HomeMy WebLinkAboutReview Checklist Location: AM ;75 LOT t\j/ Date of SubdivisionApprov-- .
Street 57 �.�,7i/iia s ,s&,'. Zone of Contribution 1/- Out
. Village Ayf ��p- y� Commercial - -sidential '
,�
Owner ( r1 sC° - Installers
Builder — : "
Engineer It, .. z , ,, .0. 4, • , _
N/A Ye_ Nc
1. Recuired number of c of a received.
2. .
Date of soils exam and cercoiaticn test not older than 2 years. I
1. 4 fer of na-_•-r=11y cc= incl ce=V material,iou_ mat___a_i
, al=ove water tie.! � I
4. Foundation 2 feet accve hien mint in front=no road.
5. Water ' lacyi
avai' lit✓ letter from Water Decarzment. I X
6. Be.^.ctmark indicated and shown. I
7. Euildinc sewer does not exit center of house. X I
E. Sect- � cf I � I
_c tank a minimum 10 feet from house and deck. I Y
9. GEcc.^,i:.c a minimum m of G0 fart from house and 10 feet from deck I \
10. ..c a minimum of 1C3 Leet from we_'.ancs. I
11. Leacninc a minimum of 150 fee_ from well_ I
12. Svstem meet_ ail ot-a' sett.. nts X
. Ci _y 'C:: Cer'slre.T.E:...�. I .
1 ac-ust ent used for maximum hien C. n � X�
z..L.1'1Q•watcr. I f
14. Lea_ninc 4 fee_.accve acrusted water tacie or bottom of test t__ I
15. System _ - �
no: Ln too cr _i:cso:!nor 10 trot removal. I X
16. Prod-=e= c'-n u --ar :"'-tacie- X
17. System meets sicce cecu:re.^.�ent� I
. �, I
18. System meet_ ereaxcut cecuiremen: - calculations snows. i X
`'•cec_r_ec tee sirec. are o c-oerX
20. w
5 aC2 i
t_ow �:hce, 20,C00 cod for parcel. , X
21.No carcase c= 7-7�a7 ,
22. System aced.:,ately sire` for its Lntenced use. 1
- 22. Endre=: tc certify:
a. Clay removal. I
b. 25 foot res.rva:.
t
c int instai?at_cn. I }
d. C c... e=cta i system. 1,
24• Etc.nee= .... i
and T.: „�r eycr Stagy and Sicnature. I
25. H2O Lcad:nc wrt --
%..,.=m =u
:s b,ecc to venicuiar traf:_c. I >e
26. Titre acc:_c_c:dn enc sicned by licensed installer.
27. Ecuncat_on fc:, nc 2ee
ft acove adjusted waterJu_v 31, 1986 tame.toI
28. Lot 5u:divided .:r - Nit-ate Goadir.Q. I �
cr
29. Suodivzded or-n: to Aor_1 7, 1989 - Phcscnorous Zone 300' I^ J
Plan reviewed by: /04 / 64V,4‘7_,.�
7/6/89
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