HomeMy WebLinkAboutReview Checklist Location: AM 9e Lcc_111.2. Date of Subdivision-Approv
Street 414e7 'ibF5--=-, Zone of Contribution: Out
. Village .�/, f Commercial a idential
r u "'
_
u-��e- r. A, . /Are - Installer •
Builder —
Engineer
��� (;) 59- 71&/ •
N/A Yes he
1. Recuired number of cccie= received. 1 A
2. Dace of =cils exam and cercc iar_cn tee: nct older than 2 wear=. I
qfeet of nac_rally c =-===nc ce_v material,iou_ mat___a_i
. _ above water =Le.1 )‹......
C. Ecurcar'_cn 2 fe=r aocva nice taint in frontinc rcac. i
5. Water avail_cilicv letter fr::n Ovate= Decarz hent. I
6. Benchmark indicated and snC'w"i'in
.. I x.
7. Euildinc sewer dce_ net exitce..n
te- of hcu_e. 1 )4
E. 5.....cr.ic tank a minimum cf 10 feet frcm nci ec
.. ant deco. I �(
9. Gear-_
c a mzn_.:;t_m -t 2C :e__ tree! hcuse and 10 fee: from deck. i ›
10. Lea_-,.-c a minimum et LCO tee_ tram cue_' I .
c.....e a min,'—um ct 1517; fee_ from Breis_
12. System freer, a13 other sec=_mac I
re^.sire:cent=. • I . ,<,
12 SCC ac usz-en user ter maximum hien crcuncwater.
4. Qac;; (
int 4 Leec.accve ac-u stir water facie or bott= of test d._. I tic I
15. System not n :ma or cue:mil/or 10 acct re ccvai
�_e-= I
16. P.. cc-t=:�are-r ac:e.
17. System meet_ sicee recut ement_. I 7
1818. SceSystem e:_ creakc::z re_,:_re:ten: - cs c.:iat_cns sn�-n. I I
w
.._f iec tee size.. are. crceer.` ` t
cz'"�aC2 . i I JC
20. - flew Lrcer 20.C00 c-„c for carte!. I '�!
2L.No -
carace c a.
2_:. System::I aC ec.:at__V 3:..e^ :.". It. Lntenr I i 142
2L use. I
E..a.r ee= tc certify: k
a. Clay rema:•al
b. 25 feet re.^avai. 'x3
' c. Tient installat:en.d. C mme_ s system. I X
24.
c_a- svez l
4. Ere neer and :an: _•.:r•: St .
eve= tams and Siczature. (
2_. H2�7 Lcac:nc :nen ; -- •s s .., __
26. - _ u., ,eat to venicciar trai..c_ I �
Ti:!L-z = act'i ar_cn ant: sacnec by Licensedinstaller. i
27. Ect:nc.zt_ �
cn tcc:._nc 2 Lee_ accve acnusted water table_ 1
28. Let suedivided cr er tc Juiv 31, 1986 - Nitrate �'�
n c ...;: LoaC:.1:Q. I
2_ . Suctiv .ded crier tc Aor:l 7, 1989 - Phcscncrous Zone 300' I:----_ I
Plan reviewed by: Ail 14.24 /49
7/6/89
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