HomeMy WebLinkAboutMiscellaneous - 45 HOLLOW TREE LANE 4/30/2018 +_ 45 HOLLOW TREE LANE e ,
29.0/104_A-0018-0000.0 ,
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Lot & Street ap/Parcel
CONSTRUCTION AP ROVAL
Has plan review fee been paid: YES NO Permit#
Plan Approval: Date: Approved by:
Designer: �u =,��s,y�`i�1& ,�(�-/ Plan Date: ! a
Conditions: A � ®oMS
Water Supply: Town Well
Well Perm] - Driller:
Well Tests: Chemica Date Approved
Bacteria I Date Approved
Bacteria II ate Approved
Plumbing Sign-Off: Wiring Sign-off:
Comments:
Form "U" Approval: Approval to Issue: YES ` NO
Date Issued By:
Conditions:
Final Approval:
All Permits Paid? YES NO
Well Construction Approval? YES NO
Septic System Construction Approval? YE NO
Certification? YES NO
Other? YES NO
Any Variance Needed? Y S NO
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
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SEPTIC SYSTEM INSTALLATION
CONDITIONS:
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Is the installer licensed? ES NO .r0'Type of Construction: NEW New Construction: Certified Plot Plan Review YES
Floor Plan Review YES
Conditions of Approval from Form U YES
Issuance of DWC permit: NO
DWC Permit Paid? NO
DWC Permit# Installer:
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Begin Inspection: YES NO
Excavation Inspection:
Needed:
Passed: By
Construction Inspection:
Needed:
'It Plan Satisfactory:
YES:
Approval of Backfill: Date: By:
Final
Final Grading Approval: Date: I U b3 By:
Final Construction Approval: Date: By:
Certificate of �r
Compliance: Approval: Date: �� b
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