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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot Zone of Contribution: In Out /Acreage
Commercial: Residential: L
Street: /7/ CAocoveJ/ /264
Village: 4/&s/-- Yom,,,,,„ff,, Floor Plan: #Bedrooms: 'V
Owner: /ealard 1- 7?rte/ 7J „-4 Installer: 5Ore n tx<Gu/fes f'
Address: 7$ 4.:,..4e_127 /eat! btayev:14 40( Phone: Se 'I 5!?dt5
Phone:
Builder: Engineer: C'Ga_s*/ i*-/e77
Address: Phone: ,a;)9, Q515-6. j
Phone:
N/A YES NO
1.Required#of copies received ✓
2.Date of soils exam and percolation test not older than 2 years Sea 1-e0- V
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3.4-5 ft of naturally occurring pervious material,above water table ,V
4.Foundation 2 ft above high point of road . H.P.: Fnd: Var.: V
5.Water line 10 ft from septic components Var.:
6.Benchmark indicated and shown-NGVD if near wetlands 1,
7. Septic tank minimum 10 ft from foundation, deck Var.: 4, _
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ✓
9.Leaching minimum 100 ft from wetlands Var.: V
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: V
11.Tank/leaching minimum 10 ft from property line Var.: V
12. System meets all other setback requirements Var.: V
13.Uses adjustment for maximum high groundwater Var.: 17
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", 1/4"preferred ,✓
18. System meets breakout requirements PVC liner: Wall: ✓
19. Specified tee sizes are proper, gas baffle on outlet tee V
20. Sewage is under 10,000 gpd for parcel ,✓
21.No garbage disposal V
22. System adequately sized for its intended use ✓
23.Minimum 6"stone or compacted below tank and dbox V
24.Manhole covers within 6"of grade,pump chamber cover to grade z
25.Inspection port on plastic chambers/leach field ✓
26.Electrical permit for pump chamber/Separate meter for duplexes V/
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size ✓
28. Septic tank/pump chamber to be factory waterproofed V
29.Vent provided if leaching below 3 feet, under driveway/parking V
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 grouudwater/Label groundwater in Assessor's Map
Plan reviewed by: N I iI 2.I T 6/03/03