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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
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1 ' Location: A.M. 7 0 Lot -7/ Zone of Contribution: In Outcage
Commercial: Residential:
Street: �f-F
Village: Floor Plan: #Bedrooms: ....3Owner: #44414,11 b(i1/l(' Installer: 7
Address: Phone:
Phone:
Builder: Engineer: e Welk/A-9 0�7k
Address: Phone: ' `f ( l 5-j
Phone: ,iir- / 5eX >l( 2 , ), 1,7
N/A YES NO
1.Required#of copies received ,....-----
2.Date of soils exam and percolation test not older than 2 years 1------
3.4-5
L. -''3.4-5 ft of naturally occurring pervious material, above water table -i
4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: r /-'
5.Water line 10 ft from septic components Var.: 1-------
6.
-6.Benchmark indicated and shown-NGVD if near wetlands
7. Septic tank minimum 10 ft from foundation, deck Var.: .._- ✓'
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: � ✓ C
9.Leaching minimum 100 ft from wetlands Var.:
10.Leaching minimum 150 ft from drinking well/25 ft irrigation well Var.: ,------
11.Tank/leaching minimum 10 ft from property line Var.:
12. System meets all other setback requirements Var.: y-
13.Uses adjustment for maximum high groundwater Var.: t...------
14.
/14.Leaching 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.Proposed contours are suitable --
17. System meets slope requirements-min. 1/8", 1/4"preferred
18. System meets breakout requirements PVC liner: Wall: J/
19. Specified tee sizes are proper, gas baffle on outlet tee
20. Sewage is under 10,000 gpd for parcel L,---'
21.No garbage disposal L,,/
22. System adequately sized for its intended use \--- -
23.Minimum 6"stone or compacted below tank and dbox L. ---""
24.Manhole covers within 6"of grade,pump chamber cover to grade ‘,_./'
25.Inspection port on plastic chambers/leach field
26.Electrical permit for pump chamber/Separate meter for duplexes -
27.Pump system-2" line,weep hole,check valve,tee in dbox,pump size _o----
28. Septic tank/pump chamber to be factory waterproofed --_..
29.Vent provided if leaching below 3 feet, under driveway/parking j4'e 1 r
30.Buoyancy calculations for tank/pump chamber
31.Engineer to inspect and certify soils: wall: commercial: _
32.Engineer/Registered Sanitarian and Land Surveyor stamps/signature ��''�
33.H-20 loading is subject to vehicular traffic, groundwater
34.Title V Application and permit fee, installer signature
_ 35.Foundation footing min.2 feet above adjusted ground water for new house ....---
36.Deed Restriction required max. #bedrooms: max. flow: gpd .____-
37.Check area lots for groundwater/Label groundwater in Assessor's Ma
s
Plan reviewed by: 9 6/03/03
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