HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. I io. Lot Z7 Zone of Contribution: In Out X( Acreage `?Z yrs
Commercial: Residential: ✓
Street: 3 Z . ---N-, --E I--
Village: ,ru Floor Plan: IV #Bedrooms: 1
Owner: p A- JA,r_ Installer Q j i FX c;Q.o )
[,,a(� CO fl
Address: Phone:` '9j(4 .3 '
Phone:
Builder: Engineer: /-1 c
Address: Phone:
Phone:
N/A YES NO
1.Required#of copies received </
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 7/
4. Foundation 2 ft above high point of road H.P.: Fnd: Var.: ✓ J 3
5.Water line 10 ft from septic components Var.: 5 c.e 'E ✓ ✓ u,c. I<
6. Benchmark indicated and shown-NGVD if near wetlands I 4,0Az
7. Septic tank minimum 10 ft from foundation, deck Var.: /
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: S ` /
9. Leaching minimum 100 ft from wetlands Var.: 25 `
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: V
11.Tank/leaching minimum 10 ft from property line Var.: S ' SA-5
12. System meets all other setback requirements Var.: ./-
13.
13. Uses adjustment for maximum high groundwater Var.: T1 oAC t c hSc v t 2' ✓ ,al.‘
14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.: 2
15. System not in top or subsoil(A,B horizons)or 5'removal s/
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", %"preferred 1 ✓
18. System meets breakout requirements PVC liner: Wall: f f
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel d
21.No garbage disposal ✓✓
22. System adequately sized for its intended use /ft-II ', ,/ [+a3
23.Minimum 6"stone or compacted below tank and dbox /
24. Manhole covers within 6"of grade,pump chamber cover to grade 5/
25. Inspection port on plastic chambers/leach field V / 171
26. Electrical permit for pump chamber/Separate meter for duplexes ./ ,
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size V
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 vehiculartr water _ \/
34.Title V Application and permit fee i si ature 1.7
35. Foundation footing min. 2 feet above adjusted gro er 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'et-V4-- 6 03 03 b 21' N