HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH '�Z /I7 i �! ._�
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. -16 Lot Zone of Contribution: In`7' Out Acreage 2 t)
• L Comm- .1: Residential:
d
Street: / /`'7l e' C k
Village: G�%� Lr0lli Floor Plan. #Bedrooms:
Owner: yc�' t re./7' Installer: ( ate 4i)* 2 ` 5
Address: Phone: 775-- .-!7
Phone:
Builder: Engineer: G i- ntii-o---
Address: Phone: 2 Z.
Phone: - - g < Zuzl// r)/'` /
N/A YES NO
J
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 l%
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: L...-----
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.: Evi 5/-G/
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
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.: --.----
12. System meets all other setback requirements Var.: .------
13. Uses adjustment for maximum high groundwater Var.: -----
14.
/14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: i_�
15. System not in top or subsoil(A,B horizons)or 5'removal t�
16.Proposed contours are suitable L-•'''
17. System meets slope requirements-min. 1/8", 'A"preferred l/
18. System meets breakout requirements PVC liner: Wall:
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 V
22. System adequately sized for its intended use ✓
23. Minimum 6"stone or compacted below tank and dbox ......----
24.
24.Manhole covers within 6"of grade,pump chamber cover to grade L.-----
25.
/25. Inspection port on plastic chambers/leach field 1.-----
26. Electrical permit for pump chamber/Separate meter for duplexes 1.-----
27.
.127. 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 4.---
30. Buoyancy calculations for tank/pump chamber i11
31. Engineer to inspect and certify soils: wall: commercial: j-----
32.
-f32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature ,i/-
33. H-20 loading is subject to vehicular traffic, groundwater i
34. Title V Application and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ground water for new house if
36. Deed Restriction required max. #bedrooms: max. flow: gp�
37. Check area lots for groundwater/Label groundwater in Assessor's Map ! /--
Plan reviewed by: 6/03/03