HomeMy WebLinkAboutReview Checklist ,
TOWN OF YARMOUTH .
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. #/g Lot Zone of Contribution: In Out_ Acreage 4
Commercial: Residential: ✓
Street: 6/ h tet'/ L"„ -
Village: )f _fc,ge /- Floor Plan: QS1 #Bedrooms:
Owner: -)4-47#S .fi -,a h n r) Installer
Address: ,92,,92, Siv s LS Phone:
Phone: ------
Builder: Engineer: Pew !Yl� e....,
Address: Phone: 5 11-77 53/3
Phone:
N/A YES NO
1.Required#of copies received ✓✓
2.Date of soils exam and percolation test not older than 2 years
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.: V/
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.: V„
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: V
9.Leaching minimum 100 ft from wetlands Var.: .,-
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: V
11.Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: l 1/13.Uses adjustment for maximum high groundwater Var.: V
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 V
16.Proposed contours are suitable V
17. System meets slope requirements-min. 1/8", '/a"preferred //A
18. System meets breakout requirements PVC liner: Wall: t/
19. Specified tee sizes are proper,gas baffle on outlet tee ✓
20.Sewage is under 10,000 gpd for parcel ✓
21.No garbage disposal
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 ✓
26.Electrical permit for pump chamber/Separate meter for duplexes
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size i/
28. Septic tank/pump chamber to be factory waterproofed ,/
29.Vent provided if leaching below 3 feet,under driveway/parking ✓
30.Buoyancy calculations for tank/pump chamber
31.Engineer to inspect and certify soils: wall: commercial: V
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature 8 GA. I
33.H-20 loading is subject to vehicular traffic,groundwater 14E "i %4j 1 . ✓
34.Title V Application and permit fee, installer signature C)
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 hi Assessor's Map V
Plan reviewed by: Qr v9I �� 6/03/03
e Elk ec.,c, sk-S 4e v i or( ec), e- 4.