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625 Septic System Checklist 2018 Commonwealth of Massachusetts ' 9/g W l City/Town of ft Septic System Installation Checklist YiB ii Application Checklist (cont) 2. Construction Inspection l� 0a5r° a) Building Sewer(310 CMR 15.222) Approved N/A Problem • All waste pipes tied into budding sewer Basement check El [ U • Schedule 40 PVG 4' or cast iron Verify by reading pipe ❑ ❑ U Minimum slope of 0.01-0.02 � '0 (Jd' ❑ ❑ Pipe laid in continuous straight line S_ ,{ - ❑ El Pipe laid on compact, firm base IB C ❑ Cleenouts precede alt changes in atignmentfgrade Verify by visual/tape 0 0 ❑ Cleanout provided every 100 ft Sri y vie f� ❑ X ElBackrtll material clean Visual FJ ❑ • ❑ ❑ b) Septic Tank(310 CMR 15.223) Approved N/A Problem Tank is set level with 6'stone under 7__ . ❑ . 0 (15.228) Check wish lave) L— / Tank is required size/loading per plan Verify wit plan {y ❑ ❑ • Inlet and outlet are at proper location „ / ❑ (15.227) Verify wi i pl.n [P-----s ❑ Tank is water tight(15.226) Test QK [11- 0 Outlet tees extend 6'above flow line Verify by isua/t ❑ 0 Approved filter device placed at outlet DEP list [i3 --. ❑ ❑ Gas baffle installed at outlet teedr ❑ ❑ Li Inlet and outlet tees on canter line Visual ii< ❑ ❑ Tank is backfilled with acceptable material Visual 0 C ❑ Notes /77171j eF Septic System Installation Cheoklist I t-09.doo•date CO � rr Form Nona•Pepe 2 06 Commonwealth of Massachusetts tCity/Town of • `.- ; ;" Septic System Installation Checklist B. plication Checklist (cont.) ___. c) Distribution Box(310 CMR 15232) Approved N/A Problem All outlet pipes at same elevation Check by adding water O3/�[g� ❑ Number of outlets 1r.� Z. _1. aye Number of laterals 3er Inlet tee min. 1"over outlet Visual and w/tape [�- 0 ❑ D box set on level base Visual Top of 0 box 36• max depth el"wRape ELI --.. 0 ❑ D box is water-tight Add water ❑ • D box has a minimum of 2"thick wall and 12•Inside dimension [) d) Pump Ch ber(310 CMR 15231) Approved N/A Problem Tank is set le I Visual and w/level ❑ X ❑ Proper volume is vided Check plan and tank ❑ 0 ❑ Float elevations set r plan Measure%v/tape ❑ 0 . Min. 2"delivery line to D ox Visual ❑ n ❑ Number of pumps: ❑ ❑ ❑ Specified pump provided or designers approval for equal pump ❑ 0 (- Correct pump sequence Covers set to grade ❑ ❑ ❑ Electrical permit provided 0 0 0 6"of stone beneath chamber Visual ❑ ❑ ❑ Chamber Is water-tight Test ❑ 0 Min. 9" cover provided Visual 0 0 ❑ Correct loading provided per plan Visual on tank ❑ ❑ 0 Notes: Septic System Inatatlatlon Cttckllet 11-08.doc•date Form Name•Page 3 era . \ ,/ Commonwealth of Massachusetts ` i 'iii. n City/Town of `r' ( ` Septic System Installation Checklist " B. Application Checklist(cont.) "'" a) Leaching Facility(310 CMR 15,240) Approved N/A Problem No frozen material used including back fill Visual [/ L _ No clay, tailings or stones larger than 6"for cover material (] Soil at bottom/sides of excavation matches info on deep holes ❑ 0 All impervious layers removed a Ezii ❑ ] ' No remaining A/B horizons Visual 1/ 0 0 Groundwater conditions match plan a e ,.,., deep holes Visual/check pl_ann Er 0Vented if under impervious cover per plan ] (15.241) Vent is protected from precipitation ¢/ and animal entry LI J ❑ (] Cover of a minimum of 9"over each area n-.----.° -. Q L • Pipe slope equal to 0.005 , pbeb.-. Check w/transit Lam" 0 C Leach area per design(15.241) toe, T � ('.A, 4j t1iJ' 0 ] Excavation is level and at requirdepth Visual/check n t12 ' ❑ 0 Removal of 5 ft material and replacement (if in fill) Visual/check plan IUB [l 0 Back fill material is acceptable G.Th- Q ] Final contours correct per plan Check with plan U - / El ❑ Surface/subsurface drainage away from area /p ch L5� 0lea Final grade end side slopes ars stable E E 0 Distribution tines are capped, vented, or connected together ] ] Impermeable barrier(15,255t2]) ❑ 0 0 Retaining wall inspeda by PE 0 D ❑ Retaining wall is water-proofs 0 ❑ E Retaining wall/barrier is at correct • depth/height G septic System Inetalation Ctnoktis(I1A9.doo$date Form Nome•Pane 4 of Z „ . ,, Commonwealth of Massachusetts •k' _ City/Town of N ' Septic System Installation Checklist B. Application Checklist (cont.) f) Leaching trenches(310 CMR 15.251) Approved N/A Problem Number of trenches: 0 ❑ Depth of tre chess ❑ ❑ • ❑ Width of tren es: __..-_--.__ __... 0 ❑ E Trench spacing er plan 0 0 0 Stone is double- ashed(3/4' to 1141(15.247) ❑ 0 ❑ g) Leaching fields (310 CMR 15.242) • Length of fold: ❑ ❑ ❑ Width of fi W. ❑ ❑ ❑ Min. of 2 di button lines 0 0 ❑ Separation dist ce conforms to plan ❑ n ❑ Stone is double-washed(3/4" to 16"] (15.247) 0 ❑ n h) Loathing Pita(310 CMR 15.253) Number of p• 5: ....__._. ...____..___. ❑ ❑ Depth of pts: ❑ ❑ ❑ Stone Is doubt shed[3/4' to 15c](15.247) ❑ ❑ C Each pit has min. 1 0"atheas cover 0 0 0 Piping network and ia configuration of ❑ pits/chambers ❑ ❑ i) Tight Tank(310 CMR 15.260) Tank is set le I with 6"stone under Visual and with level 0 ❑ 0 Tank is proper si per plan Visual with plan [] ❑ ❑ Pumping contract ha been provided ❑ 0 ❑ Covers to grade Visual ❑l 0 ❑ AN alarm set at 3/5 tank c achy Check floats by raising ❑ ❑ ❑ . AN slam,test on separate circuit Set off alarm ❑ 0 ❑ Septa System Installation Checklist 11-0S,doc•data Fern Name•Pogo 5 of 13 Commonwealth of Massachusetts City/Town of Septic System Installation Checklist _._ __ted 8. Application Checklist j) Certificate of Compliance(310 CMR 15.021) As Built Plan Submittetlbito. .. . Signed by Installer Gate Signed by Designer Date Certificate of Compliance Issued Data -....._ _. • Notes: = AL - • Septic System fn myedon Checklist 11-00,doc•dale Form Name•Pape 0 al #aD/41( /o LErnia PEAL ROE LOCATION, NUMBER TP-1TEST HOLE LOCATION. NUMBER ESTIMATED WATER UNE E— ELECTRIC MIRES PROPERTY LMES EXISTING CONTOUR -00- PROPOSED O 1T JR I .$ DATE BOX GRAVITY SLOPE SEPTIC SYSTEM OPERATION AND MAINTENANCE NOTES FOR HOMEOWNER. 13 HAVE TANK PUFFED EVERY P YEARS. 2.)MAINTAIN AREA OVER SEPTIC SYSTEM AS GRASSY OR SIMILAR GROUND COVER. 3.)DD NOT PLANT ANY TREES OR DEEP ROOTING SHRUBS WITHIN 10 FEET OF SYSTEM 4.)USE ONLY LIQUID DETERGENTS&LOW FLOW WASHERS. 5)CLEAN TANK OUTLET FILTER ANNUALLY OF EO1IPED) E)NO WATER SOFTENER OR BACKWASH PIPING ALLOWED. N. 7.)NO PERMANANT STRUCTURES TO BE PLACED ON THE SYSTEM OR RESERVE oi 1, S.)ALL SANITARY HOUSEHOLD PIPING MUST GO INTO SEWER PIPE IN BASEMENT . i AS BUILT 06.14.2018 MAP 42 LOT 48 SCALE: 11=30' .67 AC+1- NOTANACTUAL SURVEY!!! SCALE IN FEET LINES DRAWN FOR SEPTIC 0' 30' 60' 90' LOCATION PUROPSES ONLY' IM = 1111 N A NE X625 6 .: EXISTING 3 BR NEW 1500 GAL DWELLING SEPTIC TANK • a • -EMARKED WATER LINE(BY CITY) Ini 11 4 0 I 10'.FROM NEW SEPTIC q.� V ilir a.!I; __ ,. ; 141 r rad �. - NEW LEACH FIELD (^P1 14'X43' WESTHAMPTON ROAD \R ' L' /liNORTHAMPTON BOARD vPrILr1Llil �(,51J� 212 MAIN STREET �• $ F/af NORTHAMPTON, MA to Ha, 4?J i v PERO HOLE LOCATION. NIINBER TP-1 OLE LOCATOR. NUMBER P R ESIIMAIFD WATER UNE -E-ELECTRIC MIRES PROPERTY ONES -- EMISTNC CONTOUR -8O PROPOSED CONTOUR $GATE BOF GRAVITY SLOPE SEPTIC SYSTEM OPERATION ANO ' MAINTENANCE NOTES FOR HOMEOWNER. I I)HAVE TANK PUMPED EVERY 2 YEARS. 2.)MAINTAIN AREA OVERSEPPC SYSTEM ASG ASSY OR SIMILAR GROUND COVER 3.)00 NOT PLANT ANY TREES OR DEEP ROOTING SHRUBS WITHIN 10 FEET OF SYSTEM. 4.)USE ONLY LIQUID DETERGENTS 8 LOW FLOW WASHERS. 5.)CLEAN TANK OURET FILTER ANNUALLY OF[WIPED) 5.)NO WATER SOFTENER OR BACKWASH PIPING ALLOWED. m T)NO PERMAHANT STRUCTURES TO BE PLACED ON THE SYSTEM OR RESERVE m B.)ALL SANITARY HOUSEHOLD PIPING MUST GO INTO SEWER PIPE IN BASEMENT. ' i AS BUILT 06.14.2018 MAP 42 LOT 48 SCALE: 1"=30' .67 AC+1- I NOT AN ACTUAL SURVEY!! SCALE IN FEET LINES DRAWN FOR SEPTIC 0' 30' 60' 90' LOCATION PUROPSES ONLY' = NM MIINflilliNi ETEP x2 DO 0 O N625 O - EXISTING 3 BR NEW 1500 GAL. DWELLING SEPTIC TANK %��- --�� I .0 _ j • M EMARKED WATER LINE(BY CITY) q 0• I i0..FROM NEW SEPTIC iiim '�L �I [AVE.:: NEW LEACH FIELD 14X43' WESTHAMPTON ROAD F/ t r y