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H MA1'TAC1y[LSF/��' TOWN OF YARMOUTH
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�. SEWAGE PLAIJ REVIEW CHECc�,IST
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Location: AM ,�(� LOT� Date of Subdivision aoproval
Street � �,,¢���1 Zone ot Contributio - n Out
Vi11aQe Ccmmerciai Re�ident�ai
Owner ��t� /�p�/�) InstalJ.er ��
Builder Engineer �G �%¢,��,li�
� 77 ODS� —
�,(�1J� ���' 3- � .;/a �s �jc
1. Recuir� n�er oi cooies receiven. �
2. Dat� oi �oi?s e�t�n and perc:,iation te�t not oider �han 2 vears. x
3- 4 �ee� oi naL::rsilv occurr=na �ervious mat�r_al, at�ove �.�acer t�bie. X
a• Fc�ncaL_on 2 iee� anove hicn ooint in fronLinQ rcad. �(' '
5 cJat=r =.vaiiabiiiLv let�er Lr�m :�Iater DeDar�.^�ent. �C
6- Ber.c^.�ar�c indicaced and �hcwn. �C
7. Bu�:dina se�oer dces not eYic center oi hou�e. �C
8. Se��= � �anic a mini:mzm oi 10 reet tcrm house and dec�. r
° Le�c^�r.a a mini:num of 20 =eet frem house and 10 feet �r:.m deci:.
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10. Leac::�r.Q a z�ini:m:.�n oi i00 iee� fram wetlanas. X
11. Leac�s.nQ a minimt.�"n oi 150 *eer form we?ls. 7C
12. Sv�L=:*i :neets ail �wner sec�ac:c reauiremenL�. X
1�. Use= ad-iustment �.:.,,�ed *or �:naxi.^nsn niQn Qroundwacer. i/, „��;,��,,tr � �
14. Leaczir.a � �ee� above ad�usted �aater tabie or bozto o= e�t �it.
15. Sv�te� noc in tc� or sui��oii or 10 foot re:novai. �C
16. Prcxsed contcurs are suitac�e. ,X_
17. Svstem �ne�t� slc�e reauirements. k I
18. Svs�e� ;neet5 C�rE3KCllt reauire?nents - calc�iations snown. X `
1°• Sc�ec�iied tee si�e� are ore�er. �c
20. Sewaae il.ow under 20,000 a�d for oarcel. X
21. No Qar�ave disoosal. �C
' 22. SvsLem adeauate?v sized for its inLended use. x
23. EnQineer to cert�fv: -
a. Clav removal. �C
b. 25 fcot removal. � X
c. Tiant installation. �>c
d. Co�nerciai svstem. ' x
2a• �::�ineer and Land Sur-�vor Stamfl and Sianature. � X
25• H�� LoadinQ when svstem is sui�-iec� -� venicuiar traffic. �c', �
26. TiLle � a��iication and fee siQne:i �v licensed installer. � k
27. FcundaLion foot_nQ 2 teet above ad-iusted water table. Sc
28... Lot subdivided orior to Juiv 31, 1986 - Nitrate LoadinQ. '
2Q. Subdi��ided orior to �oril 7, 1°89 - Phosphorous Zone 3G0' '
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Plan reviewed by: �� �°/�