HomeMy WebLinkAboutReview Checklist Location:- AMS-7f “ LOT S7f ate of Subdivision.Approval
Street , a / g , ,4 Zone of Contribution: In0 t
Village f - ‘y ) Commercial Resident
Owner , �P r/1�
; : civ 7� Installers „
Builder \]7, ' / Y Engineer -
-.1-02: — '.S-(3'
1. Recuire✓ number of cosies received. I N/A Ye- Nc
2- Lute olsf Soiexa:-n ar. :'er:^lat=cn test ncol
: der than 2 years I I
c. e feea _
t of nt _ally cco__:_nc cer'�ious material, above water to^^l
e. l
Ecunca::cn 2 feet accve nic; coin: in fronting road. I
. -__ � - 1
5
56. Wat_ aJa lacil_ty et___ frim Water Decay:ent. I
Eencnmark indicated ant sncwn.
7. Euiidi.^.c sewer does not exi: center of house I
E. Seot-c tan.c a minimum of 10 feet from house and decn. I
9. Leacninc a minimum of 20 feet from
1Q. L house and 10 feet from Ce=`=.
=_c.^._:.c a min:mum of :GC feet from wet' 1
11. Leacn:nc a min'mum of 1 fee: from well . • I
1:. System meet_ all otne_ _et_ac:: recuiremen:_. I
•
13. U302 ad7ustmen: u e^. for T.aximum h1Cn crcuntwater. I
• 14. Leacn.nc 4 fee=..accve ac- ted water facie or boat= of ^
test- 1_. I
15. System nc: Ln to: Cr =t• for 10 y
:cat removalI
:
le. Pr: cs_•_. r a-? .
17. System meets slc:e :e '::::e:*.:er :s 1
18. System meets crea c :t ce u _e
ment - calc; lat:ons
Cnv w,. 119Sce`� -� �' tea rite= are orcoe
j
120. Sewace z' cu 0,i,C0 cmc for cartel.
2' . No C:r:aCe C.�- I
22. System acec::at_l* sloe: for it: use. �
Lntencec
^• ^
2-: . E:.c.+ eer to certify:
a. Clay removal. Ib.
25 foot removal. c ( i
c. Ticnt installation.
c. Ccr.nercta? system. i .
I �--.
24. Enclnee_ and .an: ' •ever Stamm and Sicna ure. I
- -s
25. H2O Lcacinc when system • sumnec-
G8 _ .. to venic-�lar traf=:c. I
Ti:. a : actl::.t.:n ant fee sic:.ec by licensed inst...er- �-
27. Ecunc:.t_:n fc::enc 2 fee, acove adnusced water table. I
--H .
28. Lcz su:divided ^- to July 31 1986
� �- -�- - Nitrate Goac:rc. I I
29. . .,-divided
or::: tc Ac-11 7, 1989 - Phcscacrous Zone =d57----------T--------T
• Plan reviewed by: - 1t ,7 /`/0 - .
7/6/89 5/04---- , ifissiLxzwajliff71#r:=20-
.
EMold C' • .mac, „yce G.Pc-o -e?:-c .''llotz-