HomeMy WebLinkAboutReview Checklist Location: AM • ._
y/ LOT o Date of Subdivision.Approval
Street k Zone of Contribution: Out
_-:-_-______
Village 19 WG �m'f., ? Commercial Res' ential
Owner 45f" -. Installer 'g-
•Builder `
Engineer � / ' _
X75.- � , •
N/A Yes Nc
1. Recuired number of conies received.
I
2. Dane of soil�= exam.. I i .o
exand cer: iat_cn tesz not older than 2 year.. I XII
3 fet of na_-rav cc_aH-_nc ce_riou material, above water die.! I4. Fcuncat:cn 2 e-taoo�een coint
in frcnt_nc road. I ( I
5. Water availac:lizv letter from Water Decart.,-tent. I • I
6. Ee.^.c-.Ta_k indicated and snc:.-n. I )4 I
7. Euilcinc sewer does net exit center of house. I '6--- I
8. Sentic ,:_n< a minimum o: 10 feet frc:n nc se
9. and dee
Leac-?nc a minimum of 2C feet from house and 10 feet from ce=xI _ad- I10. Le_ ninc
a minimum of 1CD feet from wee .ane_. I- I
• 11. Leacninc a minimum cr 15:::; teen from wells I I
12. System R.eetz ail cc-er setoacx recuiremenzz. •
13. GS::., ac-ust.-.er: 's ec for maximum I
hian croL:nd�.�ater. I X
14. Leacnlnc 4 fee_..accve ac-.: tec water Came or bot;. : of test c__. I 7C
15`. Svez_m no Ln too or suosoi'Jcr 10 toot remova+. / p. x 1 --
1b. P --'�--s+ c:.. Q��t�i:,-ie. I X I
17. System meets sicoe recu_re~:entz
18. Svet_m :nets creaxc::z rec.:ireTen - calculations snran. i N I
19. c..e :- _
c -e: tee sires areVt=ei r. > I
20. Sauaca flow un 20.000 c c for parcel.
2-1 . No Car tate die:cea_ I1
may. Svst_m aces".:: 1y slow.: for LtZ Lnzenced use. I ,
, E.^c.neer tc certify:
I -
a. Clay remc:'a1
� ,
�
b. 2 5 foot removal. t I
c. Tic installation.
d. Commercial system. 1 }
24. Er:c: I ,
neer and Lr: 5�..r•e"c_ Sta." and Sicnatsre. I
25. H2O Lcac_na when system .e u ec- to venzcuiar -• I __._._
�26_ T i - traffic.e i acolioation Ens lee sicned by Licenses installer.
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27. Foundation :cozen 2 feet acove ac,usted water table_ I
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28. Lot sundivider cr;t f to July 31. 1986 - Nitrate Loac:na I
29. Sm.-divided or:or to Aor:1 7, 1989 - Phcscncrous Zone 300'
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Plan reviewed by: 4d/ ,aet 'k
7/6/89
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