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SEWAGE PLAN RE9IESi CHECgLIST
Location: AM�� LOT 5� Date of Subdivision Approval�-g�
Street i I su1.11U ,J q Zone of Contribution: In Out x
Village E5� �p,� Commercial Residential x
Owner�pH�1 �, Installer y��� �jNSiktfC.TID.0 �C7MPRA/Y
�IJ� uJ� ,p $. .
Builder A,H� Engineer �,� ���pX
N/A Yes No
1 . Required number of copies received. 1(
2. Date of soils exam and percolation test not older than 2 years.
3• 4 feet of naturally occcurring pervious material.
4. Foundation 2 feet above high point in fronting road.
5• Water availabilit letter from Water Department.
6. Benchmark indicated and shown.
7. Building sewer does not exit center of house. X
8. Septic tank a minimum of 10 feet from house and deck.
9• Leaching a minimum of 20 feet 10 feet from house and deck.
10. Leaching a minimum of 100 feet from wetlands.
11•. Leaching a minimum of 150 feet from wells. X
12. System meets all other setback requirements.
13• USGS ad 'ustment used for maximum high groundwater.
14. Leaching 4 feet above ad'usted water table or bottom of test pit.
15• System not in top or subsoil or 10 foot removal.
16. Proposed contours are suitable.
17. System meets slope requirements.
18. S stem meets breakout requirement.
19• Specified tee sizes are proper.
20. Sewage flow not over 10000 pd.
21 . No garbage disposal.
22. S stem adequatel sized for its intended use. x
23• Engineer to certify.
a. Cla removal. x
b. 25 foot removal.
c. Tight installation. �,
d. Commercial system.
24. Engineer and Land Surveyor Stamp and Signature. �
25• H 20 Loadin when system is subjected to vehicular traffic.
26. Title 5 application and fee signed b licensed installer
27. Foundation footing 2 feet above adjusted water table.
Plan reviewed by ��
2/4/88
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