1089 Plan Review 2017 t
PLAN REVIEW - SYSTEM COMPONENTS y
City/Town ' IA_/ 11- /� LAC
No. D/7 5
Lot Number Address /(/Q / �� d'...) /le .
OWNER g arts / //k X Z S
NAME Ad/Li/ P C 5 G o aY G ��
OWNER —f aADDRESS / 7Od iAl $4 - 4/ /P
TELEPHONE # ( ///3 ) 53 r1- 732/
DESIGN /`
ENGINEER\SANITARIAN ri - (s'Gct_c c
FACILITY DESIGNED FOR
A. Single or Multifamily dwelling TP •
kore: JS7 N a/24Gi /S
#Bedrooms Air Garbage Disposal yesXy 5-'4) j�tGri.j� ��� ��
n
Total Design Flow 66C) gallons perrie
oH day Pel V r et'
15( 4/Q/
B. Other(describe) I/ /,/ a /
Design Basis a 13 �p"%�/ f/t /tieAfete)
Total Design Flow 6(;)g- gpd
COMMENTS or PROBLEMS: 4/4/0/ p(L,9US/1
/1) ' /
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L-:--_‘i6(74/4v5/1/
BUILDING SEWER
ITEMS TO NOTE:
Vit!Pipe diameter
Schedule of pipe
Watertight joints
Slope (min for 4" pipe is 0.01 or 1/8"per foot; desired slo e is 0.02)
or '''A" per foot)
Invert elevation at building
n' S= o?.
Length
dD
Alignment and grade
(manholes required at changes in both alignment and grade.)
Manhole (Must have metal frame and cover at grade)
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SEPTIC TANK
'/
Tank size at least 200 % of design flow
(minimum tank size is 1,500 gal)
2"-3"drop from inlet to outlet mwC.--/ = 7c, /c5
/ Minimum 4' liquid depth /N
,✓ Tees extend 6" above flow line • fiNV� rf
�O . o
V Inlet tee 10"below flow line (minimum) OU
Vei Air space(3"above tees, 9" above flow line)
Depth of outlet tee(minimum 14")
1,7 Access manhole over center of tank and each tee
Number of compartments= a
Gas baffle on new construction
I/ Septic tank detail provided
Buoyancy calculation (if necessary)
V On 6"crushed stone
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DISTRIBUTION BOX
ITEMS TO NOTE: OO [/�
pOai
L/ Inlet elevations g7)
1 Outlet elevations p p i 2ti
1/7 Drop (inlet- outlet) ' ;0
Sump(6"minimum) Baffle or inlet tee
All outlets at same elevation ventilation
Manhole cover to grade # of outlets
size of outlets (diameter)
Distribution laterals: y Size 5-Lief
14
kr. Detail Provided "FeAld
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LEACH FIELD
Items to note:
Dimension of field(s): Length Width
Number of fields Field separation_(10 ft. min)
Total area provided for disposal (sq. ft.)
(1 x w x no. of fields)
Gallons of treatment provided:
Bottom area x loading factor(from 15.242) = gal.
(must be equal or greater than design flow)
Note: Leaching area must be increased if garbage grinder is use
"-Elevation of bottom of the field (/7 \.' r/ "7---`p
e-e't`'ev•e/
(must be 4 ft/or 5 ft above max. high groundwater depending on perc rate.)
‘Number of distribution pipes
a�Type
Length (100'max.)
£Slope (min. 0.005)
ung(6' max.)
Depth of stone beneath pipe
(min 6")
n states stone is double washed
cover of 1/8" to %" stone over pipe crown
ed
AAggregate d
ggregate depth 6" minimum and 12" maximum
' D/ epth of cover material above stone (min.9")
Construction of leaching facility in fill? Yes No
`nth is specified as TitleV on plan
Certification on fill submitted y� 'L�
Fill��is specified for 5' around entire syste /teo /--�//2-0////22,������5
(Separation between lines (6 ft maximum �f?S 6� �s
Separation between lines and edge o •ed - four feet maximum.
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LEACHING TRENCHES
Ve'Number of trenches '/ /
r 7 /
J ,1,gth 2(0 (max.100')width v (min.24)
Depth of stone beneath pipe (6" min ) ( IIM /y/ii , ✓
(Leaching area available if MAY 7 AM
bottom=length x width x no. trenches= �7 (ci/es= length x depth (2'max)x w x#of trenches��6t/ sq ft. C ci/€Stga 71a.0
TOTAL = (oa$ sq ft. V /
/a60 5.- x 0,53 cpcIA-F- /� w o�SJ
note: the effective depth shall be equal to the depth of the trenches below
the invert of the distribution pipe up to maximum of 2 ft.
Leaching are requirements:
Total leaching area (bottom plus sides)x loading factor= gallons treated
Loading factor is based on pert rate(see 15.242)
Total gallons treated by system design must be> design flow for system
LEACHING AREA REQUIREMENTS SATISFIED? Yes No
(note: leaching area must be increased if garbage grinder is used)
/'Ground water elevation:�4�f t or 5 feet separation
✓,between trench bottom and nisi.high groundwater.
Trench spacing 3 x effective wf'slth o depth whichever is greater Si i /c Q
(..7"Trench widt m�mum/31� ss
✓Pipe slope ( 0.005 e, r 6" er 100 feet) _ 0 50 S/ e ,,-/et,
v Backfill depth (mm. a psiN , 9 " /� 1"
Ends capped 1' �y�rch
,/ Distribution lines exceeding 50 ft are vented.
Diameter of distribution pipe i"l (min.3")
Distribution line orifice(min. 3/8, max ''/.")
_ The area between trenches shall be designated as reserve area only where
u.V the separation distance between the excavation sidewalls is at least six feet.
_ Fill is specified as Title V on plan
ertification on Fill submitted
FW is specified for 5"around entire system
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PLAN REVIEW CHECKLIST
GENERAL INFORMATION
CHECK TO VERIFY THAT THE PLAN INCLUDES THE FOLLOWING REQUIRED
INFORMATION:
/v/wc (3iti.N C & 156—
MASS. REG. SANITARIAN, or MASS. P.E. stamp and signature
V Scale of 1"=40' for plot plan
_Scale of 1"=20' for system component details
1 Legal boundaries of the facility being served including easements
which could affect the impact the system installation/performance.
V All dwellings, buildings existing and proposed impervious areas
ry
. /Location of all existing and proposed impervious areas
VLoc and dimensions of the system including reserve area
Design calculations: Sewage flow gpd
Septic tank size required gpd
/North
" " provided gpd
V North arrow, existing and proposed contours
l'"---Location and log of deep hole obse ation test /n� J/_ �J� /�/� 1
205 date of test (L ON /C (� WA/ d 44-c 1)
existing grade elevations for each test
Pager 7 of 16
PLAN REVIEW CHECKLIST(cont.)
__Name of approving authority representative
Name & approval no.of soil evaluator
Location and results of perc test
Z.„..4;te of perc test
'/Location of water lines and other subsurface utilities on facility
Pr Observed groundwater elevation in vicinity of the system
cgmplete profile of the system
XI,� A note on the plan listing all variances to the provisions of
310 CMR 15.00 and local requirements sought in conjunction with the plan
Local n and elevation of benchmark within 50 to 75 feet of the facility
w is not subject to dislocation or loss during conjunction of the facility
If dosing system is proposed:
complete design and specifications of the system
dosing chamber capacity; required .provided
number of dosing cycles,
_ depth of cycles
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PLAN REVIEW CHECKLIST (CON'T)
Recirculating Sand Iters
Complete plans 4 d specifications
hydraulic profile
_ location of the treatmen works and nearest existing street
___ street and lot number
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DOSING TANK C nU/+'P Chnn Gee
_Dimensions L x W x D = Vol. /CCC In//eel)
!% Number/size of siphons
Nuber and size of pumps (No. Capacity gpm
v
Discharge size //� Per—gree /vtq, ,
Manholes to grade • /3 5 /A 4 s'6Ix
V Groundwater elevation (min. 1 ft below inlet)
17 'mp controls
_!//P�aAlarm(on separate power circuit)
Buoyancy calculations(if needed)
A ----Pump system calculations
Pager 10 of 16
LEACHING CHAMBERS/PITS
ITEMS TO NOTE
Manufacturer
Installation
Bed Formation
Number of beds o trenches Length
Width
Depth
Leaching area available:
bottom: (length x width x no. of pi =
sides: (2 x (length x depth (2'max.)+ x (width x depth (2'max)x# of pits.
Total leaching area available= sq. ft._
LEACHING AREA REQUIREMENTS:
Total leaching area(bottom +sides) x loading ctor from 15.242
= gals. This must be greater •an or equal to the design
flow for the system. Increase leaching area if garbs:e grinder is used.
Distribution Trenches: every 20 feet
Beds: area for pipe not to exceed
60 x 60 feet
Spacing Trenches: 2 x effective depth •r width
Beds: 4 feet between excava• • • sidewalk.
Manholes (min -one 20"access per unit; a 24"diam for>2,000 gal units)
Stone around chamber('I2"to 48"of Y "to 1 '/,"stone)
2"cover of 1/8" to Y:"stone
4' separation between max. high GW and trench bottom? Yes No
Pager 11 of 16
PLAN REVIEW-SYSTEM SITING
Performed By. Approval #
Witnessed By. Date
Location Address or Owner's Name,
Lot Number: Address and
Telephone No.
Office Review /
Published Soil Survey: O YES_
Year Published Publication Scale Soil Map Unit
Drainage Class Soil Limitations
Surficial Geologic Report Available: No Yes
Year Published Publication Scale
Geologic Material (Map Unit) ("4
Landform7.Flood Insurance Rate Map:
Above 500 year flood boundary No Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No Yes
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Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range: Above Normal_ Normal__ Below Normal_
Other References Reviewed:
Minimum setback distances (where applicable)shall be shown on the plan for the proposed
disposal facility (septic tank and soil absorption system.)
Soil Absorption
Septic Tank System (SAS)
Property line 10 10
t Cellar waU/inground
swimming pool 10
20
!/ Slab Foundation 10 25
(Water supply
pressure tine 10 10
(//Surface waters
(except wetlands) 25 50
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Septic Tank SAS
Bordering vegetated
wetlands, salt marshes,
inland and coastal banks 25 50
SURFACE WATER SUPPLY
Reservoirs and impoundments 400 400
Tributaries to SWS 200 200
Wetlands bordering SWS or
tributaries thereto 100 100
Certified Vernal Pools 100 100
Private water supply well
or suction line 50 100
PUBLIC WATER SUPPLY WELL
Gravel packed 400 400
Tubular 250 250
Irrigation well 10 25
Open,subsurface, or
surface drains which
discharge to SWS or
tributaries thereto 50 100
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Soil Absorption
Septic Tank System
_Other open, surface or
subsurface drains(ex-
cluding foundation drains)
which intercept seasonal high
7groundwater 25 50
_Other open, surface of
subsurface drains (ex-
cluding foundation drains 5 10
Leaching and catch
basins & drywells 10 25
!!//
nhill slope N/A 15' (min) to
top of
3:1 slope
Inspection Port(s)
1 Magnetic Tape
_Correct#of deep hole per code revisio�[
Note: slope stabilization shall be provided (including
retaining walls)when an adjacent downhill slope
to a disposal facility is greater than 3:1.
Pager 15 of 16
EFFLUENT LOADING RATES
(gpd/sq. ft./day)
PERC.RATE SOIL CLASS
(min.in.) CLASS I CLASS lI CLASS III CLASS IV
<5 0.74 0.60 - -
6 0.70 .0.60 - -
7 0.68 0.60 - -
8 0.66 0.60 _ -
10 - 0.60 - -
15 0.56 0.37 - -
20 0.53 0.34 - -
25 - 0.40 0.33 -
30 - 0.33 0.29 -
Loading criteria listed below apply only to the upgrade of existing systems pursuant
to 310 CMR 15.405(1) (c) or systems constructed pursuant to 310 CMR 15.417
40 -
-
60 -
0.25
0.15
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