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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
«» Location: A.M. ��� Lot� Zone of Corttribution: In Out� Acreage '
� Commercial: ResidentiaL•�
Street:
� Village: Floor Plan• t� #Bedrooms: �
7�a►,�s l��'sZ� � '
o��: I��n�: ;
Address: Phone• ;
Phone:
Builder: Engincer:
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Address: Phone:
Phone: -- � �
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N/A YE NO '
1.R ired#of ies receivect
2.Date of soils exam and olation test not older than Z ears
3.4-5 ft of natural occuirin ervious material,above water table
4.Foundation 2 ft above hi int of road H.P.: Fnd: Vaz.:
5. Water line 10 ft from s tic com ne�s Var.:
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, de�k Var.:
8. Leachin minimum 20 ft full, 15 ft cr�twl, 10 ft slab Var.:
9. Leachin minimum 100 ft from wetlands Var.: '
10. L,eachin minimum I 50 ft from drinkin welU25 ft irri tion well Var.: L�
1 l. Tank/leachin minimum 10 ft from ro line Var.: L,�
12. S stem meets all other se,tback r irements Var.: �. .,,,i-
13. Uses ad'ustmerrt for maximum hi oundwater Var.: � :.l i
14. Leachin set 4-5 �t above ad'.water or bottom of test hole Vaz.: �� '
15. S stem not in to or subsoil(A,B horizons or 5' remov�l �� "
16.Pr ed co�rtours aze suitable L�
17. S stem mcets sl e 'vements-min. 1!8", '/a" eferred
18. S stem meets breakout irements PVC liner: Wall:
19. S ified tee sizes are ro , baf�le on outl�tee L� ;
- 20. Sewa e is under 10,000 for arcel �
21.No ba dis osal '
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com cted below tank and dbox L/
24.Manhole covers within 6"of e, um chamb�cover to de `�.
25. Ins ion on lastic chambers/leach field ��
26. Electrical ermit for um chamber/ ate meter for du lexes ��
27.Pum stem-2"line,w hole,check valvey tee in dbox, um size �..._�
28. S ' tank/ u chamber to be f wa roofed ✓^
29. Vent rovided if leachin below 3 feet, under drivewa / `.�
30. Buo anc calculations f�tanlc/ u ct�mb�
31. En ' eer to ins ect and cert' sails: wall: commerciaL•
32.En 'ncedR ' ed Sanitarian and Land Surv or stam s/si ture ��,
33. H-20 loadin is sub'ect to vehicuiar traffic, oundwate,r
34.Title V A lication and ennit fee, installa si ture �/
35. Foundation footin min.2 feet above ad'uste� ound water for new house
36. Dced Restriction r uireci max. #bedrooms: max. flow: �----
37. Check azea lots for oundwater/Label oundwate�in Assessor's Ma
Plan reviewed by: �o3ro3