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HomeMy WebLinkAboutMiscellaneous - 5 Woodchuck 5 WOODCHUCK 210/106.C-0021-0000.0 ,1 i PATRICK J. DONOVAN ASSOCIATES, INC. Claim and Loss Adjustments PO BOX 110 WAKEFIELD,MA 01880 TEL. (781)245-5540 - FAX(781)245-7016 c March 18, 2003 1 MICR 2 Building Commissioner City or Town Hall North Andover, MA 01845 Insured John T & Cathi A Mabon Property Address 5 Woodchuck Lane, North Andover Policy Number JY5275 Type of Loss Water Damage Date of Loss 02/20/03 Our File # WAP34635 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000 or cause Mass. Gen. Laws, Chapter 143, Section 6, to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned Insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Vern Laws, Adjuster VL/so 7 r PETER F. REILLY AFFILIATED WITH F.P. REILLY AND SONS, INC. 206 ANDOVER STREET, SUITE 11- ANDOVER, MA 01810 (508) 475-4370 AUG 1 9 199 SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A - CERTIFICATION Property Address: 5 Woodchuck Lane, North Andover, MA 01845 Address of Owner (if different): N/A Name of Inspector: Peter F. Reilly (I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) Company Name, Address, Phone #: F.P. Reilly & Sons, 206 Andover St., Suite 11 Andover, MA 01810 (508) 475-1237 / (508) 475-4370 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems. The system: N/A Passes ✓ Conditionally Passes N/A Needs Further Evaluation By the Local Approving Authority N/A Fails Inspector's Signature: Date: July 26, 1997 ter F. Reilly The system inspector shall submit a copy of this inspection report to the approving authority within thirty (30) days of completing this inspection. If the system is a shared system of has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the regional office of the Department of Environmental Protection. The original should be sent to the system owner and copies sent to the buyer, if applicable and the approving authority. INSPECTION SUMMARY: A. SYSTEM PASSES: Check A, B, C or D N/A I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. i c SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A - CERTIFICATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 B. SYSTEM CONDITIONALLY PASSES: ✓ One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, ND). Describe basis of determination in all instances. If "not determined", explain why not) Rz— �Y_j The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. N Sewage backup or breakout or static high water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed N/A distribution box is leveled or replaced The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): N/A broken pipe(s) are replaced N/A obstruction is removed C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and environment. 1. SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: N/A Cesspool of privy is within 50 feet of a surface water N/A Cesspool or privy is within 50 feet of a bordering vegetated wetland or salt marsh. 2. SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: N/A The system has a septic tank and soil absorption system and is within 100 feet to a surface water supply or tributary to a surface water supply. N/A The system has a septic tank and soil absorption and is within a Zone I of a public water supply well. N/A The system has a septic tank and soil absorption and is less than 100 feet but 50 feet or more from a private water supply well, unless a water well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm. Method used to determine distance N/A (approximation not valid). l' SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART A - CERTIFICATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 D. SYSTEM FAILS: N/A I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. N Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. N Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. N Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. N/A Liquid depth in cesspool <6" below invert or available volume <1/2 day flow. N required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped: none N Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. N/A Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. N/A Any portion of a cesspool or privy is within a Zone I of a private water supply well. N/A Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E. LARGE SYSTEM FAILS: The following criteria apply to a large system in addition to the criteria above. N/A The design flow of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: N The system is within 400 feet of a surface drinking water supply N The system is within 200 feet of a tributary to a surface drinking water supply N The system is located in a nitrogen sensitive area (Interim Wellhead Area (IWPA) or a mapped Zone II of a public water supply well) The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the DEP for further information. SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART B - CHECKLIST Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 Check if the following have been done: ✓ Pumping information was requested of the owner, occupant and Board of Health. ✓ None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. ✓ As built plans have been obtained and examined. Note they are not available with N/A. ✓ The facility or dwelling was inspected for signs of sewage backup. Of The system does not receive non-sanitary or industrial waste flow. ✓ The site was inspected for signs of breakout. ✓ All system components, excluding the SAS, have been located on the site. ✓ The septic tank manholes were uncovered,opened and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. ✓ The facility owner (and occupants, if different from owner) were provided with information on the proper maintenance of SSDS. The size and location of the SAS on the site has been determined based on: ✓ Existing information(Example: Plan at BOH). N/A Determined in the field if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable [15.302(3)(b)]. PART C - SYSTEM INFORMATION FLOW CONDITIONS RESIDENTIAL: Design Flow (gpd/bedroom for SAS): 440 gallons (110 gpd/bedroom) Number of bedrooms: 4 Current residents: 4 Garbage grinder: no Laundry connected to system: yes Seasonal use: no Water meter readings, if available: about 255,000 gallons 6/95-6/97 (350 gpd) Sump Pump (yes or no): no Last date of occupancy: current COMMERCIAL/INDUSTRIAL: Type of Establishment: N/A Design Flow: N/A Grease trap present: N/A Industrial waste holding tank N/A Non-sanitary waste discharged the Title 5 system N/A Water meter readings, if available: N/A Last date of occupancy: N/A OTHER: Describe: N/A Last date of occupancy: N/A o r SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 GENERAL INFORMATION PUMPING RECORDS and source of information: last pumping: November 1994 according to owner System pumped as part of inspection: no if yes, volume pumped: N/A gallons Reason for pumping: N/A TYPE OF SYSTEM ✓ Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy NO Shared system (yes or no - if yes, attach previous inspection records, if any) I/A Technology etc. Copy of up to date contract? Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: System installed in 1982 when house was constructed. Sewage odors detected when arriving at the site NO BUILDING SEWER: (locate on site plan) Depth below grade: 14" material of construction: ✓ cast iron 40 PVC other (explain) Distance from private water supply well or suction line N/A Diameter: 4" Comments: Condition of joints, venting, evidence of leakage, etc.) Building sewer was watertight and appeared sound. SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 10" material of construction: ✓ concrete metal FRP other (explain) Dimensions: rectangular - 1,500 gallons <1" sludge depth N/A distance from top of sludge to bottom of outlet tee or baffle <1" scum thickness N/A distance from top of scum to top of outlet tee or baffle N/A distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc.) Static level was about 25 inches from the bottom, about 23 inches lower than normal, indicating a leaking tank. 1 SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 GREASE TRAP: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other (explain) Dimensions: scum thickness distance from top of scum to top of outlet tee or baffle distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs, etc.) N/A TIGHT OR HOLDING TANK: N/A (locate on site plan) Depth below grade: material of construction: concrete metal FRP other(explain) Dimensions: N/A Capacity: N/A gallons per day Design Flow: N/A gallons per day Alarm level: N/A Alarm in working order N/A Date of previous pumping: N/A Comments: (condition of inlet tee, condition of alarm and float switches, etc.) N/A DISTRIBUTION BOX: ✓ (locate on site plan) 0" depth of liquid above outlet invert Comments: (note if level and distribution is equal, evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) The d-box was watertight, level and appeared to be functioning properly. There was no evidence of solids carryover. PUMP CHAMBER: N/A (locate on site plan) N/A Pumps in working order (yes or no) N/A Alarms in working order (yes or no) Comments: (note condition of pump chamber,condition of pumps and appurtenances,recommendations for maintenance or repairs, etc.) N/A z SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 SOIL ABSORPTION SYSTEM (SAS): ✓ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: not applicable Type leaching pits and number N/A leaching chambers and number N/A leaching galleries and number N/A leaching trenches, number, length four (4) trenches 2' x 49' per "as built" plan leaching fields, number, dimensions N/A overflow cesspool, number N/A alternative system (name of technology) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance, repairs, etc.) Soils over leaching area were good, no evidence of breakout. CESSPOOLS: N/A (locate on site plan) number and configuration N/A depth-top of liquid to inlet invert N/A depth of solids layer N/A depth of scum layer N/A dimensions of cesspool N/A materials of construction N/A indication of groundwater inflow (cesspool must be pumped as part of inspection) N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable PRIVY: N/A (locate on site plan) materials of construction N/A dimensions N/A depth of solids N/A Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs, etc.) not applicable a SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 SKETCH OF SEWAGE DISPOSAL SYSTEM: indicate at least two permanent references, landmarks, or benchmarks, locate where public water system enters house locate all wells within 100' N/A '7' <��^•iJ •• 7.. .w pl��ay... .. .,... .,jt''f_•-:,.�'w .'. �f p* iti.!'t� •:�:�y� .+jt..1.•.� rrf r a4 ►...ar`C'r'�. 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'' at A^ `11� : t - ' `•f [.j'ff r {},t{ ♦ r Lt�+.,�. a, '-•r � :JF`:. )ST • �M � ,. •�c. - . .JL'! # f jAY.�( l �t>.� ��Srj •.•hyt. v,:*....� .,,t.•.. i ..a•�t-��(t,....y''j•f-..�:�r t.: ..... ....fr�,�.,. 1.o. �..�? n+ .7. SEPTIC TANK TIES: A to Inlet (I) N/A B to Inlet N/A A to Center (C) 54'0" B to Center 2110" A to Outlet (0) N/A B to Outlet N/A D-BOX TIES: A to Box 75'011 B to Box 26'0" NOTE: The system is in the rear yard. r SUBSURFACE SEWAGE DISPOSAL INSPECTION FORM PART C - SYSTEM INFORMATION (continued) Property Address: 5 Woodchuck Lane, North Andover, MA Owner's Name: William Urbon Date of Inspection: 7/26/97 DEPTH TO GROUNDWATER Depth to Groundwater >4' (below bottom of SAS) Indicate all methods used to determine High Groundwater Elevation: Y Obtained from Design Plans on record Y Observation of Site (abutting property, observation hole, basement sump, etc.) Y Determined from local conditions N Check with Local BOH N Check FEMA Maps N Check pumping records Y Check local excavators, installers N Use USGS Data Describe in words how High Groundwater Elevation was established: Design Plan indicated groundwater at 4.5 feet excavation below SAS. Nearby wetland area is substantially downgradient of SAS. Town of North Andover, Massachusetts Form No.3 cf Nor+rh BOARD OF HEALTH �" Q tt�1O le Mp -19 • •off_<«��..�.- :��• - .. DISPOSAL WORKS CONSTRUCTION PERMIT tl ,SSACMUSE� ;. . . .:. . Applicant_ NAME AoDDRESS TELEPHONE J Site LocationcAv� C�a� Permission is hereby granted to Construct ( ) or Repair an.Individual Soil Ab9>6(rption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN, BOARD OF HEALTHLl Fee ; D.W.C. No. -3 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: 0)SU C.L< L at., LICENSED INSTALLER: F 9- &9,v � 1\( -k-(j®n� rNc— . SIGNATURE:_ TELEPHONE# �]�-j a CHECK ONE: REPAIR: 1/ NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes_ No Foundation As-Built? Yes No Approval Date: / J . :... j-Yn i tet• f S Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH Sept. 17 , 19 97 ?� CERTIFICATE OF COMPLIANCE This is to certify that the Individual Soil Absorption Sewage Disposal System constructed ( ) or repaired (X) by Reilly INSTALLER r at 9 Woodchuck Lane , North Andover, MA 01845 sl TE LUC.A rIUN has been installed in accordance with Board of Health Regulations as described in the Design Tank..replaceme Approval Site System Permit No. dated- The a ed my 19 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Of BOARD OF HEALTH F, t "" •' ',. t , ' t .. x rf3• ti. ' s, • •} =y i � ' .rF.i ~+ + a� F f r A. ' .. a"-• .. -, .t� 1,-•••Er/ S'r�4 i.. � ... .� i - 1• r ^ ' •..� �.. . - +y t { .r;t. ,� y' f j a• . R i'�'.L .. ti.."'111 �.. .• - , 1 of � � N a 5 •. 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I .1� 1.`� ir"4 Z R, w-, j,,jp, wA 5), w o -V AIM VIT 011WItF41ti.�* N440V�t�`)j o "I'TIMM",WP 4r -A 11-V_ -'Z� ip-pi Ila' qm N Ft k W _�rk 2" t4i�'I ko rk .0 N 0111; 41 �q 'N ON' -a I"A. Z.h rs g W.:� q,-Y, Vitt `_0 Alf!; ez', M, ,, I—_� �fX U o"w"iV_, '�j-gig. j�Mu m 9, 15P I V--.111. 11�& 4. tA, 'J'N Vif 'a, �u' % AV. _f Ir i­R,4iT T2a, �r­­11.9 W t Itz" -y. —if -w—& ...1AR 'tap+.: ,r.,g 41"'." ki 4, "'4 AFIOP'I.,VIM V-1 1�cc, tt 1,14 4- -4 1p,i",1.4 qqm, A". 1:2 -A.'V�J,1) MW W;� T­ 60V, Fr -4, 'p, 7 s'W- N k.i NP, iq If -IR A+" 01. .PP- M, Tio iv _­1 7� ­­ T WIX ,jt"e,� "'ttF, JO A, tz, u;, % A 1; Q; Do ? , , . p '0 V. A jL v.. FIR, Y M411 M Y z6w J-, :Jrl Ae AMR .,j j. 11 U'L 1-11 1. 4" v, 1; -S i T '11A M11 T.," T" 5. ""'i, N` % WR T,-74—, �WE pt kw� QW5 �k,Ift, Vw R vt�w-,i�"a-"�A- iv, MIT. "a:-N -J`'1V 'X 'k-1 __Wn 10,i A. I -q j,". I W.--1 1 e,_�,"q 0 "t',o o.!. 4 -;p og�,v I V,'."if'01, At ts I,'� k�4 M p R ...V`1 T, A M,� W, ji,4' Vk, j,k MY!, X�R"Im,4 L j,-jt,? VI '.11�1 - " ,;,i­,_­_;;�;��_ .: "'r':�.1 1 . ; V-i�` ;-,'. �j " 77� IT ti�llv U-1 '. , -j" _ t� 110-�'fl_AN Uv OR '44" elp i" 1U fi U z, A W:4 ?rt. 4t, 1q; z v A r; r-,,A 9.-" A- t a 3 M 1 R �PV il 4-14-11 o C. IZZO t�" �-A libkl t� C!, Nice v. TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD � l STEM OWNER & ADDRESS SYSTEM LOCATION (example; left front of house) � 5 U "I E OF PUMPING; QUANTITY PUMPED SoQ CALLU'v�, C 1)00L: NO YES SEPTIC TANK: NO YES ATURE OF SERVICE: ROUTINE EMERGENCY tJ (3�ERV.;\TIONS; GOOD CONDITION _X FULL TO COVER HEAVY GREASE BAFFLES IN PLAC1,: ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER O�HER (EXPLAIN) i i l � PUMPED BY: c ummFNTS: UN EN r ; TIZANSFEIZRED TO: TO: NORTH ANDOVER, MASS. a 199& BOARD OF HEALTH FROM- DESIGN ENGINEER Re: Soil Absorption Sewage Disposal System This is to certify that I have inspe tedt c n tr cti n materials of said disposal system at Site Location North Andover, Mass . The grades and construct' n materials are as specified in my plans and specifications dated -, 1981 and As-Bu' lt 19 8Z,. Re .Prof.Enginee eeg.Sanitarian Board{ of Health North An ver Haas. BF.PTIC SZSTEIi INSTALLATION CHECK LIST LOT �,j TF OM DATR DT Pi�OPID AVA7'IC�I OK FAIL Z-7 �L ea8Dn3t t f PAIL OK 1. Distance Tos f a. Wetlands b. Drains c. Well 1 ✓ 2. Water Line Location 3. We pinve-4in's Septic Tank a. Tess -_Length & To Clean Oat Covers. b. Cement Pipe to Tank On Both Sides of Tank 5. Distribution Box j a. Covers & Box - No Cracks b. All Lines Flowing Equal Amounts c. No Back Flow 6. ' d or Trench a. Dimensions b. Stone Depth / c. Capped lads d. Clean DoubleWashed Stone' J �• a. Dimensions t b. Stone Depth c. Splash Pads d. Tees e. Cement Pipe to Pit - Both Sides f. Clean Double Washed Stone 8. No Garbage Disposal F/ 9. Anal Grading Inspection 10. Barricading Covered System 3.1. As Built Submitted a. Lot Location . _ b. Dimensions of System c. Location 4thRegard to Pert Test z ✓ d. Elevations / e; Water Table t i Y 1 Board of HetJ.th Worth Andover, mss SUBSURFACE DISPOSAL DMIM CHBOK LIST LOT APPROVED DATE DISAPPROVED DATE Provided: ._._-_.._._ Reasons: +I viol TitleFAIL OK Reg 2.5 The submitted plan must show as a minimum: �a) the 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 ;d7- design calculations & calculations showing required leaching area location and dimenaions oft.�m_ sys � includiaa reserve area existing and proposed contours g �g)�,Ucation any wet areas vithin 100, of serge disposal system or ,.0' disclaimer-check wetlands mapping wo'(h) surface and subsurface drains TAthin 100, of sevage disposal system or disclaimer (i), location any drainage easements %.thin 1001 of singe disposal system or disclaimer- g Board files (3) know sources of water supply within 2001 of sewage disposal system or disclaimer location of aW proposed well to serve lot-1001 from leaching facility )a location of water Lines on property-101 from leaching facility ocation of benchmark :7'qdrivev-ays garbage disposals t(P' no PPC to be used in construction q) profile of system-elevations of base`nent, plumb, pipe, septic tank, distribution box inlets and outlets, distribution field piping and Other elevations maxiwam ground water elevation in area sewage disposal system (s) plan must be prepared by a Professional Engineer or other professional authorized by lair to prepare such plans Reg 6 stir Tanks (a) eapac t es- % of flow, water table, tees, depth of tees, access, pining (*I cleanout "r 1:01 from cellar wall or inground stag pool ✓(d) 25+ from subsurface drains Reg 10.2 Distribution Boxes a) slope greater than 0.08 Reg 10.4 b) s Subsurface Design Check List Page 2 FAIL OK ° Leachin. Pits Leaching pi are preferred where the installation is possible Reg 11.2 a) calculati s of leaching area-minimum 500 sq ft 11.4 b) spacing 11.10 c surface a 2;6 t11.11 d cover m�ij-erial e) '�,2 t xl:0 splash pad f) tee at elbow g) no bends in pipe from d-box to pipe Leachinggilds Reg 15.1 a} no a t an 20 ffinutes/inch b area- 900 sq ft 15.4 c constru on of field 15.8 d) surfac �e 2 % 3.7 e) 201 m cellar wall or inground swimdng pool Leachinamches Reg 121.1 a) calculations" - fleachinarea-min g5O0 sq ft 14.3 ) spacing-4 ft i d.n 6 ft with reserve bet�eien 14.4 dimensions 14.6 ,f �) construction 14.7 00 -e) stone U.10 surface drainage 2% f Dawes 11 j1ppe a) slope y to be shown) b) y/x X 150 = (to be shown) s Reg 9.1 a) 9.6 b) stand-by power j - f ,..1. D RR+r l��IJDOVER d O�P.hct provided )hli fo,m ToMAY r neo �'; .oc01 Boerc DO -n to the loch B^e/c: c'r ofr��pp���08':� M ��o S Odiln p, Olnor A. Facllity In(or'—M- Ilon d N�RT"A�1°4V R .v • ."'611 Clq/T'p;� u,,, ,,,v•,{,• ,/ ,, . ;'t:.r':�;`,•�;,.`;'•i,..' , , Situ ----- —71 r vVI�41 {11g0(Irinl (QM"VQ(I) I' !,B,.Pumping Rayord Type of iyilem:.. ca99 IO 700 9 9pl!C Tangy rl rls i ' .• 1 ��0•th9! (d93C(1be "I ar • hluanl Tee Flllo(•��q,3enr? [' Yvy n�o C.'aane �• 77 •; r,1,•,1,�„ d)y �,,,I ,•,'..;. o 41 'i i, '•'!'i�•'Yl' ,�i1'�I. ;;a.. i"'!')''i��ir(�' {'(',t' ','i�'� �1yjJ,,\ '��,I(�l'ar('•%';,'� C V�111V' 'J n /j� '�•S.',:,;,,�, T, .II,,.y�,.;c� ;1 ,',10� � fir(, I'�?�,f ala,' . ' ..1'/�'1. �0� I. I�:'•,d h. I f 111 jle,{L. . ; on.�rh9�� corilanu',were dlypossa: .',�, .L'..::,�'.1�� '•«• ;�,f\• :iii;,. :%�•, ,,�',�'', Sl�ntlwt olh'tv �\;y,,.,. sa. 0Y/d6 ..,...�i Otlf me 9 Pr1'r srleppiDYeJallblorm�.r,��nAln9pec'