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SEFIAGE PLAN REVIEW C�,IST
Location: AM LOT�� Date of Subdivisitln Approval h/�
Streeti[Q��1� Zone of Contribution: In Out �
Village Commercial Residential 1�,/
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Owner VJ�rpQ�-T /�pn�� Installer
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. Builder Engineer� UL�,��V�Q( _ '
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N/A � Yes No
1. R ired number of co ies received.
2. Date of soils exam and ercolation test not older than 2 ears. '
3. 4 £eet of naturall occurring ervious material, above water table. '
4. Foundation 2 feet above high int in fronting road. �
5. water availabilit letter from �7'ater De rtment. '
6. Benchmark indicated and shown.
7. Buildin sewer does not exit center of house.
8. Se tic tank a minimum of 10 feet from house and deck.
9. Leachin a minimum of 20 feet from house and 10 feet from deck.
10. Leaching a minimum of 100 feet from wetlands. j
11. Leachin a minimum of 150 feet from wells. I
12. S stem meets all other setback re irements.
13. USGS ad 'ustment used for maximum high groundwater. ',
14. Leaching 4 feet above ad 'usted water table or bottom of test it. ;
15. Svstem not in to or subsoil or 10 foot removal. ^ '
16. Pro sed contours are suitable.
17. S stem meets slo e r uirements. '
18. S stem meets breakout re uirement - calculations shown. �
19. Specified tee sizes are ro r. '
20. Sewa e flow under 20,000 g for rcel. '
21. No garba e dis sal. j
22. S stem ad uatel sized for its intended use. '
23. Engineer to certify:
a. Cla removal.
, b. 25 foot removal.
c. Ti ht installation.
d. Coa¢nercial s stem.
24. Engineer and Land Surve or Stam and Si nature.
25. H20 Loadin when s stem is sub'ect to vehicular traffic.
26. Title 5 a lication and fee signed b licensed installer.
27. Foundation footing 2 feet above ad 'usted water table. i
28. Lot subdivided rior to Jul 31, 1986 - Nitrate Loading.
29.Lot subdivided rior to A ril 7, 1989 - Phos horus Zone 300' '
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Plan reviewed by:
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