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TOWN OF YARMOUTH
4 SEWAGE PLAN REVIEW CHECKLIST
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� Location: A.M.�_ Lot� Zone of Conttibution: In �Out_ Acreage i1�7�'���
Commercial: Residential:
Street: L' �
Village: Floor Plan: � #Bedrooms:�_
Owner: ���/� �___/���� Installer:
Address: Phone: '-
Phone: �
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Builder: Engineer:
Address: Phone: -' -- �'
Phone: � �� � ��� `��,���
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N/A YES NO
1.Re uired#of copies received �,/'
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water table t�� �
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: '
5.Water line 10 ft from septic com onents Var.:
6.Benchmark indica.ted 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.: C.s`
9.Leaching minimum 100 ft from wetlands Var.: •
10.Leaching minimum 150 ft from drinking welU25 ft irri ation well Var.: L---"'
11. 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 high groundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Va.r.:
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 re uirements-min. 1/8", 1/4" referred '
18. System meets breakout r uirements PVC liner: Wall: '
19. S ecified tee sizes are pro er, gas baffle on outlet tee
20. Sewage is under 10,000 for arcel v� ',
21.No garba e disposal
" 22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or compacted below tank and dbox ,
� 24.Manhole covers within 6"of ade,pum cha.mber cover to grade
25.Ins tion ort on plastic 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 dbox, um size ��"
28. Septic tank/ ump chamber to be factory wat roofed ✓ '
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyancy calculations for tank/pum cha.mber
31.En ' eer to ins ect and cert' soils: wall: commercial�_, �
32.Engineer/Registered Sanitarian and Land Surveyor stam s/signature
33.H-201oadin is subject to vehicular traffic, groundwater .�._.�--
34.Title V A lication and ermit fee, installer si ature �`,�, (
35.Foundation footing min. 2 feet above adjusted ground water for new house �
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36.Deed Restriction r uired max. #bedrooms: max. flow: d
37.Check area lots for groundwater/Label oundwater in Assessor's Ma
Plan reviewed by: t� �o3io3