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�' � 7 � � � �
- TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST �
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� Location: A.M. � Lot �a � Zone of Contribution: In Out_ Acreage `
Commercial: ResidentiaL• -�- j
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Street: �
Village: � �'L- Floor Plan: � #Bedrooms: '� 6
Owner: � Installer: �� ` i
Address: � Phone: 5 �6'-9� 7
Phone: '
Builder: Engineer: � � �'�C2=�'-� i
Address: Phone: - 7 '�� ' �
Phone: �,f��s� ��i,'�% � � !
N/A YES NO
1.Required#of co ies received �
2.Date of soils exam and percolation test not older than 2 years
3.4-5 ft of naturall occurrin ervious material, above water table �-��
4.Foundation 2 ft above high oint of road H.P.: Fnd: Var.: i
5.Water line 10 ft from s tic components Vaz.: �� I
6.Benchmark indicated and shown-NGVD if near wetlands �
7. Se tic tank minimum 10 ft from foundation, deck Var.: L� '
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �7 l.�
9.Leaching minimum 100 ft from wetlands Var.: •
10.Leachin minimum 150 ft from drinking welU25 ft irrigation well Var.: ` '
11.Tank/leaching minimum 10 ft from ro erty line Var.: C:/ :
12. S stem meets all other setback r uirements Var.: ��
13.Uses adjustment for ma�mum high groundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: �--�"
15.System not in top or subsoil(A,B horizons)or 5'removal
16.Pro osed contours are suita.ble �✓�
17. S stem meets slo e r uirements-min. 1/8", '/4" referred L----� '
18. System meets breakout r uirements PVC liner: Wall: ,.
19. Spec�ed tee sizes are proper, as baffle on outlet tee ��
20. Sewage is under 10,000 gpd for arcel `--�'`
21.No garba e disposal �`
- 22. S stem ade uatel sized for its intended use L--�'�'
23.Minimum 6"stone or com acted below tank and dbox `--�"
24.Manhole covers within 6"of grade, um chamber cover to ade �--� ,
+ 25.Ins ection ort on lastic chambers/leach field ��`
26.Electrical ermit for um chamber/Se arate meter for du lexes �
27.Pum system-2"line,wee hole,check valve,tee in dbo� ump size
28.S tic tank/pump chamber to be factory wat roofed '
29.Vent rovided if leaching below 3 feet,under driveway/ arkin Z----�
30.Buoyancy calculations for tank/ ump cha.mber �--
31.En ' eer to ins ect and cert' soils: wall: commerciaL• �
32.Engineer/Registered Sanitarian and Land Surve or stam s/si ature ��
33.H-201oading is subject to vehicular tr�c, oundwater �-�'
34.Title V A lication and ermit fee, installer si ature �---�'
35.Foundaxion footin min. 2 feet above adjusted ound water for new house �
36.Deed Restriction r uired max. #bedrooms: max. flow: d �u
37.Check axea lots for oundwater/Label oundwater in Assessor's Ma �_�
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Plan reviewed by: ��� � r�o3�o3