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21 Septic Install checklist 2017 • ,/ Commonwealth of Massachusetts J V City Town of ////7 Septic System Installation Checklist p 4j,.. A 8. Application Checklist (cont) 2 Construction Inspection a) Building Sewer(310 CMR 15.222) Approved N/A Problem • All waste pipes tied into building sewer Basement check _ ❑ Schedule 40 PVC 4'or cast iron Verify by reading pipe ❑ 0 ❑ Minimum slope of 0.01-0.02 Visual L21.-. ❑ 9 Pipe laid in continuous straight line IL 0 0 Pipe laid on compact, firm base 0 ❑ 0 Cleanouts precede all changes in alignment/gradeVerify by viqvgpepe 12r ❑ ❑ Cleanout provided every 100 ft. Verify by vi tape L ❑ ❑ Backfill material clean ep o-_ _ 0 ❑ b) Septic Tank(3l0 CMR 15.223) Approved N/A Problem Tank is set level with 61 stone under E� ❑ (15.226) Check with level El Tank is required size/loading per plan a plan ❑ 0 0 • Inlet and outlet are at proper location (15.227) 0 plan al----0 ❑ Tank is water tight(15.226) Test — 4-vitt) ❑f" ❑ ❑ Outlet tees extend 6'above flow line Verify by visuaVtape Q'..--' ❑ 0 Approved triter device placed at outlet DEP.et; ❑ 0 Gas baffle installed at outlet tee 0-cu Ee 9 0 inlet and outlet tees on center line 0r / E1` ..- ©,,// ❑ 1:1Tank is backfilled with acceptable material Visual / LY ❑ ❑ Notes: ///JJJ ,, / Septic System Inablletlon Checklist 11{p_doc.date Form Name•Pape 2 el6 Commonwealth of Massachusetts CityfTown of 1 Septic System Installation Checklist If B. Application Checklist (cont.) c) Distribution Box(310 CMR 15.232) Approved N/A Problem ' All outlet pipes at same elevation Check by adding water 0— ❑ ❑ Number of outlets Pec POP lti./ Number of laterals � _'�"�_.. . O Ki Pmpee- ✓n '- Inlet tee min. 1"over outlet Visual and w/tape 0 0 ❑ D box set on level base Visual (Jk ❑ Top of D box 36' max depth Visual and wltape L� ❑ 0 box is water-tight Add water ❑ ❑ • D box has a minimum of 2" thick wall and _. / 12'inside dimension � S 0 d) Pump Chamber(310 CMR 15.231) Approved� N/A Problem J Tank is set level a., w/level L7 0 0 Proper volume is provided -and tank ❑ ❑ Float elevations set per plan . Measure w/tape C 0 S . Min.2'delivery line to D box Visual / ❑ Number of pumps: _.jze.✓_Q ltd^/ .-✓ ❑ ❑ Specified pump provided or designers / / L, approval for equal pump / Li ❑ / Correct pump sequence c h e c.leek/ /2 /mp5 / Covers set to grade G p e t f-,o"�'/ / [�'. . ❑ ❑ 1 LW ❑ ❑ Electrical permit provided • 6'of stone beneath chamber Visual • Chamber is watertight 4011P nI ❑ ❑ Min. 9' cover provided Visual Lo--- ❑ �/ ❑ U Correct loading provided per plan Visual on tank - ❑ ❑ Notes: sepkc System insteltktion Checklist l l-LS.aoo•dale Form Name•Pape 3 08 -t. ,/ Commonwealth of Massachusetts City/Town of ti ' Septic System Installation Checklist k 0a B. Application Checklist(cont) --- • e) Leaching Facility(310 CMR 15,240) Approved N/A Problem No frozen material used including back fill Visual Q-----. 0 0 No clay, tailings or stones larger than 6•for Cover material L Q Soil at bottonVsides of excavation matches info on deep holes ..1--- 0 Q All impervious layers removed sue a.--, 0 ' No remaining A/B horizons V� 0l0 ❑ Groundwater conditions match plan and deep holes Visual/check plan vented if under impervious cover per plan P/zi^./ (15241) 63)1(' 0c----- ❑ 0 • Vent is protected from precipitation and animal entry / 0Cover of a minimum of 9'over leash area 7/✓ 4eZ-------- 0 0 Com/2(S . Pipe slope equal to 0205 Check w/Vansil O E Leach area per design(15241) to t e ,eJoS 0------ D O Excavation is level and at required depth Visual/check plan [I}---- 0 C Removal of 5 ft material and replacementnk (d in fill) Visual/check plan [&---90 0 Back fill material is acceptable Visul� [a_r 0 0 Final contours correct per plan Check with plan El 0 Surface/subsurface drainage away from • eaarea [yam' 0 Li Final grade and side stapes are stable EK 0 0 Distribution lines are capped, vented, or connected together E--- D 0 Impermeable barrier(15.255[2]) 0-------0 ❑• Retaining wall inspected by PE C C Retaining wall is water-proofed iii---- C O Retaining wait/barrier is at correct • depth/height (� ` (� 0 le``eL', "j Io..,t , lef - o Vr-- c o,,,e red rV. Y a.C.CL Sepik System Installation Cheopist 11-09,doc.ate 1- If i. I pQorm Name•Page 4 of8 GJ vL10 E(eAll , 4 kOo Commonwealth of Massachusetts r . City/Town of • r :-' Septic System Installation Checklist B. Application Checklist (cont.) D Certificate of Compliance(310 CMR 15.021) As Built Plan Submitted ...- _ ._. Dale ._______._.___.__________ Signed by Installer Date ------- Signed by Designer Date Certificate of Compliance Issued - - Date Notes: -1�, l7 -I,±_ ge�_ _ 4y ,, -Dr, C nd. Septic System Inetets6 n Checklist 1 I-M eloc•date Form Name•Pepe 6 OS • Commonwealth of Massachusetts t :/ City/Town of 1 Septic System Installation Checklist B. Application Checklist (cont) f) Leaching trenches(310 CMR 15251) Approved NIA Problem Number of trenches: . ___..___.._____. ❑ ❑ ❑ Depth of trenches it _.__..__._.-- _ ___ U ❑ • ❑ Width of trenches: t __..______..___._. 0 0 0 r • Trench spadng per plan\ 0 0 0 Stone is double-washed( ``4"to 1 W](15.247) [ 0 0 9) Leaching fields(310 CMR T\5.242) Length of field ____ -.___.__—_ ❑ ❑ ❑ Width of field: ❑ 0 Min. of 2 distribution lines 0 0 0 Separation distance conforms to plan ❑ ❑ ❑ Stone is double-washed(914" to 1W] (15.247) ❑ ❑ ❑ h) Leaching Pits(310 CMR 15.253) Number of pits: ❑ 0 0 Depth of pits: .__..___—._.__ ❑ ❑ 0 Stone is double-washed[3/4'to 1W)(15.247) ❑ 0 0 Each pit has min. 1 20'access cover ❑ ❑ ❑ Piping network and configuration of ❑ 0 0 pits/chambers plan i) Tight Tank(310 R 15.260) Tank is set level w5. r stone under Visual and with level ❑ ❑ ❑ Tank is proper size plan Visual with plan ❑ ❑ ❑ • Pumping contract ha been provided ❑ ❑ ❑ Covers to grade Visual El 0 0 AN alarm set at 3/5 tank capacity Check floats by raising ❑ 0 ❑ . AN alarm test on separate circuit Set off alarm ❑ ❑ ❑ Septic System Installation CMrr4et I t-09.doc•date Form Mame Pepe 5of5