Review Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
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Location: A.M. 3`1 Lot 8 3 Zone of Contribution: In Out k Acreage q / s F
Commercial: Residential:
Street: 5 7 4>e ( K-a►q��
. Village: Floor Plan: #Bedrooms: 3
Owner: .Aize f- 4 Installer:
Address: Phone:
Phone:
Builder: Engineer: 8 S C
Address: Phone:
Phone:
N/A YE, NO
1.Required#of copies received 2� ,,•••-
2.
/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 /
4. Foundation 2 ft above high point of road H.P.: Fnd: Var.:
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.:
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.: I
11.Tank/leaching minimum 10 ft from property line Var.: 1
12. System meets all other setback requirements Var.:
13. Uses adjustment for maximum high groundwater Var.: l ` ✓
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
16. Proposed contours are suitable
17. System meets slope requirements-min. 1/8", 1/4"pr
18. System meets breakout requirements PVC li r: Wall• 7
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 inten ed us:
23.Minimum 6"stone or compacted bel tank . i dbox `L/n
24. Manhole covers within 6"of grade,p n . s amber cover to grade ✓/
25. Inspection port on plastic chambers/leach field f
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
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 ✓ /
31. Engineer to inspect and certify soils: wall: commercial: N 1 V
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 ✓ a1 g
35. Foundation footing min.2 feet above adjusted ground water for new house v.2- / .
36. Deed Restriction required max. #bedrooms: max. flow: gpd ✓
37. Check area lots for groundwater/Label groundwater in Assessor's Map .�
Plan reviewed by: ///4/2b2-z_ 6 03 03