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Home My WebLink AboutInspection - 1550 SALEM STREET 6/29/2015 IS PUBLIC WEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER RECEIVED SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION 201 The undersigned hereby certify that the Sewage Disposal System( )constructed;(X)repaired; m,,f�Ali OF ')PI' �,i Al l�)UVF . By:Jim Kellett Kellett Excavating LLC i1L� q..agi��EPAF q 0 t l (Print Name) Located at: 1550 Salem Street (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated March 9 2015 and last revised on April 17 2015 ,with a design flow of 440 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: 6111/15 s Engineer Representative (Signature) John Morin,PE And—Print Name e, Final Construction Inspection Date: 6/23/15 Engineer Representative (Signature) John Morin,PE And—Print Name Installer: - (Signature) Date: 7/11/1// And—Print Name Engineer: "°�� 1 �,. �1' ��'1� ��(Signature) Date: John M.Morin,PE And—Print Name 1600 Osgood Street,North Andover,Massachusetts 01945 Phone 979.699.9540 Fax 979.699.9476 Web http://www.townofnorthandover.com Town of Norfli Andover — Sepfic System - AS-BUILT EC S'T 1) 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) 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 systern components,including reserve (if applicable) 6) Ties 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 0 B) Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system 9) Location of water,gas,electric lines,cable,control panel (if applicable) 10) 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) North Arrow 15) °6 Location&Elevation of Benchmark used '" i ( " � ) 16) STATEMENT ON PLAN (NA 5.3) a. I certify the locations,elevations, ties,cover material;exposed component covets ec., F shown on this as-.wilt substantially agree with the approved plan and have determined that the )' break out elevations,ifapplicahle,have been met." Signature of Designer Date b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built itrdicatinz the wall- was, or was not,,constructed in accordance with the intended de n n any manufacturer's specifications." Signature of Designer Date As of:Tuesday,March 17,2015 North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER YST M CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 1550 Salem St. MAP: 1068 LOT: 54 INSTALLER: Jim Kellett DESIGNER: Jim Morin PLAN DATE: 3/9/15, revised 4/16/15 BOH APPROVAL DATE ON PLAN: 5/18/15 INSPECTIONS TANK INSPECTION: 6/11/15 DATE OF BED BOTTOM INSPECTION:6/15/15 DATE OF FINAL CONSTRUCTION INSPECTION: 6/18/15 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS N/A Contractor reports any changes to design plan X Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: New waterline has been installed from street to house. Exact location shall be shown on the as-built plan. Existing waterline from well has been disconnected from internal plumbing in the house. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan X Bottom of tank hole has 6" stone base ® Weep hole plugged X 1500 gallon tank has been installed H-10 loading 2 compartment mono X Monolithic tank construction ® Watertightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: New waterline is 10' from septic tank DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A 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: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X 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 N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 20x20 plus overdig 30x30, c layer is 38" deep SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 5 ® Number of rows (trenches): 7 Comments: Total Chambers = 35 FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED 19/ Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer Q/ As-Built Plan BM = 103.70 HR = 4.35 HI = 108.05 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 3.25 104.45 104.24 Septic Tank IN 3.61 104.09 104.04 Septic Tank OUT 3.84 103.86 103.79 Distribution Box IN 4.10 103.60 103.56 Distribution Box OUT 4.30 103.40 103.39 Lateral 1 TOP 4.40 Lateral 1 INVERT 103.30 103.27 Lateral 2 TOP 4.40 Lateral 2 INVERT 103.30 103.27 Lateral 3 TOP 4.40 Lateral 3 INVERT 103.30 103.27 Lateral 4 TOP 4.40 Lateral 4 INVERT 103.30 103.27 Lateral 5 TOP 4.40 Lateral 5 INVERT 103.30 103.27 Lateral 6 TOP 4.40 Lateral 6 INVERT 103.30 103.27 Lateral 7 TOP 4.40 Lateral 7 INVERT 103.30 103.27 Top of Chamber 4.40 103.65 103.60 Bottom of Bed/Chamber 102.65 102.60 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 1.0 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 100, 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank 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)Foundation 10(5) 20(10) ® Drywells 20 25 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30,respectively,pursuant to 15.21 1(3),also by NA wetland bylaws //rmir I 1' uuuui uuu �� / IIIIII Ylil li i // �%%`�/ %�// ' / �jVl'�II��\u IlilYilllllllllllllllll llllllllllllll.. 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