HomeMy WebLinkAboutReview Checklist t tt 1l0 Subdivision Approval Date: lq,
Zone ofContribution:ty Address: j 431(6- &k:1 C ntribution: In Cut
Installer: Arck ( Yr ,
ner: ej1A; SI'1� ClV1 Engineer: CIS edl n
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N/A Yes No
mber of copies received, 4 copies resid./6 copies comm. x
it lccs and percolation test not older than 2 years
feet of naturally occurring pervious material, above water table
'undat:on 2 feet above hich point in fronting road _ I I X
ter Availability letter frcm Water Department
nchmatk indicated and shown5L.
wer does not exit center of house
ptic tank a minimum of 10 feet from house and deck I
achinc a minimum of 20 feet from house and 10 feet from deck
aching a minimum of 100 feet from wetlands
achinc a minimum of 150 feet from wells
ets ail other setback requirements I X
justmenc used for maximum high groundwater
stem 4 feet above adjusted water table or bottom of test pit I I
acni nc not in top or subsoil or 10 foot removal
iC -
eccsed contours are suitable
ets slope requirement I I
ets brelkcut requirement - calculations shown
:ec,fiec' tee sizes are proper I I
wave flow under 20,000 cod for parcel > '
garoace disccsai I � I
stem adequately sized for its intended use I I
gineer to certify:
ay removal
•ctic installation Ib< i I
foot removal 'D<
:rmerc_a_ system >< I
ncer and _and E. rvevor stamp & siCnature I
loading when em is subject to vehicular tr c
pi_ca__cn and fee signed by licensed installer I I ')
nda__on footing 2 fee: above adjusted water table I
.cciv_ded or:cr to July 21, 1986 - Nitrate Leading I �:cdivided prior to April 7, 1989 - Phcscncrcus Zone 300'
viewedby: auJici, g` W.CI
te: 1211( ) 4tO
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