107 Septic Install Checklist 2014 Commonwealth of Massachusetts /Q7 G`jeS�/ j
City/Town of /6//
Septic System Installation Checklist
B. Application Checklist front.)
c) Distribution Box(310 CMR 15.232) App% N/A Problem
27%
All outlet pipes at same elevation Check by adding water E ❑
Number of outlets Pe Pell Number of laterals
Inlet tee min. 1'over outlet Visual and w/tape {7 ❑
D box set on level base Visual J ❑ ❑
try-
of D box 36'max depth Visual and wttape ❑ ❑
D box is water-tight Add water er---- ❑ ❑
D box has a minimum of 2'thick wall and " ❑ El 12'inside dimension ddd��� /
d) Pump Chamber(310 CMR 15.231) Approved N//A/ Problem
Tank is set level Visual and w/level ❑ ❑
Proper volume is provided Check plan and tank ❑ G/ ❑ ❑
Float elevations set per plan Measure w/tape ❑ ❑ ❑
Min.2'delivery line to D box Visual ❑ ❑ ❑
Number of pumps: ❑ ❑ p
Specified pump provided or designers ❑ ❑ ❑
approval for equal pump
Correct pump sequence ❑ ❑ ❑
❑ ❑ ❑
Covers set to grade
Electrical permit provided ❑ ❑ ❑
6'of stone beneath chamber Visual ❑ ❑ ❑
Chamber is water-tight Test ❑ ❑ ❑
Min. 9'cover provided Visual ❑ ❑ ❑
Correct loading provided per plan Visual on tank ❑ ❑ ❑
Notes:
Sepik System V sbM on Checklist 11-09.doc•d 6
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Neme•Pepe 3 of
Commonwealth of Massachusetts
City/Town of
Septic System Installation Checklist
B. Application Checklist(cont)
a) Leaching Facility(310 CMR 15.240) Approved NIA Problem
No frozen material used including back fill Visual V ❑ ❑
No clay, tailings or stones larger than 6 for ViV ❑ ❑
cover material
Soil at bottom/sides of excavation matches Ere ❑ 0
info on deep holes
All impervious layers removed Visual UK ❑ ❑
No remaining NB horizons Visual ��// C
Groundwater conditions match plan and Visual/check plan �r�j ❑ ❑
deep holes
Vented if under impervious cover per plan ry/ ❑ ❑
(15.241) '6'
Vent is protected from precipitation 132 ❑ ❑
and animal entry d
Cover of a minimum of 9•over leach area gi ❑ ❑
Pipe slope equal to 0.005 Check w/transit V ❑ ❑
Leach area per design(15241) ,.j.,,��// ❑ ❑
Excavation is level and at required depth Visual/check plan I� ❑ p
Removal of 5 ft material and replacement VisuaUdleck plan [�' ❑ ❑
(if in fill)
Bads fill material is acceptable Visual [F ❑ ❑
Final contours correct per plan Check with plan ❑ ❑
Surface/subsurface drainage away from ❑ ❑
teach area
Find grade and side slopes are stable ❑ ❑
Distribution lines are capped, vented, or ❑ ❑
connected together
Impermeable barrier(15.255(2)) ❑ ❑ , ❑
Retaining wall inspected by PE ❑ lfl// ❑
Retaining wall is water-proofed ❑ ❑ ❑
Retaining walUbarier is at cored ❑ ❑ ❑
dept /height
Septic System kaYbion Checklist 11-09.doc•date Form Name•Pepe♦of 6
Commonwealth of Massachusetts
City/Town of
Septic System Installation Checklist
B. Application Checklist(cont)
2. Construction Inspection
a) Building Sewer(310 CMR 15222)
All waste pipes tied into building sewer
Schedule 40 PVC 4'or cast iron
Minimum slope of 0.01-0.02
Pipe laid in continuous straight line
Pipe laid on compact,firm base
Cleanouts precede all changes in
alignment/grade
Cleanout provided every 100 ft.
Bartell material clean
b) Septic Tank(310 CMR 15.223)
Tank is set level with 6'stone under
(15228)
Tank is required siralloading per plan
Inlet and outlet we at proper location
(15.227)
Tank is water tight(15226)
Outlet tees extend r above flow line
Approved filter device placed at outlet
Gas baffle installed at outlet tee
Inlet and outlet tees on center Iine
Tank is baddibed with acceptable material
Notes:
Basement check
Verify by reading pipe
Visual
Visual
Visual
Verify by visual/tape
Verify by visual/tape
Visual
Check with level
Verify with plan
Verify with plan
Test
Verify by visuavtape
DEP list
Visual
Visual
Visual
Approved
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
Ayproveq, N/A Problem
({{/ ❑ ❑
• ❑ ❑
❑ ❑
TiVHs. ❑ ❑
❑ ❑
❑ ❑
❑ ❑ ❑
N/A Problem
Septic System IMtaMbon Checklist 11-09 doc•dote
Form Name•Pogo 2 of 6
Commonwealth of Massachusetts
City/Town of
Septic System Installation Checklist
B.Application Checklist(cont.)
f) Leaching trenches(310 CMR 15.251) / proved N/A Problem
Number of trenches: !f $7
Depth of trenches: / //�-- ❑ ❑
With of trenches: Ufa f/C/(J/ Y ❑ ❑
Trench sparing per plan y / ❑ ❑ ❑
Stone is double-washed[3/4'to 1W] (15.247) ❑ ❑ ❑
g) Leaching fields (310 CMR 15.242)
Length of field: /fl/ /dC5�1 A/ [��j..//� ❑ ❑
Width of field: rie' 4 _/ /2l IU' ❑ ❑
Min. of 2 distribution lines �/� /J />i`/V ❑ ❑
Separation distance conforms to plan ❑ ❑ ❑
Stone is double-washed[3/4'to 1W)(15 247) ❑ ❑ ❑
h) Loathing Pits(310 CMR 16253)
Number of pits: ❑ 7IY. ❑
Depth of pits: ❑ ❑ ❑
Stone is double-washed[3/4'to 1w](15.247) ❑ ❑ ❑
Each pit has min. 1 20'access cover ❑ ❑ ❑
Piping network and configuration of ❑ ❑ ❑
pft&Thnben per Wan
i) TigM Tank(310 CMR 15.260)
Tank is set level with 6'stone under Visual and with level ❑ gill ❑
Tank is proper size per Wan Visual with Wan ❑ ❑ ❑
• Pumping contract has been provided ❑ ❑ ❑
Covers to grade Visual ❑ ❑ ❑
AN alarm set at 3/5 tank capacity Check floats by raising ❑ ❑ ❑
AN Marro test on separate draft Set off alarm ❑ ❑ ❑
Sepik Swim InosM on Choke*11d0.doc•date
Form flame•Peee 5 of 6
Commonwealth of Massachusetts
Cfty/Town of
Septic System Installation Checklist
B.Application Checklist(cont)
j) Certificate of Compliance(310 CMR 15.021)
As Built Plan Submitted
Signed by Installer
Signed by Designer
Certificate of Compliance Issued
Notes:
Deb
Date
Deb
Date
Sep*System Mete Steen Cheadle I1-09 doe•date Fam Nom•Page 6 of e