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Board of Health
North .Andgverj4aa8. SEPTIC SYSTEM 1-
n_ INSTALLATICK CHECK LIST LOT
i
Reaspnst
'� ptUkG�
P OE
i
a
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. A11 Lines Flowing 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. Cewnt 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. Elevations
e. Water Table -
r1;
Board o4� H��,,, �Ith
North Andove`�,Mass 1
R SUBSURFACE DISPOSAL DESIGN CHECK LIST
LOT r� %
APPROM DATE % 7-y 77 DISAPPROVED DATE_____ 4
Provided: Reasons:
J p a
I'
Title V
FAIL
Reg 2.5
he submitted plan must show as a minimum:
) thelot to be served-area,dimensions lot #,abutters
location and log deep observation hoes -distance to ties
location and results percolation tests -distance to ties
j-Tb'1
design calculations & calculations showing required leaching area
C1.4a
location and dimensions of system -including reserve area
) e4sting and proposed contours
location any wet areas Within 100' of sewage disposal system or
✓(g)
disclaimer -check wetlands mapping
-i
(h),surface and subsurface drains within 1001 of sewage disposal
A",',
r�
system or disclaimer
(i) location any drainage easements within 100' of sewage disposal
system or disclaimer -Planning Board files
known sources of water supply within 2001 of sewage disposal
system or disclaimer
) location of amy proposed well to serve lot -1001 from leaching facility
AJ)
z 1
;rr
/
1) location of water lines on property -101 from leaching facility
) location of benchmark
driveways
garbage disposals
no PVC to be used in construction
q) profile of system -elevations of basement, plunb, pipe, septic tank,
distribution box inlets and outlets, distribution field piping and
Other elevations
maximum ground water elevation in area sewage disposal system
s) plan mast be prepared by a Professional 8hgineer 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 swimadag pool
(d) �5, from subsurface drains
Reg 10.2
Reg 10.4
Distribution Boxes
a) slope greater 0.08
b) sump
Page 2
Leaching Pits
Leaching pits ar referred where the installation is possible "
a) calculations f leaching area -minimum 500 sq ft
b) spacing
c surfac drainage 2%
d� cove material
e) £! Al splash pad
f) a at elbow
g) no bends in pipe from d -box to pipe
Leaching Fields
no greater than 20 minutes/inch
b" area -minimum 900 eq, ft,
construction of field
'surface drainage 2 %
e) 201 from cellar wall or i.ngromd m4mm d.ng pool
Leachin Tvenches
a) calculations o I cuing area -min 500 sq ft
b) spacing -4 ft 6 ft with reserve between
c) dimensions
d} constracti
e) stone
f) surface ainage 2%
D®wnhill. Sl e
a) s ope y x = to be shown)
b) y/x x 150 = (to be shown)
Purips
a) approval
b) stand-by power
Board of Health % ti
North AndovarL%Sria'•
__ riOVEDDATE
M
SEPTIC SZSTEH
IN STAILATICK CHECK LI ST
Dl 5At'-Ktiuy LU Dill ri
e�nst
AVATICH 01 F IL
a
1.
Distance Tos ROW OtlO� &-(GSi(OJG
-a.
Wetlands t6qU- Ffew &ur nwo r t5 spn jol
C..
� s �ti� wC i . Th 15 LtA5 i� c
2.
Loca O 15�)5� ►I�L I(�`►
Water
Line
3•
No
PPC Pipe
4.
Septic Tank
a.
..Tees -_Length & To Clean Out Cowers
,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 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 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.
Elevations
e."
Water Table
a
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