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HomeMy WebLinkAboutReview Checklist Location: AM_ LOT_o2O Date of Subdivision Approval StStereet /L 74. i, ;, ''`,Zone of Contribution: In Out = C�- • Commercial _________ Residential Owner �Q�G6- • Installer e Builder /tr (' z Engineer ,l tyYY— a. %'lY d 1. Recuired numcer of cccie_s received. N/A Yes No 2. Dace of sells exam and cercciaticn test no: older1 Y 1 1. 4 feet of r�i i ,.,......,.r than 2 years. I � [lat--av cc:_-_enc cervicus material, above water t=.^ie.i 4. Ecundacicn 2 feet above high coins in fronting road. 5. Wat=r availacilicy letter from Wateri Decart:nent. i I 6. Eenc::;rark indicated and shown. 7. Euildinc sewer dee= nct exit center of house. I I X I 8. Se:tic an a10 fee: from house and dec::. I I I minimum of � I 4 9. eac. minimum i 20 fee: from house and 10 fee: from c::. Leac. Cz l K nc a minimum of ICO feet from wet'.ands. ),/ i 11. Le_ ^irc a minimum of 1_0 fee: from wells._ ' 12. Svst=:n rreets ail oc::er sec:ac recuirements I I 1 13. USC. aC7u5tme.^,t used for :maximum hienY egroundwater.14. Le. c. inc 4 fe _ .accve ac-u_ted water table or bottom of test c:_. 15. Svst=m nod in tom or sumsoi for 10 toot removal. I 17. System meets slcce cec:.remenme II Nit Svst=m meet_ c:eaxcut cer:..en; _ calculations snc:.n. I Ne- I 19. Scecitier tee sizes are i...1..------- 20. Sewace flow under 20,CQO cmc for oarcel. i I 21. �o carmace disoosal. 2? •• . System aced =r=•v I I I sized its intence^ use. Y i a. Clay remo:•al. • b. 25 foot removal. C. Tient installation. I d. Commercial system. MI 24. Ercinee and and i..r-:ever Stamm and Sicnature. 25. H2O Lcar:nc ,nen s`s - 26. _ v ta^: :s subtec:. to venicular traff11111 . Title - acmlication 2nd =c- I 27. T .t1 t-c feesic.ner by licensed insca er. _ n fccz:nc 2 fee: acove adiusted water table. III 28. Lot su divider crior to July 31, 1986 - Nitrate Load nc. 29. Subdivided or:or to Aor:i 7, 1989 - Phcscnorous Zone 300' I x MNI Plan reviewed by: .k. a / 4 7/6/89 EM:ld