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c----- '9 <br /> 71 i L,,L 1 06)(4./Pci <br /> l <br /> Plot Plan Check List - <br /> lvu <br /> . 3 <br /> 44_ <br /> o Materials list — (,OICOf i e-ba <br /> 11C L. °t" rP - - :3 <br /> (1 L <br /> o North Arrow ✓ — <br /> Jo Test Pit locations, include all pits, including denied ? ,.1( j 1 l (7 01 <br /> /" o Repair Area Sh Ut z pi <br /> o Wells location for the parcel that the system is being installed on, in addition to <br /> any wells within.125 ft of approved drainfield area <br /> d o Setbacks from drainfield and tank to foundations, property lines, wells, water ,, , <br /> sources, and seasonal drainages 2 t(� •l, y "a`'° ' ---,r - '?y '' •,,, <br /> o House Iocatio ) 't -ILI Ce--^ 19 =',w %Cta„- iFIL Y _- I- - j iL P 3 <br /> o Roads and Driveways <br /> /o Property lines within 50 ft of the approved areas ✓ € <br /> d o Septic Tank location 7._ `Eki-be-A--C C*O t ;t..4„4`)O P �" g---- <br /> e, <br /> _ G o Effluent line(from tank to d-box and total length of effluent line l LOA10-NI :i �1,di 1 ? <br /> J o Drainlines, length of eac line and distance from one line to the W <br /> next. 146/ 01., �`^;\ <br /> o Drop boxes, distributio ox, any inspection ports and hydrosplitter if required <br /> on site evaluation , 1 <br /> o Groun water interceptors and setbacks to drainlines !"i/i <br /> 10 i 4 <br /> o Dparatierra ain ena <br /> o ATT schemR " er certification # �11 j`i <br /> Al� is <br /> pp"gyp `'"�} <br /> �� 9 Cif s✓ 7 P ��a �`` �. A Date /VI2 <br /> Reviewed by s <br /> l <br /> Approved or Denied; notes <br /> 1) ck ! 6uota <br />