HomeMy WebLinkAboutReview Checklist Location: AM LOT LJ Date of Subdivision Approval Z
Street 1, wince, Zone of Contribution: In Out
Village i Commercial Residential 1
Owner • r ►. '\ Or Installer < rS�iG��l
Builder Engineer PAI,.1410* 1 . --
1
N/A Yes No
1. Required number of copies received. ,,' ---
2.
2. Date of soils exam and percolation test not older than 2 years. 1 1/'
3. 4 feet of naturally occurring pervious material, above water table. ; L---"'
4. Foundation 2 feet above high point in fronting road. t/
5. Water availability letter from Water Department. i 1, "
6. Benchmark indicated and shown. %/7c
7. Building sewer does not exit center of house.
8. Septic tank a minimum of 10 feet from house and decx.
9. Leacninc a minimum of 20 feet from house and 10 feet from deck. j , 1. 1_
10. Leaching a minimum of 100 feet from wetlands.
11. Leaching a minimum of 150 feet- gm wells. jV
12. System meets all other setback requirements. I i.J
13. USGS ac;ustment used for maximum high groundwater. I .4e.
14. Leacninc 4 feet-above ad.iusted water taule or bottom of test pit. j I,/r
15. System not in :co or suosoil)or 10 foot removal.
I w/-f
16. Proposed ccnlaur5'are-suEable. I.- --
17.
r17. System meets slope recuirements.
18. System meets creaxout requirement - calculations snown. i
19. Specified tee sizes are Droner. ✓
20. Sewage flow .=icer 20,u00 god for parcel. t<id._
21. No garbage disposal. ✓ '
22. System ace=ateiv sized for its intended use. j
23. Enaineer to certify:
a. Clay removal. 11,7
b. 25 foot removal. J'
c. Tient installation. li,./:
d. Commercial system.
24. Engineer and :and Sur•.•evor Stamp and Signature.
25. H2O Loacing nen system is subiect to ve r_ -_
. � nic::_ar t..�L _c. �
26. Title f on and fee signed by insta�� ier. �
acyl_:=t_ licensed
_ 1,-
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27. Foundation fcoz:na 2 feet above adiusted water table. I1.-- -
28. Lot subdivided zricr to July 31, 1986 -Nitrate Loading.
29. Subdivided prior to April 7, I
_ 89 Phosphorous Zone 300' � 1
Plan reviewed by: I )�fYlkoKy ,30 �✓
7/6/89
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