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i ' TOWN OF YARMOUTH i
' ={ �,�� r��f ��SEWAGE PLAN REVIEW CHECKLIST !
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,Location: AM I�7 LOT� Date of Subdivision Approval �
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Street � ,,G/���Gr�.,�� ��i-'�F' Zone of Contribution: In Out�_ ;
' Villa�e�� Commercial Residential �
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Owner: � ,���� Installer i'�� I
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i�uilder: Engineer �� -� z� " - i� �
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/ YES NO
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1. Required number of co�ies received. 74
2. Date of soils exam and ercolation te t not older t ars.
3 4 feet of naturallv occurrin��Dervious material above water tabl�new constructionl '
4. Foundation 2 feet above high�oint of fronting road for new construction. �
' S. Water availabilitv letter from Water Department for new construction. �—
6. e c ' icated h - V i near we • ��'I
7.�Buildin sewer does not�exit ce er of ouse.
. Se tic tank minimum of 1 f t & ouse and d c '
. Leachin a minimum of 20 f et ho e a d 1
1 Q. Leaching a min�num of 100 feet from wetlands. � ,�
11. Leac ' minimum of 15 fe d ' ' we io well .
2. S te m e all other set ck ir nt �
13. Uses ad'ustment for max' um ' roundwater.
14. Leachin 4 -5 f�et above ad'u t water table or t ' '
1 . S stem not in to r b oi o f o removal
. Pro osed c ntou are ita 1 �
17. S stem meet e r ir m nt - min. 1/ " 1/4" I
18 Sv tem meets brea out r ire e t - ast ne 1 v ' 'ed 1
1�' S ecified tee s' s are ro er as ba e on o tlet t f
0. Sewa e ow er 10 0 0 d for cel. �
21. N arba dis sal ',
. vste a u tel s' ed f r it ' u e. ��'
3. Minunum 6" to � or mec anic 1 c cte bel w d- x. '
24. Manhol covers wit ' 6" e - s ic be
25. lectrical rrnit for u c m r.
. Pum s tem- 2" line wee hol check valve t circu't .
7. e tic ank and um ch o c o wa
8. Vent r vided i leac ' low feet und 'v �'
29. Engineer to ins�ect and certifv : cl r mov 1
w c n ru t'
e cial '
30. Engineer and Land Surveyor stamp and sigynature. X� '
31. H20 loading when sXstem sub�,ect to vehicular traffic. � �
32. Title V aRnlication and fee signed bv a licensed installer. Y� `
33. Foundation footin 2 f et a ve d' sted wa e t (
4. Lot sub ivided rior to Jul 31 1986 -Nitrate a '
35. ubdivided rior co ri17 1989 - Phos oru Z ' '
Plan reviewed bv: � �
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