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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Z � Lot � � Zone of Contribution: In Out �eage
Commercial: Residential�-
Street: ��'�
Village: Floor Plan: � #Bedrooms: 2_
Owner: ����� '�i`�,�.1�'lti:Ll�/1�����G�U'Insta.11er: �
Address: Phone:
Phone:
Builder: Engineer: �''/`
Address: Phone: � �-
Phone:
N/A YES NO
1.Required#of co ies received '
2.Date of soils exa.m and ercolation test not older than 2 ears
3.4-5 ft of naturall occunin ervious material, above water table L,..-
4.Foun+dation 2 ft above hi oint of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: �i'
6.Benchmark indica.ted and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from foundation, deck Var.: c,,/
S.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: (,;,/ '
9.Leaching minimum 100 ft from wetlands Var.: ° ;
10.Leachin minimum 150 ft from drinkin welU25 ft irri tion well Var.:
11. Tanklleachin minimum 10 ft from ro 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 ad'.water or bottom of test hole Var.: �----'
15. System not in to or subsoil(A,B horizons)or 5'removal c._..-
16.Pro sed contours are suitable �_.-
17. S stem meets slo e r irements-min. 1/8", '/a" eferred �.r..�
18. S stem meets breakout r uirements PVC liner: Wall: ��-
19. S �ed tee sizes are ro er, as baffle on outlet tee ;
20. Sewage is under 10,000 for arcel `„/
. 21.No garba. e dis osal '
22.S stem ade uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox '
' 24.Ma.nhole covers within 6"of ade, um chamber cover to grade '
25.Ins ection ort on plastic chambers/leach field ',
26. Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2"line,wee hole,check valve,tee in dbox, um size ,
28. Septic tank/ um chamber to be factory waterproofed '
29.Vent rovided if leachin below 3 feet,under driveway/ arkin
30.Buoyanc calculations for tank/ um chamber
31.En ' eer to ins ect and cert' soils: wall: commercial: -
32.Engineer/Re ' ered Sanitarian and Land Surveyor stam s/si ture
33.H-201oadin is sub'ect to vehicular traffic, oundwater
34.Title V A lication and ermit fee, installer si ture
35.Founda.tion footin min. 2 feet above adjusted ound water for new house ��..i '
36.Deed Restriction r ired max. #bedrooms: maac. flow: d ��
37.Check area lots for oundwater/Label groundwater in Assessor's Ma ,
Plan reviewed by: l �/'i� ) 6/03/03 ;
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