HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. liD Lot /A Zone of Contribution: In_ Out Acreage_/4 0
1_ Commercial: Residential: T�
Street: `1�\Cf YCC i-\0:7r-(�(� .r-e --_
Village: i 1 Floor Plan: #Bedrooms: 3
Owner: D0 a5e / A_5. lJ F 0 w N Installer: 5 p C,</. r -- /,-)Address: Phone:
Phone:
Builder: Engineer: t c7 6 IC / 6jeicr I -'
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
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.: I /
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: l
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: I
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. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: 1
15. System not in top or subsoil(A,B horizons)or 5' removal
16.Proposed contours are suitable /
17. System meets slope requirements-min. 1/8", 1"preferred /
__18. System meets breakout requirements PVC liner: Nall:
19. Specified tee sizes are proper, gas baffle on outlet tee /
20. Sewage is under 10,000 gpd for parcel 4/
21.No garbage disposal .
22. System adequately sized for its intended use i
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
26.Electrical permit for pump chamber/Separate meter for duplexes
27.Pump system-2"line,weep hole,check valve, tee in dbox,pump size <i
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:
32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature
33. H-20 loading is subject to vehicular traffic,groundwater /
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: - 6 o:o: