HomeMy WebLinkAboutCertificate of Compliance - 544 FOSTER STREET 7/12/2002 Town of North Andover F NORTH
O �,�eo y°•RO
Office of the Health Department
01
Community Development and Services Division it
27 Charles Street
North Andover, Massachusetts 01845 ASS"C"°5�
Sandra Starr Telephone(978)688-9540
Health Director Fax(978)688-9542
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
7/12/2002
This is to certify that the individual components Q,
entire (X) subsurface disposal system
constructed O, repaired (X), or upgraded()
by
Peter Breen
at
544 Foster Street
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5), North
Andover Board of Health septic system regulations, and the design plan approval #1147
dated August 1, 2001.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535
06/28/02 14:26 FAX 508 337 9440 BDO ENGINEERING 1QJ01
56'F 3 3?
671/0
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System constructed;
t�C7 reps;
by ��7� rrP 2-►-�/
located at ��`� yd�
was installed in confon=nce with the Noprth Andover Board of Health approved plan,
System 7&91allora ermit# , dated //�a/ �i ��Zgto yth an approved desig flow of per day_ 'The materials used were in' conformance with those
specified on the approved plan, the system was installed in accordance with the
provisions of 310 CMR 15.040, Title 5 and local regulations, and the final grading agree
substantially with the approved plan. All work is accurately represented on the.As-built
which bas been submitted to the Board of Healtb.
Y 2Y�o Z,
Bed inspection date: .Z
Engineer Represents 've
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Final inspection date: 06 7-S 2
Engineer Representative
Q�'�'�/' �rC-ems✓ D
Lie.# ate:
3nstriller: -_---
Desigu Engineer:
Date: 4 6 Z
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INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes NO Im
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches,sides of excavation are beneath B horizon "/✓
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3. Edge of excavation specified distance from foundation,etc.
Comments:
I
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B. Retaining Wall
1. Wall height and width as specified
2. Waterproofed
3. Wall minimum 10'to leaching facility
4. Wall meets specifications of plan
Comments:
C. Building Sewer
1. Pipe diameter minimum 4" °
2. Schedule 40 pipe
3. Watertight joints
4. Inlet to tank cemented
5. Slope minimum 0.01 or 1/8"per foot minimum
6. Pipe properly set on compact firm base
7. Pipe laid on continuous grade in straight line
8. Cleanouts precede all change in alignment and grade °
9. Manholes at any 90°change V
10. 10'minimum offset to water line "
Comments: A °w
D. Septic Tank
_.
1. Level
2. 1,500 gal minimum w "
3. Gas baffle present on outlet
4. Manhole to grade
5. Manholes over center and each tees
6. 3-20"manholes
7. Inlet tee minimum 12"under invert * '
8. Outlet tee minimum 14"under invert
9. Outlet line cemented
10. Air space 3"above tees
11. 2"-3"drop from inlet to outlet
12. Pipe set
13. Compact base with 6"of 3/4"crushed stone under tank
14. Tank is watertight
Comments:
l
j Yes NO
E. Pump Chamber
1. If separate from tank,compact base with 6"of/a"stone underneath -m
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2. Minimum 2"pipe to d-box if gravity system
3. 20"access manhole 1. '° " ""�� 4-1
4. Tank level ,('
5. Watertight
6. Tank size agrees with plan specification t.- °-
7. Manhole to graded M
8. Check valve and bleeder hole present '" a
9. Alarm in building on separate circuit "yt.
10. Alarm functions r"V
11. Manual operating switch roo
12. Pump delivers liquid to d-box
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Comments:
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F. Distribution Box
1. D-box level
2. Minimum 0.IT'(2")drop from inlet to outlet
3. Minimum 6"sump
4. Outlet pipes show equal distribution ..
5. Compact base with 6"of stone beneath box
6. Box is watertight
7. All lines cemented with hydraulic cement r
8. Schedule 40 pipe -
Comments:
G. Soil Absorption system
1. All stone double-washed-3/4"- 1 %Z"
-pea stone
Bucket test done?
2. Minimum 2"of pea stone above distribution lines
3. Minimum 6"stone beneath pipea .
4. Distribution lines capped or connected together f
5. Grading meets 3:1 slope
6. Minimum of 9"of fill graded over system
7. Toe of slope stops minimum 5' from edge of property; if not,then swale. _
Comments:
H. Leach Trenches
1. Minimum 2 trenches
2. Length of trenches agree with plan. (Max. length 100')
3. Width of trenches agree with plan-Minirnum 1maximum-4'.
4. Vent present if<50 feet or specified
5. Distance between trenches min' and maximum of 6'
6. Minimum distance between nches I O'
7. Pipe slope minimum POS or 6"per 100' '
8. Depth of trenches below outlet invert minimum of 6".
i
Yes NO
9. Pipes set on stable base.
Comments:
I
1. 1 each Maximum length of field 100'
2. Pipe slope minimum 0.005 or 6"per 100
3. Separation between pipe 6'maximum
4. Pipes connected at end '
5. Separation between adjacent fields 10' minimum
6. Pipes set on stable base
7. Maximum 4'separation from edge of field to first line '
8. Minimum two distribution lines
9. Maximum perc rate 20 mpi
Comments:
I Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall be, r+een 12"and 48 wide
4. Acce-WKanholes on each pit
5. P' es cemented with hydraulic cement °
Comm nts: . '
K. Final Grade
1. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9"soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
i
5. No areas over system that may pond
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Town of North Andover, Massachusetts Form No.3
NORTH BOARD OF HEALTH Jr,,
f' F
DISPOSAL WORKS CONSTRUCTION PERMIT
,SSACHUSES
Applicant /
NAME � ADDRESS TELEPHONE
Site Location -14
Permission is hereby granted to Construct ( ) or Repair ( an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No. -ZZ
CHAtKMAN, BOAR F EALTH
Fee Ao D.W.C. No. A�Zj