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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: AM 6 LOT)(--a Date of Subdivision Approval S"/S Sc.'
Street 72 i 9 y. , Zone of Contribution: In Out
Village V,,i2t.t,fevrbz Commercial Residential X
Owner: )6rs/ ,b i1 / Installer 775,1
-,f77-C:42--.3
Builder: .c.fyze . � - Engineer ��� /
I. .0
N/A YES NO
1. Required number of copies received. X
2. Date of soils exam and percolation test not older than 2 years. X
3. 4 feet of naturally occurring pervious material, above water table(new construction)
4. Foundation 2 feet above high point of fronting road for new construction. ,K_
5. Water availability letter from Water Department for new construction. -
6. Benchmark indicated and shown-NGVD if near wetlands.
7. Building sewer does not exit center of house.
8. Septic tank a minimum of 10 feet from house and deck
______________------L--'.
9. Leaching a minimum of 20 feet from house and 10 feet from deck. x
10. Leaching a minimum of 100 feet from wetlands. �C
11. Leaching a minimum of 150 feet from drinking wells/25 feet from irrigation wells. 1<
12. System meets all other setback requirements. Y
13. Uses adjustment for maximum high groundwater. /
14. Leaching 4 -5 feet above adjusted water table or bottom of test pit, A(
15. System not in top or subsoil or 5 foot removal.
16. Proposed contours are suitable.
• 17. System meets slope requirements - min. 1/8". 1/4" preferred. >c
18. System meets breakout requirements - peastone elevation carried out 15 feet minimum.
`-19. Specified tee sizes are proper. gas baffle on outlet tee.
'20. Sewage flow under 10.000 gpd for parcel.
21.No garbage disposal.
22. System adequately sized for its intended use.
23. Minimum 6" stone or mechanically compacted below the tank and d-box.
24. Manhole covers within 6" of grade - septic tank and pump chamber.
25. Electrical permit for pump chamber.
26. Pump system- 2" line, weep hole. check valve, sanitary in d-box. alarm on separate circuit.X
27. Septic tank and pump chamber to be Factory waterproofed. )C
28. Vent provided if leaching below 3 feet or under driveway or_ parking. X
29. Engineer to inspect and certify : a. clay removal
b. wall construction schedule
c. commercial system
30. Engineer and Land Surveyor stamp and signature. X
31. H2O loading when system subject to vehicular traffic. X.
•
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32. Title V application and fee signed by a licensed installer. /L1 lh,
33. Foundation footing 2 feet above adjusted water table. ->C
34. Lot subdivided prior to July 31. 1986 -Nitrate Loading.
35. Subdivided prior to April 7.. 1989 - Phosphorus Zone 300'.
Plan reviewed by: ekl>/