HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. / l S Lot 476 Zone of Contribution: In Out / Acreage /`J /0 0
Commercial: Residential: L-
Street: O � f r- Oa) Lea 01
Village: Floor Plan: / 3
#Bedrooms:
Owner: Installer: C D e ( bCf e'er74/
Address: Phone:
Phone:
Builder: Engineer:
N..S I N e e r r A-:._. CG LI.CS
Address: Phone:
Phone:
N/A YES NO 1
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 -_
4. Foundation 2 ft above high point of road H.P.: Fnd: Var.: V
5. Water line 10 ft from septic components Var.: r:/f
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: I 1.,/
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: I J
9. Leaching minimum 100 ft from wetlands Var.: i
10. Leaching minimum 150 ft from drinking we1L'25 ft irrigation well Var.: j
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.: or' 1-
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
16. Proposed contours are suitable
17. System meets slope requirements-nun. 1/8", 'A"preferred
18. System meets breakout requirements PVC liner: Wall: I
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel 1
21. No garbage disposal i
22. System adequately sized for its intended use /
23. Minimum 6"stone or compacted below tank and dbox I
. 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 ehamber,'Separate meter for duplexes l/. Pr-
!
27. Pump system-2" line,weep hole,check valve, tee in dbox,pump size j
28. Se tic tank/pump chamber to be factory waterproofed
29. Vent provided if leaching below 3 feet,under driveway/parking I
30. Buoyancy calculations for tank pump chamber
31. Engineer to inspect and certify soils: wall: commercial: I l.
!l/
32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature I 9-'
33. H-20 loading is subject to vehicular traffic, groundwater I >ts.°1'
34. Title V Application and permit fee, installer signature
35. Foundation footing min. 2 feet above adjusted ground water for new house i
36. Deed Restriction required max. #bedrooms: max. flow: gpd
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by:
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