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` TOWN OF YARMOUTH
� , ���� 8 SEWAGE PLAN REVIEW CHECKLIST
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Location: AM � LOT� Date of Subdivision Approval
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Street � Zone of Contribution: In�_ Out `
V illa�e Commercial ResidentialT '
Owner: �,��' Installer �- d
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Builder: Engineer
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/A NO
1. Re uired number of co ie rece�v
2. Date of soils exa d ercol ' n older t e
3. 4 fee f nat rall occu ' ' u t rial ve r t e new co ruc io
4. Foundation 2 eet above i tin r f w c t c ion
5. Wa r avai a ilit 1 W e w c
6. Benc k ' d' ed o - V i n we
7. Buil ' sewe d no 't u
8. Se tic t a ' ' u f 1 f t h use d c
9. Leach' ' u o e and 10 d ck.
10. Leachin a ' 1 w tl
1. eac ' ' u f 1 f d ' ' we we 1 �
1 . ste m a t t t .
13. Use ad'ustm f m ' wate
14. Leachin 4 -5 f t a ove w t ta or t f st '
15. S stem not i o i f va
16. Pro s d c nt it b
17. Svstem meet sl e re ir - " 4"
� 18. Svstem meets bre o t - s v ' n c 1
19. S ecified tee size are o e o tlet t .
- : 20. Sewa fl w r 1 c
� l. No r a al
22. vt a a 1 s' f ' e
' 23. Minunu 6" one o ec 'c c te ow e t d -bo .
24. Manhole covers wit ' 6" f - s ic t an um c e .
25. Electrical ernv for u c
?6. Pum st m- 2" 1' e w e c va ve s i in - x a n s t 'r ui
27. Se tic nk a d c o wate o
28. V nt ovided i w r n er 'v w o
29. En�7ineer to inspect and certifv : v
w tru ' n c u
co e ci s
30. En ineer and Land S e or st ' nature.
31. H20 loadin 7 wh n s t m s b' v h' lar traffic.
32 T'itle V aQplication and fee signed�a licensed installer �
33 Foundation footing � feet above adjusted water table .
34 Lot subdivided prior to Julx 31 1986 - Nitrate Loading .i
35 Subdivided prior �o Apri17 19R9 - Phosp��►orus Zone 300'
Plan reviewed by: