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Home My WebLink AboutCertificate of Compliance - 190 MILL ROAD 7/5/2011 0 .A ■ PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division C LF!fj'TE- T mo 0 9 14 P EjA 5 C As 1® 0 5 2011 This is to certify that the individuaf su6su ace disposa(system received a SATISEACTORT I.T (PEMOX of the; Compfete &patre andConstruction of an On-Site Sewage DisposafSystem B■ ■ A ° 190 Wiff I..--- �&g Wak-107.,A~Parce(--0064 ■ The Issuance,'of this cert f'cate shaffnot be construedas aguarantee that the system wifffunction satisfactot°iry. " ..�y,m,�,� Sz sa T S , 61k%eaft Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com All changes to the design plan have been reflected on the as-built � Is of suitable scale;(one inch=40 feet mfewer for plot plans and one inch 20mfewer for details of system ��nmn�� umu,/�a�ummB�upmd9�c��umh� | __--_ � Lot Lines and Location nf Dwellings served hy the system Loouti000&D�nouu�mouofx��um, bm|udiug�serva(ifo6p|icuhlx) � Ties to dwelling ur Permanent Structure&Wells ~~— o.From Septic Tank ~�-- b. From Leach Area Ties tu Lot Lines from leach area �~- Locations of Deep Holes&Pezuu � J_~~~— Elevations of Disposal System Top oC Foundation Elevation Locations of Wells,Drains, Watercourses within l5V feet nfsystem Location uf water,gas,electric lines,cable Distances from Comers of House to Center of Tank&sD-Box ~~---- Location of Structures within 6 Inches of Finished Grade ~� Original Stamp&Signature Location and holder of any easements which could impact Neoyotem ' -- Impervious Areas;Driveways,etc North Arrow | -- Location 6t Elevations of Benchmark used .~~~~ STATEMENT ON PLAN(NA 5.3) "I certifi,the locations, elevations, ties, cover material,- exposed component covers etc. shown on this as-built T-, xx6xtamt/oDr«g'eowit6/6ou7provedp6muxJ6uvoJv/orm/nod/hu//6u6rookox/u/uvo//ouc �f9&n//ou6le, 6ovu been met. '' Signature ofDesigner Date or, /7uSTlC7[RAI WALL{S PRESENT(NA 4.y)Letter or statement on the as-built indicating the wall was, / \ orv'o^xo� oonwtro�/o�/xuucoru�noovvkh(h�/oomu�do�x�xxndu�/munx/�o/xrur�&nnoJ�o//onw ' ' Signature ufDesigner Date x,of:Wednesday,April zr'uozz h t0BUC 111 .°1"11 Dtt5 I tlt1 CorrrrumiiBy kveloprrneW Divdaioca TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System W constructed;( )repaired; A (Print Name) Located at:�` K is "'J'_/1 Aei ) (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on I G z C _,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. 1r Bottom of Bed Inspection Date:, gineer Representative(Signature) And—Print Name f Final Construction Inspection 4145 �••- EPgineer Representative(Signature) And—Print Name r � r Installer: _(Signature) Date: A. N Print ame .r En g iiier �- (Signature).... Date:w r' And—Print Name 1600 Osgood �Nr et, North Andover, Massachusetts 01845 I'lionn 978.688.9540 Fax 978.688.84,76 Web littp.//www,tow nofnorthondovwiw".riini LK'AtT Commonwealth of Massachusetts City/Town of )U �� °�0 rti i t f l i „M Form 3 DEP has provided this form for use by local Boards of Health. Other forms may be used, but the infnrmatinn mi ict hn cI Ihcfantially thn camp ac fhnf nrnvirlori horn Rofnm i icinn this farm nhor Le Mith II IIVI I IIG41V1 I ...-V- JUVV I .-..y 41- -.--- 1.- Fl.V VIVVV IIVI V. VVIVIV 4A+.1111y 4111) IVII11i VIIV VI\ VY 1411 the local Board of Health to determine the form they use. This is to Certify that the following work on an On-Site Sewage Disposal System Important: When filling out ❑ Construction of a new system forms on the Repair or replacement of an existing system computer,use ❑ Repair or replacement of an existing system component only the tab key_ to move your cursor-do not Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP): use the return key. ----- - - ------ -- ------ - ----- DSCP Number DSCP Date --- Facility Owner : aW r or Lot Street Address etmn # City/Town - State Zip Code Designer Information: James Scanlan, P.E. Scanlan-En ineering LLC Name C m -- -- Na 7e- Nam � Date p ny 3 ature ' Installer Information: Name Name of Company S' ure Date Use of this system is conditioned on compliance with the provisions set forth below: The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. Approving Authority Signature Date t5form3.doc-06/03 Certificate of Compliance Y Page 1 of 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, June 20, 2011 3:01 PM To: 'Jim Scanlan'; DelleChiaie, Pamela Subject: RE: 190 MILL RD-SEPTIC INSTALLATION Jim, we generally release the COC to the owner via mail or they can pick it up here at the office. We could scan it as well, but the original will be mailed to the address unless we are given other instructions. If they are out of the area, and want others to pick it up, they must send us a note to allow us to release it. Thank you Susan From: Jim Scanlan [mailto:jim @scanlanengineering.com] Sent: Monday, June 20, 20112:55 PM To: DelleChiaie, Pamela; Sawyer, Susan Subject: RE: 190 MILL RD - SEPTIC INSTALLATION Susan: I have revised the asbuilt plans, to show the manhole and the line from the screenroom to the dwelling. A copy is attached to this e-mail. I will drop three ( ) sets into mail. As discussed on the phone, the structure by the pool is simply a screenroom with a sink and a bathroom. It is not heated and is really a one-season room. I do not believe it would enter into the "bedroom count". There is a kitchen area (which includes a family room), a living room, a dining room, a den, an office and three bedrooms. Therefore I believe the room count to be eight. The manhole is connected to the pool filter, and is not part of the septic system as suggested by the owner. It contains the shutoffs for the water lines to and from the filter. The sewer line from the screenroom to the dwelling is under the brick patio. It enters the dwelling right by the building sewer pipe outlet to the septic tank. I have placed the approximate location onto the plan. There is currently no sump pump in the basement. There was one in the basement, years ago, per owner, but it has not been a problem since the catchbasin was installed adjacent to the garage. Please contact me with any questions or concerns. Sincerely Jim Scanlan James Scanlan, P.E. Scanlan Engineering, LLC P.O. Box 906 Georgetown MA 01833 (978)372-3440 e-mail: iim ,scanianengineerincom -----Original Message----- From: DelleChiaie, Pamela [mailto:pdellech @townofnorthandover.com] Sent: Monday, June 20, 20119:34 AM To: 'Jim Scanlan' 1 Cc: Sawyer, Susan; Grant, Michele Subject: FW: 190 MILL RD - SEPTIC INSTALLATION Zmpo nce: High To Jim Scanlan— Scanlan Engineering re: 190 Mill Road i Hi Jim, Here is the As Built Checklist. If there is indeed a rush on this property due to a closing tomorrow as Jim Kellett states,please submit the information ASAP. See Susan's note below. If getting the documents here is an issue,you may send them electronically as long as the As-Built is printable and readable,and send the originals in the mail. Thank you. SW Re"d4, Pamela l'DelleCliiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 Office-978-688-9540 L� Fax-978-688-8476 7 Email-laeiell chiai -own4no thG77zde�ver,cc»zt Website ixttp,/../�NtNw t<awnofn_crrthamrduvez;.cMaz/f?agcdG.x.. 'Ve can nevepp see the path of'our t�fi�Y`ive are toe)busYficushig on t6 epebbl'ev under' our fi?ef. From: Sawyer, Susan Sent: Monday, June 20, 20119:14 AM To: 'Jim Scanlan' Cc: DelleChiaie, Pamela Subject: RE: 190 MILL RD - SEPTIC INSTALLATION Hi Jim, Jim Kellett has told us that you had already submitted the final paperwork, but Pam does not seem to have it. He also requested a final grade inspection for today, because the closing is Tuesday. We cannot issue the COC until everything is in. Thank you .Susan Pam have we sent Jim the newest check list for the as-builts? Could you forward one so he can self check if you don't think so? Thx From: Jim Scanlan [mailto:jim @scanlanengineering.com] Sent: Thursday, June 16, 20119:53 AM To: Sawyer, Susan Subject: RE: 190 MILL RD - SEPTIC INSTALLATION Susan: Pump and controls are all set and working properly. I have prepared as-built plan and will forward shortly. Thanks Jim -----Original Message----- From: Sawyer, Susan [mailto:ssawyer @townofnorthandover.com] Sent: Wednesday, June 15, 20112:52 PM To: 'jim @scanlanengineering.com' Cc: Grant, Michele; DelleChiaie, Pamela Subject: RE: 190 MILL RD - SEPTIC INSTALLATION 2 De[ Xhiaie, Pamela From: DelleChiaie, Pamela Sent: Thursday, June 16, 2011 9:17 AM To: Sawyer, Susan; Grant, Michele Subject: FW: Septic- 190 Mill Road -TANK SETTING NOTIFICATION -2 P.M. -Jim Kellett Importance: High Follow Up Flag: Follow up Flag Status: Flagged Ok to schedule a Final Construction Inspection for this one now? Let me know. Thanks. Ve4 e Ref m 4, Paiela lel.letnla.ie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 I Suite 2-36 North Andover,MA o1845 Office-978-688-9540 L=-1 Fax-978-688-8476 [ Email pcictllr<ls,KtiU,�r toc�r7cs1'norklrrraclravc r_ccrz Website }attar.(/tv ww,toc ynofnorthandover.c,om-tg�;7/it�clex ovPVe can never we the both q 17ur fd i!� 0�&�e 9're too flits 1 &"6C,°tisin�'�'6n the Dk'fPf7lev untler our del,PR ,,.,d�non^M�3d'?.us / .k�' � �' 1.�� f .1 D From: DelleChiaie, Pamela Sent: Wednesday, June 15, 20119:51 AM To: Grant, Michele Subject: FW: Septic - 190 Mill Road -TANK SETTING NOTIFICATION - 2 P.M. -Jim Kellett Michele, My note was on the construction file I left on your chair yesterday after Jim called. Please call and confirm with him about the tank setting inspection. Thanks. Pamela tJell(A:Maie Departmental Assistant I Community Development I Health Department Town of North Andover- 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 Office-978-688-9540 R Fax-978-688-8476 E'I Email 11 lIg lu aic I town4northandove corn -1' Website htt,l>//wwGVtotnttolrrr�sttan<lc>t!cr_ce,rsrp�T'g /.crxrl,c,,c " U`e can trever.w e 11te pettft gl'otir fji` �1'we are loo bti,w.lr.rtm)cusing on tlrefaehfykv urrrler From: DelleChiaie, Pamela Sent: Tuesday, June 14, 2011 11:00 AM To: Sawyer, Susan Subject: Septic - 190 Mill Road -TANK SETTING NOTIFICATION - 2 P.M. -Jim Kellett Jim Kellet—781.953,7146 —call this one......that was the wrong one I gave you earlier. Vehe , i I'larnela DelleChiaie Depar.rental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 Fax-978-688-8476 FL-1 Email-p elt iaie �toNvtiofns)ittiati(lo�,er.coiiI _del ((� 111111--.........................................-........... '2 Website httj /./ww (swaoffiorthandover.co, P'Ize'iLul N --------------------------Trill 1� , de" "We can never nee the path ofourlrft i 1)ve are fees hus)),focusing on lhepehhles From: DelleChiaie, Pamela Sent: Tuesday, June 14, 2011 10:57 AM To: Sawyer, Susan Subject: Septic - 190 Mill Road -TANK SETTING NOTIFICATION - 2 P.M. -Jim Kellett Importance: High Hi Susan, Jim Kellett just called to let you know they are setting the tank at 2:00 p.m. Please call him at:781.439.9097. Thank you. &M Reg4w4, Pamela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 R Fax-978-688-8476 M Email- Website h p�:Jj o ffi.........o....r..t...h..a.n1d11-o--ve-r-.-c---o--- IWe /.in-d1111e 111 x- "We can never see the path ol'our ly�,X 14e are loo bus'ifi)eusing on the pebbles mWer ourjeef......-Anonyinous From: Sawyer, Susan Sent: Friday, June 10, 20119:46 AM To: DelleChiaie, Pamela Subject: RE: Septic- 190 Mill Road - Bed Bottom Inspection Request -Jim Kellett Done, called him, From: DelleChiaie, Pamela Sent: Friday, June 10, 20119:32 AM To: Sawyer, Susan Subject: Septic - 190 Mill Road - Bed Bottom Inspection Request -Jim Kellett Hi Susan, Jim Kellett just called. He states 190 Mill Road will be ready for a BB by noon. He said the soil there is great. Please call him to confirm: 781.953.7146. Thank you. Sw mx9md-6, 2 11'amela DelleChiaie Depar,mental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 Fax-978-688-8476 E-1 Email-Int 11Wliaic( Website 1.1ap;J ..-- , ,I ..tivww,Low ort and( ei.c in slindex L) /Baae ...-I-- "We cease never see thepalh of'our lye�1'we w,e too busY.16cusing on the pebbhN under our feet,"---A it OnYin oils From: DelleChiaie, Pamela Sent: Tuesday, January 18, 2011 1:22 PM To: Sawyer, Susan; Grant, Michele Subject: FW: 190 Mill Road - Scanned Health Department File Importance: High Fyi--,in case the homeowner calls after getting this and has more questions..... Pamela Delle('Waie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 2 Office-978-688-9540 0 Fax-978-688-8476 21 Email-1)dclleciiiaic(si)towi1of11orthaii(lov(;t•.corii -16 Website httl)://Nvww.toNNriiolti(')rtliat)(lovet°.com/Pages/ilidex Hle can ne ver see fhe p0th ol'our 1�fe C 1)ve ww too busY eked sing on the pebbles under our,ftel."-----Anoiymous From: DelleChiaie, Pamela Sent: Tuesday, January 18, 2011 12:36 PM To: 'tllavoie@aol.com' Subject: 190 Mill Road - Scanned Health Department File Dear Theresa, Attached is a scanned copy of your file for 190 Mill Road as you requested. I apologize for the delay,but I was having problems with the scanner feature,and can only attribute it to our server which has been slow the last few days. Please call if you have any additional questions. Parnela DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA o1845 2 Office-978-688-9540 R Fax-978-688-8476 F-5:1 Email-pdellechiaie@townofnorthandover.com M Website http://www.townofnorthandover.com/Pages/index 11 f Ve unt never see the p6ah ql'our 1Cfi?q)ve are too busyftxusing on the pebbles under ourfi!el........-Anoi�)unous Please note the Massachusetts Secretary of State's office has deteriniried fiat most erriails to and frori 111LIllicipal offices wid officials are public records.1="or mores inforrnation please refer to:fitti)://www,sec.stete.i,na,tis/pr(.y/preidx,htii,i, 3 DelleChiaie, Pamela Frown: Sawyer, Susan Sent: Wednesday, June 15, 20112:52 PM To: 'jim @scanlanengineering.com' Cc: Grant, Michele; DelleChiaie, Pamela Subject: RE: 190 MILL RD-SEPTIC INSTALLATION Jim, When we get the verbal from you that we are all set, Pam will let our consultant know to call Jim. Can you confirm whether you looked at the pump today? Thank you Susan From: DelleChiaie, Pamela Sent: Wednesday, June 15, 2011 10:08 AM To: Sawyer, Susan; Grant:, Michele Subject: FW: 190 MILL RD - SEPTIC INSTALLATION FYI From: Jim Scanlan L'mailto:1mPscanIgneNLnn_eeri�com Sent: Wednesday, June 15, 20119:57 AM 'To: DelleChiaie, Pamela Subject: RE: 190 MILL RD - SEPTIC INSTALLATION Pam: When I was out last night, the pump chamber and septic tanks were already in. The only thing I was not able to see was the alarm panel/alarm, which I will do today and a pump test. I was able to locate the tanks, and got the relevant elevations. Jim -----Original Message----- From: DelleChiaie, Pamela manta:: dch&towrLo j northandover.coml Sent: Wednesday, June 15, 20119:43 AM To: 'Jim Scanlan' Subject: RE: 190 MILL RD - SEPTIC INSTALLATION Susan has a question,the tanks have not been set yet,and have not been notified that the tank has been officially set yet,and this includes the pumps,so not sure it is okay for your final as built? Please let Susan know. Thank you. 1 annel;a DelleChiaie Departmental Assistant I Community Development I Health Department Town of North Andover 160o Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 Office-978-688-9540 IM Fax-978-688-8476 H'I Email-pci4_Il_ce lat_z€ ce t act. tt.Xz c1,r _ca ccsrn ''L Website lrttl?.(/wavw tow_�n4northandcsvencorn/k Ze.,,1rndex "O'e°con never see thepedh of our°1%ft q)ver are tot) us.11 fte°using on tfrepebbles under errrr fief."--,-ArrrrnYnious From: Jim Scanlan Lmailto:iimC&scanlanerlgineerirrgg.coml Sent: Wednesday, June 15, 20118:03 AM i To: DelleChiaie, Pamela Subject: 190 MILL RD - SEPTIC INSTALLATION Pamela I have been out to the site to do my as-built inspection, and everything looks good. Please let me know what I need to do to schedule as-built by Isaac. Thanks Jim Scanlan James Scanlan, P.E. Scanlan Engineering, LLC P.O. Box 906 Georgetown MA 01833 (978)372-3440 e-mail: 'im scanlanen ineerin .com Please note the Massachusetts Secretary of State's office has determined that most ernails to aria frorn rnunicipaal offices and officials are public, records. for more information please refer to:N1 :{ip www.sec;stateLr a.us/pre/preidx.htrn. Please consider the environment before printing this email. 2 elleChlale, Pamela From: Isaac Rowe [irowe @millriverconsulting.com] Sent: Thursday, June 16, 2011 12:04 PM To: 'Susan Sawyer(ssawyer @townofnorthandover.com)' Cc: DelleChiaie, Pamela; 'Dan Ottenheimer'; 'Randy Burley'; 'Marianne Peters' Subject: 190 Mill Road Attachments: 190 Mill Raod - Construction Inspection 6-15-11.doc Susan, Attached is the construction inspection for the above referenced property. Everything looked good. Please let me know if you have any questions. Thanks, Isaac M. Rowe,R.S. Project Manager Mill hive• Consulting 6 Sargent Street 1 Uloucester,MA 01930-2719 Phone: (978)282-0014 Fax: (978)282-1.318 Lrowg @millriv rcon a tirt = w .millriv rconsultllggm j Please note the MassaChUSetts Secretary of State's office has determined that most en-rails to and from municipal offices and officials are public records.For rnore information please refer to:http;//www+.sec.state.Lga.us/}�rejpreigl .htm. Please consider the environment before printing this email. 2 o - 4 North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T I NOTES LOCATION INFORMATION ADDRESS: 190 Mill Road MAP: 107A LOT: 64 INSTALLER: Jim Kellett DESIGNER: Jim Scanlan PLAN DATE: 10/7/10 BOH APPROVAL DATE ON PLAN: 11/8/10 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 6/15/11 DATE OF FINAL GRADE INSPECTION: �a6V) 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: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base NA Cleanouts per plan ® Bottom of tank hole has 6" stone base ❑ 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 (effluent filter) ® 24" inch cover to final grade installed over outlet access port ® Hydraulic cement around inlet & outlet Comments: 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: CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: 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 NA Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® 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 NA Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Low Profile Infiltrator Chambers ® Number of chambers per row: 8 ® Number of rows (trenches): 6 Comments: Total Chambers = 48 BM = 100.00 (SAS) BM = 100.00 (Tanks) HR = 7.61 HR = 2.38 HI = 107.61 HI = 102.38 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 100.00 Bldg Sewer OUT @ Cl 4.97 97.06 97.0 Septic Tank IN 5.05 96.98 96.70 Septic Tank OUT 5.38 96.65 96.45 Pump Chamber IN 5.41 96.62 96.40 (2")Pump Chamber OUT 5.15 97.06 96.65 Distribution Box IN 2.90 104.36 104.30 Distribution Box OUT 3.08 104.18 104.13 Lateral 1 TOP 3.21 Lateral 1 INVERT 104.05 104.08 Lateral 2 TOP 3.16 Lateral 2 INVERT 104.10 104.08 Lateral 3 TOP 3.16 Lateral 3 INVERT 104.10 104.08 Lateral 4 TOP 3.16 Lateral 4 INVERT 104.10 104.08 Lateral 5 TOP 3.16 Lateral 5 INVERT 104.10 104.08 Lateral 6 TOP 3.16 Lateral 6 INVERT 104.10 104.08 Top of Chamber 3.11 104.5 104.5 Bottom of Bed/Chamber 103.8 103.8 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 10 101 ® 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)Foundation 10(5) 20(10) ® Drywells 20 25 i 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 15.211(3),also by NA wetland bylaws FINAL, GRADE INSPECTION Date: Address: LOAMED? SEEDED? COVER PER PLAN? - 1 � Other: r�