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�� � �� TOWN OF YARMOUTH ���---f�W�_ j
� SEWAGE PLAN REVIEW CHECKLIST ��� _ `� �y����
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; Location: A.M. �� Lot�_ Zone of Contribution: In'�Out_ Acreage/� �����
� � � Commercial: ResidentiaL•�
Street:
Village: Floor Plan: �~ #Bedrooms: �
Owner: ����+� �d �� Installer: _
Address: rhone: �" 7
Phone:
Builder: Engineer: d
Address: Phone: �-.Z -�
Phone:
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 hi oint 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.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leaching minimum 100 ft from wetlands Var.: i�.-------�-
10.Leaching minimum 150 ft from drinking welU25 ft irrigation well Var.: .,..�6•-�
11.Tank/leachin minimum 10 ft from prop line Var.:
12. S stem meets all other setback re uirements Var.:
13.Uses adjustment for ma�umum high oundwater Var.:
14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.:
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", '/4" referred i..--�`
18. System meets breakout re uirements PVC liner: Wall: ',
19. Specified tee sizes are ro er, as baffle on outlet tee L__--•- ',
20. Sewage is under 10,000 gpd for arcel �,_._,--�
`21.No garbage dis osal '
22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or com acted below tank and dbox 5-��.--
24.Manhole covers within 6"of grade, ump chamber cover to ade
25.Inspection port on lastic chambers/leach field `'�..._._.--
26.Electrical ermit for um chamber/S arate meter for du lexes
27.Pump system-2" line,weep hole,check valve,tee in dbox, pum size ---'-��
28. S tic tank/pump chamber to be factory waterproofed
29.Vent rovided if leaching below 3 feet,under driveway/ arking --""
30.Buoyancy calculations for tank/pum chamber �'��'
31.En � eer to ins ect and cert' soils: walL• commerciaL• :� �::.-
32.En ' eer/Re 'stered Sanitarian and Land Surveyor stam s/signature �,_,.,..-
33.H-201oading is subject to vehicular traffic, groundwater
34.Title V A lication and permit fee, installer signature
35.Foundation footing min. 2 feet above adjusted ground water for new house _.----
36.Deed Restriction r uired max. #bedrooms: max.flow: d �--,,;:.�---
37.Check area lots for oundwater/Label groundwater in Assessor's Map --�'""'"����
�,,,... ..,�
Plan reviewed by: /��---.� 6/03/03