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���°°,�" TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M.�_ Lot �d � Zone of Contribution: In Out � Acreage n
Commercial: Residential:�_
3 Street: � P S� �.S` '
' Village: �. Floor Plan: Bedrooms:
Owner: Installer: �
I Address: �' � Phone:
Phone: �y 3
Builder: � Engineer: �
Address: Phone: - �
i Phone:
;
N/A YES NO
1.Re uired#of co ies received
2.Date of soils exam and ercolation test not older than 2 years �./
3.4-5 ft of natura.l occurrin ervious material,above water ta.ble
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 foundation, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: LJ'
9.Leachin minimum 100 ft from wetlands Var.: �-�
10.Lea.ching minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11.Tank/leachin minimum 10 ft from ro erty line Var.: �f
12. S stem meets all other setback r uirements Var.:
13.Uses ad'ustment for maximum high oundwater Var.: ;.,�''
14.Leachin set 4-5 ft above ad'.water or bottom of test hole Var.: �,/
15.S stem not in to or subsoil(A,B horizons)or 5'removal �i�
16.Pro osed contours are suitable
17. S stem meets slo e r irements-min. 1/8", '/4" refened
18. S stem meets breakout re uirements PVC liner: Wall:
19. S ecified tee sizes are ro er, gas baffle on outlet tee �
20. Sewa e is under 10,000 d for arcel
21.No arba e dis osal �/ .
22. S stem ade uatel sized for its intended use :./''
23.Minimum 6"stone or com acted below tank and dbox v�'
24.Manhole covers within 6"of ade, um chamber cover to ade
25. Ins ection ort on lastic chambers/lea.ch field
26.Electrical ermit for um chamber/S arate meter for du lexes ��'
27.Pum stem-2" line,wee hole,check valve,tee in dbo� um size ��
28. S tic tauk/ um chamber to be facto wat roofed �`�
29.Vent rovided if leachin below 3 feet,under drivewa /parkin
30. Buoyancy calculations for tank/ um chamber
31. En ' eer to ins ect and cert' soils: wall: commercial:
32.Engineer/Re ' ered Sanitarian and Land Surve or stam s/si ature
33.H-201oading is subject to vehicular traffic, groundwater �/
34. Title V A lication and ermit fee,installer si ature
35.Founda.tion footing min. 2 feet above adjusted gound water for new house �--''
36. Deed Restriction r uired max. #bedrooms: ma�c. flow: d �„/'
37. Check area lots for groundwater/Label oundwater in Assessor's Ma
r�.,.
Plan reviewed by: _ � 6/03/03