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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 4 ° • 4 y North Andover Health Department � ,'�'... _ ❑'� `l d ❑ 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: