HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Ell Lot lb3 Zone of Contribution: In Out x Acreage i44-112.9.0 -A-2-
Commercial: Residential: x
Street: SOO Zoo T.E (JA
Village: (-1, 1z4vt _yr -t' PO lei' Floor Plan: ki. #Bedrooms: S
Owner: St-t&(LA-- tvi fi1-'LG- Se4e X17 Installer:
Address: Phone:
Phone:
Builder: Engineer: t.3t C�20t..)-9
Address: Phone: CS-010 R-a - S191.01
Phone:
N/A YES NO
1.Required#of copies received V
2.Date of soils exam and percolation test not older than 2 years V
3.4-5 ft of naturally occurring pervious material,above water table I
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.:
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.: �V/
10 .Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: J
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 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-nun. 1/8", %"preferred /
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 `I
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 J
26. Electrical permit for pump chamber/Separate meter for duplexes
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size 1.//
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.Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: 1 ►'i ri G..� (A..� t vvi vvt .' '2 6 03 03