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TOWN OF YARMOUTH
�' SEWAGE PLAN REVIEW CHECKLIST
:�3 � 7
Lpcation: AM�� LOT�_ Date of Subdivision Approval
Street Zone of Contribution: In Out �
Villa�e Commercial Residential �
Owner: /��� ��//rC� Installer /'!�
Builder: Engineer !.� �L���
,
�� .3 �/ 7 �
N/A YES NO
1 Required number of conies received. �
2. Date of soils exam and ercol tion t st not older than 2 ears.
3. � feet of naturallv occurring�ervious material, above water tablelnew construction?
4 Foundation 2 feet above high Qoint of frontin�,road for new construction � �
5 �Water availability letter from Water De�artment for new construction �--''
6 Benchmark indicated and shown-NGVD if near wetlands �---�"
7 Buildin�,sewer does not.exit center of house. ��✓�
8.-Se tic tank a minimum of 1 f et from use and dec ✓
, 9. Leachin a minimum f 20 feet from house and 10 fee om deck.
10 Leaching, a minimum of 100 feet from wetlands.
11 Leac�ng,a minimum of 150 feet from drinking wells/25 feet from irrigation wells ✓'`
12 Svstem meets all other setback requirements �/
13 Uses adjustment for maximum high groundwater ._/
14. Leac�iin 4 -5 feet above ad'usted water table or botto of test it.
15. S stem not in to or su soil r foot r m v l.
16 Proposed contours are suitable.
' 17. Svstem meets slo e re uir men s - � 1/ " 1/4" ref rred.
18. Svstem meets break u re uirem - eastone elevati n carried ou 15 feet ' ' um.
; 19. S ecified tee sizes are ro er as ba e on outlet tee.
" 20 Sewa�e flow under 10 000 g�d for pazcel :�
21. No arba e dis osaL
22. Svs em ade uatelv sized for it intende u e
23. Minimum 6" stone or mech 'ca c m acted below t e t and d-box.
�4 Nlanhole covers within 6" of�rade - septic tank and pump chamber �
�5 Electrical permit for,.,,pumn chamber ✓
�6 Pum�Xstem - 2" line weep hole check valve sanitatv in d-box alarm on separate circuit �
27. Se tic ta and um ch ber to ct wat o fed. ✓
�8 Vent provided i leaching.below 3 feet or under driveway or parkin.g --�
�9 En�ineer to inspect and certifv : cla removal
b wall construction schedule
c commercial system :�� '
30 En�ineer and Land Survevor stamp and si nature . ✓�
31 H20 loadin�when sy.�tem subject to vehicular traffic. �,
32 T'itle V a�plication and fee si n�ed b�a licensed installer
33 Foundation footing 2 feet above ad,usted water table. --�
34. Lot subdivided rior to Jul 31 1986 - Nitrate Loadin -�""
35 Subdivided prior co A_.,pri17. 19R9 - Phosphorus Zone 300'.
Plan reviewed by: