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TOWN OF YARMOUTH
/,� 1,/� SEWAGE PLAN REVIEW CHECKLIST
Location: AM �S/ LOT 73 Date of Subdivision Approval
Street � '
Zone of Contribution: In Out
Villa�e Commercial Residential
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Owner: ��v�,�a�� Gi✓�`• Installer
Builder: ���/�G� Engineer �ir✓�'�=f� �'����'�Jz�C�,P
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i _. N/A YES NO
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; 1. Re uired number of co ie rec ived.
?. Date of soils exam and percolation test not older t a„ 2 ears
3_. � teet of naturally occumn�nerv�ous m�tenal. above water table(new constructionl_ ��,
4. Foundation 2 feet above hish t�oint of front'ng road for new construction.
5. Water availabilrtv letter from Water De�artment for new construction �
6. Benchm�rk uidicated and shown-N VD if near wetl ds ��
7. Buildin� sewer does not�xrt center of house y�.�'
$. Sentic tank a m�.n,mum of 10 feet from house and deck ��
9. Leachin� a mLn�mum of 20 feet from house and 10 feet from deck �"-
10. Leachm� a rrLmmu of 100 feet from wetlands a..�-
11. Leac i � a rrLnimum of 150 feet fro drinlc'n� weL1�25 feet from ' 'gation wells �--�'
12. S te e a t r t
13. Uses adiustment for maximum hi groundwater ��
14. Leachin� 4 -5 feet above ad�usted water table or bottom of test nit �
15. S st m no m to or s 1 r f t val
16. Pronosed contou are suitable
17. Svstem meets slope reau�rements - m�n 1/8" 1/4" Freferred �-
18. Svstem meet breakout requ�rements- neastone elevation carried out 15 feet ini um �--
19. Soecified tee s�es aze pro e�r. gas baf�le on outlet tee. ,,.y.-�
�20. Sewa fl w u der 10 00 f ce
21. No �arba�e d�,Do��l
��. Sv tem uat 1 s f d u
i 23. M' ' u " to e or c cted 1 w e t d - x
2�. Manhole covers wit i 6" of grade - sentic t�nk and pumn chamber
25. Electrical oernut for nump chamber. �,
?6. Pumn svstem - 2" line wee� hole check valve �nit�rv in d-box al�rm on Pgar�te circuit i
27. Se c t an u c e to w e
28. Vent r vi i w r er 'v w in
29. En�ineer to inspect and certif� a. clav removal
b. wall construct�on scher�»iP ��
c: commercial svstem �`�
30. En�ineer and Land Survevor stamD and si�nature �a�
31. H2 1 din 7 when st s b vehic 1 r tr c. ,-
?2. Title V antilication d fee si�ned bv a licensed installer
33. Foundation tootinQ 2 feet above ad�usted water table. �J.
34. ot ubdivided rior t Jul 1 9 6 - Nitr t �
35. Subdivided rior co A ri 7 1 R9 - horus 0'.
Plan reviewed bv: