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�M�r'r.:.cHcurl"� TOWN OF YARMOL7TH
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� SEWAGE PLAN REVIEW CHECFQ,IST
e Location: AM �Z.. LOT T�f/ Date of Subdivision Approval
Street��-3 C.�s�iairr ,�/I�N�f� Zone of Contributio . In Out
Villaae��,,p.,cm«�r,� Coa¢nercial Residentiai
,�
Owner_____��,��j �A�Gv� Installer �S'�pJ'T ,�
775- 573
Builder Engineer `c�g�Lc S,��j/�/��.
361 - &/3Z. '�
.'/a YF.S \�0
1. Recuire3 ntanoer of cooie� rece�ved �
�. DaLe o= soils esam and perc�iat�on test noL older than 2 vears )(
3. 4 �ee* OL [1dL:ir21?V OCCt1L'L'i:3C D2LV10US R1dt2�"dl above WdL2r CdC'2 )[
4• F�,:naac_on 2 ieer atiove hicn ooint in fronLina road �
5 �daL=r _�vaitat�ilitv letter trom :+7ater DeoarrmenL X
6. Her.c:marx Lnaicac2a ana shcwn. �_
� . Bui_c�na sewer aces not esic ce*�ter oL house �
8- Se��_c tanx a mini:m�m o= 10 reer form house and dec�c k
9 Leac^zr.a a mini:mun ot 20 =ee� from house and 10 feec fr��n decr x
10. Leec::ino a :nini:m..^n or 100 ze�c from wet�ands x
11. Leaczina a minim�n oL 150 fe=* form we�ls x
12. svstem meets atl owner seceacx reouiremenLs.
i-• Use= aa�vst:�en[ ��ea tor masi:mnn hian aroundwacer h '
14. Le=_caina � £eet aoove adiusced aacer table or bottom oi test oic.
15• Sv�te*n noL in tcn or suc=oi� or 10 foot removal � ,��py
16• Proxsea conLcur� are suitze�e. x'
li. Svsce:n meets slooe reouirements x
18. SvsLe:n meets oreaxeut reauir=ments - calc�.iiacions snown.
19• Soec�fied tee sizes are orener.
Z0. Sewaoe flow under 20,000 ar�d for oarcel.
, 21. No aarnaae disoosal.
ez. Svstem aaewate!v sizec� for its intendea use.
_ 23. Enaineer to certiEv:
• a. Clav removal.
b. 25 foot removal. �
c. Tiant installat=on. X
a. Co�nercial svstem. Y
1a• ....cine�r ana Lano Sur:=vor Stamo ana Sianature.
25. H::� Loadirra when svstem is =_ubiect =� venicuiar traffic.
26. Title � aopiicacion and fee sianed �v licensed installer
27. FcunoaLion foot�na 2 teet above aa�usted water table.
28•. Lot subdivided orior to Julv 31, 1986 - Nitrate Loadina.
2°• S�m_•�iaea orior to Aoril 7, 1989 - Phosnhorous Zone 300' �
r.
Plan revieweci by; �l/�(/� (��