Review Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. -7-7
Lot 44S Zone of Contribution: In✓Out_ Acreage 6, (o 46 1: S F
Commercial: Residential: t/
Street: t t1 4e(._L.1 s 'fit--t u€
Village: Scro --i.{ Floor Plan: V #Bedrooms: 3
Owner: 111-4 L4 T3 L ! cgs...3 Installer:
Address: Phone:
Phone:
Builder: Engineer: A-4-4- 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 V
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: ✓
5.Water line 10 ft from septic components Var.: I /
6.Benchmark indicated and shown-NGVD if near wetlands V
7. Septic tank minimum 10 ft from foundation, deck Var.: /
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.:
12. System meets all other setback requirements Var.:
16-
13.Uses adjustment for maximum high groundwater Var.: V/
14. Leaching set 0 above adj. water or bottom . -st hole Var.. ✓
15. System not in top or subsoil(A,B horizons) .0 oval V
16.Proposed contours are suitable ✓
17. System meets slope requirements-min. 1/8", '4"preferred V
18. System meets breakout requirements PVC liner: Wall: f ✓
19. Specified tee sizes are proper, gas baffle on outlet tee ✓
20. Sewage is under 10,000 gpd for parcel ✓
21.No garbage disposal ✓
22. System adequately sized for its intended use ✓
_
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 V
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 _ V
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 V
33.1-1-20 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. �'44,1-/ 6 03 03