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HomeMy WebLinkAboutCertificate of Compliance - 61 WINDSOR LANE 6/30/2005 T o,wn of North Andover a* O°EOr"�ti Office of the earth Department �� ���, to Community Development and Services Division North Andover, vlassadwsetls 01845 pcNUS�cc Susan Y. lawyer, 1ZEHS�RS 978.638.9540- Phone Public Health Director 978.683,8476-Fax CERTI FICA(TtF OE C0M�1'.GIA�VCE As of: ,dune 31, 2005 This is to certify that the individuafsu6surface disposal system was Fully 1 Paired by ,john Soucy At 6.1 Windsor Lane NorthAndover, 9Y,4 01845 alas been installed in accordance with the provisions of Title v of the State Sanitary Code and with the North Andover Board of Yfeafth regulations. The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. ,Ml hele E. Grant Public ifeatth inspector M)VIM )I AIT! :W., 9 II 13t ILI)I`ai 08-94 10 PI X\AIl J( 17 ....._ . _.............._......................... . ..� ...... NEW ENGLAND ENGINEERING SERVICES... May 24, 2005 Susan Sawyer North.Andover Board of Health 400 Osgood Street I ' � J° " North Andover, MA 01845 MAY 2 4 2005 Re: 61 Windsor Lane,North Andover, MA Tc°)Wf,m T ME Septic System As-Built Plan Submittal Dear Ms. Sawyer, The following Septic As-Built plans for the above referenced property are being submitted for approval. Enclosed are the following: 1. (3) Copies of the Septic System As-Built Plan, 2. Copy of Designer's/Installer's Certification Form. Please contact this office with any questions or concerns. Sincerely, Thomas Hector Project Engineer cc: Homeowner 60 BEECI°IWOOD DRIVE—NORTH ANDOVER, MA 01845-(9 76)686-1768-(886)359-7645—FAX(976)6£35.1099 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( )'constructed; repaired; located at was installed in conformance with the North Andover Board of ealth approved plan, m ance System.Design Permit.# ,plan dated 1. ��.1 ��,, :���_�� , �;� , with a design flow of � � �> gallons per day. The materials used were in conform 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 dater / Engineer Representative Final inspection date: Engineer Representative Installer: Lic.#: Date: �w sty, C v —�/ I f. �,���Ga����s � Date: � '� :� �-,.._s Engineer: ,w rh No,4 RECEI'VED'" ... r MAY 2 4 200 TOWN OF NORTH ANDOVER Tf4 Office of COMMUNITY DEVELOPMENT AND SERVICES w,' ' HEA1,T14 DEPARTMENT 27 CHARLES STREET 4-` NORTH ANDOVER,MASSACHUSETTS 01815 S 34US Susan Y. Sawyer,REHS/RS 978,68&9540—Phone Public Health Director 978.688.9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: MAP: LOT: INSTALLER: 02 DESIGNER: L L. I'D PLAN DP I/P BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: 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 F OM PLAN ik......1", GALLON TANK LOADING OF SEPTIC TANK GALLON PUMP CHAMBER LOADING OF PUMP CHAMBER -,=-- TYPE OF SAS DIMENSIONS AND DETAILS OF SAS._J(�)_X 6? SITE CONDITIONS ❑ Existing septic tank properly abandoned Internal plumbing all to one building sewer El Topography not appreciably altered Comments: \j Page I of 2 t TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES .HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01 845 SACHUS Susan Y. Sawyer, REHS/RS 978,6W9W-Phone Public Health Director 978,688.9542-FAX SEPTIC TANK El Bottom of tank hole has 6" stone base El Weep hole plugged gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) El Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, under access port El Outlet tee (gas baffle or effluent filter) installed, under access port El inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present El Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base El Weep hole plugged gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) El Inlet tee installed, under access port El Pump(s) installed on stable base El Alarm float working 0 Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port El Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs El Hydraulic cement around inlet & outlet Comments: Page 2 of 2 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01 S4 ACHUS Swan Y. Sawyer,REHS/RS 978,688.9540-Phone Public Health Director 978.688,9542-FAX D-BOX El Installed on stable stone base 0 Inlet tee (if pumped or >0.08'/foot) El Hydraulic cement around inlet & outlets El Observed even distribution El Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM 171 Bottom of SAS excavated down to soil layer, as provided on plan El Size of SAS excavated as per plan El Title 5 sand installed, if specified on plan 11 3/4-1 Y2" double washed stone installed El 1/8-1/2" (peastone) double washed stone installed El laterals installed and ends connected to header(and vented if impervious material above) 0 Orifices @ 5 & 7 o'clock positions El Gravelless disposal systems: type, number and location as per plan Elevations of laterals installed as on approved plan El 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: El Squirt test ft in height ❑ Equal distribution to all laterals 0 orifice size inch as per plan Comments: Page 3 of 3 TOWN OF NORTH ANDOVER 00T#1 Office of COMMUNITY DEVELOPMENT AND SERVICES 0 HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER,MASSACHUSETTS 01,845 "s US SLIsan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 97808.9542 FAX CONTROL PANEL El Alarm & Pump are on separate circuits El Alarm sounds when float is tripped ❑ Location of control panel- El Rated 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