52 Septic System Installation Checklist 11/27/13 Sov€r.9N 1»1(t of q )
Commonwealth of Massachusetts
CitytTown of
Septic System Installation Checklist
B. Application Checklist (cont)
c) Distribution Box(310 CMR 16232) Approved N/A Problem
All outlet pipes at same e =vation Check by ing water
❑ ❑
sue%
Number of outlets
Inlet tee min. 1"over outlet V -
D box set on level base
Top of D box 36"max depth
D box is water-tight
D box has a minimum of 7 thick wall and
12'inside dimension
d) Pump Chamber(310 CMR 15.231)
Visual and wttape
Visual
Visual and w/tape
Add water
ve va ❑ ❑
QV ❑ ❑
t6JZ ❑ ❑
�LJ/ , ❑ ❑
C4/ ❑ ❑
Approve yh N/A Problem
Tank is set level Visual and w/level LU ❑ ❑
Proper volume is provided Check plan and tank ❑ ❑ ❑
Float elevations set per plan Measure w/tape ❑ ❑ ❑
Min. 7 delivery line to D box Visual ❑ ❑ ❑
Number of pumps: .. ❑ ❑ ❑
Specified pump provided or designers ❑ ❑ ❑
approval for equal pump
Correct pump sequence ❑ ❑ ❑
Covers set to grade
Electrical permit provided
6'of stone beneath chamber
Chamber is water tight
Min. 9' cover provided
Correct loading provided per plan
Notes:
Visual
Test
Visual
Visual on tank
Sepik System IrstWtlon CMcW 11-84x•Sete
Form Name•Page 3 of a
Commonwealth of Massachusetts
City/Town of
Septic System Installation Checklist
B. Application Checklist(cont)
a) Leaching Facility (310 CMR 15.240) Approv N/A Problem
No frozen material used including back fill Visual / ❑ ❑
No clay, tailings or stones larger than 6•for t1< ,. ❑ ❑
cover material
Soil at bottom/sides of excavation matches (�J / ❑ ❑
info on deep holes
All impervious layers removed Visual ❑ ❑
No remaining NB horizons Visual 0 ❑
Groundwater conditions match plan and Visual/check plan ❑ ❑ ❑
deep holes
Vented if under impervious cover per plan ❑ ❑ ❑
(15.241)
Vent is protected from precipitation ❑ ❑ ❑
and animal entry
Cover of a minimum of Y over leach area ,rY�7VV:z ❑ ❑
Pipe slope equal to 0.005 Check wftransit tr/fdy/ ❑ ❑
Leach area per design(15241) '4" ❑ ❑
Excavation is level and at required depth Visual/check plan ❑ ❑
Removal of 5 ft material and replacement Visual/check den ❑ ❑
(N in fill)
Back fill material is acceptable Visual ❑ ❑
Final contours correct per Wan Cl u any �❑ ❑ ❑
Vi, j
Surface/subsurface drainage away from m ❑ ❑
leach area
Find grade and side slopes we stable EV ❑ ❑
Distribution lines are capped, vented, or V.V ❑ ❑
connected together
Inpenneable barrier(15.255[2]) ❑ ❑
wall Inspect ed by ❑ ❑
Retaining wall is water-proofed ❑ ❑ ❑
Retaining wall/barrier is at correct ❑ ❑ ❑
depthmeight
Sepia System Indianian Ctecklst 11-09Aoc•date
Farm Name•Page 4 of e
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 bed 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
material dean
b) Septic Tank(310 CMR 15.223)
Tank is set level with 6'stone under
(15.228)
Tat is required size/loading per plan
Inlet and outlet are at proper location
(15.227)
Tank is water tight(15.226)
Outlet tees extend 6 above flow kne
Basement check
Verify by reading pipe
Visual
Visual
Visual
Verify by visual/tape
Verify by visuautaPe
Visual
Check with level
Verify with plan
Verify with plan
Test
Verify by visual/tape
Approved filter device placed at outlet DEP list
Gas bre installed at outlet tee Visual
Inlet and outlet tees on center IS Visual
Tank is baddlled with acceptable material Visual
Notes:
Sepik Sateen Ineueeeon Chedaet 11-09.doC•dste
Approved N/A Problem
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AoVed N/A Problem
0
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0
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0
Form Warne•Nye 2 orb
Commomveatth of Massachusetts
City/Town of
Septic System Installation Checklist
B.Application Checklist(colt)
f) Leaching trenches(310 CMR 15251) Approved N/A Problem
Number of trenches: -- ❑ ❑
Depth of trenches: ❑ ❑
Wdth of trenches: ❑ ❑
Trench spacing per plan ❑ ❑
Stone is double-washed[3/4'to 1W] (15247) ❑ ❑
g) Leaching fields (310 CMR 15242)
Length of field: ❑ ❑ ❑
Width of Geld: ❑ ❑ ❑
Min. of 2 distribution lines ❑ ❑ ❑
Separation distance conforms to plan ❑ ❑ ❑
Stone is double-washed(314•to 1X'](15247) ❑ ❑ ❑
h) Leaching Pits(310 CMR 15.253)
Number of pits: ❑ ❑ ❑
Depth of pits. ❑ ❑ ❑
Stone is double-washed[314'to IV](15.247) ❑ ❑ ❑
Each pit has min. 1 20'access cover ❑ ❑ ❑
Piping network and configuration of ❑ ❑ ❑
pits/chambers per plan
i) TigM Tank(310 CMR 15.260)
Tank is set level with 6'stone under Visual and with level ❑ ❑ ❑
Tank is proper size per plan Visual with plan ❑ ❑ ❑
Pumping contract has been provided ❑ ❑ ❑
Covers to grade Visual ❑ ❑ ❑
NV alarm set at 3/5 tank capacity Check floats by raising ❑ ❑ ❑
AN alarm test on separate circuit Set off alarm ❑ ❑ ❑
Septa System Ingall tlon CtecWet 11-00.4cc•date Fkem Name•Page 5 of 6
Commonwealth of Massachusetts
City/Town of
Septic System Installation Checklist
B. Application Checklist(cons)
j) Certificate of Compliance(310 CMR 15.021)
As Buitt Plan Submitted
Signed by Installer
Signed by Designer
Certificate of Compliance Issued
Notes:
on
Date
Date
Date
Septic System naM on Chedfet 11-094oc•dab
Fomt Name•Papa B el 6