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9082452
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9082452
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Last modified
1/9/2020 2:26:45 PM
Creation date
12/31/2019 4:57:34 PM
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Permits
Permit Address
308 ANKENY HILL RD SE
Permit City
JEFFERSON
Permit Number
555-14-001809-SEP
Parcel Number
093W16 00400
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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INSTRUCTIONS FOR PREPARATION OF A SITE PLAN <br /> - Site plan must be current, drawn to scale, and show all property lines, <br /> Wanunable to draw to scale, property lines must still be shown noting actual dimensions <br /> COUNTY or total acreage. <br /> - <br /> Failure to include all of the items listed below may delay the review necessary to obtain a permit <br /> ITEMS THAT MUST BE SHOWN ON YOUR SITE PLAN: <br /> ❑ 1. NORTH ARROW. <br /> ❑ 2. SCALE OF DRAWING. <br /> U 3. STREET NAME accessing the parcel. <br /> ❑ 4. ALL PROPERTY LINES AND DIMENSIONS-existing and proposed. <br /> ❑ 5. DRIVEWAYS, ROADS, INTERNAL ROADS, PARKING AND CIRCULATION AREAS- <br /> existing and proposed and label as "Paved"or"Gravel." Show driveway to public right-of-way. <br /> ❑ 6. EXISTING AND PROPOSED STRUCTURES -label as"Proposed"and "Existing". Include <br /> dimensions and distance to all property lines and other structures. <br /> O 7. UTILITY LINES AND EASEMENTS. <br /> ❑ 8. GEOGRAPHIC FEATURES-ground slope and direction of slope, escarpments, streams, <br /> ponds, or other drainage ways. <br /> ❑ 9. WELLS-existing and proposed on this parcel and adjacent parcels within 100 feet. <br /> U 10. FENCES, RETAINING WALLS-location of existing and/or proposed. <br /> O 11. PARTITIONING (if applicable)-proposed new property line shown by dashed lines,with <br /> parcels labeled as "Parcel 1", "Parcel 2", etc. <br /> U 12. SEPTIC SYSTEM and REPLACEMENT AREA-existing and proposed. Show existing septic <br /> tank, drain field lines and distance from structure(s). <br /> ❑ 13. STORM WATER SYSTEMS OR DETENTION BASINS-show existing and proposed. <br /> ❑ 14. CUTS/FILLS-show existing and proposed. <br /> ❑ 15. ELEVATIONS-at lot corners or construction area and at corners of building site. <br /> If sanitary sewer service is not available,a septic system must be installed.Include the following additional items on the site plan: <br /> ❑ 16. TEST HOLES-show distances between holes and property lines. One test hole should be <br /> located in the center of the initial system installation site, the other in the center of the <br /> replacement area. Accuracy of location is very important. <br /> O 17. PROPOSED SEPTIC SYSTEM AND REPLACEMENT SYSTEM-show septic tank and <br /> distance from structure; show disposal trenches and length, width, and distance between <br /> trenches. <br /> Commercial development must also include the following: <br /> ❑ 18. FIRE DEPARTMENT ACCESS <br /> o 19. FIRE HYDRANTS-locations <br /> ❑ 20. HANDICAP ACCESS <br /> ❑ 21. LANDSCAPING-existing and proposed landscaping areas. <br /> ❑ 22. PARKING-lot configuration, number of parking spaces, and off-street loading area. <br /> Additional information,such as patio slabs,walkways, roof overhangs, etc., may be required <br /> for the issuance of your permit. <br /> YOU MAY USE THE REVERSE SIDE OF THIS FORM TO DRAW YOUR SITE PLAN <br /> 37..o Z84- z793 (8:10 <br /> Property Owner(s) Name: t,.); II;ars-, i Cay.t 51..}ku4 Phone: :7o 7.R11- 2-1961 (tnn.t'�) <br /> Site Address: 3os ka.ncr.y If: n LA SE City: ttffers .s Zip 913 Sz" <br /> Subdivision: Lot: Block: <br /> Manufactured Home Park: - Space: <br /> Assessor Map#(T-R-Sec-TL(s): 9 - it.) - 16 - 40o Total#Acres 8. 32. <br /> ZoningDesignation: 6 r H Planning Map 61 <br /> Permit Specialist Review: Date: <br /> A-330 <br />
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