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Home My WebLink AboutCertificate of Compliance - 46 RALEIGH TAVERN LANE 8/17/2006 %AORTH '-T%-VD �a O O O COCHI[AWILM 1• ��SSACO9115�� PUBLIC HEALTH DEPARTMENT Community Development Division s ® -1-L u u.st 17, 2006 This is to certzjy- that the individuaf subsurface disposaf system was: uffy Xe aired hy; Warren Pearce .fit° 46 Raleigh tavern .bane Worth,4ndover, 9w3 01645 The Issuance of this cert cate shaff not 6e construed as a, guarantee that the system wiff function satisfactorily. f Sus 7 Sawyer, 12,E�fS� S 1Pu6fic Ifeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (, )constructed; ( ) repaired, b . located at was installed in conformance with the North Andove•Board of Health approved plan; System Design Permit# ,plan dated )-'l ':Y- __, with a design flow of S o 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: �� 0a " K L't 1/4 ° r Engineer Representative Final inspection date: g / C7 1 ,-x �,.r /'a v4^-1 wr Engineer Representative Installer: �� Lie.#. Date: / ° ,F Engineer: - ry` 7. Date: )6 o u g �. 66j id D h J J k t J ` r I ,✓e Environmental Consult JAMES M.KAVEANAUGH, RE, *Real Estate Brokerage 14 Shady Hill Drive * Septic System Designs North Reading,MA 01864 * Construction Services (978)664-2925 * Custonn Hotrie Builder August 16, 2006 Board of Health Town of N. Andover 1600 Osgood Street ' . Andover, MA 01810 � � Att: Susan Sawyer �Re: Septic System 46 Raliegh 'Tavern bane Dear � s'OI ... �_ �. ......, , Enclosed please find 6 copies of record drawings for the above referenced property, This letter is to notify the hoard of Health that J, James M. Kavanaugh, P.E., certify that the system has been installed according to the approved plan, ifyou have any questions or comments please do not hesitate to contact me at (9'78)664-2925. Sincerel James M. Kavanaugh, P.E. m W a �i Enc, c r d gI Wayy, 6) 1 f , TOWN OF NORT11 ANDOVER Off'ice of('0NIMUNITY DEVELOPMENTAND SERVICES HEALT11 DEPARI'MEW X 400 OSGOOD STREET' MAO]I ANDOVI'A, MASSACHUSETTS Ot845 Susa n Y. Sawyer, RETIS/RS 978A&9540 Phone Public Health Director 978,688.9542 FA X ADDRESS: 46 Raleigh Tavern Lane MAP: LOT: INSTALLER: Warren Pearce, Pearce Construction DESIGNER: James Kavanaugh PLAN DATE: 10/24/05 Rev. 10/24/05 BOH APPROVAL DATE ON PLAN: 10/31/05 DATE OF BED BOTTOM INSPECTION: 0 11 61 X, DATE OF FINAL CONSTRUCTION INSPECTION:1UN: '11/17/05 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS 0 Existing septic tank properly abandoned El Internal plumbing all to one building sewer • Topography not appreciably altered Comments: SEPTIC TANK • Bottom of tank hole has 6" stone base • Weep hole plugged 0 1500 gallon tank installed H-20 loading 2-piece 0 Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) El Inlet tee installed, centered under access port 21 Outlet tee (effluent filter) installed, centered under access port El 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 IKI Hydraulic cement around inlet & outlet Comments: Poly-lok filter installed Page I of 3 TOWN OF NORTH ANDOVER Office of COMMI JNITV DEVELOPMENTAND SERVICES I Iff,A1.311 DEPARTMEN'1' 400 OS(1100D STREET NORTI I AN DOVI"R, NIASSAC HUSEA"I'S 0 1845 Susan Y, Sawyer, REIIS/RS 978.688.9540 Phone I'Liblic Health Director 978.688,9542 FAX D-BOX El Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) 0 Hydraulic cement around inlet & outlets El Observed even distribution Comments: Levelers provided SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan 121 Size of SAS excavated as per plan 21 Title 5 sand installed, if specified on plan 121 laterals installed and ends connected to header (and vented if impervious material above) 21 Gravelless disposal systems: type, number and location as per plan 121 Elevations of laterals installed as on approved plan IK 40 Mil HDPE barrier installed ❑ Final cover as per plan Comments: Page 2 of 3 1"OWN OFNORTH ANDOVER %0 'th Office of COMMUNIT'V DEVELOPMENTAND b4.KRVICEIS 11EAL,'TH I)EPART'Ml,�'NT 400 OSGOOD STREET' NORTH ANt)(.)V[,.'R, MASSACHUSETTS 01845 eMa US Susan Y. Sawyer, RFHS/RS 978.688.9540- Phone Public Health Director 9'7&6889542 FAX SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 2.95 Height of Instrument: 102.95 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 99.25 99.35 Septic Tank IN 98.85 98.91 Septic Tank OUT 9860 98,69 Distribution Box IN 98.15 98.20 Distribution Box OUT 9795 98.05 Lateral 1 HIGH 98.40 98.31 Lateral 1 LOW 98.40 98.34 Lateral 2 HIGH 98.40 98.33 Lateral 2 LOW 98.40 98.33 Lateral 3 HIGH 98.40 98.33 Lateral 3 LOW 98.40 98.35 Lateral 4 HIGH 98.40 98.35 Lateral 4 LOW 98.40 98.35 Lateral 5 HIGH 98.40 98.36 Lateral 5 LOW 98.30 98.36 Lateral 6 HIGH 98.40 98.34 Lateral 6 LOW 9840 98.35 Lateral 7 HIGH 98.40 98.31 Lateral 7 LOW 98.40 98.36 Lateral 8 HIGH 98.40 98.34 Lateral 8 LOW 98.40 98.34 Lateral 9 HIGH 9840 98.34 Lateral 9 LOW 98.30 98.34 Page 3 of 3 TOWN OF ORTfi ANDOVER 0&&p of Mme 1"W1Yr6NrT DEVELOPMENT /kND SERVICES 4 M HEALTH OEPAR,rME T 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETI"S 01845 CHUS ' ACNUS SLISMl Y. Sawyer., 12EHS,'RS 978,688.9540 -Phone Public Health Director 978.688.9542 FAX SEPTIC SYSTEM CONSTRUCTION NOTE ADDRESS: ,"�m'r o - � � �' MAP. LOT: INSTALLER: DESIGNER: ,.i/ e�le z " + B H APPROVAL DATE OWN PfLAN DATE OF BED BOTTOM INSPECTION; M „ l r DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK LOADING OF SEPTIC ANK GALLON PUMP CHAMBER LOADING OF PUMP CHAMBER TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: Page 1 of'4 TOWN OF NORTH ANDOVER ot ORTtj 1 0 Office of�_,OMMUNITY DEVELOMIENTANJI) SERVICES 0 t- HEAL'117114 DEPARI'MENT Is 400 OSGOOD STREET NOR-niAN DOVER, MASSACHUSETTS 01845 SAca Susan Y. Sawyer, REFIS,RS 978.688,9540 - Phone Public Health Director 978,688.9542- FAX SEPTIC TANK Bottom of tank hole has 6" stone base Weep hole plugged El gallon tank has been installed (H-10 or('H-20 0 �)(monolithic or 2 piece) ❑ Water tigifiess of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port 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: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs ❑ Hydraulic cement around inlet & outlet Comments: Page 2 of 4 TY Q� R —t a €d E d W+� r &ova' +' } � 1 ,� Z Page 2 of 2 �,,, `� 'tic a�''� �' x "��?xa - � �,a "_°',��„✓ $ ��w r�' 'r'#r�%a`�` � «�'.r �_� l fl r v r � f u z ti r, a"n *r A� 9 �k x s Ai Al 11/10/2005 TOWN OF NORTH ANDOVER NORTH Office of --0NI1lIUNITY DEVELOPMENT AND SERVICES ,rob', �t HEALTH DEPARTMENT = 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 SNCHUSe Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542--FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution El levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM ❑ Bottom of SAS excavated down to soil layer, as provided on plan ❑ Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 Y2" 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) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 TOWN OF NORTH ANDOVER Office of k-OMMUNITY DEVELOPMENT AND SERVICES a= 6`10 4 HEALTH DEPARTMENT � p Ic � 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 SACNUSE Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: El for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4