HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. ;`-l' Lot 2(12 . 2- Zone of Contribution: In Out )( Acreage 25,8573-`SF
Commercial: Residential: t'
Street: 18( R-c ✓a v 5z- o
Village: S -rr4 Floor Plan: V #Bedrooms: , b '4r1 re.,
Owner: C/ L i48 - -- Installer:
Address: Phone:
Phone:
Builder: 4-6'k)1. V - Engineer: .-ZZ.e)•v v C-A..P E
Address: Phone:
Phone:
N/A YES NO
1. Required#of copies received X
2.Date of soils exam and percolation test not older than 2 years f
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.: 7
6.Benchmark indicated and shown-NGVD if near wetlands /
7. Septic tank minimum 10 ft from foundation,deck Var.: p i rs o,v S4-A-6. t/
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: V
9.Leaching minimum 100 ft from wetlands Var.: 7
10.Leaching minimum 150 ft from drinking we11125 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.: _ i/
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 /
16.Proposed contours are suitable J /
17. System meets slope requirements-min. 1/8", %"preferred %/
18. System meets breakout requirements PVC liner: Wall: I
19. Specified tee sizes are proper, gas baffle on outlet tee V
20. Sewage is under 10,000 gpd for parcel i
21.No garbage disposal I
22. System adequately sized for its intended use ✓
23.Minimum 6"stone or compacted below tank and dbox k' ". .
24. Manhole covers within 6"of grade,pump chamber cover to grade ✓
25. Inspection port on plastic chambers/leach field V
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 gray D ,' ;-n,--
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: _ ,/
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 ` /
PIan reviewed by: �� 2737-1&& `4f _ Ji/'t3/45 7-2- 6 03 03