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231 Septic Checklists 2015 r- a3/ /vex, Commonwealth of Massachusetts City/Town of Septic System Installation Checklist /5p Li B. Application Checklist(cont.) 2. Construction Inspection a) Budding Sewer(310 CMR 15 222) All waste pipes bed into budding 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 Badkfill material dean b) Septic Tank(310 CMR 15 223) Tank is set level with 6•stone under (15228) Tank is required size/loading per plan Inlet and outlet are at proper location (15.227) Twt is water tight(15.226) Outlet tees extend 61 above flow ire Approved filter device placed at outlet Gas baffle installed at outlet tee Ines and outlet tees on ureter line Basement check Verify by reading Visual Visual Visual Verify by visualttape Verify by visuaUtape Visual Pe Check with level Verify wsh plan Verify with plan Test Verify by visual/tape DEP list Visual Visual Tank is barMNed with acceptable material Visual Notes: ✓ed Approved N/A Problem ❑ ❑ Lei ❑ ❑ ❑ ❑ 0 ❑ u ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Approved N/A Problem Cam/ CI . ❑ DV- ❑ ❑ C� ❑ ❑ 11(/ ❑ ❑ ❑ ❑ COY ❑ ❑ d� ❑ ❑ 1211 ❑ ❑ pee sywm IMrUbon Googol I1-09.roa•date Par ,Name•Peg 2 of 6 Commonwealth of Massachusetts City/Town of Septic System Installation Checklist 8.Application Checklist(cont) c) Distribution Box(310 CMR 15 232) Approved/ N/A Problem All outlet pipes at same elevation Check by adding water Number of outlets Poi Or Number of laterals Inlet tee min. 1'over outlet Visual and w/tape D box set on level base Visual Top of D box 36'max depth Visual and w/tape D box is water-tight Add water D box has a minimum of 2'thick wall end 12'inside dimension d) Pump Chamber(310 CMR 15.231) nncc Tw)k is set level Visual and w/level ❑ Proper volume is provided Check plan and tank ❑ ❑ ❑ Float elevations set per plan Measure se/tape ❑ ❑ ❑ Approved N/A / Problem Min.2'delivery line to D box Visual ❑ ❑ ❑ Number of pumps: —_- ❑ ❑ ❑ Specified pump provided or designers ❑ ❑ ❑ approval for egoral pump Correct pump sequence ❑ ❑ ❑ Covers set to grade ❑ ❑ ❑ Eladrical permit provided ❑ ❑ ❑ ti of stone beneath dater Visual ❑ ❑ ❑ Chamber is watsR4d Test ❑ ❑ ❑ Min. 9'cover provided Visual ❑ ❑ ❑ Correct loading provided per plan Visual on tank ❑ ❑ ❑ Notes: lopec system InmlYSon ChockNel 11-0a.doc•dote Form None•Page 3 of e Commonwealth of Massachusetts Citylfovm of Septic System Installation Checklist B.Application Checklist(cont) e) Leaching Facility(310 CMR 15.240) No frozen material used including back fill Visual No clay, tailings or stones larger than 6' for cover material Soil at bottom/sides of excavation matches info on deep holes All impervious layers removed Visual No remaining NB horizons Visual Groundwater conditions match plan and deep holes Vented if under impervious over per plan (15.241) Vent is protected from precipitation and animal entry Cover of a minimum of 9•over leach area Visual/check plan Pipe slope aqua ;• o.pp5 Check wltransit Leach area per design(15241) Excavation is level and at required depth Visual/check plan Removal of 5 ft rnatena and replacement utsuauc ecI plan (a in fill) Back fill material is acceptable Visual Final contours correct per plan gurfaarsubsurfacs drainage away from leech area Final grade and side slopes are stable Distribution lines are capped, vented,or connected together Impermeable barrier(15.255(2]) Retaining wall inspected by PE Retaining wall is water-proofed Retaining walvbanier is at correct deptIVhergtht yore ayaem vemeson Chook1 R 11-0a.doc•dM. Check with plan Approved, N/A Problem Fnm None•Pew 4 of grCommonwealth of Massachusetts City/Town of Septic System Installation Checklist B. Application Checklist(cont) p Certificate of Compliance(3•0 CMR 15.021) As Buin Plan Submitted Signed by Installer Signed by Designer Certtficate of Compliance Issued wry >'_"'. W rIta tern Dote was Strom mrsraen CMrbit 11-09.doe•doer Form Neme•Page a of 6 doi3 1y , / %47 Li to h Ilst for otic Svstem Plan Review ,� Application page attached to plan it PE or RS stamp,date, signature Vi/Variances to property line setback distances must have Surveyor stamp Legal boundaries noted Easements noted / pif Dwellings and buildings existing or proposed noted ,i3.-- Eocation of driveway or parking areas,other impervious areas efeKtocation and dimensions of reserve area(new construction only) XVICistem design calculations 7rbage grinder,yes or® nchmark not disturbed during construction within 75ft of facility North arrow Zeztontours rep hole location(s)and data hole location(s)and data vett ations mes of approving authority and soil evaluator Location of water supplies, public and private o Within 400ft of system in case of surface water and gravel-packed public water supply o Within 250ft of system in case of tubular public water supply Within 100ft of system in case of private wells(50ft from tank) Well statement, if applicable _ation of any surface waters, rivers,vegetated wetlands cation of water lines and other subsurface utilities /23bserrved and adjusted groundwater elevations in vicinity of system .d raffle of system Locus plan to show location of facility, including nearest street bly Materials of construction and specs for system gas baffle /❑/-pipe in center line of tank '6 Double-washed stone ,--Schedule 40 PVC for trafficked areas,house to tank Distances noted from house to tank, etc. N dosing Is proposed, design and specs of dosing system Wh alternative technology is required,complete plan and specs including hydraulic profile tenches preferred over beds ♦♦�� A Buoyancy calculations for tanks 6 ' 4ponents partly below groundwater level o 3:1 slope outside of mound,toe ending 5ft from prope y line n grade requests on the plan, all variances N o ocal upgrade forms attached to the application ;A( r L r. J Yt�Ii ) � T �•/ ,/ 1 Markers,Length=0 feet -Syslester Road- tar 19'09.0"N, 07 <Default>-1 Markers,Length=0 feet Marker 2- 04r 21'29.2"N, 07r 41'46.0"W Copyright(C)1996.Eartvisions,Inc.