Review Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 78 Lot /35- Zone of Contribution: In_ Out Acreage /' 7010
( Commercial: Residential: c-
Street: E 1 A /1.1 fi 4-e r 12-- ---
Village: Floor Plan: i . # Bedrooms: 3
Owner: yam, , $ !// i.Go 4 w Installer: Q u i ti,v S
Address: Phone:
Phone:
Builder: Engineer: G- iv ;iv. (J o r K 3
Address: Phone:
Phone:
N/A YES NO
O
1. Required#of copies received i/
2.Date of soils exam and percolation test not older than 2 years fr.
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.: f/
6.Benchmark indicated and shown-NGVD if near wetlands V
7. Septic tank minimum 10 ft from foundation, deck Var.: L_
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: u- _
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.: \N /
13.Uses adjustment for maximum high groundwater Var.: ll _.
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-min. 1/8", %"preferred 1/
__18. System meets breakout requirements PVC liner: Wall:
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 1/�
23.Minimum 6"stone or compacted below tank and dbox k-------
24. Manhole covers within 6"of grade,pump chamber cover to grade 1
25. Inspection port on plastic chambers/leach field 1'
26. Electrical permit for pump chamber/Separate meter for duplexes . _ 1/'
27.Pump system-2"line,vveep hole,check valve, tee in dbox,pump size 1/
28. Septic tank/pump chamber to be factory waterproofed
29. Vent provided if leaching below 3 feet,under driveway/parking
30.Buoyancy calculations for tankpump chamber j
31. Engineer to inspect and certify soils: wall: commercial: -------or V
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 f�
35.Foundation footing min.2 feet above adjusted ground water for new house 1/
36.Deed Restriction required max. #bedrooms: max. flow: gpd V
37. Check area lots for groundwater/Label groundwater in Assessor's Map '
Plan reviewed by: _ 6 o:o;