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TOWN OF YARMOUTH
�� ��EWAGE PLAN REVIEW CHECKLIST
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Location: AM�� LOT� Date of Subdivision App
Street 2/ �i Zone of Contributio • Out
Villa�e S. �c��' Commercial Residential
Owner: �P C��l� Installer ��'�
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Builder: Engineer /
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N/A YES NO
1 Required number of c�ies received }-
2. Date �f soils exam and ercolation te t not older than ar
3. 4 feet of naturallv occurrin ervi us material above wat table new construc ion
4. Foundation 2 feet above hi ' t f ontin r ad f w c n truction.
5. Water availabilitv lett r o Wat r De art en f r w ctio .
6 Benchmark indicated and shown-NGVD if neaz wetlands
7 Buildin sewer does not.e �t center of h e.
8. Se tic tank a minimum of 10 f et o u e and d
9. eachin a minimum of 20 feet from us an 10 f m deck. y
10. Leachin a ' ' um of 100 feet from wetlan
11. L c ' ' um of 15 f m r' in well ' at' n well .
. S ste eets 1 oth r set ac re ' n �' va� �
13. Use ad'u ent f r max' um ' h roundw ter.
14. Leachin 4 -5 feet above ad'usted wate t 1 or f e
; 1 . S s em not in to or su oil r 5 f ot removaL
16. Pro osed contou are ita 1 .
17. Sv tem meets slo e re ire ent - ' . 1/ " 1/4" d
18. Svstem meets brea out r uirem t - on v t' carri 1 f e ' u .
T9. S ecified tee s' es are ro er s b e on outlet tee.
2 . Sewa e ow under 10 00 d for arcel.
2 , No r a di osal.
2�. stem ade uatel s' d f r it ' te e u e.
� 3: Minunum 6" on or me h 'ca 1 c acted low t d d-bo .
24. Manhole covers wit ' 6" f de - ic tank d c
25. Electrical ermit for um chamber.
26. Pum m - 2" line wee hole che k valve s i ' d- x al on se ar te circuit.
7. Se tic nk and u c ber t ct w e
�8. Vent vided i lea hin 1 w e r un r 'v
29. Engineer to ins�ect and certifv : a. cla, remova ___ 1°
i b. wall construction schedule _
; c: commercial svstem �
30 En�ineer and Land Survey.or stam�and signature X
31 H20 loading when system subject to vehicular traffic �n
32 Title V anniication�and fee si�ned bv a licensed inst�ller �,
33. Foundation tiootin 2 feet above ' ted w er able
34 Lot subdivided�rior to J.�ily 31 1986 - Nitrate Loading+
�5 Subdivided prior co April 7 1989 - Phos horus Zone 300'. �
Plan reviewed by: ��.