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TOWN OF YARMOUTH
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� F.Z� ZSEWAGE PLAN REVIEW CHECKLIST
Location: AM �g LOT� Date of Subdivision Approval
�3,�?Td s f'
Street� . � Zone of Contribution: In � Out
V illage ��� Commercial Residential
Owner: �. �C�l,��' Instailer .�1�/� �S'
36Z- ��- 7
Builder: Engineer
.�—
N/A YES NO
. Re ' ed number f co 'e e'v d.
. Date of soils e a o i n ld t e
3 4 feet naturall ccu ' 'al ov wa r t 1 ew c ructi
4. Fo n i 2 ve ' in f t' ro d fo w n c ion.
. Water v il ' te o W r f r w c cti n
. e d - V if w
. Bu�l ' ew r o s t ter h
e ti t a 1 h use '
, Le f f an 1 f deck
of 1 w 1 ✓
1. of 0 f d we f w
1 . U e d' st r m ' o ndwat .
14. ea ' 4 -5 a ve 'u wa er tabl o t f t '
st o s b ' va
1 . P cont I �
1 . v e ' 1/ " 1 4"
vtm lv i c 1 t u
19. eci d te ar ro n out t
" 0. wa w der 1 0 1
1. N d' o
v fri tn
Y
3. ' u " st o e h 'c a ow t d -
4. M ole c v wit ' " ' t c
25. lectric 1 e ' r c r
6. P m s " ' wee h v ve i 1 on e r t ' u't ✓ '
7. i e w
28. Vent nrovided i leaching below 3 feet or under driveway or arking.
29. En�ineer to inspect and certifv : a. clay removal
b. wall construc ion s hedule
c: commercial svstem
30. Engineer and Land Surve or p and signature. _ ..�
1. H2 1 ad' r w b' vehi ul r tr
2. Ti 1 V i f !' e in 1
33. Foundation footing��2 feet above adjusted water table. ,
34. Lot subdivided prior to Julv 31. 1986 - Nitrate Loadin ,
35. Subdivided nrior co A�ril 7. 19R9 - Phosnhorus Zone 300'.
Plan reviewed bv: