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; - TOWN OF YARMOUTH ✓`���'� , �
SEWAGE PLAN REVIEW CHECKLIST ���' � �����
I • Location: A.M. �/� Lot �?' � Zone af Contribution: In Out_ Acrea.ge �`��.1�"Zv
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�i � � Commercial: Residential: �.�
; Street:
� Village: Floor Plan: #Bedrooms: �
Owner: Installer: �
� Address: Phone:
I
� Phone:
i Builder: Engineer: �
Address: Phone: 7 �-
Phone: __ � � C� ,::,L' ,
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N/A YES NO '
1.R uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 ears
3.4-5 ft of na.tura occurtin 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 com onents Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: L/
9.Leachin minimum 1UO ft from wetlands Var.: • . '
10.Leaching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leaching minimum 10 ft from r erry line Var.: i
12.S stem meets all other setback r uirements Vaz.: '
13.Uses ad'ustment for maximum hi groundwater Var.:
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.:
15.System not in to or subsoil(A,B horizons)or 5'removal '
16.Pro sed contours are suita.ble ;
17. S stem meets slo e r irements-min. 1/8", '/a" referred �/
18. System meets breakout r irements PVC liner: Wall: �.1 �
19. Specified tee sizes are roper, as baffle on outlet tee �/
20. Sewa e is under 10,000 d for arcel �
21.No arba e dis osa.l �
" 22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox �i
, 24.Manhole covers within 6"of grade, um cha.mber cover to ade ,
25.Ins ection ort on lastic chambers/leach field
26.Electrica.l ermit for um chamber/S arate meter for du lexes .
27.Pum s stem-2"line,wee hole,check valve,tee in dbox, um size '
28.S tic tank/ um chamber to be factory wat roofed
29.Vent rovided if leaching below 3 feet,under drivewa / arkin _/ '
30.Buoyanc calculations for tank/pump chamber
31.En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re `stered Sanitarian and Land Surv or stam s/signature '
33.H-201oadin is sub'ect to vehicular traff'c, oundwater �,.� �
34.Title V A lication and ermit fee, install�si ture a
35.Foundation footin min.2 feet above ad'usted ound water for new house _ t---�'
36.Deed Restriction r uired max: #badrooms: `� . flow: -��� `/
37.Check area lots for oundwater/Label oundwater in.Assessor's Ma < '
Plan reviewed by: �� c,o3�o3