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TOWN OF YARMOUTH
2 � /�� SEWAGE PLAN REVIEW CHECKLIST
Location: AM /� LOT LS_3 Date of Subdivision Approval
Street /� Zone of Contribution: In Out_ �'
Village � j Commercial Residential �
Owner: ��� �s��� Installer /J� �-�(
�7�-�
Builder: Engineer ��'�Z�
� -�
N/A YES NO
1. Re uired number of co ies r ived.
2. Date of soils exam and erc 1 ti te t older than 2 ears
3. 4 feet of naturall occurrin ervi u aterial above water table new c nstruction
4. Foundation 2 feet above h' h in ntin ro d f r new c st c ion.
5. Water availa ilitv letter Wa art ent f r n w c n ruc i �
6. Benchm k " icated h -N V i ear we 1
7. Buildin sewer doe not.e ' c e f us .
8. Se tic tank a minunum of 10 fro h u e d d c
9. Leachin a ' ' um f 0 e use an 1 f in eck.
10. Leaching a minimum of 100 feet from wetlands.
11. Leaching,a mi�mum of 150 feet from drinkin� wells/25 feet from imgation wells. �,O
12. S te meet al th r e t .
13. Uses ad'ustm nt f r ax' u roundwat r. �
14. Leachin 4 -5 feet above a ' water le r of e t ' '
15. S stem not in to or s soi f t re v
16. Pro o ed c ntours are u' le.
17. Svst m meet s o e re ir - / " 1/4" re e
' 18. Svstem meets break ut re � - e e elev ' n c 'e t 1 f et ' ' um.
19. S ecified tee s' es are r s ba e n outlet tee.
�0. Sewa e flow under 1 00 f 1
'21. No rba e di osaL
??. Sv em ade at 1 s' f i ' e e
23. �Iinimum 6" s o e or ch 'cal cted el w e t d d-box.
24. Manhole covers within 6" f - e tic ank an m cha ber
25. Electrical ernut for um c r.
?6. Pum svstem - 2" line wee h le c eck valve i in d- 1 e ara ci cuit.
27. Se tic tank and um e t c o wate f
28. Vent rovided i leac � w f r der driv wa or
29. Engineer to inspect and certifv : re oval
w c nst e u
c: commercial svstem i./ .
30. En ineer and and Su e or d si ature. ✓
31. H20 loadin 7 when s s m b' o ve i ular traffic.
32. Title V apnlication and fee signed b a licensed installer.
33. Foundation footing ? feet above adjusted water table. � -/
34. Lot subdivided prior to ulv 31. 1986 - Nitrate Loading ..�
35. Subdivided rior io A ri 7 1 R9 - P horu 00'.
Plan reviewed bv: