HomeMy WebLinkAboutMiscellaneous - 325 GREAT POND ROAD 4/30/2018 (2)N_
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SLID-,5&eF,4CE D/SPOS.IL
SYSTEM
/N
64 7� A102TA/ ,4NDO tIFIF
GVaTER EL EV4 T/0/V Nv iVf1 TER NO m,,� TE
,4VERQ6E STONE / FT / FT
DEPTH 4T PROBE
NOTE. T///S PZ -,4N /S NOT ,4 GV,4,P.,P,4NTY
OF THE SYSTEM BUT ,4 YE2/F/C.4T/ON
OF T,qE L OCATION OF TWE EX/5 TING
STRUCTURES.
FOR
F�I�8E.5 PE; -1 L TY TI?L 5 7'
5C4L E e7' O47E.'
1W.
/Al KENOZ,4 .4 VE.",L,1W,,4.
Board of Health
North Andy er_.,X .ae.
r
__OOVyID DATg
�11 W'..
SEPTIC SISTEK
INSTALLATICK. CHECK LIST
�wqs u)
LOT` Tit
DI SE+P-) AVATICN Ob FAIL
1. Distance Tos
a. Wetlands
b. Drains
c.. Well
2. Water Line Location
3• No PVC Pipe,
4. Septic Tank
a. Tees -_Length & To Clean Out Cover
b. Cement Pipe to Tank -Gln Both Side 3 of Tank
5. Distribution Box
a. Covers & Box - No Cracks
b. All Lines Flo.Ang 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
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 with Regard -to Pere Test .
d. E1e-vations
e: Water Table
Bo:sd of Health r
X, ce..Y 'sndover,kass
SUBSURFACE DISPOSAL DESIM CHECK 'SST
LOT
--APPROVED DATE !- 2.
Provided: V
DISAPPROPED DATE_�Z--
Reasons:
1, - r�Eov eLor5 2 -r3 �z&500-OvLE
YO W i 2
z Lor f 4 r5
Title V FAIL C
Reg 2.5 The submitted plan must show as a minimum:
a) the lot to be served-arsa,dimensions lot C abutters
b location and log deep observation hoes -distance to ties
C
location and results percolation tests -distance to ties
d design calculations & calculations showing required leaching area
(e) location and dimensions of system -including 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 :AO' of sewage disposal
system or disclaimer
(i) location any drainage easements withi, 1001 of sewage disposal
system or. disclaimer -Planning Board :r les
(j) known sources of water supply within .00I of sewage disposal o
system or disclaimer
(k) location of amr proposed well to r .rv- lot -1001 from leaching facility
(1) location of water lines on property -10' 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 basement, plumb, pipe, septic tank
distribution box inlets and outlets, distribution field piping and
other elevations
(r) maximum ground water elevation in-area'sewage disposal system
(s) plan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
Reg 6 ( Septic Tanks
(a) capac t es- 50% of flow, water table, tees, depth of tees,
access, pumping
(b) cleanout
(c) 101 from cellar wall or inground swim ing pool
(d) 251 from subsurface drains
Reg 10.2 Distribution Boxes
(a) slope greater than 0.08
Reg 10.4 b) sump
SEPTIC SYSTEM INSPECTION FORM
ADDRESS
DATE INSPECTED
PROPERLY FUNCTIONING? Ck N
WEATHER CONDITIONS
COMMENTS:
WATER QUALITY TESTED? RESULTS?
DYE TEST PERFORMED? Y -N
DATE?
SKETCH: