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Review Checklist
TOWN OF YARMOUTH SEWAGE PLAN REVIEW CHECKLIST Location: A.M. / 4y Lot �,3- Zone of Contribution: In Out_ Acreage /©� /civ \3 L e vr- / .s l ! C Commercial: Residential: Street: �,( Village: Floor Plan: l ' # Bedrooms: 3 Owner: r r . C.)r, je r 6._.,'b o e( Installer: Qti i N AJ 3 E.xc ;, t,y, L,... Address: Phone: Phone: Builder: Engineer: �; { r -j`,�,, 1 Address: Phone: Phone: N/A YES NO 1. Required#of copies received 2. Date of soils exam and percolation test not older than 2 years 3.4-5 ft of naturally occurring pervious material,above water table // 4.Foundation 2 ft above high point of road H.P.: Fnd: Var.: v' 5.Water line 10 ft from septic components Var.: 6.Benchmark indicated and shown-NGVD if near wetlands I Im, ' 7. Septic tank minimum 10 ft from foundation, deck Var.: L V 8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: _ f.-- - 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.: (11;3\r 14.Leaching set 4-5 ft above adj. water or bottom of test hole Var.: i. 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", 14"preferred 18. System meets breakout requirements PVC liner: Wall: bi'riir: 19. Specified tee sizes are proper, gas baffle on outlet tee 20. Sewage is under 10,000 gpd for parcel ..� 21.No garbage disposal - 22. System adequately sized for its intended use - 23.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 . L/ 26. Electrical permit for pump chamber/Separate meter for duplexes 27.Pump system-2"line,weep hole,check valve, tee in dbox,pump size 28. Septic tank/pump chamber to be factory waterproofed 29. Vent provided if leaching below 3 feet,under driveway/parking !/ 30. Buoyancy calculations for tank/pun p chamber iZ 31. Engineer to inspect and certify soils: wall: commercial: /./ 32. Engineer/Registered Sanitarian and Land Surveyor stamps/signature C� 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 Map / Plan reviewed by: ,e_S coo; 1