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SEWAGE PLAN REVIEW CHECKLIST
Location: `AM £s LOT Tl01 Date of Subdivision Approval a3-,x-$7
Street 3'y a ESET IR7-/{ Zone of Contribution: In X Out
VillageWESTYAevOta-1t Commercial Residential X
Owner&SEp* R. FAA)i oeE Installer OnAgreey6g5T L(Cp A) 1p,
33 G*' s,cD Rmo, WEvrYi ew,,a m
Builder OWVEe Engineer Aw,9up LVELzxe, 7,4t,
N/A Yes No
1 . Required number of copies received.
2. Date of soils exam and percolation test not older than 2 years.
3. 4 feet of naturally occcurring pervious material.
4. Foundation 2 feet above high point in fronting road. X
5. Water availability letter from Water Department. ))i
6. Benchmark indicated and shown.
7. Building sewer does not exit center of house. X
8. Septic tank a minimum of 10 feet from house and deck. )(
9. Leaching a minimum of 20 feet (10 feet) from house and deck.
10. Leaching a minimum of 100 feet from wetlands.
11 . Leaching a minimum of 150 feet from wells.
12. System meets all other setback requirements. X
13. USGS adjustment used for maximum high groundwater. )(
14. Leaching 4 feet above adjusted water table or bottom of test pit. x
15. System not in top or subsoil or 10 foot removal. X
16. Proposed contours are suitable. x'
17. System meets slope requirements.
18. System meets breakout requirement. X
19. Specified tee sizes are proper. X
20. Sewage flow not over 10000 gpd.
21 . No garbage disposal. x
22. System adequately sized for its intended use. x
23. Engineer to certify.
a. Clay removal. )e
b. 25 foot removal. X
c. Tight installation. )C
d. Commercial system.
24. Engineer and Land Surveyor Stamp and Signature.
25. H 20 Loading when system is subjected to vehicular traffic. )(
26. Title 5 application and fee signed by licensed installer )1(
27. Foundation footing 2 feet above adjusted water table.
Plan reviewed by7 n
2/4/88
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