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LOCATION MAP
ASSESSORS MAP:
PARCEL:
FLOOD ZONE �Jo%
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TEST HOLE LOGS
1) The inst<<ila'tion shall ewniA ,�vith',;lr tle LV iilid. Town of 1 !�/ u9 Board v .
SOIL EVALUATOR : I .
tAAL. , i ,
I lealth Regulations•
WITNESS: 2) rl•he it st,�ller snail ver the locatior> of �iti�i.ties, sewer inverts and se otic
Y. 1
DATE: (�� \ components prior -'16 � istallat�on.and ppsett>t>t� ,base elevations.
PERCOLAt I ON RATEI: % J 3) All gravi(y,septtef ipiz g;to b 4, lnrtlz Sch�4' l lPVC at 1/8" per foot. 'I'lie first
_64v. 6N,00 in i y r .5 t
Ne two feet v t;of il� 1 to a f, a sl ��l[ be level.
� >E y u .. , � � t � cls �g
TH-2 4) This plass is pot,to;be t tal�zed tori prcNpprty line determination nor all other
TH- I
� l�ropaedyt s
allatloi'purpose otlj=ttia l
S) All septic ComV011 ntAlheetVIiecifcati
ons.
} �to , ,�l C s
6) Parking shallnoj' e;cd.s
rusted'pv,e, II 'tic components.
PO(Ao
t �N2 �--� 7) The property4s b tid �d by.pxoper cornel.s.and property lines.
�1 8 The property ' w . e,sL gl�revtew des n o`i
VZA
t� ) p. p y q Ag a stderations to approve of.. total
-- �� — design flow and ngniber of bedro,o 4,jq be c nsidered for design. Receipt
1 of paymeiit.forithe plan and it�stall4fi�b cYc on the plan shall be deemed
�,� irk' i
�✓ approval of t1ieEde'' i bw y the o
li
C 9 The existili le hx or cess oo�s sl •
) g aIrg l? , ill be and filled with material
per Title V 4h donmeUpiro edWe, 0.Zhose within the proposed SAS shall
�I S 9 . 1 ,.,• q,1 '� r'
be removed along v��tli;eontaminated' oti and replaced with clean sand per
! • 1{ :{r,4 It !i �'} '�; ��I}! : tr'4,
�O Tale V specs i; f i;, !!i �_I =,
�2— ,I ) y p 'I � 10 e fro' water line. Sewer lines crossing the
0( ,' 10 System com oner'o, , g
-- --- water line sl}alQd-s1 e ec vel lit inc� .,SC1140 PVC with ends grouted if
' t g•
applicable • ,Tl e'�� bpose��, 4,i -SA I lis; be ri ost4 . e below the water service
line. The liners lie sleevedlas.af ire mentioned and maintained in lace.
S E P T I t".. SYSTEM DESIGN 11 Ifa arba,e• r� t; • ; 1 p
g b g .r� px:exists itis q.;b ,zemp ed and is the responsibility of the
.,
owner to ensure -W; liF
FLOW ESTIMATE 12) The installer is to tape caittiog in excavation around the gas line if suds
exists.
BEDROOMS AT I� GAL/DAY/BEDROOM - GAL/DAY 13)Tne installer : shall verify,the locat1Q l,;.quantity and elevation of the sewer
t
_._._ lines exiting the dwelling-prior;to. ihd' Installation.
I' 14) 1 his plass is representat� a onl that a s stem can fit on a property meetin
SEPT I C 'TANK �. , ~,r, i, Y ,i: �.Y i P P Y g
- Title V requirements• ;'i11'1
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'�VOt011"'DAVID" DATE:
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HEALTH AGENT ,r•
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