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TOWN OF YARMOUTH
SEWAGE PLAN REVIEW CHECKLIST
Location: A.M. Lot Zone of Contribution: In _
= Out Acreage_
Street: Commercial:_ Residential:
Village: - __-
Floor Plan: 1 a Bedrooms:
Owner: -----
Address Installer:
Phone: Phone:
Builder:
Address: Engineer: i'
Phone:_ Phone:
1. Re.uired#of copies received NO
2. Date of soils exam and .ercolation test not older than 2 years
3.4-5 ft of naturall occurrin• pervious material, above water table
ouridation 2 ft above hi•h .Dint of road
r H.P.: Fnd: Var.: 1 ilui
Water line 2 ft from s-.tic components
.. ':enchmark indicated and shown-NGVD if near wetlands
1';7. Septic tank minimum 10 ft from foundation, deck Var.. -
8. Leachin• minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: I - _
9. Leachin• minimum 100 ft from wetlands Var.:
1 _
10. Leach.tno
minimum 150 ft from drinking well/25 ft irrigation well Var.:
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,' l,,,, "° , ` urn 10 ft from pro pert line Var.:
12. System meets all other setback requirements Var• 11111111111111111111111111111111111111111111
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13 Uses ad ustment for maximum lush groundwater Var.:
14. Leachin• set 4-5 ft above ad.. water or bottom of test hole Var.:
15. System not in to. or subsoil (A,B horizons)or 5' removal
16. Proposed contours are suitable
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17. System meets slope requirements-min. 1/8", '''A"preferred -
18. S stern meets breakout re.uirements _-
19. Specified tee sizes are .roper, gas baffle on outlet tee PVC liner: Wall: __
20. Sewage is under 10,000 ;.d for parcel _
21. No garbage disposal �=-
22. System ade uately sized for its intended use _-
23.Minimum 6"stone or comp acted below tank and dbox -
24. Manhole covers within 6"of grade, .ump chamber cover to grade 11111111
__25. Inspection port on Plastic chambers/leach field
26. Electrical permit for purr. chamber/Separate meter for duplexes --
27.Pump system-2"line,wee. hole,check valve, tee in dbox, •um. size _
28. Se.tic tank/pump chamber to be facto wate .roofedIIIIIIIIIIIIIIIII
29. Vent .rovided if leachin below 3 feet,under driveway/.arkin• -
30. Buo anc calculations for tank/s um. chamber
31. Engineer to inspect and certi __
32. En:•neer/Re:istered Sanitarian and Land Survesor stam.s/sig wall: commercial: -_
nature
33.H-201oading is sub ect to vehicular traffic, : oundwater -_
34.Title V A..lication and permit fee, installer si• .atureIIIIIIIIIMIIII _
35. Foundation footing min. 2 feet above ad'usted ground water for new house
36.Deed Restriction re.uired max.
37. Check area lots for groundwater/Label a oundwater in Ma.ooms: max. flo : r d I
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Plan reviewed by: -- ja-,,�(/