HomeMy WebLinkAboutReview Checklist , . R.--79
�, TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. /57 Lot 5 Zone of Contribution: In Out e
Street: 4frf/(4),
Commercial: Residential:
Village: Floor Plan: #Bedrooms: I ,,gyp
Owner: 5%'��7 0 ////ok/ fi 7;16 taller: 7 Phone:
Address: / '
Phone: cze-- 6/1-c--6/1-c-- e 7 /X
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Builder: l ��'(�7 Engineer: � fi
Address: Phone: -1(2:- ¢�
Phone: ' heft '4 /6�" 2ed-�/
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.: 1/4----
5. Water line 10 ft from septic components Var.: %.-----
6.Benchmark indicated and shown-NGVD if near wetlands C--
7. Septic tank minimum 10 ft from foundation, deck Var.:
(..-----
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: e--
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.: �>
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 thole ar.: (.l
15. System not in top or subsoil(A,B horizons)or 5 remova ,.--/
16.Proposed contours are suitable t....-----
17. System meets slope requirements-min. 1/8", 'A"preferredC------'18. System meets breakout requirements PVC liner:.1 all: (.....-----
19. Specified tee sizes are proper,gas baffle on outlet tee t..----
20.
120. 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,,i
24.Manhole covers within 6"of grade,pump chamber cover to grade �----•
25. Inspection port on plastic chambers/leach field t.----""
26.Electrical permit for pump chamber/Separate meter for duplexes c.
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 �'
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.
37.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: 6/03/03