HomeMy WebLinkAboutReview Checklist Location: AM LOT,,, Date of Subdivision Approval
Street 9 j� % �� � Zone of Contribution: In , Out
Village = i_'�� , , , Commercial Reside. ial
,/
Owner Installer
7/ Ti%
Builder �---�- ,
Engine__or
•
N/A Yes No
1.
Recuired number of cccies received. I I
. 2. Dace of soils exam and cerc^iaticn test not older
_ •- than 2 years. I I � 1
3. 4 fee: of naturally ccc_==_nc cervious material, above water t_ble.l I
4. Foundation 2 feet above hic;, coin: in fronting road.
5. Weber availacili cv letter from Water Debarment.
6. Eencnrar�c indicated , X
and shc,.zl. of I I
7. Euilcinc sewer doer not exit center �e X
- Septic :an a minimum of 10 feet from house . I >� I e and dec::. I Y
'cn inc .:gum of
e... a minimum feet from
' 0. L 20house and 10 fee: from }(
qq1l eacn:nc a minimum of 1C0 fee: from wet'.ands.
1_. Leacninc a minimum cf 150 feet from wells
12. System ail 1C
me___ ctner set^aC. ceduirements.
13. USC3 a..-u_tmen: used for maximum hicn crcundwarer.
cn nc 4
14. Lc_= feet.dreve ac-,:_ted water lac Le
15• System no: or bott:m of te_ cit.
__. I y
n _„y o _uo_c:'_Jor 10 foot removal.
16. Prcocs
17. System meets slcce recuirements.
-
18. System meet- crew;cut cer,:__emen: ca_cul )`'
19. Sc e c•-:-ec- � at.cns snP.�l.
tee sloes a_re crooer. I
20. Sewace flow under 20,000 cod for Parcel. , I
21. No caroace d= =-^=a, . k'
22. System acacuataly sizes _or its antenced use. u
23. Engineer tc certify:
a. Clay remc:•al.
b. 25 foot removal.
c. Tic.^,t installation. ►
d. Commercial system.
24. Enctneer and .an: Sur-:evcr Stamo and Signature. I -
y25. H2O L;ac_nc when scst_^ is sac,ec to vehicular traffic.26. Title - acc:_c_t:on
a^.c fee sicned by Licensed installer. _
27. Ecundat_on fcot_nc 2 fee: above ad'iusted water table. I
28. Lot suodivided crior t,.o July 31, o i_86 - Nitrate Load:re. I
29. Su:divided Prior to Acrtl 7, 1989 - Phcscncrous Zone 300'
Plan reviewed by: 446/ //G,;/ / i
7/6/89
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