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��� `� � �'� -� -- SEWAGE PLA�N REVIEW CHECKLIST ��L,�,
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'; ^ Location: A.M.� Lot_� Zone of Contribution: In�ut_ Ac�'eage ! �S `��
Commercial: Residential:�_
` Street: � '
j Village: G Floor Plan: Bedrooms:
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Owri2r: j6'Ce%y'�_�i11�� �� IllStallel':
Address: Phon�: ^`
Phone: n /��
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Builder: Engin+eer: /��T'c.�"✓l ��� �/!'�
Address: Phone: �-
Phone: ^,...� �`?���
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N/A NO
1.R uired#of co ies received
2.Date of soils exam and colation test not older than 2 years �/
3. 4-5 ft of naturall occurrin ervious material,above water table �
, 4.Foundation 2 ft above hi int of road H.P.: Fnd: Var.:
S. Water line 10 ft from s tic com onents Var.:
6. Benchmark indicated and shown-NGVD if near wetlands `/
7. S tic tank minimum 10 ft from foundaYion,deck Var.: �/'
8.Leaching minimum 20 ft full, 15 ft crawl, 10 ft slab Var.: �/'
9. I,eachin minimum 100 ft from wetlands Var.: ��
10. Leaching minimum T50 ft from drinkin welU25 ft irri tion well Var.:
11. Tank/leaching minimum 10 ft from ro erty line Var.: �>
12. S stem meets all other setback r uirements Var.: L�
13.Uses ad'ustment for ma�mum hi oundwater Var.: �
14.Lea.chin set 4-5 ft above adj.water or botto test hole .:
15. S stem not in to or subsoil(A,B horizons) 5'remova
16.Pro sed.contours are suitable ✓
17. S stem meets slo e r uirements-min. 1/8", '/4" referrEd
18. System meets breakout r uirements PVC liner: Wall:
19. S ecified tee sizes are roper, as baffle on outlet tee
20. Sewage is under 10,000 d for arcel
21.No ba e dis osal
� 22. S stem ade uatel sized for its intended use
23.Minimum 6"stone or com cted below tank and dbox
• 24.Manhole covers within 6"of de, um chamber cover to ade
25.Ins ection ort on lastic chambers/leach field
26. Electrica l ermit for um chamber/S arate meter for du lexes
27.Pum stem-2"line,wee hole,check valve,tee in dbo� um size
28. S tic tank/ um chamber to be factory wa roofed `�
29.Vent rovided if leaching below 3 feet, under drivewa /parkin
30.Buoyancy calculations for tank/ um chamber „/
31. En ' eer to ins ect and cert' soils: wall: commercial:
32.En 'neer/Registered Sanitarian and Land Surve or stam s/si ature
33. H-201oadin is subject to vehicular traffic, groundwater
34.Title V A lication and ermit fee, installer si ture
35.Foundation footing min. 2 feet above ad'usted ground water for new house
36. Deed Restriction r uired max. #bedrooms: '�,�maac. flow:
37.Check area lots for oundwater/Label oundwater in Assessor's Map `/-
Plan reviewed by: � . � �o3ios