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������ � TOWN OF YARMOUTH �`�� --��
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. SEWAGE PLAN REVIEW CHECKLIST ��{° '
Location: A.M. lCJ � Lot� Zone of Contribution: In C�6ut Acreage�G��
. l` Commercial: Residential.
Street: `7
Village: Floor Plan: #Bedrooms:�
Owner: Insta.11er: �'
Address: Phone: - -
Phone:
Builder: En ineer: ���.fi��l ���
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Address: Phone: -
Phone:
N/A YES NO
1.Required#of copies received
2.Date of soils exam and colation test not older tha.n 2 years �.---�' ,
3.4-5 ft of natura occurrin ervious material,above water table j,/` �
4.Founda.tion 2 ft above hi int 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.Leachin minimum 20 ft full, 15 ft cra.wl, 10 ft slab Var.: �.�.--� '
9.Leachin minimum 100 ft from wetlands Var.:
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
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 hi oundwater Var.:
14.Leachin set 4-5 ft above adj.water or bottom of test hole Var.: �„/'
15.S stem not in to or subsoil(A,B horizons)or 5' removal �,�,,..-�
16.Pro osed contours are suitable
17. S stem meets slo e r irements-min. 1/8", '/4" eferred ��"
18. S stem meets breakout r uirements PVC liner: Wall: �''� i
19. S ecified tee sizes are ro er, gas baffle on outlet tee L„>'' '
20. Sewa e is under 10,000 d for arcel i
21.No bage dis osal �,...�- �
22. S stem ade ua.tel sized for its intended use �" i
= 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/S arate meter for du lexes -`" �
27.P system-2"line,w hole,check valve,tee in dboaL, ump size
28. S tic tank/ um chamber to be factory waterproofed �
29.Vent rovided if leachin below 3 feet,under driveway/ arkin '
30.Buoyancy calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commerciaL•
32.En ' eer/Re 'stered Sanitarian and Land Surve or stam s/si ature
i
33. H-201oa.din is sub'ect to vehicular tra.ffc, groundwater ;
34.Title V A lication and ermit fee,installer si ture ;
35.Foundation footin min. 2 feet above ad'usted ound water for new house I
36.Deed Restriction r ired max. #bedrooms: max.flow: d
37.Check area lots for oundwater/Label oundwater in Assessor's M �
Plan reviewed by: ��J �o�ro3 �
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