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SEWAGE PLAN REVIEW CHECKLIST
Location: AM 1/45S- LOT T/ , Date of Subdivision Approval dip- Vl1/- �7
Street JCk2 C.N ESE< ATX- Zone of Contribution: In X Out
Village WE5T YAR.4.0 p7/ Commercial Residential )(
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CULAc ) Installer J. eku6n0A)
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Builder
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N/A Yes No
1. Required number of copies received. )(
2. Date of soils exam and percolation test not older than 2 years. X
3. 4 feet of naturally occcurring pervious material. X
4. Foundation 2 feet above high point in fronting road. X
5. Water availability letter from Water Department. )4c
6. Benchmark indicated and shown. X
7. Building sewer does not exit center of house. X
8. Septic tank a minimum of 10 feet from house and deck. X
9. Leaching a minimum of 20 feet (10 feet) from house and deck.
10. Leaching a minimum of 100 feet from wetlands. X
11 . Leaching a minimum of 150 feet from wells. N(
12. System meets all other setback requirements. X
•13. USGS adjustment used for maximum high groundwater. X
14. Leaching 4 feet above adjusted water table or bottom of test pit. k
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. )(
19. Specified tee sizes are proper. X
20. Sewage flow not over 10000 gpd. X
21 . No garbage disposal. X
22. System adequately sized for its intended use. X
23. Engineer to certify.
a. Clay removal.
b. 25 foot removal. X
c. Tight installation. 1(
d. Commercial system.
24. Engineer and Land Surveyor Stamp and Signature. )(
25. H 20 Loading when system is subjected to vehicular traffic. X
26. Title 5 application and fee signed by licensed installer X
27. Foundation footing 2 feet above adjusted water table. °JC
Plan reviewed by1
2/4/88
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