HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH Zal- { 7
SEWAGE PLAN REVIEW CHECKLIST 6'�'. / - _) / G�/'"
Location: A.M. 71 Lot Zone of Contribution: In (` Out Acreage /3. il`--
(tP 5 `�-t Commercial: Residential:
' Street: J'
Village: Floor Plan: `_7. # Bedrooms:
Owner: G/j //416---Z-7Installer: CifiZe4A.6i6
Address: Phone: Vg=f 2k `-fG).1?
Phone:
Builder: Engineer: 6Lp( &./e/.c
Address: Phone: J E--4 77 ` c.413
Phone:
N/A YES NO
1. Required#of copies received l./
2. Date of soils exam and percolation test not older than 2 years L------
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.: L�
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: %1`
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: ,, �
9. Leaching minimum 100 ft from wetlands Var.: t..____
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.: c./
13. Uses adjustment for maximum high groundwater Var.: ,/
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 l�
16. Proposed contours are suitable
17. System meets slope requirements-min. 1/8", ''A"preferred ✓'
18. System meets breakout requirements PVC liner: Wall: ��
19. Specified tee sizes are proper, gas baffle on outlet tee `-----
0. Sewage is under 10,000 gpd for parcel �_.----
21. No garbage disposal
22. System adequately sized for its intended use l�
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 ���
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: 6/03103