Capacity of No. of Plan Sheet Specification Location Purpose Type each Blower Blowers Reference Reference (CFM) ODOR CONTROL No. of Plan Sheet Specification Location Purpose Type Units Reference Reference SETBACKS COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES – The minimum distance for each setback parameter to the wastewater treatment/storage units per are as follows: Is Minimum Distance Minimum Distance Requirement met by the Required from Nearest Setback Parameter Design? If identify “No”, Treatment/Storage Setback Waivers in Item D.2 Unit Any habitable residence or of assembly under separate 100 ft Yes No ownership or not to be maintained as part of the project site Any private or public water supply source 100 ft Yes No Surface waters (streams intermittent and perennial, perennial – 50 ft Yes No waterbodies, and wetlands) Any well with exception of monitoring wells 100 ft Yes No Any property line 50 ft Yes No Have any setback waivers been obtained per ? Yes or No. If yes, have these waivers been written, notarized and signed by all parties involved and recorded with the County Register of Deeds? Yes or No. If no, provide an explanation: ___________________
Location No. of Blowers Purpose Type Capacity of each Blower (CFM) Plan Sheet Reference Specification Reference ODOR CONTROL Location No. of Units Purpose Type Plan Sheet Reference Specification Reference SETBACKS – COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES The minimum distance for each setback parameter to the wastewater treatment/storage units per are as follows: Setback Parameter Minimum Distance Required from Nearest Treatment/Storage Unit Is Minimum Distance Requirement met by the Design? If “No”, identify Setback Waivers in Item D.2 Any habitable residence or of assembly under separate ownership or not to be maintained as part of the project site 100 ft Yes No Any private or public water supply source 100 ft Yes No Surface waters (streams – intermittent and perennial, perennial waterbodies, and wetlands) 50 ft Yes No Any well with exception of monitoring wells 100 ft Yes No Any property line 50 ft Yes No Have any setback waivers been obtained per ? Yes or No. If yes, have these waivers been written, notarized and signed by all parties involved and recorded with the County Register of Deeds? Yes or No. If no, provide an explanation: ___________________