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TOWN AF YARMOUTH J�
� SEWAGE PLAN REVIEW CAECKLIST ��k,'� � ���� �
. Location: A.M. � � LotJC� Zone of Contribution: In�t_ Acrea.ge_��,��Y�' ;
• �� Commercial: Residential:_ % ;
Street: �
Village: � Floor Plan: #Bedrooms: ��"
Owner: � /OS//1 ,��1°�I�I Installer:
Address: Phone: -
Phone: �D�- ?�'�`�' 7��i�- ��' - �l� ���
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Builder: Engineer:
Address: Phone: -_�-
Phone: -�J� � -�"---� '1 �
N/A YES NO
l.Required#of copies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of naturall occurrin ervious material,above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from s tic components Var.: (�/�
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. Se tic tank minimum 10 ft from foundation, deck Var.:
8.Lea.ching 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 welU25 ft irrigation well Vax.:
11.Ta.nk/leaching minimum 10 ft from rop line Var.: �--� ''
12. S stem meets all other setback re uirements Var.: l_./
13.Uses adjustment for maximum hi groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: L�
15. System not in top or subsoil(A,B horizons)or 5'removal �-��
16.Pro osed contours are suita.ble -L-�
17. S stem meets slo e r uirements-min. 1/8", I/4" referred Z._--^
18. System meets brea.kout r uirements PVC liner: Wa1L•
19. S ecified tee sizes are ro er, gas baffle on outlet tee `--�
, 20. Sewage is under 10,000 d for arcel '�� ,
21.No arbage disposal ��
22. S stem ade uatel sized for its intended use
" 23.Minimum 6"stone or com acted below tank and dbox
24.Manhole covers within 6"of grade, um chamber cover to ade
25.Inspection ort on lastic chambers/leach field
26.Electrical ermit for um chamber/S arate meter for du lexes -
27.Pump system-2" line,wee hole,check valve,tee in dbox,pum size c----'
28. S tic tank/ ump chamber to be factory wat roofed �
29.Vent rovided if leaching below 3 feet,under drivewa / arkin ��
30. Buoyancy calcula.tions for tank/ ump chamber
31.E ' 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, groundwater
34.Title V A lication and ermit fee, insta.11er si ture
35.Founda.tion footing min.2 feet above adjusted ound water for new house ���
36.Deed Restriction r ired max. #bedrooms: max.flow: d -�---
37.Check area.lots for oundwater/Label oundwater in Assessor's Ma
Plan reviewed by: � �o3ro3