HomeMy WebLinkAboutCertificate of Compliance - 444 SALEM STREET 6/26/2014 PUBLIC HEALTH DEPARTMENT
Town of Forth Andover
Community Development Division
CERTIFICATE
COMPLIANCE
As of: 6/26/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair of D-Box
John DiVincenzo
At
444 Salem Street
Map 037.B Lot 0053
(Jhs Dance f this cei't t hall not e !ustrued as a guarantee that the system will function satisfactorily.
w
le Grant _.` °�
Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
North Andover Health Department
Community Development Division
QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 444 Salem St. MAP: 037.13 LOT: 0053
INSTALLER: John DiVincenzo
DESIGNER:
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
INSPECTION: 6/26/14 D-Box
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
❑ Contractor reports any changes to design plan
❑ 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
❑ 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
(gas baffle/effluent filter)
❑ inch cover to within 6" of finish grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon Pump Chamber installed
❑ H-10 loading
❑ Monolithic tank construction
❑ Inlet tee installed, centered under access pork
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off floats working
❑ Separate on/off floats
❑ Drain hole in pressure line
❑ cover at final grade installed over pump
access port
❑ Water tightness of tank has been achieved by
testing
❑ Hydraulic cement around inlet & outlet
Comments:
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel: basement
❑ Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX /
[' Installed on stable stone base
X H-20 D-Box
Inlet tee (if pumped or >0.08'/foot)
❑' Hydraulic cement around inlet & outlets
X Observed even distribution
E3 Speed levelers provided (not required)
❑ Schedule 40 PVC Pipe
Comments: 3 leaks in pipes, 1 at the joint of the outlet pipe as well as seepage
going into D-box. 2nd outlet pipe has s epage at pipe entering the d-box. Re-
inspect.
A�J