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SEWAGE PLAN REPIEfiT CHECKLIST
Location: AM� LOT G 3 3 Date of Subdivision Approval /U /4-
Street�y I'A�'�e ✓,�t/u E Zone of Contribution: In Out )( �
Village W�sT atdu�'/l Commercial Residential �(
Owner c�N�u � wD,�,tEy Installer
S3 �4t/SBl�t�YSI�PEET ,eJeHE e �I�OJ$�ID
Builder Engineer rv p rN1EE I
' E H ��2T.t�l�
N/A Yes No
1 . Required number of copies received.
2. Date of soils exam and percolation test not older than 2 ears.
3• 4 feet of naturall occcurrin pervious matesial. X
4. Foundation 2 feet above hi h point in fronting road.
5. Water availabilit letter from Water De artment.
6. Benchmark indicated and shown. x
7. Buildin sewer does not exit center of house.
8. Se tic tank a minimum of 10 feet from house and deck.
9• Leachin a minimum of 20 feet 10 feet from house and deck.
10. Leachin a minimum of 100 feet from wetlands.
11. Leachin a minimum of 150 feet from wells.
12. S stem meets all other setback re uirements.
13. USGS ad'ustment used for maximum hi h roundwater.
14. Leachin 4 feet above ad'usted water table or bottom of test it.
15• S stem not in top or subsoil or 10 foot removal.
16. Pro osed contours are suitable.
17. S stem meets slo e re uirements.
18. S stem meets breakout re uirement.
19. S ecified tee sizes are roper. ;
20. Sewa e flow not over 10000 d.
21. No arbage disposal.
22. S stem ade uatel sized for its intended use.
23. Erigineer to certify. ,
a. Cla removal. �
b. 25 foot removal.
c. Ti ht installation.
d. Commercial system.
24. En ineer and Land Surve or Stam and Si ature. �(
25. H 20 Loadin when s stem is sub 'ected to vehicular traffic.
26. Title 5 a plication and fee si ed b licensed installer
27. Foundation footin 2 feet above ad'usted water table.
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