HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location A.M. Lot 71/A Zone of Contribution: In_ Out_ Acreage
Commercial: Residential:Street: �srrl t)' >e-,c,�( life., (
Village:
Floor Plan: L- a Bedrooms:
Owner: r� / 3-,- 7_,-, Installer: �;d e l' /
Address: 3e, 4,es,� o�S
��r��� Phone: -2
c3b c-d"9<< 7�/-6,'i ' 0`J31
Phone: 77e/"
Builder: Engineer: (.�/gin f/(,/y,Address: ✓�j ✓l
Phone: Phone: 7 7t/- .,)3ts-_i /_?
1. Required##of copies received NIA 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 - .Z
g H.P.: Fnd: Var.: -_--
5. Water ire 10 ft from septic components Var.: I ✓ -
6. Benchriark indicated and shown-NGVD if near wetlands
7. Septic ank minimum 10 ft from foundation, deck Var.:
8. Leachi g minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9. Leac ' g minimum 100 ft from wetlands Var.: �%
10. Leachi g 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.: I //
13. Uses ad'ustment for maximum high groundwater Var.:
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: 1/ H
15. System not in top or subsoil (A,B horizons)or 5' removal >/
16. Proposed contours are suitable
17. System -neets slope requirements-min. 1/8", '4"preferred
18. System meets breakout requirements PVC liner: Wall: I V
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel444��� � r�``�� t"a�C J
21. No garbage disposal
22. System ade uately sized for its intended use I
23.MinimuE 6"stone or corns acted below tank and dbox
24. Manhole covers within 6"of grade, pump chamber cover to grade _
25. Ins'ect ion sort on elastic chambers/leach field
26. Electrica .ermit for 'urn. chamber/Se.arate meter for du.lexes MEI-
111111
27. Pum. system-2"line,wees hole,check valve, tee in dbox, sump size -
28. Septic tack/sums chamber to be facto waterproofed roofed Mil -
29. Vent .rovided if leaching below 3 feet,under drivewayiparkina
30. Buo ancy calculations fortank/.ums chamber
31. Engineer to ins.ect and certify soils: wall: co �S
32. Enaineer/Re:istered Sanitarian and Land Surveyor stam.s/si:nature mrnercial: -
33.H-20 loacina is sub ect to vehicular traffic, : oundwater _�-
34.Title V Application and sermit fee, installer si• .ature11111.11.1011111111111
35. Foundation footing min. 2 feet above ad'usted around water for new house S_36. Deed Restriction required max. ®-
37. Check area lots for groundwater/Label • oundwater in Asse,ors Ma. d -_
EMI
Plan reviewed by: C Ud i --
L.