HomeMy WebLinkAboutMiscellaneous - 180 JOHNNY CAKE STREET 4/30/2018 (2)rt
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Board of Health
North An(loverZM.aaa.
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FAIL OK
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INSTAM ATICK CHECK LIST
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LOT ` Jr�I ✓U/Y4O
EXCAVATION OK FAIL
1. Distance Tot
a. Wetlands
b. Drains
c .. Well
2. Water Line Location
3• No PPC Pipe
4. Septic Tank
a. Tees -_Length & To Clean Out Covers
b. Cement Pipe to Tank - On Both Sides of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b.. All Lines Flo-wIng Equal Amounts
c. No Back Flow
6. Leach Field or Trench
a. Dimensions
b. Stone Depth
c. Capped Inds
d. Clean Double Washed Stone
7. Leach Pits
a. Dimensions
b. Stone Depth
c. Splash Pads
d. Tees
e. Cement Pipe to Pit - Both Sides
£. Clean Double Washed Stone
8. No Garbage Disposal
9. Final Grading Inspection
10. Barricading Covered Systera
11. As Built Submitted
a. Lot Location
b. Dimensions of System
c. Location with Regard -to Perc Test
d. Elevations.
e: Water Table
Health
.judover,Mass
APPROVED
Provided:
DATE
67(
Titley I FAIL I IK
Reg 2.5
SUBSURFACE DISPOSAL DESIGN CHECK LIST
LOT Jif '� A,
DISAPPROPED DATE
Reasons:
The submitted plan must show as a minimum:
.a) the lot to be served-area,dimensione lo", #,abutters
:blocation and log deep observation he .es. iistance to ties
c location and results percolation tests-dr,-tance to ties
d design calculations do calculations showing required leaching area
e) location and dimensions of system-in.clud_ng reserve area
f) existing and proposed contours
;g) location any wet areas within 1001 of sewage disposal system or
disclaimer -check wetlands mapping
.h) surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
.i) location any drainage easements within 1001 of sewage disposal
system or disclaimer -Planning Board files
j) known sources of water supply within 2001 of sewage disposal e
system or disclaimer
k) location of amy proposed well to serve lot -100, from leaching facility
1) location of water lines on property -101 from leaching facility
m) location of benchmark
n) driveways
o) garbage disposals
p no PVC to be used in construction
q) profile of system -elevations of basemen•., plumb, pipe septic tank,
distribution boa inlets and outlets, die, 4ribution fiJd piping and
Other elevations
r) maximum ground water elevation in area tnwage disposal system
s) plan must be prepared by a Professio) t1 :;agineer or other
professional authorized by law to prepay. such plans
Reg 6 Septic Tanks
(a) capacities -15D% of flow, water table, tees, depth of tees,
access, pumping
(b) cleanout
(c) 10I from cellar wall or inground swimming pool
(d) 25f from subsurface drains
Reg 10.2 Distribution Boxes
4b)
a) slope greater 0.08
Reg 10.4 sump
TO:. NORTH ANDOVER, MASS v L �� 19
BOARD OF HEALTH
FROM: DESIGN ENGINEER Re: $oil Absorption Sewage
System Inspection
This is to certify that I have inspected the construction of the said disposal system at
z v _f A-1 fJ 3i C �r� l�1/�.� North Andover, Mass.
SITE VOCATION ,
The grades and construction are a's specified in I+y plans and specifications dated
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