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TOWN OF YARMOUTH '
� �`p � X79 SEWAGE PLAN REVIEW CHECKLIST ;
Location: AM /�� LOT 47 Date of Subdivision Approval
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Street �O � �� Zone of Contribution: In Out
� Village � Commercial Residential �
,Owner: �OKzP d�,���5 Installer � G�f
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Builder: Engineer �' �/�/�c7 .
� 39�— �39zZ_ T
N/A YES NO
1. Required number of co�ies received. �
2. Date of soils exam and percolation test not older than 2 years. � �--
3. 4 feet of naturallv occumn�oervious material. above water table�new constructionl �-/
4. Foundation 2 feet above high noint of fronting,road for new construction. � �-
5. �?Vater availabilitv letter from Water Department for new construction. ✓�� '
6. Benchmark indicated and shown-NGVD if near wetlands. ✓
7, Buildin� sewer does not.exit center of house. � / '
8• �ptic tank a minimum of 10 feet from house and deck. ✓
9. Leachin� a minimum of 20 feet from house and 10 feet from deck. � /
�_�eaching a minimum of 100 feet from wetlands. �.i
' 11. Leaching a minimum of 150 feet from drinkin� wells/25 feet from irrieation wells. `�
me o r ✓
. 0 m fr ' u ro dwtr
` 14. e h' 4 - eet a v w t f '
mn int or r v
. Pr ed nto rs i
e m et 1 e / " 1 4" �--�'"'
18. Svstem meets breakout reauirements- �eastone elevation carried out 15 feet minimum. '
� 19. S ecified t s' ar r e outl �
w ow 1 c ��" �
1. N �
� �2. Svstem a equatelXsized for its intended use: ; /
23. Minimum 6" stone or mechanicallv com�acted below the tank�nd d-box. ,
24. Manhole covers within 6" of grade - se�tic tank and g�,p ch�mber. � /
25. Electrical nermit for num�ch�mber. ,/
26 Pumn svstem- 2" tine weep hole check valve �nitarv in d-box alarm on se��rate circuit '
7. S —i- a t w ✓
2 . V t r vi ed i le w
29. En�ineer to inspect and certifv : a, clav removal
b. wall construction schedule ,
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30. En�ineer and Land Surveyor stamn and sienature. '
31. H20 loadin� when svstem subiect to vehicular traf�'ic. ;./� I
�2. Title V aonlication and fee si�ned bv a licensed installer. '
33. Fou dati n f ohn et ve d' e w r
34. ot ubclivide r'or t J 3 19 6 - it
�S Subdivided p�ior co A�ri17 19R9 - Phos horus Zone 300' !
Plan reviewed by: ��
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07-23-2001 01�22PM FROM SWEETSER ENGINEERING TO 5083982365 P.01
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S UiTEETS.ER ENGINE�RINC .
P.O.BOX 713—S4UTH DENNIS—MASSACHUSETTS Q266Q
TEL(508) 39&3922 FAX(508) 39&3063
LANO SURVEYING—ENGiNEERING—TiTLE 5 SEPTIC SYSTEMS
INSPECTION OF SUBSURFACE SEWAGE DISPOSAL Y�TEM �
Loc�tion of System: 20 WILD ROSE TERRACE
Job# 4889 Client: NICHOLS
pate: Qc�pber 26, 2000
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i, ROBIN W. WILCOX, PRQFESSIONAL LAND SURVEYOR, CERTIFIED SOIL EVALUATOR,
DULY LiCENCED AS SUCH IN THE COMM�NWEAL7H OF MASSSACHUSETTS, DO
HERE9Y CERTfFY THAT BRUCE MURPHY, YARMDUTH HEAL'TH AGENT AND I HAVE
VISUALLY iNSPEC7ED THE OVERDIG OF UNSUITABLE MATERIAL FOR SEWAGE
DISPOSAL SYSTEI�AT THE PR�PERTY REFERENGED AB�VE.
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c Robin W.Wi)cooc
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