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�- '/2.,.. TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. 7 _4)______ _�-
7 Lot Zone of Contribution: In Out Acreage
7 /� /� Commerci, • Residential: L......."Street: /
Village: l' Floor Pl. : • Bedrooms: .2 = 1 Pr
Owner: ,-'444c4.4 AO4t4 G'' Installer: - ,Gl. S C i---.4.4. -
Address: Phone: i pi - - ..-- �= ►i�
Phone: -'I'
Builder: / .
Engineer: .17/4.Q
Address: Phone: 9i, - t"'- 7
Phone: (i,., , fC, l �r , / j
1.Required# of copies received i----
2.Date of soils exam and percolation test not older than 2 years L______,-
3.4-5 ft of naturally occurring pervious material, above water table L.----
4.
-_4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: ---
5. Water line 10 ft from septic components Var.: L---
6.Benchmark indicated and shown-NGVD if near wetlands t..____--
7. Septic tank minimum 10 ft from foundation, deck Var.: �.,--
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: i
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.: ' „_,.-
13.Uses adjustment for maximum high groundwater Var.: i._....---
14. Leaching set 4-5 ft above adj.water or bottom o st hole Var.: ___--
15. System not in top or subsoil(A,B horizons) r 5'remov (...____---
16.
�__---16.Proposed contours are suitable __-- t.-------
17.
-----``17. System meets slope requirements-min. 1/8", 'A"preferred
18. System meets breakout requirements PVC liner: Wall: -- ~"
19. Specified tee sizes are proper, gas baffle on outlet tee C.--
_
_ 20. Sewage is under 10,000 gpd for parcel L.---
21.No garbage disposal
22. System adequately sized for its intended use L.------
:23.
-,,-.r23.Minimum 6"stone or compacted below tank and dbox '
24.Manhole covers within 6"of grade,pump chamber cover to grade
(...----
25.Inspection port on plastic chambers/leach field t______
26. Electrical permit for pump chamber/Separate meter for duplexes
27.Pump system-2" line,weep hole,check valve,tee in dbox, pump size L,-
28. Septic tank/pump chamber to be factory waterproofed 1---------
29.
/29. Vent provided if leaching below 3 feet, under driveway/parking
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 T
37. Check area lots for groundwater/Label groundwater in Assessor's Map
Plan reviewed by: &) 6/03/03