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SEHAGE PLAN REVIEFT Cf�CKI,IST
Location: AM 3� LOTT'Y� Date o£ Subdivision Approval �—�// -g^f
Street �Rkr AD Zone of Contribution: In Out �_
Village F57 � Commercial Residential )(
Owner �,vf ���E u c7'b _1,uC, Installer R�6� M
u/�� 0
Builder Q VE Engineer ui p,�o WEeiE,e ��vc.
a� F � w,
N/A Yes No
1 . Required number o£ copies received. x
2. Date o£ soils exam and ercolation test not older than 2 years.
3• 4 £eet o£ naturall occcurring pervious material.
4. Foundation 2 feet above high oint in frontin road.
5• Water availability letter from Water Department. x
6. Benchmark indicated and shown. j�
7. Building sewer does not exit center of house. ,�
S. Septic tank a minimum o£ 10 feet £rom house and deck. x
9. Leaching a minimum of 20 £eet 10 £eet from house and deck. x
10. Leaching a minimum of 100 feet from wetlands.
11 . Leaching a minimum o£ 150 feet from wells.
12. System meets all other setback re uirements. �(
13• USGS adjustment used for maximum high roundwater.
14. Leaching 4 feet above adjusted water table or bottom o£ test pit.
5. System not in to or subsoil or 10 £oot removal.
16. Proposed contours are suitable.
17. S stem meets slope requirements.
18. S stem meets breakout re uirement.
19. Specified tee sizes are proper.
20. Sewage £low not over 10000 pd. X
21 . No arbage dis osal.
22. S stem adequately sized for its intended use.
23• Engineer to certify.
a. Clay removal.
b. 25 foot removal.
c. Ti ht installation. x
d. Commercial system.
24. Engineer and Land Surve or Stamp and Signature.
25. H 20 Loading when system is subjected to vehicular traffic.
26. Title 5 application and fee signed b licensed installer x
27. Foundation footing 2 £eet above ad 'usted water table.
Plan reviewed by�N
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