HomeMy WebLinkAboutReview Checklist (9Z TOWN OF YARMOUTH
��� SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot Zone of Contribution: In_ Out_ Acreage
Street: �d1dic,n ����1:� Commercial: Residential:�__-
Village: v„,,,,U Floor Plan: t/
# Bedrooms:
Owner: Can /e.th q. S a Installer:
Address: ;A.-ha•.-� X C� vc,id r•
13 c, yr)01«,,,. .C�,,;C_ Phone: rbi-- yl.-) - 5`3'1,C
Phone: cbis--(-2 5,-7. d jr(., x ,
Builder: l
Address: Engineer: Oc I),cc 7lli 1t!t�e%)(t7
Phone: Phone: 51,i Sd )- _ 36
1. Re.uired#of copies received N/A YES NO
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 highpoint of road g H.P.: Fnd: Var.: �
5. Water line 10 ft from septic components Var.: -
6. Benchmark indicated and shown-NGVD if near wetlands f���e I v
7. Septic tank minimum 10 ft from foundation, deck Var.: I
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: y.el I I\7'
9. Lching minimum 100 ft from wetlands '
ea
10. Leaching Var.:
minimum 150 ft from drinking well/25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from property line Var.:
1 12. System meets all other setback requirements Var.:
f13. Uses adjustment for maximum high groundwater Var.:
14. Leaching set 4-5 ft above ad.. water or bottom
15. System not in top or subsoil (A,B horizons) or Sf removal test hole Var..:
i,( I
16. Proposed contours are suitable
17. System meets slope requirements- min. 1/8", V"preferred ,
18. System meets breakout requirements PVC liner: Wall:
19. S ecified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel 21. No garbage disposal
22. System ade uately sized for its intended use
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 certif
y 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: b �� y