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Date File Open: Date file closed:
Doc Document/Action Title Date of Refer to other Purpose of Document/Action and notes
action Document/ document/
Num. Action Department
Board of Appeals — Board of Health — Planniing Board — Conservation Commission — Building Department
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Board of Health
North A��=h=;�er��iass. gE ZC STSTEM 1
INSTAITLATIGN C`3'K LIST LOT
APPRUVj5 BATE DISkf'PrZOVID Dlir$�,�� _ XCAVATICN OK FAIL
�suonsi �`
IPM OK
1. Distance To:
` a. Wetlands
b. Drains
Well
2. Water Line Location
3• No PVC Pipe
j -
4. Septic Tank---
a. Tees -_Length do To Clean Oat Covers
b. Cement Pipe to Tank - On Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flowing Equal Amounts
f
c. No Back Flow
6. Leach Field or Trench
a. Dimensions
�' b. Stone Depth
c. Capped ids
,r d. Clean Double Washed Stone
7. Leach Pits
a. Dimans ns
b. Ston epth - --
c. SpI sh Pads
d. T s
e. ement Pipe to Pit - Both Sides
f Clean Double Washed Stone
8. No Garbage Disposal
9. Final grading Inspection
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
b. Dimensions of System
c. Location nth Regard-to Pere Test
d. Elevations
�.- e ' Water Table
BI.- 4ef Health
Yo An&ver,Mass
SUBSURFACE DISPOSAL DESIGN CHECK LIST
LOT
PPRtNID DATE DISAPPROVED DATE '
'rovidedi Reasons:
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Is � y1
itle P Z 09 .
es 2.5 The submitted plan must show as a minimum:
lbthe lot to be served-area,dimensions lot # abutters
location and log deep observation hoes-distance to ties
location and results percolation tests-distance to ties
design calculations & calculations showing required leaching area
e location and dimensions of system-including reserve area
-f) existing and proposed contours
9) location any wet areas within 1001 of sewage disposal system or
disclaimer-check wetlands mapping
h) surface and subsurface drains within loot of sewage disposal
system or disclaimer
(i) location any drainage easements within 1001 of sewage disposal
, system or disclaimer-Planning Board files
(3) knom sources of water. supply within 2001 of sewage disposal
system or disclaimer -
k) location of aaF proposed well to serve lot-1001 from leaching facility
(1) location of water lines on property-101 from leaching facility
(m) location of benchmark
(n) driveways
(o garbage disposals
7(p no PVC to be used in construction
(q) profile of system-elevations of basement, plumb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
(�s)r) maximum ground water elevation in area sewage disposal system
lam
p must be prepared by a ProfessionalEngin eer or other
professional authorized by law to prepare such plans
leg 6 Septic Tanks
✓(a) capacities-150% of flow, water table ' tees, depth of tees, '
access, pumping
(b) cleanout
(c) 101 from cellar wall or inground sj4xm3.ng pool
(d) 25+ from subsurface drains
M
:g 10.2. Distribution Boxes
,g 10.E � (b)supe greater 0.08
, J
Sub-t'arface Desi Check List Pae 2'
' FAIL OK
Leaching Pita
Leaching pits a preferred where the installation is possible
Reg 11.2 a) calculation of leaching area-minirmin 500 eq ft
11.4 jb) spacing
11.10 c surface a 2%
11.11 dj cover erial
e 21x2 l splash pad
f tee elbow
g no bends in pipe from d-box to pipe
i
Leaching Fields
Reg 15.1 a no greater than 20 minutes/inch
area-minimum 900 aq ft
15.4 construction of field
15.8 } surface drainage 2 %
3.7 e) 202 from cellar wall or inground swimzadng pool
Leachin ' igenches
Reg 14.1 a c c s o leaching area-rain 500 eq ft
14.3 b spacing- ft min 6 ft with reserve between
14.4 Ic dimexrsi
14.6 d) cans ction
14.7 e) stone
14.10 f) surf ce drainage 2%
i
Doan ill Slope
slope y x --- to be shown
b y/x x 150 (to be shown
Reg 9.1 a) aPp val
9.6 b) s d-by power