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, u. TOWN OF YARMOUTH . � �� SE�VVAGE PLAN REVIEW CHECKLIST ; Location: A.M.�_ Lot�B Zone of Contribution: In �'Out Acreage " � Commercial• , Residerrtial:__� Street: � Village: Floor Plan: #Bedrooms: � __ 7-� I , '� � ! Owner: � Installer: `��'���11. , `� � l Address: . Phone: �i V � � � Phone: _ : , � ___ � Builder: �ngineer: �1 � Address: >. Phone: �=�1;�'? - � , _ Phone: ,. _ _ . _ : _ _ _ ._ N/A _YES -:. ,NO ; - . L R uired#of co ies received -_ __ _ _ °. 2:�te o€soils exa m and c��at�o�;test�ot alder t�t 2,� ��-..�. . � i 3.���ft�of natm�l occurrin 'au�s�teria abewc�+v� _�, , � , � � . . � ; :: . - _ _ _ _ � .� �� � . ."�t�� 4:Fa�ridat�an 2 ftg�abave hi ��int o#'rvad � � ��;� H.P�: _ ���F�ul: , _ ���ar.. -��� �. } S:.Wa.ter line,l�}ft:from s ic.com ne�s < �ar,: _ _ ���,� . 6.Benebsnark indicated and sho�vn-NC��D�near:�vatlant�s, �-< _ . :. . 7 S tic�tank m�tt�mum:10 ft from,fo�ndation,�eck,. � _ ._� an� � � - ,. , � ` , , �L�:1 '.�;,. " '� ��: � $ �.�4�1�x IC1lIT12I11�2112���1� I S�CIitW� �:d:�>S�� „�11', - r ,; ��,� _ _ �_ : �.�. � llYI111121Ull1 L��ft�V�I�aI]f�S '. ,��.E' �;; * . � .; . _„� ,,. _� , - �. ,.._r ♦ . �.'nd_ . A ^ �� ' "r r- ;- , <.., ,. ., . . _. , ' . �.. ' '� ..; A i.:; . . , ; , ��, � - �a;-�� ��u��t���fr��a��� ���lara,s:� �i�� # ;:���� = 4 � : k . . -� � , r.�. , .. � .� � .. a � .. . .. , ,, : . . . _, , _ � 1 I Tanklieachin �mum:l.f!ft from r erty li�e- ": 4�a�.:._.. �4. �, � ;: .> .:; �;: � .. �_... __ _ . . . , .. _.. . . ._ _ 12 S .st�m meets�othe�-s�;tback r ements ; , ;. �ar.: .�;-, . .:, . „ � _ _ . . , _ � 13_i�se��d'ust�nent for maaa�irnurn hi ndwatea��:, � V�r� ��- .-. ;° „. �, * _ . - � �• 14��.ckin s�t 4=5 ft above aci'.water or .af t��t ho �:,. � .: �� � . . _ a. � , , .. � � P , 15. System not in or subsoil(A,B horizons). 5'removal. . � . , ., . . 4 l b.Pro contc�urs are suitable �: ,-�: . :;�17. S st�n m�ets s10 e r iremerits-,min. 1!$", l�'4"; �� �. : , , �, , :�, � � ._ _ . i L8:������6am�eets:breakaut ui�ements- :� ��Y��eZ: W��1 .,r.. � � , , � � �� 14,�'�� � i��etl�sizes are�• ��, s baffl�.o��_o�tl�tee, ,� � , �, .: � . , , ..� . , ., . . � . .�� -.. I 'Y 20. Sewa e�s unc�er 1U,00U d for eel : . .. :. .; � . . . .: ,. . . , � - ,, , , . __ ' :_ . _,, _ , 21.No e dis osal , _. _ � 22..S, a ua.�e� sized for its intended use Y ._ „ �� 2�:ltfiinimuin�6"3ttune or ec�m a�ted b�elow.�k.az�.db�x :W ry �::.. ., � � ;�, . , ,. ;- � 4 �.� r :' . ,.. . ..�, � o . ._ , ;. . .. . -: , ,... ..-'....�.. � . ... .��.. ' rp 2�.>h�a�hole eovers within�6"+�€' ; chamt�cc��c�:tc►• ade .` , � 25.Ins 'on on lasti�e�hambers/leach field , . . ._; . .; ,� _ .... � 26.�lee4�ical e�mit-for � chamtaer/S te.me�t�t:.d ��x� ; � . � � ,. ,, • ,�.,�.,� . . .F � . � ��. ��� 27, .� s��. em-2".line,ro►� hQle,check valv�a,.�ee�in�+�b�,' ��sz�e� ..a�Y:�. � �' „• .. . �. � 28:S ic tank/ chamber to be factory wa c�fea. ,.; :: . . .n . _ . � 29:�`�et�t vided 3f leac�' below 3 feet,u�dex dr�v�ua i kia �, � � � � � ` � 30.Buo calculations�fc�tank/ �m chamber �..,� � �-� � , ` . , � ��� � _ " � , _. . � , � � � '-Tm..�_ 31.En 'ne�r to ' and c " soi�s:= r wall: : : commercial: ; . ,..-,.. 32:E ' eer�Re ' ered Sanitarian and La.nd S or s : �i . . � e ; ` e�, .. : ,.•: 33.H-20 loadin is sub'ect to vehicular traffic, oundwa�e�•.-,... ,� ;; 34. Tit1e��i lication and ermit fee, installer si tur,e�. :� 35.Foun+da�ion footin min.2 feet above ad'usted ound��vat�+for new house 36.Deed Restriction r ired max. #bedrooms: ma�c. flow: 37.Check area lots for oundwater/Label oundwater in Assessor's Ma Plan reviewed by: �03�03 �-�� � f t