HomeMy WebLinkAboutCertificate of Compliance - 40 STERLING LANE 6/14/2000 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
6/14/00
This is to certify that
the individual subsurface disposal system
constructed (X) or repaired ()
by
Dave Maynard
at
Lot 1 Sterling Lane
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
...............
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System(' constructed;
( ) repaired;
by V� ,,,,J- Y J
located at
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit # , dated , with an approved design
flow of 1 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 1 5.000, 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:
Engineer Representative
Final inspection date:
( Engineer Representative
Installer: ... w;�,c. Lic.#: Date: ..,._ _� "2 �' °,`;R
Design Enginee Date:
AS-BUILT CHECKLIST
G/ LOT NUMBER, STREET NAME
ASSESSORS MAP &PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS &DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
(j TIES TO LOT LINES &DWELLING, WELLS
a. FROM SEPTIC TANK
b. FROM LEACH AREA
LOCATIONS OF DEEP HOLES & PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
(/ LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
I/ DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK& D-BOX
ORIGINAL STAMP & SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
/ LOCATION&ELEVATIONS OF BENCHMARK USED
Received May-05-99 10:22 from 9786857878 4 G page 2
05/05/1999 11:31 9786857878 COOLIDGE CONSTR PAGE 02
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SSACROOETTS QUITCLAIM DEED
GEORGE K. PARK and WANDA K. PARR, husband and vita,
of 216 Palaigh Tavern Land, North Andover, Essex County, MA
for consideration paid, and in gull oonsideratiQn of rIVE B.UNDRED
PTrTY THOUSAND and no/L00 ($550,000.00) natrans
,grant to OORN F. McBA1i1. , Trustee of the Oak Trust under
declaraticn of Crust dated August 14, 1990 and recorded with the
Essex north district Registry of beads at Book 1448, Page 150, of �
401 Andavar Street, North Andover, MA 01845
with quitclaim covenants
Certain parcels of land, being shown as Tots A through 6,
Open Space Parcel 'Al , Open Space Parcel X91 , the fee In Sterling
Lane, and the 23.4 acre +/- parcel described as "Remaining Land"
on a plan of land entitled& "DEFINITIVE SUBDIVISION OF PLANNED
RESIDENTIAL DEVELOPMENT, SALEM FOREST IV, IN NORTH ANDOVER,
MASSACHUSETTS." Owner and Applicant: Parr Better Homes, Inc, ,
George Farr, President, 216 Raleigh Tavern Lane, North ,Andover,
Mamaachusetts, Scale: i« a 2001 : Date: ,Tuns 21, 1996; Hancock
Survey Aesociates, Inc. , 235 Newbury Street, Danvers, MA 01923.
Said plan is recorded at North Essex Registry of Deeds as Plan
No. 13035.
Subject to the terns and conditions ®f a Covenant by and
anonq George H. Farr, Wanda H. Farr, Parr Better Homes, Inc. , and
John P. McGarry, Trustee of oak Trust, dated March 15, 1999 and
recorded herewith.
For Grantors tit14 see dead& recorded with the Essex North
Pistrict registry in Book 3087 Page 314 Book 2035 Page 269.
EXECUTED as a sealed instrument this 15th day of March, 1999
4E0 $ it. >s ARR $,
Mo DA M v PARR COM2+10NW'EALTH OF MASSACHUSETTS
ESSEX, SS. Marcel is, 1999
Than personally appeared the above-named GMoRaz g. pAin, and
WANDA K. FAIR and acknowledged the foregoing instrument to be
their free act and deed before me
Not F is
.
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STERLING LANE 11=51712"
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REFERENCE PLAN NO. I JOJ5
FOUNDATION LOCATION PLAIT
I CM71rY "144' YIIF IVI SMUCr NOW colvwms T9?
Inc xOAIrAL W IdrY or o f'I.om
Rol F YBJdI ay A , AV T ClcTra
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COCUDGE CONSTRUCrION CO., INCA c soclHl &aT Ys N wromrs,
THIS CERT117CATION 15 AMDE AND LlMIM VW amKING 9144 m0r ft U my INC C'LltW air ANY
N[I E B IMAW r lYTCIN[I?A FltPr �vrlr YifiE
TO THE MOVE CLIENT. WIdiTY� �r r Ar S�~k�a aac.
I rYlts wl�aas r csTY rr
c9F C � dici . ANn ANY Uroo 1. u
l 1Ld S� TAKrS w ouTr
d YY U f t Tea i4adWa IRPr7-
'r7�iri
LOCATION. NORTH ,4NOOVER , MA. TAU��o �
OF
SCALE. 1"= 60' DATE. Q/ 4199
C14RI. TIANSEN & SERGI � rTlcINY7775 9S X91
M70 $ n MA M30 Trc. 97"IS-0310
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INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes NO Initials
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches,sides of excavation are beneath B horizon
3. Edge of excavation specified distance from foundation,etc.
Comments: I- (�
fi r, T Y7 C.k )z,--e c 3,"°6 c- .1/i Cl t'/�C f- n )b ie
45 6 f2
B. Retaining Wall
1. Wall height and width as specified ✓
2. Waterproofed
3. Wall minimum 10'to leaching facility t �•, �, r-�,� �,�¢���
4. Wall meets specifications of plan
Comments:
L �� a� P
C. Building Sewer
1. Pipe diameter minimum 4"
2. Schedule 40 pipe
3. Watertight joints
4. Inlet to tank cemented
5. Slope minimum 0.01 or 1/8"per foot minimum
6. Pipe properly set on compact firm base
7. Pipe laid on continuous grade in straight line
8. Cleanouts precede all change in alignment and grade -/
9. Manholes at any 90°change
10. 10'minimum offset to water line
Comments:
i�L71
D. Septic Tank
1. Level
2. 1,500 gal minimum
3. Gas baffle present on outlet
4. Manhole to grade
5. Manholes over center and each tee
6. 3-20"manholes
7. Inlet tee minimum 12"under invert
8. Outlet tee minimum 14"under invert t✓
9. Outlet line cemented
10. Air space 3"above tees T
11. 2"-3"drop from inlet to outlet
12. Pipe set
13. Compact base with 6"of 1/4"crushed stone under tank ✓%
14. Tank is watertight V%
Comments:
Yes NO
E. Pump Ch ber
1. If separ from tank,compact base with 6"of 1/4"stone underneath
2. Minimum "pipe to d-box if gravity system
3. 20"access m ole
4. Tank level
5. Watertight
6. Tank size agrees with plan specification
7. Manhole to grade
8. Check valve and bleeder holt
9. Alarm in building on separate circuit
10. Alarm functions
11. Manual operating switch
12. Pump delivers liquid to d-box
Comments:
F. Distribution Box
1. D-box level
2. Minimum 0.IT'(2")drop from inlet to outlet
3. Minimum 6"sump
4. Outlet pipes show equal distribution
5. Compact base with 6"of stone beneath box
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe
Comments:
G. Soil Absorption system
1. All stone double-washed-3/4"- 1 %2"
-pea stone
Bucket test done?
2. Minimum 2"of pea stone above distribution lines
3. Minimum 6"stone beneath pipe
4. Distribution lines capped or connected together
5. Grading meets 3:1 slope
6. Minimum of 9"of fill graded over system
7. Toe of slope stops minimum 5' from edge of property; if not,then swale.
Comments:
H. Leach Trenches
1. Minimum 2 trenches
2. Length of trenches agree with plan. (Max. length 100')
3. Width of trenches agree with plan-Minimum 2%maximum-4'. =/
4. Vent present if>50 feet or specified
5. Distance between trenches minimum 4' and maximum of 6'
6. Minimum distance between trenches 10'
7. Pipe slope minimum 0.005 or 6"per 100' l�
8. Depth of trenches below outlet invert minimum of 6".
Yes NO
9. Pipes set on stable base.
Comments:
I. Leach'`field
1. Maximum length of field 100'
2. Pipe slope,minimum 0.005 or 6"per 100'
3. Separation between pipe 6'maximum
4. Pipes connected,at end
5. Separation betweenadjacent fields 10' minimum
6. Pipes set on stable bash
7. Maximum 4' separation\h cin edge of field to first line
8. Minimum two distribution lines
9. Maximum perc rate 20 mpi
Comments:
J. Leaching Pits
1. Minimum inlet pipe 4
2. Pits of concrete
3. Sidewall between 12"and 48"wide
4. Access manholes on each pit
5. Pipes cemented with hydraulic cement
Comments:
K. Final Grade
1. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9"soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
5. No areas over system that may pond
APPLICATION FOR DISPOSAL 'VVORKS CONSTRUCTION PERMIT
DATE: '°- -3 CUR-RENT INSTALLER'S LICENSE /_
LOCATION:
LICENSED INSTALLER;
SIGNATURE: - .� . TELEPHONEmr-�-,,�f °° `i '; �-
CHECK ONE:
REPAIR: NEW CONSTRUCTION:
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
575,00 Fee Attached? Yes °O No
Foundation As-Built? Yes No
Floor Plans? Yes- '/'
es ' No
Approval Date:
t
INSTALLER PROJECT MANAGEMENT OBLIGATIONS
As the North Andover licensed installer for the construction of the septic system for the property
at relative to the application of a J
dated
for plans by and dated V e')K) with
revisions dated
I understand and agree to the following obligations for management of this project:
I As the installer I am obligated to call for any and all inspections. If homeowner, contractor,
project manger, or any other person not associated with my company schedules an inspection
and the system is not ready then item two shall be applicable .
2. As the installer I am required to have the necessary work completed prior to the applicable
inspections as indicated below. I understand that requesting an inspection, without completion
of the items in accordance with Title 5 and the Board of Health Regulations may result in a
$50.00 fine being levied against my company.
a) Bottom of Bed—generally first inspection unless there is a retaining wall which should be done first. Installer
must request the inspection but does not have to be present.
b) Final Inspection—Engineer must first do their inspection for elevations,ties,etc. As-built or verbal OK from
engineer must be submitted to BOH,after which installer calls for inspection time. Installer must be present
for this inspection. With pump system all electrical work must be ready and able to cause pump to work and
alarm to function.
c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site.
3. As the installer I understand that persons or companies not associated with my company may
not perform the work required by my company to complete the installation of the system
identified in the attached application for installation. I further understand that work by others
unlicensed to install septic systems in North Andover can constitute reasons for denial of the
system, and/or revocation or suspension of my license in the Town of North Andover plus
significant fines to all persons involved.
4. As the Installer I understand that I must be on site during the performance of the following
construction steps:
a) Determination that the proper elevation of the excavation has been reached.
b) Inspection of the sand and stone to be used.
c) Final inspection by Board of Health staff.
d) Installation of tank,D-box,pipes,stone,vent, pump chamber,retaining wall and other components.
5. As the installer I understand that I am solely responsible for the installation of the system as per
the approved plans. No instructions by the homeowner, general contractor, or any other persons
shall absolve me of this obligation.
Undersigned Licensed Septic Installer
Date: