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TOWN OF YARMOUTH "
SEWAGE PLAN REVIEW CAECKLIST
Location: A.M.� Lot � Zone of Contribution: In Out �Acreage *
� � � Commercial: Residential: �
Street: /
Village: Floor Plan: �/ / #Bedrooms: �
Owner: f G�/ Installer: �
Address:/ � ti i'1� Phone: ` ,
Phone: � - - U '
Builder: S Engineer: �.f/ � �° ;
Address: Phone: -� /
Phone: ���'��77� -� 7 �- ` ",yb�` ;� � ,�/ d�2�/ . �C����`�-�'L. ,
E �-
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' N/A YES NO
1.R uired#of co ies received c
2.Date of soils e�m and ercolation test not older than 2 years
3.4-5 ft of na.turall 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 com onents Vax.:
6.Benchmark indica.ted and shown-NGVD if near wetlands , -., `�
7. S tic tank minimum 10 ft from foundarion, deck Var.:
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.:
10.Lea.ching minimum 150 ft from drinking welU25 ft irri ation well Var.:
11.Tank/lea.ching minimum 10 ft from ro erty line Var.:
12.S stem meets all other setback re uirements Var.:
13.Uses adjustment for maximum high groundwater Var.: •
14.Leaching 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 osed contours are suitable
17. S stem meets slo e r uirements-min. 1/8", '/<" referred C../
18. System meets breakout re irements PVC liner: Wall: �_j
19. Spec�ed tee sizes are roper, gas baf�le on outlet tee L-�
20. Sewage is under 10,000 d for arcel ✓'� �,
21.No ba e disposal
22. S stem ad ua.tel 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 grad� ��---'
25.Inspection ort on plastic 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 dbo� um size
28. S tic tank/ um chamber to be factory waterproofed '✓
29.Vent rovided if leaching below 3 feet,under drivewa / arkin �._-j '
30.Buoyancy calculations for tank/pum chamber -�-----�'
31.En ' eer to ins ect and c ' soils: wall: commercial:
32.En ' eer/Re ' ered Sanitarian and Land Surveyor stam s/si ature �--'�
33.H-201oading is subject to vehicular tra.ffic, groundwater �--�'
34.Title V A plication and ermit fee, installer si ture �
3S.Foundation footing min. 2 feet above ad'usted ground water for new house -�-/
36.Deed Restriction r ired m�. #bedrooms: max. flow: d
37. Check area lots for groundwater/Label oundwater in Assessor's Ma �-�
Plan reviewed by: '�' 6'°3io3