HomeMy WebLinkAboutReview Checklist t--- -o 7 7 Zov
TOWN OF YARMOUTH // /�6f_ )))."'�
• SEWAGE PLAN REVIEW CHECKLIST -
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Location: A.M. & Lot � Zone of Contribution: In Out Acreage
� C ` `� ' le2 - Commercial: Residential: t��
Street: ` Cl
Village: - 4,l✓, Floor Plan: #Bedrooms:
Owner: 4/yew zw / % % Installer: 7 /4.d- r-ial-- ,a-, .
Address: Phone * 7 -
Phone: 'e:'f 1 AO di‘/SA-C- 137
� J/ 71
L ,
Builder: Engineer: �l/ ' �/„
Address: Phone: --' , 1. - 6 7?ti--(-7
Phone: ,L4/`4/x,
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/ , „ir, 2z1,, YES ; NO
1.Required#of copies received
2.Date of soils exam and percolation test not older than 2 years c/
3.4-5 ft of naturally occurring pervious material,above water table /
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 (-/-
7. Septic tank minimum 10 ft from foundation, deck Var.:
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.: k.---/
12. System meets all other setback requirements Var.: d.,__ -"
13.Uses adjustment for maximum high groundwater Var.: /-
14.Leaching set 4-5 ft above adj.water or botto tesole Var.: tom'
15. System not in top or subsoil(A,B horizons) r 5'remov'l c't.:5----
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '/4" ferrel , c4k
18. System meets breakout requirements KPVC liner: Wall:
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel L._------
=21.No garbage disposal L/5
22. System adequately sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox l.,,/
• 24.Manhole covers within 6"of grade,pump chamber cover to grade
25.Inspection port on plastic chambers/leach field L./
26.Electrical permit for pump chamber/Separate meter for duplexes L--s
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
30.Buoyancy calculations for tank/pump chamber �/`
31.Engineer to inspect and certify soils: wall: commercial: �/ y
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature �•_
33.H-20 loading is subject to vehicular traffic, groundwater ...._.-----
34.
_i34.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:---2/max. flow: -- �v' gpd 1/4....------
37.Check area lots for groundwater/Label groundwater in Assessor's Map `-----
Plan reviewed by: at. 6/03/03