HomeMy WebLinkAboutReview Checklist TOWN OF'YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 22- Lot Zone of Contribution: In Out (P Acreage
G Commercial Residential: -
Street: 2 /
Village: Floor Plan: # Bedrooms:
Ked
Owner: 4?-614 L l? Installer: ,i 2S`4N��
Address: Phone:
Phone:
Builder: Engineer: "16/4 W F_J/� .
Address: Phone: 7 7 S 7 WZ
'
Phone:
N/A YES NO j
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 point of road H.P.: Fnd: Var.: t.-------
5. Water line 10 ft from septic components Var.: =,
6. Benchmark indicated and shown-NGVD if near wetlands J
7. Septic tank minimum 10 ft from foundation, deck Var.: . ✓'yJ
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: t
9. Leaching minimum 100 ft from wetlands Var.: f
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: ✓
11. Tank/leaching minimum 10 ft from property line Var.: --'r
12. System meets all other setback requirements Var.: v✓, 0,44,-
13. Uses adjustment for maximum high groundwater Var.: t„---'
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 ti j
16. Proposed contours are suitable ''io ts,(; ,m ,k-- rL--
17. System meets slope requirements-min. 1/8", '/4"preferred
18. System meets breakout requirements PVC liner: Wall: ;.,7
19. Specified tee sizes are proper, gas baffle on outlet tee Z/'
20. Sewage is under 10,000 gpd for parcel c
21. No garbage disposal '7 i
22. System adequately 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 --
y
26. Electrical permit for pump chamber/Separate meter for duplexes L
27. Pump system-2" line,weep hole,check valve,tee in dbox, pump size L•/
28. Septic tank/pump chamber to be factory waterproofed ✓�
29. Vent provided if leaching below 3 feet, under driveway/parking ,,,/r
30. Buoyancy calculations for tank/pump chamber 7
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: : 6/03/03