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TOWN OF YARMOUTH
� SEWAGE PLAN REVIEW CHECKLIST �
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i Location: A.M. �' � Lot �� Zone af Contribution: In O� Acreage�G��
' F • Commercial: Residential: �
Street: �. !�/� �
Village: - �/" Floor Plan: � #Bedrooms:
Owner: �,/�� a��xx�p Insta.11er: ��/
Address: Phone: S`��=��Z - S�(o �
Phone:
Builder: Engineer: /.��'�l
Address: Phone: �� 2 �
Phone: �- �� � � �`P��'� �� �,
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�" �r 5
N A YES NO
1.Required#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of naturall occunin ervious material,above water table
4.Foundation 2 ft above hi oint of road H.P.: Fnd: Var.:
5.Water line 10 ft from septic components Var.: � _
6.Benchmark indica.ted and shown-NGVD if near wetlands �_
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
8.Leachin 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 irri tion well Var.: .
11.Tank/leaching minimum 10 ft from properry line Var.: ��
12. S stem meets all other setback r uirements Var.:
13.Uses adjustment for ma�mum hi oundwater Var.:
14.Lea.ching set 4-5 ft above adj.water or bottom of test hole Var.: L.i
15. System not in to or subsoil(A,B horizons)or 5'removal
16.Proposed contours are suitable
17. S stem meets slo e r irements-min. 1/8", I/4" referred �_
18. S stem meets breakout re uirements PVC liner: Wall: ���
19. S ec�ed tee sizes are roper, gas baffle on outlet tee �_
20. Sewa e is under 10,000 d for arcel ��
21.No garba e dis osal ��
" 22. S stem ade ua.tel sized for its intended use `�_
23.Minimum 6"stone or com acted below tank and dbox L� ,
, 24.Manhole covers within 6"of grade,pump chamber cover to grade '
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25.Ins ection ort on plastic cha.mbers/leach field �� !
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pum system-2" line,wee hole,check valve,tee in dbox, ump size
28. S tic tank/ ump chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet, under driveway/ arking �
30.Buoyancy calculations for tank/pump chamber '
31.En ' eer to ins ect and c ' soils: wall: coxnmerciaL• .
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature ;�
33.H-201oading is sub'ect to vehicular traffic, groundwater --� '
34.Title V A plication and permit fee, insta.11er signature
35.Founda.tion footing mi.n. 2 feet above adjusted ground water for new house ./
36.Deed Restriction r uired ma�c. #bedrooms: max. flow: d �-
37.Check area lots for oundwater/Label groundwater in Assessor's Ma
Plan reviewed by: ( (,�� �ro3io3