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� i � I�/// � TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
� Location: A.M.�_ Lot� Zone of Contribution: In Out �creage �
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� � Commercial: Residential:
Street: �
Village: � Floor Plan: ' #Bedrooms: ��
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o��: G�I ��n�: �
Address: Phone: a�� _,�
� Phone: }��1�%�,% �l G„% �'C' .>��/�� '�-
Builder: Engineer:
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� Address: Phone: �' �
Phone: .. `i -/� u`-i �.
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N A YES NO
1.R uired#of copies received
2.Date of soils exam and ercolation test not older than 2 years
3.4-5 ft of natural occurrin ervious material, above water ta.ble `---�
4.Founda.tion 2 ft above hi int of road H.P.: Fnd: Var.:
5. Water line 10 ft from s tic com onents Var.: L,�-'
6.Benchmark indicated and shown-NGVD if near wetlands
7. S tic tank minimum 10 ft from founda.tion, deck Var.:
8.Leachin minimum 20 ft full, 15 ft crawl, 10 ft slab Var.:
9.Leachin minimum 100 ft from wetlands Var.: -____-- .
10.Leaching minimum 150 ft from drinking 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 ad'ustment for maximum hi oundwater Var.: � "
14.Leachin set 4-5 ft above ad'.water or botto Yar.: �'
15.System not in top or subsoil(A,B horizo or 5'remo - �''
16.Pro osed contours are suitable �,,..r
17. S stem meets slo e r irements-min. 1/8", '/4" referred .�,,,,,..�
18. System meets breakout r uirements PVC liner. Wall:
19. S ec�ed tee sizes are ro er, as baffle on outlet tee
20. Sewa e is under 10,000 for arcel L,..''
' 21.No arba e dis osal �----
22. S stem ad uatel sized for its intended use
23.Minimum 6"stone or com acted below tanlc and dbox �--�
24.Manhole covers within 6"of ade, 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.Pum s stem-2" line,wee hole,check valve,tee in dbox, um size �-�""'
28. S tic tank/ ump chamber to be factory wat roofed `-.---�
29.Vent rovided if leachin below 3 feet, under drivewa / arkin `�--
30. Buo ancy calculations for tank/ um chamber C,_�
31.En ' eer to ins ect and cert soils: wall: commercial:
32.En ' eer/Registered Sanitarian and Land Surve or sta.m s/si ature
33.H-201oadin is subject to vehicular traffic, groundwater
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 -
36.Deed Restriction r uired max. #bedrooms: max.flow: d �--'"" '--'
37.Check area lots for oundwater/Label oundwater in Assessor's Ma
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Plan reviewed by: _�L� �o3ro3