HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 3o LotJL� Zone of Contribution: In Out V Acreage /% I/1
Commercial: Residential:
Street: sq GJ e L Sic sr C, )4.
Village: Floor Plan: #Bedrooms: 07
'' ll pro9cdI-/ 5, f,
Owner: /3 e r N a iOo� c_ /S & Installer: (3 0 r-1 e /Off Crwo .
Address: Phone: 50 7 7/ - 1 3 4 7
Phone: 6 / 7 3 O 6 - 3.Sy 7
Builder: Engineer: Po w tJ CcLe e foi N c e r ip,i
Address: Phone: 3-0 3 t d - Lis-6 /--/
Phone:
N/A YES i 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.: t/'
5.Water line 10 ft from septic components Var.: ✓
6.Benchmark indicated and shown-NGVD if near wetlands s/
7. Septic tank minimum 10 ft from foundation,deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: t/
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: c/
11.Tank/leaching minimum 10 ft from property line Var.: 1-7:i
12. System meets all other setback requirements Var.: V
13.Uses adjustment for maximum high groundwater Var.: t/
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 L/
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", %"preferred
18. System meets breakout requirements PVC liner: Wall: r/
19. Specified tee sizes are proper,gas baffle on outlet tee c.
20. Sewage is under 10,000 gpd for parcel
21.No garbage disposal
22. System adequately sized for its intended use �j
23.Minimum 6"stone or compacted below tank and dbox I e/
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 V.
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 n//
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 V.
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 O. %.4o� 60303