HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot C 97„70 Zone of Contribution: In_ Out Acreage
Commercial: Residential:
Street: AV s- - ;� _____
Village: <,' I"`✓rr��w � Floor Plan: tt
Bedrooms:
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Owner: (�,,� . y;,,,,-,0 Installer: 4 ,/j. (�.
Address: : i,5 •�,-fe, , -, �,, Phone: t
Phone: Sv'f' /3 t k
Buil
Address:er:
Engineer: SC e t��f,,.t02
Phone: Phone: s,6-- 3, us, 7-7
NIA 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 h point of road H.P.: Fnd: Var.: � _
5. Water line 10 ft from septic components Var.:
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: L I
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.: tom'
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: V
15. System not in top or subsoil (A,B horizons)or 5' removal
16. Proposed contours are suitable V
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
22. System adequately sized for its intended use t�
23.Minimum 6"stone or compacted below tank and dbox
24. Manhole covers within 6"of grade, pump chamber cover to grade
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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
1.4 28. Septic tank/pump chamber to be factory waterproofed
29. Vent provided if leaching below 3 feet,under driveway/parking V
30. Buoyancy calculations for lank/pump chamber/
31. Engineer to inspect and certify I 4./
fy 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 groundwaterfLAbel groundwater in Assessor's Map ( ✓ I
Plan reviewed by: . I _ ; )(r ) co:o;
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