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, ' TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M. �� Lot z-� Zone of Contribution: In Out� Acreage
' Commercial: Residential: �
i Street: � �LGe�
' Village: G' Floor Plan: � #Bedrooms: �
� r
� Owner: �/ Installer: �
j Address:� , Phone: '
� Phone: -�� �- f
' ��
� ���y�i �
Builder: � � � � Engineer• � ' L° ���
Address: Phone: -� �
Phone:
N/A YES NO
1.Required#of copies received �
2. Date of soils e�cam and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water table
4.Founda.tion 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic components Var.: ��
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.:
8.Leaching 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 irrigation well Var.: .
1 l. Tank/leaching minimum 10 ft from ro erty line Var.:
12. S stem meets all other setback r uirements Var.: .
13.Uses adjustment for maximum hi groundwater Var.: �
14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.:
15. System not in to or subsoil(A,B horizons)or 5'removal V
16.Pro osed contours are suitable `/i
17. S stem meets slo e re uirements-min: 1/8", '/4" referred �
18. System meets breakout re uirements PVC liner: Wall: �.�
19. Spec�ed tee sizes are ro er, as baffle an outlet tee
20. Sewa e is under 10,000 d for parcel
21.No arba e dis osal
' 22. S stem ad uatel sized for its intended use ��, , �v, � �
23.Minimum 6"stone or compacted below tank and dbox {,u %' �.� , -
, 24.Manhole covers within 6"of grade, um chamber cover to ade ��
25.Ins ection port on lastic chambers/leach field ✓
26.Electrical ermit for um cha.mber/S arate meter for du lexes ✓� �
27.Pum s stem-2" line,wee hole,check valve,tee in dbox,pum size ��
28. S tic ta.nk/ um chamber to be factory wat roofed ,1
29.Vent provided if leaching below 3 feet, under drivewa /parking ��
30.Buoyancy calculations for tank/pump chamber �_
31.En ' eer to ins ect and cert' soils: wall: commerciaL• _�.
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature `�
33.H-201oading is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ature
35.Foundation footing min. 2 feet above adjusted ground water for new house
36.Deed Restriction r uired max. #bedrooms: max, flow: d -
37. Check area lots for oundwater/Label oundwater in Assessor's Map ��
Plan reviewed by: �� �o3ios