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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot ..?(-)7 Zone of Contribution: IrU,1Out eage
Commercial: Residential: f�
Street: 7 /6 /,-
Village: � ��� Floor Plan: l/ #Bedrooms: 3
Owner: ®!-fG e/44GL1#7'P Installer:
Address: Phone:
Phone: 9V-- 1p/
Builder: ct�`"'"L Engineer: 4/../ G 2L C�
Address: Phone. -
S /
Phone:
1.Required#of copies received ( Ot] 1iEr N t �� NO
2.Date of soils exam and percolation test not older than 2 years Lam,
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.: L�
5.Water line 10 ft from septic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands L�
7. Septic tank minimum 10 ft from foundation, deck Var.: Li•
8.Leaching minimum 20 ft full, 15 ft crawl; 10 ft slab Var.: �1
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.:
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
17. System meets slope requirements-min. 1/8", '/4"preferred Lo
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 L1
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 L_.r
26.Electrical permit for pump chamber/Separate meter for duplexes
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,et, 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
34.Title V Application and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ground water for new house
36.Deed Restriction required max. #bedrooms: max. flow: gpd
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: 6/03/03