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TdWN OF Y�r >�OUTH
SEW.� ;E PLAN REV��..�' CHECKLIST
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Location: AM� LOT '3/ Date of Subdivision Approval
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Street S'e Zone of Contribution: In_� Out
, Villa�e Commercial Residentia
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Owner: Installer G�
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Builder: Engineer �'��/.11�1�
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'� N/A YES NO
1. Re uired number of co ies received
2. Date of soils exam and e c lat'on test n older t
3. 4 teet of naturall occu ' ervi u terial above w t r ta le n w con i
4. Foundation 2 feet above hig�point of fronting road for new construction. � �
5. Water availabilitv letter from Water De�artment for new construction. �/
6. Benchmark indicated and shown-NGVD if near wetlands. ,�"
li� 7. Buil in ewer d es n t.e 't c te o e. �
8. Septic tank a minimum of 10 feet from house and deck.
9. Leachin,� a mirLmum of 20 feet from house and l 0 feet from deck. ��'
10. Leaching a minimum of 100 feet from wetlands. ✓
�I 11. Leachin t well t' wel ✓
' . S tem e al ir .3 ���a�, ��- ��r �
3. U s ad'u t x' u hi ro dwater �
14. Leachin 4 -5 feet a ve ' wat or '
15. Sxstem not in to� or subsoi or 5 foot removaL L�
16. Pronosed contours are suitable._ _ __ �/�
i , 17. Svstem meets slopg requirements- min. 1/8". 1/4" nreferred.
18. Svstem meets breakout reauirements- neastone elevation carried out 15 feet minimum. �'
19. Specified tee sizes are r�opg r�gas baf�le on outlet tee. �--
. 20. Sewa�.e flow under 10.000 gpd for pazcel. , �
21 No garbage disnosal �--�-
22 Svstem ade�uatel�sized for its intended use t �
23. IVIuLmum 6" stone or mechanicallv compacted below the tank and d-box. �--
24. Manhole covers within 6" of grade - sentic tank and pumn_chamber. � ...-
i 25. Electrical permit for numn chamber. " �.-- -
26. Pumn svstem - 2" line. ween hole. check valve. sanitazv in d-box. alarm on seRarate circuit. � �-
27. S t c ta and u c e w -
28. Vent provided i leachin�below 3 feet or under driveway or�arkin�. ��
'i, 29. En�ineer to ins�ect and certifv : a. clav removal �
b. wall construction schedule �
c: commercial system ✓
30. Engineer and Land Surveyor stam�signature. -
31. H20 loading when system subject to vehicular traf�ic. _
32. T'itle V aR�lication and fee si n� ed b a lice sed installer. � ✓
33. Foundation footin�2 feet above ad1usted water table.
�� 34. Lot subdivided �rior to Julv 31. 1986 -Nitrate Loading.
� 35. Subdivided prior ro Apri17. 19�9 - Phos�horus Zone 300'.
Plan reviewed by: ��`