HomeMy WebLinkAboutCertificate of Compliance - 1312 SALEM STREET 3/30/2007 E V40RT
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PUBLIC HEALTH DEPARTMENT
Community Development Division
CER2I FICArrE OF COqVI�.GI.AC'E
As of:
March 30, 2007
7/iis is to certify that the individuafsu6surface disposafsystem received a
SA7IST,4CTO1RTIYSPEC7YOXof the:
FuffSeptic System Repair
Oy:
,john Soucy
At:
1312 Salem Street
North Andover, WA 01845
q'he Issuance of this ceniftate shaft not 6e construed as a guarantee that the system wdf
function satisfactorily.
S an 7 Sawyer, R&S, /5
Tu6Cic AeaCth Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 918.688.9540 fax 978.688.8476 Web www.townofnorthandover.com
TOWN OF NORTH ANDOVER E NORTH
Office of COMMUNITY DEVELOPMENT AND SERVICES or°'>����
HEALTH DEPARTMENT
400 OSGOOD STREET `w 1 .
NORTH ANDOVER, MASSACHUSETTS 01845 ��sSACKU S�
978.688.9540—Phone
Susan Y.Sawyer,REHS/RS 978.688.8476—FAX
Public Health Director E-MAIL: healthdept@_townofnorthandover.com
townofnorthandover.com
WEBSITE:http://www.townofnorthandover.com
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System O constructed; (0/repaired;
by L't{AJ .Sou Gu
(Print Name)
located at 012- < )"Gl W A.
(Installation Address)
was installed in conformance with the North Andover Board of Health approved plan, originally
dated A10 jq 2C and last Revised on v UC5 , with a design flow of
_61-Nn5l 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.
Bed inspection date: ,�2, W 8.5"
Eng' e'er Representati a(Signature)
And,- rint Name
Final inspection date:�fZQ C2 l
Engine Representative(S' ature)
RI'l vu.lu G —V P e
And jPrint Name
Installer. ° S' ) Date:
�0 CU/-\ Lt
And-Pr' t Name
Engineer: (Signature) Date:
And-Print Name
AS-BUILT CBECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
_ LOT LINES LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
U "
INCLD.w....__.ING..RESERVE '/j/',4'
TIES TO LOT LINES & DWELLING, WELLS
as FROM SEPTIC TANK
b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
DIASNT CDEa,.. FROM CORNERS OF HOUSE TO CENTER OF
ORIGINAL STAMP & SIGNATURE
IMPERVIOUS AREAS e DRIVEWAYS, ETC.
NORTH ARROW
LOCATION & ELEVATIONS OF BENCHMARK USED
TOWN OFNORIII ANDOVER
Office of C0MN1(JN1"1'Y I)EVELOPMENTAND SERVICES
o
IWAL'TH DEPARTMENT
74
:A
V
400 OS(,001) S7REET ....A.:.-.,--� *
";" -5
N(-)R'1'11 ANI.)()V1.1',R, MASSAC,11(JSEI I'S 01845 C
Susan Y. Sawyer, REFIS/RS 978.6 ,9540 -Phone
Pub is I lealth Director 978.68&8476-FAX
SEPTIC SYSTEM
CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 1312 Salem Street MAP: LOT:
INSTALLER: 'John Soucy
DESIGNER: New England Eng,
PLAN DATE: 11/17/05
BOH APPROVAL DATE ON PLAN: 11/19/05
INSPECTIONS
TANK INSPECTION: n/a
DATE OF BED BOTTOM INSPECTION: 12/1/05 a, 11:30 (Reqest on 12/1/05)
DATE OF FINAL CONSTRUCTION INSPECTION: 12/8/05 in the a.m.
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE
1. GRAVITY DISTRIBUTION...0
2. PRESSURE DISTRIBUTION...El
3. PRESSURE DOSING...❑
4. HOLDING TANK...Ll
5. ADVANCED TREATMENT...Ll
6. OTHER...El FAST SYSTEM
COMPONENT SUMMARY FROM PLAN
1. GALLON TANK -- 1500
2. LOADING OF SEPTIC TANK = .56 gpsf.
3. GALLON PUMP CHAMBER = 1,000
4. LOADING OF PUMP CHAMBER
5. TYPE OF SAS = FAST SYSTEM
6. DIMENSIONS AND DETAILS OF SAS: 1-66.2'XW-18.6
Comments:
Huge amount of ledge on this site.
L-66.2'; W-18.6'; Variance; 3' Overdig on 1 side
Page I of 4
TOWN OF' NORT11 ANDOVER
Office of(,"OMMUNITY DEVELMMEN'TAND SERVl('ES
HEALTH DEPARTMENT
400 OSG'001) STREE'r
N(.)R'1'1--i ANIMER, MASSAC11USET]"'S 01845 C IS
Stisai'i Y. Sawyer., REHYRS 978.6M(9540 Mime
Nblic 1-lealth Director - 978M8.8476 FAX
SITE CONDITIONS
1. Existing septic tank properly abandoned...L)
2. Internal plumbing all to one building sewer...El
3. Topography not appreciably altered...J
SEPTIC TANK
1. Bottom of tank hole has 6" stone base...Z
2. Weep hole plugged...21
3. Tank has been installed (EL--20) Tank Size: 1,500 -MONOLITHIC...El
4. Water tightness of tank has been achieved (Visual)... 21
5. Inlet tee installed, under access port...L)
6. Outlet tee (gas baffle or effluent filter) installed, under access port...Ll
7. Cover to within 6" of final grade installed over one access port, must be over outlet of tank
if effluent filter is present - -Inches of Tank...Ll
8. Hydraulic cernent around inlet& outlet...Ll
****Comments• ****
Advised Warren to fill tank with water before Mill River gets out to do a Final. Asked
Warren not to put anything larger than 1.5' crushed stone under any tank. Note: Warren
used an H-40 Tank.
PUMP CHAMBER—n/a
1. Bottom of tank hole has 6" stone base...Ll
2. Weep hole plugged...Ll
3. Pump Chamber Installed_Combo tank Gallons; (H-20) (Monolithic)
4. Inlet tee installed,under access port...
5. Pump(s) installed on stable base...L)
6. Alarm Float Working...L1
7. Pump On/Off Float Working...L)
8. Total # of Floats...
9. Drain hole in pressure line...L)
10. Cover to within 6" of final grade installed over one access port...
11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24
hours (circle)
12. Hydraulic cement around inlet& outlet...L)
Comments:
Page 2 of 4
TOWN OF NORTH ANDOVER
L
Office of COMMUNITY DEVELOPMENTAND SERVUAK'S
too
1-MAL,114 DEPARTMENT
400 OSGOOD STREET
NORH I ANDOVER, MASSACHUSE'l"I'S 01845
SLisari Y. Sa vycr, RFAMRS 978.688.9540 Phorre
PUblic Health Director 978,688.84'76 FAX
D-BOX
1. Installed on stable stone base...J
2. Inlet tee (if pumped or >0.08'/foot)... J
3. Hydraulic cement around inlet&outlets...El
4. Observed even distribution...U
5. Speed levelers provided (not required)...U
Comments:
SOIL ABSORPTION SYSTEM
1. Bottom of SAS excavated down to C Soil Layer, as provided on plan.
2. Size of SAS excavated as per plan,..0
3. Title 5 sand installed,if specified on plan...
4. 3/4-1 1/2" double washed stone installed...J
5. 1/8-1/2" (peastone) double washed stone installed
6. Laterals installed and ends connected to header (and vented if impervious material above)
7. Gravel-less disposal systems: type, number and location as per.plan"........
S. Elevations of laterals installed as on approved plan...0
9. 40 Mil HDPE barriers installed...L)
10. Retaining wall (boulder / concrete / timber block) ...
11. Final cover as per plan ...EJ
*****Comments *****
There is a 3 foot variance on property line. Overdig is 3 feet on that side. On notes, please
see B layer to be used. L-66.2';W-18.
CONTROLPANEL
1. Alarm&Pump are on separate circuits.,.
2. Alarm sounds when float is tripped......
3. Location of control panel:
4. Rated for exterior if placed outside...
Comments:
L
Page 3 of 4
TOWN' (WN01011 ANDOVER
4,
C 1'�Q, - 0
Office of("OMMUNITY DEVELOPMENTAND SERVICES
0
HEAL341 DEPARTMENT'
400 OS(,'O()D STREET
N(A1�'144 AND(WER, MNSSAC.1f1(.JSET1-S 01845 CH
SUSall Y. Sawyer, REHS/RS, 978.68&9540— Plime
Kiblic Health Director 97&688.8476 FAX
SYSTEM ELEVATIONS
1. Benchmark:
2. Rod at Benchmark:
3. Height of Instrument:
INVEWI' ON DESIGN INVERT
PLAN ELEVATION
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Distribution Box IN
D-Box OUT Manifold
Lateral 1 HIGH
Lateral 1 Inv
Lateral 2 HIGH
Lateral 2 Inv
Lateral 3 HIGH
Lateral 3 Inv
Page 4 of 4
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NEW EN(":'�")LAND ENGINEEFIING SERVICES
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February 6, 2006
y
Avis. Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA 0184 REZ C C . m
° D
Rem 1312 Salem Street North Andover,MA F[".B 0 6 20 0 G
As-Built Septic System Design
Dear Ms. Sawyer,
The following; As-Built Mans for the above referenced property are being submitted for
approval.
1. Three (3) Copies of the As-Built Septic System Design Mans.
This plan is being submitted to depict the system construction however, the final grading
is not complete. When the final grading is complete, we will send the signed certification
forms.
If you have any comments or questions please do not hesitate to contact this office.
Sincerely,
Be'nja4n C. Osgoot�
President
ex - �
60 BEECHWOOD DRIVE -Nt)U41 ANE)o'VER, MA 01"15 ( 78)6861768(888)359-7645- FAX(978)685-1099