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TOWN OF YARMOUTH
. SEWAGE PLAN REVIEW CHECKLIST
Location: AM /D/ LOT 6,32-.. Date of Subdivision Approval
Street /44S v<-'74 ' ige-•( Zone of Contribution: In Out
Village ( wfr).44,1-- Commercial Residential
Owner: 1 a_&>/&'Ge l/Y /' Installer ie Ec a _--
Builder: 7 Engineer /-c�
N/A YES NO
1. Required number of copies received. `1(
2. Date of soils exam and percolation test not older than 2 years.
3. 4 feet of naturally occurring pervious material. above water table(new construction) , X
4. Foundation 2 feet above high point of fronting road for new construction. AZikd i'Il`Ile .
5. Water availability letter from Water Department for new construction.
6. Benchmark indicated and shown - NGVD if near wetlands. •x 7. Building sewer does not exit center of house. �C
8. Septic tank a minimum of 10 feet from house and deck. X
9. Leaching a minimum of 20 feet from house and 10 feet from deck. X
10. Leaching a minimum of 100 feet from wetlands.
11. Leaching a minimum of 150 feet from drinkinu wells/25 feet from irrigation wells.
12. System meets all other setback requirements.
13. Uses adjustment for maximum high groundwater. ?‹.
14. Leaching 4 -5 feet above adjusted w r bottom of test pit. J
15. System not in top or subsoil oot remova ...*__
16. Proposed contours are suita
17. System meets slope requirements - min. 1/8". 1/4" preferred. X
18. System meets breakout requirements - peastone elevation carried out 15 feet minimum. ?�
19. Specified tee sizes are proper. gas baffle on outlet tee.
-20. Sewage flow under 10,000 apd for parcel. X
21. No garbage disposal. �C
22. System adequately sized for its intended use. )C
-23. Minimum 6" stone or mechanically compacted below the tank and d-box. sC
24. Manhole covers within 6" of grade - septic tank and pump chamber. X
25. Electrical permit for pump chamber. X
26. Pump system - 2" line, weep hole. check valve. sanitary in d-box. alarm on separate circuit. X
27. Septic tank andpumpchamber to be Factory waterproofed.
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28. Vent provided if leaching below 3 feet or under drivewayor parking.
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29. Engineer to inspect and certify . a. clay removal
b. wall construction schedule
c. commercial system XC
30. Engineer and Land Surveyor stamp and signature. 3(
31. H2O loading when system subject to vehicular traffic. >C'
32. Title V application and fee signed by a licensed installer. X
33. Foundation tooting 2 feet above adjusted water table. X
34. Lot subdivided prior to July 31, 1986 - Nitrate Loading.
35. Subdivided prior to April 7, 1989 - Phosphorus Zone 300'.
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Plan reviewed by: i!•f
A -liwcd4C i , /62 0 �,e,• /; 0 1/rbeiar • 3e