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TOWN OF YARMOUTH
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SEWAGE PLAN REVIEW CHECKLIST
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� . Location: A.M. � � Lot____� Zone of Contribution: In Out �
� Commercial: Residential:�
' Street:
i Village: Floor Plan: �� #Bedrooms:�
� •��TQ�f `��:ri�iC� Installer: �� ��
� Owner• 4j
� Address: Phone: � 7 --
� Phone: �,.Z�'_... �
I Builder: Engineer: /�
� Address: Phone: -3 -�
; Phone: � ,/�/li��� j �' '�`C /�
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N/A YES NO
� l.R uired#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.: 4--''
6.Benchmark indicated and shown-NGVD if near wetlands ,,,�'
7. Se tic tank minimum 10 ft from foundation, deck Var.: `�-
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �
9.Leachin minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.:
11. Tank/leaching minimum 10 ft from ro erry line Var.: =--�-''
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum high groundwater Var.: � -
� 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: `�..
15. S stem 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", '/4" referred
18. S stem meets breakout r uirements PVC liner: Wall: f..___--
19. S ecified tee sizes are pro er, gas baffle on outlet tee ��
20. Sewage is under 10,000 gpd for parcel �,.
' 21.No garba. e disposal ,____.
22.S stem ad uatel sized for its intended use �_
; 23.Minimum 6"stone or com acted below tank and dbox �...�
24.Manhole covers within 6"of ade, um chamber cover to grade �j
I 25.Ins ection ort on la.stic chambers/leach field �„
26. Electrical ermit for um chamber/S arate meter for du lexes �>
27.Pum system-2" line,weep hole,check valve,tee in dbo�pum size ------
28. S tic tank/ um chamber to be factory wat roofed �-
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 cert' soils: wall: commercial: ---"
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ture
33.H-201oading is sub'ect to vehicular traffic, oundwater �,,..�- r�
34.Title V A plication and ermit fee, installer signature
35.Foundation footin min. 2 feet above adjusted ound water for new house ._._-- �~
36.Deed Restriction r uired max. #bedrooms: max. flow: d �.---
37.Check area lots for groundwater/Labe1 goundwater in Assessor's Ma '
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Plan reviewed by:
W03/03
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