Attachment B "Site Plan Drawing - Liquid Waste System Submittal Checklist" - New Mexico

What Is Attachment B?

This is a legal form that was released by the New Mexico Environment Department - a government authority operating within New Mexico. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2010;
  • The latest edition provided by the New Mexico Environment Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Attachment B by clicking the link below or browse more documents and templates provided by the New Mexico Environment Department.

ADVERTISEMENT
ADVERTISEMENT

Download Attachment B "Site Plan Drawing - Liquid Waste System Submittal Checklist" - New Mexico

187 times
Rate (4.4 / 5) 11 votes
NMED Use Only
Attachment B
Permit Processing No.______________________________
Applicant_____________________________________
This checklist must be submitted with your application. The applicant shall check the box next to Yes, No or N/A (not
applicable) for each requirement to verify that your site plan includes all the necessary information. Print and sign your
name at the bottom.
New Mexico Environment Department
SITE PLAN DRAWING- LIQUID WASTE SYSTEM
Submittal Checklist
Applicant
Verification
Site Plan Requirements
North Arrow shown
Yes
No
Proposed system components shown and labeled
Yes
No
Scale of drawing is clear and readable
Yes
No
Access Roadways, driveways and LW Utility Easements shown
Yes
No
N/A
Direction of slope and drainage toward LW system shown
Yes
No
N/A
Existing LW systems shown (w/permit # or labeled “Unpermitted”)
Yes
No
N/A
Property Lines
Property line boundaries with distances shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Wells and Water Supply Lines
All Private on-site & neighbor’s wells
shown
Yes
No
N/A
(within 100’ of LW system)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled
------
All Public on-site & neighbor’s wells
shown
Yes
No
N/A
(within 200’ of LW system)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled
-----
All irrigation wells within 100 feet of LW Disposal System are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
All Drinking water lines are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Waters of the State
means all interstate and intrastate waters including natural ponds and lakes, playa lakes, reservoirs, perennial streams and
their tributaries, intermittent streams, sloughs, prairie potholes and wetlands
All Waters of the State (
shown
Yes
No
N/A
within 100’ of LW Disposal System)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Canals (See definition 20.7.3.7 (C.1))
Acequias, Unlined canals and Drainage ditches are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------------
Lined canals are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Arroyos (see definition 20.7.3.7 (A.7))
All Arroyos are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Buildings and Structures
All Buildings and Structures shown and labeled
Yes
No
N/A
(Use of structure identified)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
All Retaining Walls (existing and proposed) shown and labeled
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------
Retention/Detention Areas
(areas on parcels that are specifically designed to hold and capture water from precipitation)
All Retention/Detention Areas shown and labeled
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------
NMED Comments:
________________________________ _____________________________ ________________
Installer Name Printed
Installer Signature
Date
________________________________________________
_____________________________________________ _______________________
NMED Staff Name Printed
NMED Staff Signature
Date
Revised 8/1/10
NMED Use Only
Attachment B
Permit Processing No.______________________________
Applicant_____________________________________
This checklist must be submitted with your application. The applicant shall check the box next to Yes, No or N/A (not
applicable) for each requirement to verify that your site plan includes all the necessary information. Print and sign your
name at the bottom.
New Mexico Environment Department
SITE PLAN DRAWING- LIQUID WASTE SYSTEM
Submittal Checklist
Applicant
Verification
Site Plan Requirements
North Arrow shown
Yes
No
Proposed system components shown and labeled
Yes
No
Scale of drawing is clear and readable
Yes
No
Access Roadways, driveways and LW Utility Easements shown
Yes
No
N/A
Direction of slope and drainage toward LW system shown
Yes
No
N/A
Existing LW systems shown (w/permit # or labeled “Unpermitted”)
Yes
No
N/A
Property Lines
Property line boundaries with distances shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Wells and Water Supply Lines
All Private on-site & neighbor’s wells
shown
Yes
No
N/A
(within 100’ of LW system)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled
------
All Public on-site & neighbor’s wells
shown
Yes
No
N/A
(within 200’ of LW system)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled
-----
All irrigation wells within 100 feet of LW Disposal System are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
All Drinking water lines are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Waters of the State
means all interstate and intrastate waters including natural ponds and lakes, playa lakes, reservoirs, perennial streams and
their tributaries, intermittent streams, sloughs, prairie potholes and wetlands
All Waters of the State (
shown
Yes
No
N/A
within 100’ of LW Disposal System)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Canals (See definition 20.7.3.7 (C.1))
Acequias, Unlined canals and Drainage ditches are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------------
Lined canals are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Arroyos (see definition 20.7.3.7 (A.7))
All Arroyos are shown
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
Buildings and Structures
All Buildings and Structures shown and labeled
Yes
No
N/A
(Use of structure identified)
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled --------
All Retaining Walls (existing and proposed) shown and labeled
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------
Retention/Detention Areas
(areas on parcels that are specifically designed to hold and capture water from precipitation)
All Retention/Detention Areas shown and labeled
Yes
No
N/A
Yes
No
N/A
And setback distances to tank and drainfield are met and labeled -------
NMED Comments:
________________________________ _____________________________ ________________
Installer Name Printed
Installer Signature
Date
________________________________________________
_____________________________________________ _______________________
NMED Staff Name Printed
NMED Staff Signature
Date
Revised 8/1/10
Attachment B
Revised 8/1/10
Page of 2