Sample Review Checklist
Courtesy of the North Smithfield Conservation Commission
North Smithfield Conservation Commission Review Checklist
Name of Applicant ___________________________________
Address ___________________________________________
Location of Project Site _______________________________
Project Description __________________________________
I. Existing Site Conditions / Development Suitability
1. Soil Type ____________________________________
2. Topography __________________________________
3. Wetlands ____________________________________
4. Ground Cover _______________________________
5. Natural Heritage Areas _________________________
6. Distance from 100 yr. Flood plain _________________
II. Development Proposal Assessment
1. Approval of OWTS _____________________________
2. Depth to ground water __________________________
3. Perc Rate ____________________________________
4. Distance of OWTS to fresh water wetland ___________
5. Drainage patterns ______________________________
6. Erosion control ________________________________
7. Site buffering _________________________________
8. Proposed extent of impervious areas _______________
9. OWTS distance to existing wells ___________________
(OWTS = Onsite Wastewater Treatment System)
III. Compliance with Applicable Town Plans
1. Comprehensive Community Plan __________________
2. Well head Protection Plan ________________________
3. Water Supply Management Plan ___________________
4. Groundwater Protection Overlay District _____________
IV. Recommendations
1. Approved ___________ 2. Disapproved __________
3. Additional Information Requested __________________
________________________________________________
4. Special Conditions / Stipulations
(1) ___________________________________
(2) ___________________________________
(3) ___________________________________
(4) ___________________________________
(5) ___________________________________
(6) ___________________________________
( ) ___________________________________
( ) ___________________________________
( ) ___________________________________
( ) ___________________________________
5. Comments
