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TOWN OF YARMOUTH
_ ��- �G SEWAGE PLAN REVIEW CHECKLIST
Location: AM �' s LOT J� Date of Subdivision Approval
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Street .=1'}G��GtP.�ll1������ Zone of Contribution: In� Out
Villa�e�/ Commercial Residential�
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Owner: 5v�i,<� �'s�'�G�!J Installer ��l �_a /���P 5
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�' Builder: Engineer ��n���fl� �t /L/!
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! N/A YES NO
1. Re ired n ber of co ' re eived ✓
2. Date of soils exam and oercolation test not older than 2 ye �
. 4 f tur Il ccurrin rvi s m ' I a ve wa er t le n w c nstruction
4 Foun i n eet a ve ' h in ntin road f w c ction.
. Water av ' ' i I r m Wat e t f r n 'on
6 LBenchmark indicated and shown-NGVD if near wetlands.
7. Building sewer does not exit center of house. �
tic tank a ' 10 feet ouse d
9.'Leachin a minimum of 20 feet from house and 10 feet from deck.
� ea h' f wetlan
1. hin a ' 1 w i n we
2. e me t irm
� . Us ' tment fo ' um hi dwat r
4. Leachin 4 - bov ad' wat or tt f e
1 . stem not ' r s ' o rem v I
16. Pr d cont u e I .
tem me e I/ " 4"
18. v t bre u u' e - o e v ' c
19. ecified tee sizes e er n outl
� 2 . Sewa flow r 1 0 d cel.
1. rba I
22. v de I ' f r i '
' 23. Minunum 6" stone or mechanically comnacted below the tank and d-box.
24. Manhole covers within 6" of grade - septic tank and pump chamber.
' S. El ' l e 't r ch r
26. Pump system- 2" line. weep�le. check valve_ sanitarv in d-box. alarm on separate circuit.
7. t� u ch e t F cto w e
28. Vent orovided i leachin� below 3 feet or under drivewa or gark' �
29. Engineer to inspect and certifv : I re val
w c n e
c: commercial system
30. En�ineer and Land Survevor stamn and signature. /
1. H2 I in= when s sub' t to v hicul tra -�--
32. Title V app ication and fee signed by a licensed installer.
33. Foundation footing.2 feet above adjusted water table. ��
34. Lot subdivided prior to July 31. 1986 - Nitrate Loading,, �
35. Subdivided prior io Apri17. 19R9 - Phosphorus Zone 300'. r /
Plan reviewed bv: �