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TOWN OF YARMOUTH i
� � ��� SEWAGE PLAN REVIEW CHECKLIST
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Location: AM� LOT�� Date of Subdivision Approval i
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Street.��„�� -� Zone of Contribution: In Out � '
Villa�e Commercial Residential
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Owner: G�0'�itt`���� Installer
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Builder: � Engineer �
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N/A YES NO
1. Re uired number of o 'es re e' ed ✓
2. Date of soils exam and nercolation test not older than 2 vears. '
3. 4 feet of naturally occurring pervious material. above water table(new constructionl e �/ '
4. Foundation 2 feet above high Foint of fronting road for new construction. ��'
5. Water availa '1't 1 t r W rt c ct'
6. Benc k ' 'c d - V i w
7. Buildin sewer d e t
8 Septic tank a minimum of 10 feet from house and deck
9 Leachin� a minimum of ZO feet from house and 10 feet from decic t��'
10 Leachin�a rrLnirr�um of 100 feet from wetlands c/'
11 Leaching,a rrLni of 150 feet from drinkin��we s/25 feet from irri�ation wells. t�� ,
2. S t m et `-"'� '
1 . U ad'u t w r.
14. Leachin 4 -5 e a v w
1 . S no �
16. Pro s d c t u e
17. Svstem ee s r ' e - / " "
18 System meets breakout rec�uirements- r+�astone elevation carried out 15 feet minimum
19. S ecified tee ' s ar o r o o tle
20. Sewa fl w e 10 cel
1. No rba e is o 1 " '
22. Sv em ade ate
23. M' ' um 6" sto o c c d low '
24. Manhole covers wit ' 6" de - ic t cha. er
25 Electrical �,ernvt for�um chamber �� �
26 Pum,n system - 2" line weep hole check valve sanitat�in d-box aiarm on se rate circuit. �-
27. Se ic ta t W
�8 Vent psrovided i le ' � t�elow 3 feet or under driveway or���.
29 En„ineer to ir�ect and certifv : -� cl,�y removal_ ��
b. wall construction schedule �>>
c� commercial svstem � /
30 En�ineer and Land Survevor stamn and signature �~''~
31 H20 loadin�T when $ystem sub�ect to vehiculaz traffic + �-�'
32 Title V annlication and fee signed by a lice���d inst ller �-�'
33. Foundation footing 2 feet above adiusted water table.
34 Lot subdivided prior to J�y 31 1986 -Nitrate Loadin . _ _ �' _ '
35 Subdivided prior co April 7 19R9 - Phosphorus Zone 300'. � :
Plan reviewed bv: �