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TOWN OF I'ARMOUTH
" SEWAGE PLAN REV�W CHECKLIST /��� �- ���i�����
Location: A.M. �� Lot Zone af Contribution: In !/ Out Acrea.ge���/,�i'Ld�
� 6 � -
� • Commercial: Residential:_����� �`��;�'���
Street:
Village: Floor Plan: � #Bedrooms:_�c
Owner: � Insta.11er: �
Addres� Phone: -
Phone: �
Builder: Engineer: '
Address: Phone: - '
� Phone: �7 �e��p�/ � ��'� ���
N/A YES NO
1.Required#of co ies received
2.Date of soils exaxn and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material,above wa.ter table �/
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic com onents Var.: L_�
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation,d�k Var.: �
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: c..�-
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irri tion well Var.: -
11.Tank/leachin minimum 10 ft from pro erty line Var.:
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment 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 '
16.Pro osed contours are suita.ble '
17. S stem meets slo e r uirements-min. 1/8", '/4" referred
18. System meets breakout r uirements PVC liner: Wall: �/ i
19. Specified tee sizes are proper, gas baffle on oudet tee �
20. Sewa e is under 10,000 d for arcel
21.No garbage dis osal
22. S stem ade ua.tely sized for its intended use �---
23.Minimum 6"stone or compacted below tank and dbox ��--
24.Manhole covers within 6"of grade, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field �_
26.Electrical ermit for um cha.mber/S arate meter for du lexes '
27.Pum system-2" line,wee hole,check valve,tee in dbox,pum size ;
28. Septic tank/pum chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/ ump chamber
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-20 loading is sub'ect to vehicular traffic, oundwater
34.Title V A lica.tion and permit fee, insta.11er signature ,
3 5.Founda.tion footin min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: max. flow: d
3 7.Check area lots for oundwater/Label groundwater in Assessor's Ma '
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Plan reviewed by: �o3ro3 ;