HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Zone of Contribution: In Out Acreage �• �7 g
Location: A.M. �� Lot a� _ ,
/ /4/ Commercial: Residential: c�
Street: / A - /
Village: 4// Floor Plan: #Bedrooms: , 3
owner: 040/ 1;-acet Installer: r 4 -
Address: Phone: �d� 7 7 •0
Phone:
Builder: Engineer: Amp% 'K/ # oeee _f
Address: Phone: / - ' : Z 5 �
Phone:
N/A YES NO
1.Required# of copies received ✓" _
2. Date of soils exam and percolation test not older than 2 years 1.-----
3.
/3. 4-5 ft of naturally occurring pervious material, above water table (----
4.Foundation ft above high point of road H.P.: Fnd: Var.: L----
5. Water line 10 ft from septic components Var.: L..---
6.
/6.Benchmark indicated and shown-NGVD if near wetlands t L/
7. Septic tank minimum 10 ft from foundation, deck Var.: t✓/
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L.-----
9.Leaching minimum 100 ft from wetlands Var.: t1 _
10. Leaching minimum 150 ft from drinking we11125 ft irrigation well Var.: �/
11. Tank/leaching minimum 10 ft from property line Var.: tom'
12. System meets all other setback requirements Var.: C----
13. Uses adjustment for maximum high groundwater Var.: \....,---
14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.: C-S
15. System not in top or subsoil(A,B horizons) or 5' removal L. --
16.Proposed contours are suitable (....-----
17. System meets slope requirements-min. 1/8", 1/4"preferred L.....----
18. System meets breakout requirements PVC liner: Wall: L.........--
19.
ei19. Specified tee sizes are proper, gas baffle on outlet tee 1..----'
20. Sewage is under 10,000 gpd for parcel L-----
21.No garbage disposal L.----"' ,
22. System adequately sized for its intended use L.-----
23.Minimum 6"stone or compacted below tank and dbox L,-/
24.Manhole covers within 6"of grade,pump chamber cover to grade L_S .
25.Inspection port on plastic chambers/leach field t..-----
26.
126.Electrical permit for pump chamber/Separate meter for duplexes L`i
27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size L-�-
28. Septic tank/pump chamber to be factory waterproofed L1
29.Vent provided if leaching below 3 feet,under driveway/parking ‘.......-----
30.
`/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 Ma ___.--
Plan reviewed by: 6/03/03