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TOWN OF YARMOUTH
• SEWAGE PLAN REVIEW CHECKLIST
Location: AM elf- LOT `V Date of Subdivision Approval
Street 67¢ , 'z&& 6 9 Zone of Contribution: In Out
Village ,i'-i7 Commercial Residential
Owner: ,/pi Installer PR/�
/0 #x . .z.4 D zia >J1/ . 5-----57 93
•
Builder: Z2:;L Engineer _...< / .. . • :h:
700-- /3/ P7-1-7 -3?c.37
N/A YES NO
1. Required number of copies received. / -
2. Date of soils exam and percolation test not older than 2 years. ,. .
3. 4 feet of naturally occurring pervious material, above water table(new construction)
4. Foundation 2 eet above i h .. of . ", _ roa. fir n-w construction. ----- _
5. Water availability letter from Water Department for new construction. tom'
6. Benchmark indicated and shown-NGVD if near wetlands.
7. Building sewer does not exit center of house. i/"
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.
10. Leaching a minimum of 100 feet from wetlands.
11. Leaching a minimum of 150 feet from drinking wells/25 feet from irrigation wells. r/
12. System meets all other setback re•uirements.
13. Uses adjustment for maximum "" • . • dwater. /
t "
14. Leaching 4 -5 feet above adj - ted water tar b1 cp bottom of test pit. t.�
15. System not in top or subsoil 'r 5 foot re (*/
' 16. Proposed contours are suitable- L...-- -
17. System meets slope requirements - min. 1/8". 1/4" preferred. L i
7 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. t/
' 21. No garbage disposal. ,...------
22.
/22. System adequately sized for its intended use. ,...,---'-
23.
23. Minimum 6" stone or mechanically compacted below the tank and d-box. Li
24. Manhole covers within 6" of grade - septic tank and pump chamber. ,�
25. Electrical permit for pump chamber. 6,--
26. Pump system- 2" line, weep hole, check valve, sanitary in d-box. alarm on separate circuit. c...-----
27. Septic tank and_pump chamber to be Factory waterproofed. ._...-----
28.
�/28. Vent provided if leaching below 3 feet or under driveway or parking. ,.------'
29. Engineer to inspect and certify : A. clay removal ../
b. wall construction schedule
c: commercial system .._...---
30. Engineer and Land Surveyor stamp and signature. L.
31. H2O loading when system subject to vehicular traffic. c:;�
32. Title V application and fee signed by a licensed installer, ,...-----
33.
./33. Foundation footing 2 feet above adjusted water table. ,....-----
34. Lot subdivided prior to July 31. 1986 - Nitrate Loading. ..._.----
35.
i35. Subdivided prior to April 7. 1989 - Phosphorus Zone 300'. l.....-----
Plan reviewed by: 0 i
H. P :: 4 F' d.= a D Va",3/4-'riau se