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Miscellaneous - 1 Summer Street
iNox-th Pdover Nass. Street No Lot No Pland Owner Iyr—rZ� Observer �J I-rvest.� gator — — SOIL PROFILE DATES 1_EE1_ev A 2.Elev .11ev �+.EI_ev— 00 2 0 �o — Benc}alnarK Elevation 1 2 3 4 5 /9 1 2 3 �+ — 2_ --- ----- ----- 2 3 _ __—.__ y 3 --- - 5 5 - Benc}alnarK Elevation 1 2 3 4 5 /9 1 2 3 �+ — --- ----- ----- 9 ---- 9 -- --- - 9 1010 - -- 10 ---- --- ----- -n,-_-,� a t u m—_— Px= iC0T,A110N TF_STS D., h�S 411 -&Ir.+ Start Saturation - SLA rL j'r-op of 3„ -Tine --- Drop of 6” T-r;e ---_ --_ - -- drop �` �� un TJ._es to Test Pi is Ir �� 73 �A 'n o I I U ,'I A„ Board of Health, North An4loyerzHaae. SEPTIC SYSTEM INSTAILATICK CHBIC$ LIST LOT' 5(J� 5T APFRUM DATE DISAP1-,.rV D . AVATICH 01 ML or ' FAIL OKs5 3�l I. Distance To: (2 L(1Lf a. Wetlands I b. Drains Co. Well ` 2. Water Line Location 3• No PPC Pipe it. Septic Tank a. :.Tess -_Length & To Clem Ont Covers. b. Cement. Pipe, to.,Tank - On Both Sides of Tank . 5. L; -tributLon ,Box a'. 'o* rs & Box - No Cracks ' be, All Lines Flo-Ang Equal Amounts C. Jo Back Flow 6o* Lw;h Field or Trench a. Anensiona b. 3)tone Depth c. ;'apped Ends d. '.lean 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 Wa8hed Stone 8. No Garbage Disposal 9• -FJnal Grading Inspection 10. i-rricading Covered System ' 12. As Bu_1t Submitted -��-8 a. Lot Location b. Dimensions of System c. Location -,4th Regard-to Perc Test d. Elevations e: Water Table t ,ard og ealth� 1 �1 SUBSURFACE DISPOSAL DESIGN CHECK LIST ,r7 DATB_Z-J&y Adeids �q-15 r37 Title V Reg 2.5 FAIL Pfes, } - - Reg 10.2 Reg 10.1 DISAPPROVED Reasons: T -U TfZ� -LOT SUS 1 S ) DATE/a ,/3 r 27/4 The submitted plan must show as a minitrmms a) the lot to be served -area dimensions lot #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 -Athin 100' of sewage disposal system or disclaimer -check Wetlands mapping h) surface and subsurface drains within 100' of sewage disposal system or disclaimer i) location any drainage easements within 100' 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 any proposed well to serve lot -1001 from leaching facilii 1) location of Water lines on property -10.1 from leaching facility m) location of benchmark n} . driveways-_ a) garbage --disposals t p) no PVC- to be used in construction q) profile of..system-elevations of basement, -plumb., pipe...septic tank, distriNu-tion -bbainlets==and ontle't�s stributi--oa--fi:eld�piping and-- Other-elevations nd---Other.elevations 0- __ -area-sewage-disposal-system-- - ;e) -plan mast -be prepare_ by a=Pr©fesei o 3== gineer : or_ other . professional authorized authorized by lax to prepare such- plans Septic Tanks a) capacities -150,% of flow, tater -table, tees, depth of tees, access, p��zug b) cleanout c) 3.01 from cellar trail or inground suLm3ring pool - - - 251 from subsurface drains Distribution Boxes - a) slope greater EFZ 0.08 e Check List Page 2 FAILM OR - Leaching Pits % a ' calculation`s of leaching area-viiiim 500 sq- b) spacing X10 c) surface drainage 2% _ cover material - --- - . - e) I'x2Ix4Q splash pad f) tee at elbow ._ g no be da in pipe from d- c—x to pips -- - eg 15.1-- - 15.4 14.3 -14.6 7:=14-7--- � 14• ag 9.1 9.6 LeachingFlelds - - — _ - -- - - a) no greater than 20 minutes/inch- _4/1 bj area-minimim 900 e$ ft N construction of field- surface ield surface drainage 2 e)- 20 � from cellar -gall or`ingrom��-sti�mmdng�ooii-- - - - t --=Leacbin -fiches= a) c 1 _ o_ ass o eachin5W--eq-ft. g area -min. b)' spacingA4 ft min 6 ft with reserve between - c) _ dilensioas - e) --stone- - -- f) surface drainage 2%: Downhill S122 e a) s pe y x = be shown) b) y/x 1C_150 = (to be shown). a) approval b) stand-by power 7 1 fao q3 7 3-7 e), F, e / WEN DESIGN CZ -67V47 -ION 47-) 36(TOP OF ,STONE) = 213, <- ELEj/.4T/ON,5 DE5/4�N SIS BUILT INV P/PE O&T 0,F/1OUSE INV P/PE INTO T4NK i -- INV P/PE OUT OF T<1NK z 14, z 8 Z 3 /NV PIPE INTO D. BOX. 3, f �• INV PIPE OUT OF D. BOX z N 3 . 213.07 INV END OF P/PE GVZTE2 ELEV,4T/ON ` 00 zo�.oc) AVE2,4GE STONE DEPTH 47- P�eoaE ° o NOTE.- T4//6 101-4N /S NOT ,4 GV,J,P2,4NTY OF TlIE SYSTEM BUT ,4 !/E2/F/C,4T/ON Of T11E LOC4TION OF T,S/E E1/5TIN� ST,eUCTU2ES. .45 �U/LT SUB-SU�PFACE D/, 029 IN A / 0 R H /an/D0 �/ Fes) ///A . F02 -T"k v 7-- 5C4 L E 1 =40 D.4TE. C1/,e/ST/,4NSEN ENS/NE�,e//1/�, 114 KENOZ.4 .4 VE.",A� 4YE,PN/L L, Af4. i I' o J' n p p, 5LO)PE 2e:Qv1jAeEAWDvr 150 S = 30 DESIGN CI-EVQT/ON ,47- 3U r (TOP OF STONE) _ 213, S FLFV.4T/OW,5 DES/SIV .45 BUILT INS PTE oar oF,UousE /NV P/PE INTO T4NK 4 S j - -- INV P/PE OUT OF T<1NK 2 4. L 8 INV PIPE INTO D. BOX INV PIPE OUT OF D. BOX 2 3 . 2)3,C) 7 INV END OF PIPE 213.00 W,d TEZ EL EI/,4 T/O/V ,4 VEZ 46E 5 TONE DEPTH AT P.eoBE 110 NOTE.- 711/6 1OL.4N /S NOT ,4 14/,41P/2,41V7-Y OF TyIE SYSTEM BUT A kE2/F/C.4T/ON Of TXIE LOCATION OF TWE EY/57/NC STZIJCTUZES. ,45 46U/L F t /N i FOR K r3E 'A�E'- p r y 7'�, L, T SC,4L E I 4 Q D47'E-- JAti . i'A1e/ST/,4NSEN EN- 61M �,eINC, 1W. //4 KENOZ,4 AVE. Ay4Y67,C'll/L L, AIW. 6 1..._C:�i IA ' i -5, 7 3 -7 S, r, (/50) X = /50 5 = 30 DES/C,N EL EVd l -ION 47-.,30 (TOP /?F ,STONE) = 213 • S eL FV-4T/O1V,,5 DE51(!�N AS C3U/LT INV PIPE OUT OF /OUSE NOTE. Z X4.7 /NV P/PE INTO T4NK z 14 5 3 — INV P//9E OUT OF T -INK INV P/PE INTO D. BOX G s 3c, Z- 1311 Z INV P/PE OUT OF D. BOX 13 . r 213.07 /NV END OF PIPE 213-00 z z . 9-1 GVATE2 ELEV4TION zoa.00 Zos•oo ,4 466c STONE DEPT// QT P,eOBE 0 1 0 7-11/5 P1 -.4N /S NOT ,4 Gti,4,e2,4NTY OF T/IE SYSTEM 31-17 A !/E2/F/C,4T/ON OF T,yE LOCATION OF T11E Ey/STING 57-leUC7 'I2E5. 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