HomeMy WebLinkAboutCertificate of Compliance - 57 MILL ROAD 7/10/2012 PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
Certiacate o Com fiance
.as of,•
juCy 10, 2012
This is to certify that a
5.ATISEAC` ORT INST EC2ION
Was completed for or the:
CoVmentl4Zevfacement (pair of a Oistri6ution Box— �Pi ae — 54a f e
or an
On Site Wastewater DisposaCSyr stem
(By:
Chadla6Conski
at:
57 9WiCC!Road
Parcel ID :210/107.0-0086-0000.0
North Andover, 51XX 01845
qhe Issuance of this certificate shaft not be construed as a guarantee that the On Site Sewage IDisposaf
System wifffunction satisfactotify.
;sln T Sa , er, S/1�,5
(Pu6fic 9feath Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 918.688.9540 fax 978.688.8476 Web www.townofnorthandover.com
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North Andover Health Department
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Community Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES ❑
LOCATION INFOR AON ,; µ' , 14'❑
ADDRESS: �Tl
M AP: LOT: '
INSTALLER. �❑; , . �; �..';=�ri�°"' "�
DESIGNER.
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
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
❑ Cleanouts per plan
❑ Bottom of tank hole has 6" stone base
❑ Weep hale plugged
❑ gallon tank has been installed
loading
❑ Monolithic tank construction
❑ Water tightness of tank has been achieved by
testing
❑ Inlet tee installed, centered under access port
❑ Outlet tee installed, centered under access port
(gas baffle/effluent filter)
❑ inch cover to within 6" of final grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
❑ 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
❑ cover at final grade installed over pump
access port
❑ Water tightness of tank has been achieved by
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
Speed levelers provided (not required)
Comments: