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TOWN OF YARMOUTH
; /l/ezci �Z- (7'� SEWAGE PLAN REVIEW CHECKLIST
Location: AM� LOT�7 Date of Subdivision Approval
� Street -�/ Sul�Se� �� Zone of Contribution: In ^ Out_�
Village S' �/cy��,rv,- � Commeccial Residentiai >O
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Owner: �� �<.� e�9� Installer �1,G��
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Builder. Engineer �l ��v�`�i/��
��2— /,�
I N/A YES NO
1. Reauired number of copies received. �o
2. Date ot soils exam and percolation test not older than 2 years �_
�. 4 teet of naturallv occurnngnervioae material above water table(new constructioni k�
4. Foundation 2 feet above high point of front'tng road for new construction �l
5. Water availabilitv letter from Water Denartment for new construction �
6. Benchmark indicated and shown-NGVD if neaz wetlands �
7. Buildin�sewer doec not exit center of house �
$ Septic tank a minimum of 10 feet from ho se and deck r•�
9. Leachin minimu of 20 feet om h se and 1 f deck
10 Leaching a minimum of 100 feet from wetlands -
i l. Leac ' a ' of 1 0 f fr inkin we 2 et fr irri ation well
12. stem m ets at ther s t k r uire
13. U es ad'ust ent for m ' hi oundwater
14. Leach' 4 -5 feet above ad'us wate table botto of tes 't.
15. S stem n in to or subs i r ot rem val.
16. Pro osed contours e suitable
17. vstem eets sl e re ' t - 1/ " 1/4"
18. Svst m meets a ut re uire ent - t�n v t' carri eut 15 minim
1'9. S ecified tee sizes are r a baftie on utlet tee.
20. Sewa flow under 10 00 d f r arcel
2l. No a� e disnosal.
2� Svstem adequatelv sized for its intended use X
23. M um 6" one or mec 'ca o acted below the t a -box.
24 :�Ianhole covers within 6" of gtade - seQtic tank and pump chamber
25. Electrical permit for pump chamber. �
�6 Pump system - 2" lirit. v�een hote shec.l€v�lre. ca*+�tarv iss d Mx c�larm nn �arate circuit ;K
27. Se nc ta and um chambe t to wate d.
28. Vent r vided i I achin w or der ' ewa
29. En�ineer to inspect and certif� removal
wall c s ti n hed
c: commercial sy_stem ,o
30. Eneineer and Land Survevor stamp and si�nature �_
31. H20 loadm� when system c��b,ert to vehicular traffic � �
32. Title V aoohcarion nd fee stened by a licensed installer k
33. Foundation tootin 2 feei a ve d ed water t le.
34 Lot subdivided nnor to ulv 31 1986 - Nitrate Loading
35. Subdrvided pnor �o Anril 7. 19R9 - Phospl�orus Zone 300'.
Plan reviewed by: ��