM -2-3 LOT ?.').Z___ Date of Subdivision Approval
Street /- / ?-.Q Zone of Contribution: In Out -.=Village GG,fr/960fr
vi2,,e-ACommercial Residential '
Owner: .7.4:1 c F ('h 1� 1 Installer /4 v 6-47,71s
3D2 /--- e- v _4 / ,r%ovv 594 /6(2
9#-263 - -o. _ 0 ) ' or7/7 ,
Builder: 6-C /G11, (Steri 1J S Engineer c--vu pi,7
Ci GuaY GG i-r 7� GG S--c/-c(_
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ST bufees, 4i3O2-66D
N/A YES NO
1. Required number of copies received.
2. Date of soils exam and percolation test not older than 2 years. t ....---7-
3. 4
3. 4 feet of naturally occurring p vious material. above water table(new construction)
4. Foundation 2 feet above lugh_pomt of fronting road for new construction. „_________„..-
5. Water availability letter from Water Department for new construction. t.,..----"
6. Benchmark indicated and shown-NGVD if near wetlands. , ------
7.
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 fromhouse and 10 feet from deck.
10. Leaching a minimum of 100 feet from wetlands. ___-----
11.
--/11. Leaching a minimum of 1_50 feet from drinking wells/25 feet from irrigation wells.
12. System meets all other setback requirements.
13. Uses adjustment for maximum higroundwater. 1/4-----
14. Leaching 4 -5 feet above adjusted water table or bottom of test pit. t------",
15. System not in top or subsoil or 5 foot removal.
16. Proposed contours are suitable.
17. System meets slope requ s- min. 1/8". 1/4" preferred.
18. System meets breakout requirements- peastone elevation carried out 15 feet minimum.
19. Specified tee sizes are proper. . • ba>(Ile on outlet tee. /'
20. Sewage flow under 10.000 i•• for parcel. L, ,
21. No garbage disposal. ,/
• 22. System adequately sized.for its Winded use.
23. Minimum 6" stone or mechanically compacted below the tank and d-box. k_,/-
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. sanitar in d-box. alarm on separate circuit.
27. Septic tank and pump chamber to be Factory water
28. Vent provided if leaching below 3 feet or under driveway or parking, (___- --
29.
/'29. Engineer to inspect and certify : a. clay removal
b. wall construction schedule .,/
c: commercial system
30. Engineer and Land Surveyor stamp and signature,
31. H2O loading, when system subject to vehicular traffic_
32. Title V application and fee signed by a licensed installer. •
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1 g • , • 1 1 ' •_ K • ILIV- . . l W. _ . , - L-------
34. Lot subdivided pnor to July 31. 1986 - Nitrate Loa.',
35. Subdivided prior to April 7. 1989 - Phos .torus Zone(cA
3$ I's
Plan reviewed by: