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TOWN OF YARMOUTH
��� /fif� SEWAGE PLAN REVIEW CHECKLIST
�Location: AM �� LOT� Date of Subdivision Approval
,
Street � a �lG1l Zone of Contribution: In_� Out
Village Commercial Residential �
Owner: � � (2� Installer �
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Builder: Engineer D�-��
N/A YES O
Re ' ed num er of co 'es received
2 Date of ils e a nd erc latio test not older t 2 ea .
3. 4 feet of natur 11 oc urrin ervi u material above w ter ta le new construction -
4. Found i n 2 fee a ove hi oin f fr ntin road f r ew on truction.
. Wat r vailabil' 1 tter fr W te De art nt f r w ction.
6. Benc k ' 'c te an o - V ' near w lan
7. ildin ewe does not e 't center o h use.
8. Septic tank a minimum of 10 feet from house and deck. �
9. Le�chin� a minimum of 20 feet from house and 10 feet from deck.
10. Leaching a minimum of 100 feet from wetlands.
11. Leachin� a minimum of 150 feet from drinking wells/25 feet from urigati n wells
�. .�System meets all other setback reauirements.
13. Uses adjustment for maximum hig g dwate . ✓' _
14. Leaching 4 -5 feet above adjusted water table or bottom of test pit.
15. S m no in to r ubsoil 5 f rem v i.
6. Pr e cont u are sui 1
17. S st eet e re ' e n - ' 1/8" 1/4" r e .
- 18. Svstem meets breakout requirements- eastone elevation carried out 15 feet mirL_um. � i
19. ecifi d tee s' es e r r s ba on outl tee.
�0. Sewa fl w under 10 0 0 d for cel.
° 21. No r e di o al
22. st m d at I iz d f i in de u .
3. M' ' um 6" o or c 'call c acte below t t and d-box.
24. Manhole c ver wit ' 6" f ade - se tic t and um cham er.
25. Ele ri al e " for ch mber
6. Pum s m- 2" li e we h le ch ck v Ive i i d- x al on se arate circui
27. Se t c ta a u t acto wate roo ed
�8. V t vi e i le hin el w fee r un r drivewa r arkin
29. En�ineer to ins�ect and certifv : �. clav remova� /
b. wall construction schedule �
. commerci t
30. En ineer and L nd Surve r st and si nature.
1. H2 loadin T wh n s stem ub'e t vehicul r tr ffi .
32. Title V a lication d f e ' n a I'cen ' s ler.
33. Foundation foo in 2 f above a 'u ed water ta
34. Lot ubdivided rior to Jul 31 1986 - Nitrate Load'
35. Subdivided prior co A�ri17. 1989 - Phosphorus Zone 300'
Plan reviewed by: ��