HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH m fl 6 _ 3
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot f ( Zone of Contribution: In Out V Acreage /G,, Ogg
Commercial: Residential: I/
Street: S3 e a S a N--t S-t
Village: II Floor Plan: #Bedrooms:
Owner:R i G L rct G D e r m oft Installer: PK rn C o n.)11"'q C.-t°r- �N e
Address: Phone: 5-0 3 8 s Sc!9.3
Phone: SD $ 3 R - L/6 g iv
Builder: Engineer: Dow r7 Ca k nJ N e e r i +ig
Address: Phone: SO 3 - 4/3-4i/
Phone:
N/A YES NO
1.Required#of copies received V
2.Date of soils exam and percolation test not older than 2 years t/-
3.4-5
/3.4-5 ft of naturally occurring pervious material,above water table V'
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: ,d/
5.Water line 10 ft from septic components Var.: 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.: V
11.Tank/leaching minimum 10 ft from property line Var.: Nrg V
12. System meets all other setback requirements Var.: w/
13.Uses adjustment for maximum high groundwater Var.: V
14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.: V________`_
15. System not in top or subsoil(A,B horizons)or 5' removal I ✓ '
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '4"preferred
18. System meets breakout requirements PVC liner: Wall: I
19. Specified tee sizes are proper, gas baffle on outlet tee V
20. Sewage is under 10,000 gpd for parcel NO21.No garbage disposal 1
V
22. System adequately sized for its intended use V
23.Minimum 6"stone or compacted below tank and dbox V
24.Manhole covers within 6"of grade,pump chamber cover to grade V
25.Inspection port on plastic chambers/leach field
26.Electrical permit for pump chamber/Separate meter for duplexes
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 V
31.Engineer to inspect and certify soils: wall: commercial: V
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature 1 V
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 A/ /
37. Check area lots for groundwater/Label groundwater in Assessor's Map V
Plan reviewed bv: u_,tv- 60303