HomeMy WebLinkAboutReview Checklist Location: AM �-d LOT /P---e.2 , Date of SubdivisionApproval .
•-Street ..et ,i/z� �� / Zone of Contribution: Out r
Village Commercial
���'s� R- -icential
Owner . -��o` -, Installer
• %;')-----Aii-----
Builder —
Engineer 72 _
TS-S--.24-..2-S-
1. Recuired number of cccie_5 received. N/A Yes No
. i I �
2. e i
Date of soils exam and cercc :ion =t
3. is tea not older than 2 vear=. I I I
4 feet of• naturally ctour__nc cervious material, above water t. ole.1 I
4. Foundation 2 feet above hicn mint in fronting road.
5. Water lacililetterI x I I
a:ai' tv from Water De^-ar:..'nellt. I � I X i
6. Eenchmark indicated and shown. I X I
7. Euildinc sewer does not exit center of house_ I I )C I
8. S_ct_c tanxa minimum 1 0
im fee: from house and deo::. I I x
S. c.^.i a mand 10l k I
Lea :.c minimum of 20 feet from house fee_ from de_x
10. Lea`.._ .,.
^c a minimum of ICO feet from wetlands.
• 1 '( I I
11. Laac::irc a minimum of 1:0 feet from wells. I AC
12. System meet_ ail other _eco c:: cecuirements.
13. USC3 ad-ust"en: used for maximum hien Groundwater. I I X.
14. La.=c^int 4 o� ,._.._,.�,; `I �C
fee:..acc:e ar ...sted water facie or bottom of test c::. I I X
15. System no: .n Loo er _ucsc1 Jor 10 toot removal. I I X
c�..t_rr_ are--_=t��:e. I 'x
`17. System meets sicoe re=•r_re.^.�e•- n
r L.. I CC/
I18. Svst_m nets erea cut cecuire�en: - calculations
sno»n. ; ( X I
;19. Scec:fled tee sloe_ arer.
..r...,e k 1 i
20. Sewace t'_ow u20,C00 ono for oarcel. I X i
21 . No carcace dI=am-^=ax I
•
22. System aces,:acely sized for its intenced use.
2Z. Encire=: to certify:
•
a. Clay removal.
b. 25 foot •removal. )"
T
C. ient installation. I y` I
d. Ccr.nerc:alsystem. I >24. Encineer
and Land Surveyor Stamm and Sicnature• I x
25. H20i Lcac:ne wnen system :s slitter.: to venicular traft I
Title : acr•_ic_t_cn and fee sicnec by licensed installer.
27. Foundation footing 2 fee: Xacove adjust water table. ( k,
28. Lot st::dividec cror to July 31, 1986 - Nitrate Load:rc. I - _
29. Sucdivided or:-- to ,dor:: 7, 1989 - Phcszncrous Zone 300'
Plan reviewed by: ,, ;52, .>C04 ?
7/6/89
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