HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot Zone of Contribution: In Out ----Acreage
� / Commercial: Residential: -- '
Street: / 5 /V u4 1,
Village: S. Y . Floor Plan: L #Bedrooms: (-/
Owner: Do V.eh pod- Gom04,..;o f Installer: 30.,rio i;
Address: ,2 w LME. .,\St. Phone: uK- yl,D -„96 63
Phone:
Builder: Engineer: J , Q2�, ��.1 £/WU G
Address: Phone: c . S - 6C/ l
Phone:
N/A YES NO
1.Required#of copies received
2.Date of soils exam and percolation test not older than 2 years c/
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.:
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.: 1/
9. Leaching minimum 100 ft from wetlands Var.: V
10. Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: `/
11.Tank/leaching minimum 10 ft from property line Var.: V
12. System meets all other setback requirements Var.:
13.Uses adjustment for maximum high groundwater Var.: ✓
14. Leaching set 4-5 ft above adj. water or bottom of test hole Var.: t/
15. System not in top or subsoil(A,B horizons)or 5' removal ✓�
16.Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '''4"preferred v
18. System meets breakout requirements PVC liner: Wall: V
19. Specified tee sizes are proper,gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel
21.No garbage disposal ✓
22. System adequately sized for its intended use N/
23. Minimum 6"stone or compacted below tank and dbox
24.Manhole covers within 6"of grade,pump chamber cover to grade t/
25. Inspection port on plastic chambers/leach field t/
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 / v
29.Vent provided if leaching below 3 feet,under driveway/parking
30. Buoyancy calculations for tank/pump chamber ,j
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 groundwate • is Map
Plan reviewed by: 7,2 6/• c9c f
6/03/03