HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH mA.f J Jc /l 7
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. I I5 Lot 491 Zone of Contribution: Ing//
Out4k1 Acreage
Commercial: Residential: 1„../
Street: f q S Ki ID )er- La N e- /
Village: Floor Plan: ✓ #Bedrooms: 3
Owner: 4A,e /7 SKipper .1 +►v� --ri-u ± Installer: Ail()r7"JegST C0ivsin,c. ioxi
Address: Phone: 5o s $96 - 771.3
Phone:
Builder: Engineer: !-► • rn_. 10ei//
Address: Phone: 5' �8 (, - ,�6 O /
Phone:
N/A YES NO
1. Required#of copies received V�
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 Y
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: V
5.Water line 10 ft from septic components Var.: re.-routed N<< e_ ✓
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.: ,,/
11.Tank/leaching minimum 10 ft from property line Var.: • V,
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 1 7
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", 'A"preferred 7
18. System meets breakout requirements PVC liner: Wall:
19. Specified tee sizes are proper, gas baffle on outlet tee V/
20. Sewage is under 10,000 gpd for parcel if
21.No garbage disposal _
11
22. System adequately sized for its intended use V
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 t/
27.Pump system-2"line,weep hole,check valve,tee in dbox,pump size ✓
28. Septic tank/pump chamber to be factory waterproofed .7
29. Vent provided if leaching below 3 feet,under driveway/parking Mill
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: d ✓
37. Check area lots for groundwater/Label groundwater in Assessor's Map
PIan reviewed b -4► 6 01 07