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