HomeMy WebLinkAboutInstallation Report - 1353 SALEM STREET 4/28/2015 a
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'I'CyWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYS'T'EM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired;
By: 0 1
(Print Name)
Located at: I
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
and last revised on - I•" with a design flow of
gallons 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 15.000,Title 5 and local
regulations,and the final grading agrees substantially with the approved plan.All work is accurately represented on
the As-built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date:
Engineer Representative(Signature)
And—Print Name
Final Construction Inspection Dater VJ
Engineer Representative(Signature)
And—Print Name
Installers �° (Signature) Date: (11)
q�; And—Print Name
Engineer: °�� � °a ��� ✓ s �d��.(Signature) Date:
lo'! 1 Ian( °,
And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978,,688.9540 Fao 978.688,,8476 el: http:J/www.towno ttortltandovor.com
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Town of North Andover — Se °c S Ie - S ITT CHECKLIST
1) __I/All changes to the design plan have been reflected and noted on the as-built plan
2) As-built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans)
3) w Street Address,Assessor's Map and Lot Number
4) Lot Lines and Location of Dwellings served by the system
5) ✓ Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable)
6) `LTies to all tank openings,d-box,and leach area from dwelling or Permanent Structure
7) Setback distances are shown on the as-built plan from system components to:
Subsurface,interceptor&foundation drains
Catch basins
Property lines
Dwellings or other structures
Private water supply or irrigation wells
Watercourses or wetlands
¢ �GU
B) I Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system �`�' �`°��`�` j j/,
9) Vl/ Location of water,gas,electric lines,caale,control panel,Of applicable)
10) I Location of Structures within 6 Inches of Finished Grade
11) Original Stamp&Signature
12) ^✓ Location and holder of any easements which could impact the system
13) Impervious Areas;Driveways,etc
14) J North Arrow
15) Location&Elevation of Benchmark used
16) —Z—STATEMENT ON PLAN (NA 5.3)
a. "I certify the locations,elevations, ties,cover material;exposed component covets etc.,
shown on tlris as-built stibstatztiallyagtec with the approved plan andhave determined that the
break out elevations,if applicable,have been met."
Signature of Designer Date
b. "Ifa STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating
the wall was or was not,constructed in accot Glance with the intended design and an v
mamrfacturer's specifications."
Signature of Designer Date
As of:Tuesday,March 17,2015
•
North Andover Health Departnient
Community and Economic Development Division
QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 1353 Salem St. MAP: 106.A LOT: 0138
INSTALLER: John Butt
DESIGNER: Merrimack Engineering
PLAN DATE: 4/28/15 revised 5/21/15
BOH APPROVAL DATE ON PLAN: 06/15/15
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION: 7/23/15
DATE OF FINAL CONSTRUCTION INSPECTION: 7/29/15
DATE OF FINAL GRADE INSPECTION: P �
SITE CONDITIONS
❑ Contractor reports any changes to design plan
Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments: 7/29 — existing septic tank not yet abandoned, will do so upon
completion of backfilling
SEPTIC TANK
® Building sewer in continuous grade, on
compacted firm base
® Cleanouts per plan
Bottom of tank hole has 6" stone base
f Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
® Water tightness of tank has been achieved by
visual testing
® Inlet tee installed, centered under access port
® Outlet tee installed, centered under access port
(gas baffle/effluent filter)
® 24" inch cover to within 6" of finish grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments: Boots on tank penetrations
PUMP CHAMBER
Bottom of tank hole has 6" stone base
Weep hole plugged
® 1000 gallon Pump Chamber installed
® H-10 loading
® Monolithic tank construction
® Inlet tee installed, centered under access port
® Pump(s) installed on stable base
® Alarm float working
® Pump On/Off floats working
® Separate on/off floats
® Drain hole in pressure line
® 24" cover at final grade installed over pump
access port
® Water tightness of tank has been achieved by
visual testing
❑ Hydraulic cement around inlet & outlet
Comments: Boots on tank penetrations
CONTROLPANEL
❑ Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel: basement
® Alarm signal located inside: basement
Comments: Could not physically access basement but heard alarm from outside
DISTRIBUTION-BOX
® Installed on stable stone base
® H-20 D-Box
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
® Observed even distribution
❑ Speed levelers provided (not required)
® Schedule 40 PVC Pipe
Comments: 7/29 — contractor to place hydraulic cement around pipe
penetrations, engineer contacted regarding inlet elbow inhibiting drainback
SOIL ABSORPTION SYSTEM (General)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
X Title 5 sand installed, if specified on plan
® 40 Mil HDPE barrier installed
® Laterals installed and ends connected to
header (and vented if impervious material
above)
® Elevations of laterals and chambers installed as on
approved plan
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments: 28Lx17W, 37Lx27W overdig
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers
❑ Number of chambers per row: 7
❑ Number of rows (trenches): 6
Comments: Total Chambers = 42
FINAL GRADE
Loamed
Seeded �`-
Cover per plan
Comments:
DOCUMENTS NEEDED
jU Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
As-Built Plan
BM =
HR =
HI =
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 94,32 94.65
Septic Tank IN 93.71 94.25
Septic Tank OUT 93.41 94.00
Pump Chamber IN 93.72 93.95
Pump Chamber OUT
Distribution Box IN 95.35 95.30
Distribution Box OUT 95.35 95.13
Lateral 1 TOP
Lateral 1 INVERT 95.09 95.08
Lateral 2 TOP
Lateral 2 INVERT 95.09 95.08
Lateral 3 TOP
Lateral 3 INVERT 95.08 95.08
Lateral 4 TOP
Lateral 4 INVERT 95.08 95.08
Lateral 5 TOP
Lateral 5 INVERT 95.09 95.08
Lateral 6 TOP
Lateral 6 INVERT 95.09 95.08
Top of Chamber
Bottom of Bed/Chamber 94.80 94.80
SKETCH FLAN
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
Tank SAS Sewer
® Property line 10 10 --
® Cellar wall 10 20 --
® Inground pool 10 20 --
® Slab foundation 10 10 --
® Deck, on footings, etc 5 10 --
® Waterline 10 10 for
® Private drinking well 75 1002 50
® Irrigation well 75 100
® Surface Water 25 50
® Bordering Vegetated Wetland ,
Salt Marsh, Inland/Coastal Bank3 75 100
® Wetlands bordering surface
water supply or trib. (in Watershed) 150 150
® Trib. to surface water supply 325 325
® Public well 400 400
® Interim Wellhead Prot. Area
® Reservoirs 400 400
® Drains (wat. supply/trib.) 50 100
® Drains (intercept g.w.) 25 50
® Drains (Other)Foun(Cation 10(5) 20(10)
® Drywells 20 25
1 Suction line 222(2)
2 1.00 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
3 As defined in 310 CMR 1.0.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA
wetland bylaws
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Grant, Michele
From: TYLER <tmunroe22 @comcast.net>
Sent: Tuesday, August 04, 2015 11:58 AM
To: Grant, Michele
Subject: 1353 Salem Street
Hi Michelle,
have been contracted by JB Construction to hydroseed the septic repair at 1353 Salem St No.
Andover. This will be done by 12:00 Thursday 8/6/2015
Thank You
Tyler Munroe
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