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Board of health
North And_OHver�ss.
SEPTIC SISTEH
INST= ATICIQ CHSCB LIST
SAPPROM
1. Distance Tos
LOT''it
EXCAVATICH OK FAIL
a. Wetlands
b. Drains
c.. Well
2. Water Line Location
3. No PVC Pipe
!t. Septic Tank -
a. -Tees -_Length & To Clean Out Covers
b. Cement Pipe .to Tank Oa Both Sides of Tank -
5. Distribution Box
a. Covers k Box - No Cracks
b. All Lines Flowing Equal Amounts
c. No Back Flog
b. Leach Field or Trench
a. Dinensions
b. Stone Depth
c- Capped Ends
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 DoubYe Washed Stone
8. No Garbage Di spo sal
9. -yina1 Grading Inspection
10. Barricading Covered System
11. As Built Submitted
a. Lot Location
b. Dimensions of System
c. Location -4th Regard -to Pere Test
d. Elevations
e. Water Table
Board of Health
Nar, -'r, ;,,ndov-er,Ma.BE
r
APPROVED DA�`B
'4-1w
V t
Reg 2.5
P. eg 6
Reg 10.2
Peg 10.4 -
SUBSURFACE DISPOSAL I}E,STGN CHECK LIST
DISAPPROVED
Reasons:
DATE
submitted plan must short as a mini ruumt
Wthe lot to be served -area, dimensions lot #.* abuttersb�e-
location and log deep observation -hoes-diEtance 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
existing and proposed contours
g location any vet areas vi.thin 100' of se -rage disposal system or
oodisclaimer-check wetlands maPping
surface and subsurface drains.. -within 100' . of sEr.-age disposal
system or -disclaimer
ai mar y -
i) peation any drainage easements &thin 100' of stege disposal
tem or disclairer-Planning Board Piles
j) kmTn sources of -ater _surply- within 2001 of serge dispo�pl e
s€s're� or disclainer _
i.) kation= -8f wW proposed__---6-e11_.to . serve lot -100 from leaching facil
cation -of j„ater Mines on propcxrty-10' -.from ' leach ng - taci3i =
tion of �enchmarkT _
i age disposals--'----- -- -
PVC -t� be used 'in const mctioa-
profile-of -system-elevations--of basementp_plumb, pipe, -septic tan}:,
stribution--.box inlets. and outlets,` distribution field. piping and
' 0�er. elevation
- groua:d=meter=el_ ti6M .in -area sewage disoasal: -ystem
plan rest be _prepared _by Professional Bbgineer or other.�
professional --authorized _by iasr to prepare such plans -`
�'Eptic Ta_*�ks _
,a) cap8cities-150%--of table, tees, depth of tees,_
00�accer,s., pining
cleanout .
c)t 10' from cellar -v -all or inground si.ung pool _
;d) 25+ from subsurface drains-
Distribution
ra ns --
Distribution Faxes
slope greater -than- 0:08
b)-= w�up
A
i
P. eg 6
Reg 10.2
Peg 10.4 -
SUBSURFACE DISPOSAL I}E,STGN CHECK LIST
DISAPPROVED
Reasons:
DATE
submitted plan must short as a mini ruumt
Wthe lot to be served -area, dimensions lot #.* abuttersb�e-
location and log deep observation -hoes-diEtance 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
existing and proposed contours
g location any vet areas vi.thin 100' of se -rage disposal system or
oodisclaimer-check wetlands maPping
surface and subsurface drains.. -within 100' . of sEr.-age disposal
system or -disclaimer
ai mar y -
i) peation any drainage easements &thin 100' of stege disposal
tem or disclairer-Planning Board Piles
j) kmTn sources of -ater _surply- within 2001 of serge dispo�pl e
s€s're� or disclainer _
i.) kation= -8f wW proposed__---6-e11_.to . serve lot -100 from leaching facil
cation -of j„ater Mines on propcxrty-10' -.from ' leach ng - taci3i =
tion of �enchmarkT _
i age disposals--'----- -- -
PVC -t� be used 'in const mctioa-
profile-of -system-elevations--of basementp_plumb, pipe, -septic tan}:,
stribution--.box inlets. and outlets,` distribution field. piping and
' 0�er. elevation
- groua:d=meter=el_ ti6M .in -area sewage disoasal: -ystem
plan rest be _prepared _by Professional Bbgineer or other.�
professional --authorized _by iasr to prepare such plans -`
�'Eptic Ta_*�ks _
,a) cap8cities-150%--of table, tees, depth of tees,_
00�accer,s., pining
cleanout .
c)t 10' from cellar -v -all or inground si.ung pool _
;d) 25+ from subsurface drains-
Distribution
ra ns --
Distribution Faxes
slope greater -than- 0:08
b)-= w�up