HomeMy WebLinkAboutReview Checklist TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot one of Contribution: In Out Acreage
Commercial: ✓ Residential:
Street: r' 1 �S le+ . 6
Village: ( .p rloor Plan: yer # Bedrooms:
Owner: 5,,,.. 1 e4e_riovN ' 'nstaller: ClAc, - ,\ - /2 1vc.✓V/
Address: S t•,,A q r._;f Ad Phone: 'cz)5c-- 3 5 Y -.c),a J b
Phone: ( 7 -o?44y- 5-5-31
Builder: ;?ngineer: 0( ) r C kpe
Address: Phone: S7_,sr - 3 G a - y5-L//
Phone:
N/A YES NO
1. Required# of copies received
2. Date of soils exam and percolation test not older than 2 years v'
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 N ar.:
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.:
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.:
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.:
15. System not in top or subsoil (A,B horizons)or 5' removal k
16. Proposed contours are suitable
17. System meets slope requirements-min. 1/8", '/a"preferred
18. System meets breakout requirements PVC liner: Wall: v
19. Specified tee sizes are proper, gas baffle on outlet tee _ t/
20. Sewage is under 10,000 gpd for parcel ✓
21.No garbage disposal
22. System adequately sized for its intended use v
23. Minimum 6"stone or compacted below tank and dbox17
V
24. Manhole covers within 6"of grade, pump chamber col er to grade
25. Inspection port on plastic chambers/leach field
26. Electrical permit for pump chamber/Separate meter foi duplexes v
27. Pump system -2" line,weep hole,check valve,tee in dbox, pump size
28. Septic tank/pump chamber to be factory waterproofed
29. Vent provided if leachin. below 3 feet, under drivewai /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 ,..7
36. Deed Restriction required max. #bedroom: max. flow:
37. Check area lots for groundwater/Label groundwater in 1.ssessor's Map gpd
Plan reviewed by: `A(/((dad'/
6/03/03