HomeMy WebLinkAboutCertificate of Compliance - 43 MILL ROAD 12/12/2004 Town of North Andover
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET
North Andover,oaer, M[ s r a cx t 01845 CH
7£3.688.9540-Phone
S'Lls an Y. Sawyer, REH,S/R5 97&6889 542-Fax
Public Health Director
C C 0 W PL IA rVCE
As of
December 12, 2004
This is to certify that
the individual subsurface disposal system
repaired0( ) ® ('uff yst em
by
John Soucy
at
iff Road
NorthAndover, M,4 01845
has been installed in accordance with the provisions of Title V of the State Sanitary Code and
with the,AVorth Andover(Board of Yfealth regulations.
The issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Susan T Sawyer
Tu6lic 3fealth Director
i()ARI;>OIT AIIIII,;'At,S P)99-9541 If UI ING 688-9545 4.ONSFRVA I°IO N 689-9530 I IFAI.I I I fxf 8-9540 PLANNING 689-9535
TO OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTII+'ICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;
( )repaired;
located at f
was installed in conformance with the North Andover Board of Health approved plan,
System.Design Permit.# ,plan dated with a design flow
of gallons per day. The materials used were in conformance with those specified
on the approved plan;the system Baas=%nist2aled in accordance with
the provisions of 310
.:CNM,15.000,Tine 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: I I _
_ TH-
Engineer Representative
Final inspection date: 4,2 12-1 L
Engineer Representative '
Installer- Lic.#: Date:
Engineer:.- ' Date: i h e
7 4 0.d,
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ENGLAND NEW ENGINEERING
°_. ... . --- ...-. . ..
December 3, 2004
Susan Sawyer
North Andover Board of Health
400 Osgood Street
01845 °
North Anclo ver, MA � a
Re: 43 Mill Road, North Andover
Septic System As-Built Plan Submittal
Dear Mrs. Sawyer:
The following Septic As-Built plans for the above referenced property are being submitted for
approval and issuance of Certificate of Compliance.
Enclosed are the following:
1. (3) Copies of the Septic System As-Built Plan.
2. (1)Installation Certification Form.
Please contact this office with any questions or concerns.
Sincerely,
Thomas Hec or
Project Engineer
Att.-.°W . .. .-. -. w..._....- °..w-� Wt °...
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01845.(978)686-17 )
..( )359-7645 FAX(978)88 -1099
T'f
TOWN OF NORTH ANDOVER %k
DEVELOPMENTAND SERVIC111"'S
t1EAt,,,r.1-1, DEPAR"I'MEM' 4
27 CHARLES STREIET
NORTI I ANDOVER, MASSACJ 1USI'T"I'S 01845
978.698,9540 I)Iione
Susan Y. Sawyer, RF"FIS/RS 978,688.9542 FAX
I,uj)jjc ijealtli Nrector
ADDRESS: 43 Mill Rd MAP:1 07c LOT: 109
INSTALLER: Soucy Septic
DESIGNER: NEES
PLAN DATE:8/23/2004
BOH APPROVAL DATE ON PLAN: 10/16/2004
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 11/22/2004
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE Advanced Treatment
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 1500
LOADING OF SEPTIC TANK = H-10
GALLON PUMP CHAMBER = 1000
LOADING OF PUMP CHAMBER = H-10
TYPE OF SAS = Infiltrator field & FAST Treatment
DIMENSIONS AND DETAILS OF SAS: 4 rows of 5 chambers
SITE CONDITIONS ZExisting septic tank properly abandoned
ZInternal plumbing all to one building sewer
ZTopography not appreciably altered
Comments:
Page 1 of 4
,rOWN OF NORTH ANDOVER
office of COMMUNIT'Y DEVELO.PMENTAND SERVI(,'T'S 0"
I-IEAI,.,'I'H DEPARIMENT
27 CHARLE'S STRE1,11'
NORTH ANDOVER, MASSACI[USETTS 01845
()714.688.9540 Susan Y. Sawyer, REIIS/R ()714.688.9540- Phone
97 .688.9542 FAX
Pubfic I lealth Dil-ectffl`
SEPTIC TANK F-1 Bottom of tank hole has 6" stone base
F-1 Weep hole plugged
1500 gallon tank has been installed
H-10 loading Monolithic construction
Water tightness of tank has been achieved (Visual)
Inlet tee installed, centered under access port
F-] Outlet tee (gas baffle or effluent filter) installed,
centered under access port
24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
Hydraulic cement around inlet & outlet
Comments:
FAST Startup test has not been performed as of (11/22/04). Told by Installer that tank
has 6" stone base.
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
1000 gallon Pump Chamber installed
H-10 loading
2-Piece construction)
Inlet tee installed, centered under access port
Pump(s) installed on stable base
Alarm float working
Pump On/Off float working
Drain hole in pressure line
24" inch cover to within 6" of final grade installed over
pump access port
Water tightness of tank has been achieved
Visual testing
Hydraulic cement around inlet & outlet
Comments:
Told by Installer that tank has 6" stone base and weep hole plugged
Page 2 of 4
TOWN OF' NORTH ANDOVER
()ffice of("OMMUNITY DEVELOPMEN'r AND SERVICTS
1[EAL,"TH DEPAR"I'MENT
27 CHARLES STREF"T
NORTI I ANDOVER, MASSACHUSEITTS 01845
SUSMI Y, Sawyer, REHYRS 978,688.9540 1-11-ione
Public I lealth Director 978,688.9542 FAX
ADVANCEDTREATMENTTECHNOLOGY
Z Type of treatment: FAST
❑ Installed per manufacturers requirements
F-1 All components working in accordance with
manufacturer's requirements
Comments:
Has not yet been certified by manufacturer (11/22/04)
SOIL ABSORPTION SYSTEM
❑ Bottom of SAS excavated down to soil layer, as
provided on plan
❑ Size of SAS excavated as per plan
Z Title 5 sand installed, if specified on plan
❑ 3/4-1 1/2" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
❑ laterals installed and ends connected to header (and
vented if impervious material above)
F-1 Orifices @ 5 & 7 o'clock positions
Z Gravelless disposal systems: type, number and
location as per plan
Z Elevations of laterals installed as on approved plan
Z 40 Mil HDPE barrier installed
❑ Retaining wall (boulder / concrete / timber/ block)
❑ Final cover as per plan
Comments:
PRESSURE DISTRIBUTION
Z 2-1/2" inch manifold
Z 4 laterals installed with end sweeps
size: 1.5"
material: PVC
Z Squirt test 2 ft in height
Z Equal distribution to all laterals
Z orifice size 5/16 inch as per plan
Comments:
Page 3 of 4
'TOWN OF NORTH ANDOVER
FQ
Office of COMMUNITY DE fit 1,OPMENTAND SERVICES
HE.At.,"I'll DEPAR.1"MEN'1'
10
27 C'HARt,ES STRFT"I'
NORTH AN DOVER, MA` SACHU SE"I"I'S 01 45
Susan Y. Saw
yer, REHYRS 978.6W9540- Phone
Public Heath Director 978.688,9542 FAX
CONTROL PANEL
Alarm & Pump are on separate circuits
Alarm sounds when float is tripped
Location of control panel: Exterior wall (LHS of house)
F-1 Rated for exterior if placed outside
Comments:
SYSTEM ELEVATIONS
Benchmark: 100.00
Rod at Benchmark: 3.04
Height of Instrument: 103.04
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT 98.07 97.97
Septic Tank IN 97.85 97.46
Septic Tank OUT 97.50 96.95
Pump Chamber IN 97.55 96.86
Pump Chamber OUT 97.30 97.51
Distribution Box IN
Distribution Box OUT 97.51
Manifold
Lateral 1 HIGH 99.88 99.86
Lateral 1 LOW 99.88 99.86
Lateral 2 HIGH 99.88 99.86
Lateral 2 LOW 99.88 99.84
Lateral 3 HIGH 99.88 99.85
Lateral 3 LOW 99.88 99.84
Lateral 4 HIGH 99.88 99.86
Lateral 4 LOW 99.88 99.86
Lateral 5 HIGH 99.88 99.86
Lateral 5 LOW 99.88 99.86
Page 4 of 4