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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 7 Lot 4�sj Zone of Contribution: In_ Out 1 creage b,oeO±
I , / Commerc' • R::: t
: 1;�
Street:
Village: 4?) 1-t' �',,, c) P..6 Floor PI : N�te N # B p1
Owner: Installer •:
Address: �' �c' �'- '
, C' r'S
Phone:
Phone:
Builder:Address: Engineer: ft c,; a) ec � , ,t), (Joii-/Z. --c
Phone:
Phone:
N/A YES NO
1. Required#of copies received ...----
2. Date of soils exam and percolation test not older than 2 years 4----
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.: c/6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: e/
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leaching minimum 100 ft from wetlands Var.:
10. Leaching minimum 150 . •m drinking well/25 ft irrigatio Var.: -5
11.Tank/leaching minimu jii from property line Va .. 1' ._5 ‘ !i t .
12. System meets all other set\ .ack requirements V .: f
13. Uses adjustme t for maximum high groundwater Var.: /
14. Leaching s -5 above adj. water or bottom of test hole Var.`/'! - t f''` l I
15. System not in op or subsoil (A,B horizons)or 5' removal
16. Proposed contours are suitable k-----
17. System meets slope requirements-min. 1/8", %"preferred ;/
__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 I
22_ System adequately sized for its intended use
f
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: ,i---
32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature
33.H-20 loading is subject to vehicular traffic,groundwater 1
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 I J
37. Check area lots for groundwater/Label groundwater in Assessor's Map I / I
Plan reviewed by a.r-ate, Cc_- 6 ••/ 2_3
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