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Home My WebLink AboutCertificate of Compliance - 75 WINDSOR LANE 11/27/2012 e - PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIF1 ATE OF COMPLIANCE As 0 11 /27/12 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System Todd Bateson At: 75 Windsor Lane Street Map 106 Lot North Andover, MA 0184 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. ;p Susan Sawyer ,, ,,Public Health 'gent � 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.towno(north an dove r.corn r� r PUBLIC HEALTmi DEPARTMENT f (onimunik Y d Devolo xnl(,nt C'limision TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(_)constructed;( )repaired; B Vii,'o 1,:) -, (Print Name) Located at: ,,-/(-; Lok lc4LO, 'O f~ (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on tf`j with a design flow of 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. Bottom of Bed Inspection Date: Engineer Representative(Signature) And—Print Final Constr ct on Inspection Date: ""' ' ..I '� . �a Engineer Representative Signature) And—Print Name Installer: A f , . (Signature) Date: Y .-y And—Print Name Enginer: to d °�r"d ✓ �'(Signature) Date: r° a 121- �.A `�C� And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01045 Phone 978.688.9540 Fox 970«688.8476 Web ttp://wwwe.townofnorthandover.com Blackburn, Lisa From: Sawyer, Susan Sent: Wednesday, November 28, 2012 3:58 ISM To: wrdufresne @comcast.net Cc: Blackburn, Lisa Subject: 75 Windsor Bill, I received and reviewed the information on 75 Windsor and Noticed there was no clean out on the as built. I spoke with Todd Bateson and he verified that he did put a clean out, per plan, on the line from the tank to the d-f qx. @ 21 feet from the d-box. MT Can you place that reference on the As-built and send it to us for the file. C& Otherwise we are all set to sign off. Thank you Susan Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Bldg.20,Unit 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email manta;ss w L@,townof nor than dove er.corn Web www.TownofNorthAn dove r.c on') Please note the Massachusetts Secretary of State's office has detennined that most emails to and from municipal offices and officials are public records.For more information please refer to: ; m , reidx.�in,€/ Please consider the environment before printing this email. i North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T UCTl NOTES LOCATION INFORMATION ADDRESS: 75 Windsor Lane MAP: 106D LOT: 67 INSTALLER: Bateson Brothers DESIGNER: Merrimack Engineering Services PLAN DATE: 9/6/12 BOH APPROVAL DATE ON PLAN: 10/16/12 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 11/13/12 DATE OF FINAL CONSTRUCTION INSPECTION: 11/16/12 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan X 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 n/a Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24 inch cover to finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: See picture. Tank was put in on the holiday. A picture was sent DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box n/a Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan n/a 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan n/a Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Size 24' 4" x 42' 73' from house V deep into C layer SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Low Profile Infiltrator Chambers ® Number of chambers per row: 8 ® Number of rows (trenches): 5 Comments: Total Chambers = 40 FINAL GRADE X Loamed? X Seeded? X Cover per plan? Comments: Looks great DOCUMENTS NEEDED DC Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer DO As-Built Plan BM = 100.00 HR = 4.17 HI = 104.17 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 691 96.91 97.6 +/- Se tic Tank IN 720 96.62 96.60 Septic Tank OUT 750 96.32 96.35 Distribution Box IN 832 95.50 95.50 Distribution Box OUT 848 95.34 95.33 Lateral 1 TOP 856 Lateral 1 INVERT 95.26 95.28 Lateral 2 TOP 856 Lateral 2 INVERT 95.26 95.28 Lateral 3 TOP 856 Lateral 3 INVERT 95.26 Lateral 4 TOP 857 95.28 Lateral 4 INVERT 95.25 Lateral 5 TOP 857 Lateral 5 INVERT 95.25 Top of Chamber 95.67 95.67 Bottom of Bed/Chamber 917 95.00 95.00 CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws /�� %�/��i' ��o /!�%��/ ��% �,,//%/ ,/, l�� 't' iioi��%9/fG��// �f®/ �l �//, i� �� iii � �/��,,,,,,,�/%%�� iii,�,�iii/ / '� � � / !� llEi,rj�il'�i�F��ic'ilC{,','�i',�. ��I��y iar � �/�� i �� ""�/ / II luumf �t�1`,,, i �I�flll�'Y �,, �/�j ,� / �� i � � � l / ,�, �� , � � fu�az