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Home My WebLink AboutReview Checklist �Z �r� ----�/�. , �� TOWN OF YARMOUTH " �> /� ; SEWAGE PLAN REVIEW CHECKLIST /��'��- � /"�� 0. �� '� . Location: A.M.� Lot�_. Zone af Contribution: In ut_ Acreage i ' ,� ` Commercial: Residential: � � Street: ��,� ! Village: Floor Plan: �` #Bedrooms:�_ Owner: Installer: � Address: Phone: Phone: Builder: Engineer: ' �' � Address: Phone: � Phone: N/A YES NO 1.Required#of co ies received 2. Date of soils exam and colation test not older than 2 years 3.4-5 ft of naturall occurrin ervious material, above water table 4.Founda.tion 2 ft above high oint of road H.P.: Fnd: Var.: 5. Water line 10 ft from s tic com onents Var.: �_.�- 6.Benchmark indicated and shown-NGVD if near wetlands 7. S tic tank minimum 10 ft from foundation,deck Var.: 8. Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: 9.Leaching minimum 100 ft from wetlands Var.: .---� . 10.Leachin minimum 150 ft from drinking we1U25 ft irrigation well Var.: 11.Tank/leaching minimum 10 ft from rop line Var.: - ' 12. S stem meets all other setback r uirements Var.: 13.Uses ad'ustment for maximum high groundwater Var.: • 14.Leaching set 4-5 ft above adj.water or bottom of test hole Var.: 15. System not in to or subsoil(A,B horizons)or 5'removal 16.Pro osed contours are suitable 17. S stem meets slo e r irements-min. 1/8", '/4" referred 18. System meets breakout r uirements PVC liner: Wall: �-.-- 19. S ecified tee sizes are roper, gas baffle on outlet tee 20. Sewage is under 10,000 gpd for axcel �--- � 21.No ba e dis osal L� 22. S stem ad ua.tel sized for its intended use , 23.Minimum 6"stone or compacted below tank and dbox `./ 24.Manhole covers within 6"of ade, um cha.mber cover to grade ��--�' 25.Ins ection ort on lastic chambers/leach field 26.Electrica.l ermit for um chamber/S arate meter for du lexes 27.Pump system-2" line,wee hole,check valve,tee in dbo� ump size �- 28. Septic tank/pum chamber to be factory waterproofed 29.Vent rovided if leachin below 3 feet,under driveway/ arkin 30.Buoyanc calculations for tank/ u chamber ---�'- 31.En ' eer to ins ect and cert' soils: wall: commerciaL• �''� 32.En ' eer/Re 'stered Sanitarian and Land Surveyor sta.m s/si ture ..�-�-' 33.H-201oading is subject to vehicular tr�c, oundwater 34.Title V A lication and ermit fee, insta.11er signature � 35.Foundation footin min. 2 feet above ad'usted ound water for new house �i" 36.Deed Restriction r uired ma�c. #bedrooms: max. flow: d 37.Check area lots for oundwater/Label groundwater in Assessor's Map � Plan reviewed by: %� �os�o3 � � i i � • 55 Captain Nickerson Rd in Zone II 06.27.2016 � � � � � � �o� f� � � � . : � � � . 9 � � � �'� �� . � $ E �'+0 - - ��i� � �°� � `� � �,, �. � � ��/ � � � s �`Fi . 0 � � 4°�0 oa�� . � � � �6 Ilb. � o� �'� � � .. � . �� 8FA . � � (�� p a I A �/ �@t A'' �.. � � 1 �. Y� � �7 � '�pT � �� kf�90,�:.��. 0.S � _ � � o n � , , ��o � � ! +�cs � � � - � �e� a�� _ �� , , Q: � � ; �" ° �` ' � ' � � � m.: ,�a ; � ' � , ; o S�''� � `� V" ° � � � � �� ,a �p � `+��, � �%� x � �b O� � �/ �sra � Q,G ryb 00.4 �.�` �1�. �'s 33.4 ^� .. P� P � P� 2 �° 4 �nry P �o G � � � � 3o a �a � s ,�,0 � 14 �� 1� 2U a3a�z � 24 cts+s 3� - 3 � 4 �•IICKE ON � � � �� : i'�-� s s � ��31 �� ❑ m.i t_ � `�� . � ' ';.� : � "� ;..� .� ...S ��` . . � � .� ��. . � � . _ (� � � � $ � I�J � � � � � � �, ,o � Y7��. � D �LB�4 m.t > �� 8 � � /� �� ora�e�e � � \,� � � 17 ' Ll �, � y � n.� � � � � � � �W A � z •tYt r �' ��rs � : ar+� . � .�' � n'i �:.� .� ��sr� �: „\�� . �.sM�w : Q � � ✓� : �� 4 '��` � � ; ° � 1�--' .�sr, ' 'zn p :iit�� . � � ►./�G't � � �C€R'�/"b � � ' � },j{k'E�� ' � ora� � � � f � • $ � �� ]7A � � �� . � . �� .�� • : �... � �: �'.. . - ..�. . .,- :., . � ��, U � � � /\ �\ . �_� � � � . �'... , ` 1i3 � . 39-1 � //�<_ �,f� .:wg � 1...� � �t� �� ..�.� .$ � � . �t5T0 � . a '