Review Checklist TOWN OF YARMOUTH
Lc,, SEWAGE PLAN REVIEW CHECKLIST
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Location: A.M. 1 Lot 1 01 Zone of Contribution: In JC Out_ Acreage , 2-g
Commercial: Residential: J(
Street: 1 ( 11/1 `Vi&ORAM, .
Village: 4 /A114a4..L. Floor Plan: ✓ #Bedrooms: 2--
Owner Installer: 6 D -1- R 0 LA 4"
Address: Phone:
Phone:
Builder: Engineer: 1: t SS 12 j vr. r -Uhl .
Address: Phone: �J
Phone:
N/A YES SATO
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 sga
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.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: t.--"--
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: v------
11.Tank/leaching minimum 10 ft from property line Var.: t .
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", 'A"preferred . t/
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
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
28. Septic tank/pump chamber to be factory waterproofed t .✓
29. Vent provided if leaching below 3 feet,under driveway/parking
30. Buoyancy calculations for tank/pump chamber N
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
oundation footingmin. 2 feet above �
adjustedground water for new house
ei,:. Restriction required max. Z #bedrooms: max. flow: gpd
. Check area lots for groundwater/Label
groundwater in Assessor's Map
Plan reviewed by: (11/144.----- 6/03/03