HomeMy WebLinkAboutReview Checklist 1-2S-/D 14 /9/7' 47
• -- lie OWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. /' Z_ Lot ' D Zone of Contribution: In Out" Acreage
�� Commercial: Residential: \,
Street: _7 (.`1 is �/ /��'' /7�
Village: V' Floor Plan: t/ # Bedrooms:
Owner: Vg_ r C /✓frz5 c (/ Installer: -//0-1 4.ree 7
Address: Phone: 5- 7?c 070 7
Phone:
Builder: Engineer: Pff44. 5,(Z0---9)
Address: Phone: , S - J"7 %1/7 7
T Phone: ) % , 14
N/A YES NO
1. Required# of copies received I./
2. Date of soils exam and percolation test not older than 2 years 1/4.---
3. 4-5 ft of naturally occurringpervious 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.: j..<
6. Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.:
8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L/
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.: L.----'-'
12. System meets all other setback requirements Var.: L----
13. Uses adjustment for maximum high groundwater Var.: L.__--
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: `,J
15. System not in top or subsoil(A,B horizons)or 5' removal y,/
16. Proposed contours are suitable kt1
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 L.--- -
20. Sewage is under 10,000 gpd for parcel ,f
21.No garbage disposal 11/4_/
22. System adequately sized for its intended use l_
'23. Minimum 6"stone or compacted below tank and dbox k.---•
24. Manhole covers within 6"of grade,pump chamber cover to grade L-/ -
25. Inspection port on plastic chambers/leach field L/
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/
28. Septic tank/pump chamber to be factory waterproofed L/
29. Vent provided if leaching below 3 feet, under driveway/parking ../
30. Buoyancy calculations for tank/pump chamber L/
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 __.......-V
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