HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. P3? Lot_ 1 33 Zone of Contribution: hi Out �Acreage/0 3 0 9
Street:
19 Commercial: - Residential: 3.
� TL
Village: Floor Plan: V # Bedrooms: 3
Owner: C k_r f s 2 , Installer: C kaS 'Me f oh4.4...
Address: _ Phone:
Phone:
Builder: Engineer: Pt C-1 INN S Ct e c-'-g r"9IN
Address: _ _ Phone:
Phone:
N/A YES r NO -�
1. Required#of copies received I -
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.:
5. Water line 10 ft from septic components Var.: 'k.
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.: tr'
9. Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 ft from drinking well 25 ft irrigation well Var.: Y V !
------
11. Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: V
l3. Uses adjustment for maximum high groundwater Var.:
14. Leaching set 4-5 ft above adj. water or bottom of test hole r.. -
15. System not in top or subsoil (A,B horizons) or 5' removal /
16. Pro.osed contours are suitable l/.
17. System meets slope requirements-min. 1/8", !!"preferred
18. System meets breakout requirements PVC liner: -_ Wall: ; �-
19. Specified tee sizes are proper, gas baffle on outlet tee j ,�
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 7
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 ✓ -'
2S. Se tic 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 j
t-/V/k7' _I
33. H-20 loading is subject to vehicular traffic, groundwater
34. Title V Application and permit fee, installer signature
1.7
35. Foundation footing min. 2 feet above adjusted ground water for new house L/
36. Deed Restriction required max. #bedrooms: max. flow: ____ gpd 1 (/
37. Check area lots for groundwater/Label groundwater in Assessor's Map I
Plan reviewed b_v:
s G0:01