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Location: AM LOT �lE 5�� Date of Subdivision Approval 7 �
Street �� Zone of Contribution: In � Out
Village Commercial Residential
Owner � Installer
Builder Engineer �U �SQ„ V�r� �Q
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N/A � es No
1. Rec�uired number of copies received.
2. Date of soils exam and ercolation test not older than 2 ears.
3. 4 feet of naturall occurring ervious material, above water table.
4. Foundation 2 Eeet above high int in nti g road.
5. Water availabilitv letter £rom frTater e art nt.
6. Benchmark indicated and shown.
7. Buildin sewer does not exit ce r of h se.
' 8. Septic tank a minimum of 10 feet rom use and deck.
9. Leachin a minimum of 20 feet ro h se and 10 feet from deck.
10. Leaching a minimum of 100 feet ro wetlands.
11. Leaching a minimum of 150 t om wells.
12. Svstem meets all othe se bac re irements.
13. USGS ad �ustment used fo x' um high roundwater.
14. Leaching 4 feet above ad 'us ed water table or bottom of test pit. c
15. Svstem not in too o subs il or 10 foot removal. �
16. Pror�osed contours are suit ble. ,
17. S stem meets slope rea ' ents.
18. Svstem meets breakout re uirement - calculations shown.
19. Scecified tee sizes are roper.
20. Sewage flow under 20,000 for parcel.
21. No arba e disposal.
22. Svstem adeauatelv sized for its intended use.
23. Engineer to certifv:
a. Clav removal.
� b. 25 foot removal.
�`^ c. Tiqht installation.
d. Conunercial svstem.
24. Engineer and Land Survevor StamA and Signature.
25. H20 Loadina when svstem is sub 'ect to vehicular traffic.
26. Title 5 application and fee signed b licensed installer.
27. Foundation footing 2 feet above ad 'usted water table.
28. Lot subdivided rior to Julv 31, 1986 - Nitrate Loading.
29.Lot subdivided rior to Aoril 7, 1989 - Phosohorus Zone 300'
Plan reviewed by: � �� �2 �Z Qj
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`� �.Cr�r�t� �(l2, ow dn�r
7/6/89 �� �f�(y� .
BM:ld �-^ �+�C��Vl �(� "--'L� ��
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