HomeMy WebLinkAboutCertificate of Compliance - 474 SALEM STREET 6/27/2000 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
6/27/00
This is to certify that
the individual subsurface disposal system
constructed (X) or repaired ()
by
Ben Osgood, Jr.
at
474 Salem Street
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.
�
l
Board of Health Inspector
h
TOWN OF NORTH ANDOVER SEWAGE DISPOSALS),
J_ ,;TAL.LA'I"ZON CERTIFICATION
'The undersi�med here'Cy certiiv that the Sewage Disposal Syste-m (X) corsu-.ict:'
( ) re^aircd.- y
by ig _, f .. < ("s. o --- — —
located at t.tj ,
was installed in conformance with the No.th Andover Board of Hea.ith approved plan,
System Desian Per,rit ,= dated —. 'Vit:n an accroved des:on
flow or,,S-,M ') ryailons per day The mate 'als use% were in conformuce those
speciriea on the approved' plan; the systern was installed in accordance the provisions
of 10 CNIR t 5.000, Title 5 and 'Local r e(2-alations, and the final Qrading agrees
substantially with the approved plan. ,-U work is accurateiy represented or the As-built
which has been submitted to the Board cfHealth.
Lied inspection -gate: C
Eniztneer Rpr s� :ative
Final inspection date
Encireer Represeniat:%,e
Instal:er: °. Date
� f A4 S —
Lesis;Tn EnGineer: 4) Date,
f
C.
TANGARD
"%NAL
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_. ._.. .......... ....w _�.. .......
NEW ENGLAND ENGINEERING SERVICES
_....... _....... ........ .. I C . . .. ... . ................ .... .
June 20, 2000
Sandra Starr, Administrator
North Andover Health Department
Town Hall Annex
27 Charles Street
North Andover, MA 01845
Re: Lot A Salem Street, North Andover, Septic system design
Dear Sandra:
Enclosed is an as built plan and engineers certification for Lot A Salem Street.
If you have any questions or need additional information please do not hesitate to contact
this office.
Sincerely,
Benja2lr C. Osgo A," .,EIT
President
:,... 0 B :r ,. vOOD oME- NORTH ANDOVER, A 0184 5-(978)686-1768..(888)359-7645-FAX(978)665-1099
Carus Consimclron Corporation
P.O. Box 583
North Andover,MA 01845 DATE JOB NO. /
(978)688-4080
ATTENTION
TO i, RE:
WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items:
❑ Shop drawings Prints ❑ Plans ❑ Samples ❑ Specifications
❑ Copy of letter ❑ Change order ❑
COPIES DATE NO. DESCRIPTION
A J t i j 1, r °! y'' /X %l t� a' ✓ 5 - , r•'I/ - f
THESE ARE TRANSMITTED as checked below:
For approval ❑ Approved as submitted ❑ Resubmit copies for approval
❑ For your use ❑ Approved as noted ❑ Submit copies for distribution
❑ As requested ❑ Returned for corrections ❑ Return _corrected prints
❑ For review and comment ❑
❑ FOR BIDS DUE ❑ PRINTS RETURNED AFTER LOAN TO US
REMARKS
COPY TO
SIGNED:_
If enclosures are not as noted, kindly notify us at once.
AS-BUILT CHECKLIST
LOT NUMBER, STREET NAME
y ASSESSORS MAP &PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
V 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
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK& D-BOX
y ORIGINAL STAMP & SIGNATURE
1✓ IMPERVIOUS AREAS - DRIVEWAYS, ETC.
tl NORTH ARROW
(! LOCATION&ELEVATIONS OF BENCHMARK USED
INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes NOnitials �-
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:
B. Retaining Wall Ci"/�'/�
1. Wall height and width as specified
2. Waterproofed
3. Wall minimum 10'to leaching facility
4. Wall meets specifications of plan
Comments:
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 r
8. Cleanouts precede all change in alignment and grade }
9. Manholes at any 90°change
10. 10' minimum offset to water line
Comments: /
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 t�
8. Outlet tee minimum 14"under invert r'
9. Outlet line cemented
10. Air space 3"above tees
11. 2"-3"drop from inlet to outlet '
12. Pipe set
13. Compact base with 6"of'/4"crushed stone under tank
14. Tank is watertight -'�
Comments:
Yes NO
E. Pump Chamber
1. If separate from tank,compact base ith 6"of'/4"stone underneath
2. Minimum 2"pipe to d-box if gravity s}stem
3. 20"access manhole *,
4. Tank level
5. Watertight
6. Tank size agrees with plan specification
7. Manhole to grade
8. Check valve and bleeder hole present
9. Alarm in building on separate circuit
10. Alarm functions
11. Manual operating switch
12. Pump delivers liquid to d-box
Comments:
0�Iovo
F. Distribution Box �f
1. D-box level f/
�F
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 x/
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe
Comments: 0 03 v 1114-if f
CJ-
G. Soil Absorption system
1. All stone double-washed-'h 1 %"
-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', Lr
6. Minimum distance between trenches 10'
7. Pipe slope minimum 0.005 or 6"per 100'
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 min 0.005 or 6"per 100'
3. Separation betwee ipe 6'maximum
4. Pipes connected at en
5. Separation between adja,ent fields 10' minimum
6. Pipes set on stable base
7. Maximum 4' separation fronfi edge of field to first line
8. Minimum two distribution lines",'
9. Maximum perc rate 20 mpi
Comments:
i
i
J. Leaching Pits
1. Minimum in t pipe 4"
2. Pits of concrete
3. Sidewall between 1 "and 48"wide
4. Access manholes on ea it
5. Pipes cemented with hydra ' 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