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HomeMy WebLinkAboutCertificate of Compliance - 415 SALEM STREET 10/19/2007 tAORTH '9w. Q �SLeo 16,0 '•O 6 OL O L to IL Z, ea CR^Teo PPa ,�5 �SSAC HU5'-' PUBLIC HEALTH DEPARTMENT Community Development Division C'E1R�II FIC.�rrT O F COM<1'.GI.�� As of: October 19, 2007 This is to certify that the individuaCsu6surface d7sposalsystem receiveda SA` ISTAC7ORTI.NSITEMONof the: Fully RepairedSeptic System By: Jacksullivan At: 415 Salem Street Map 37.B; (Parce13 6 North-Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Susan 91 Sawyer" (Public Wealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com m PUBLIC ptatl"il plE attt E@II" (Q[r1r�7trulkyr hmlo!palea o nivisiors TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTII+ICATION � f The undersigned hereby certify that the Sewage Disposal System constructed;O repaired; f By. -� ( �p j kJ 1,I�-.�, I 'l (Print Name) Located at: VU ��� ) (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 1 u . v lµ and last revised on 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) 4 I And—Print Name Final Construction Inspection Date. "iJineer Repred`entative(Signature) And—Print Name Installer: _ (Signature) Date: a._,, If � � And—Print Name Enginer: (Signature) Date: J And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://YofwwJownofnorthondover.coin Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants October 4, 2007 Town of North Andover Board of Health c/o Susan Sawyer—Director of Public Health 1600 Osgood Street North Andover,MA 01 845 Re: 415 Salem Street,North Andover Final Septic Grading As-Built Ms. Sawyer; Enclosed are two (2) original stamped Final Grading As-Built Plans for your review and approval for the above referenced property. If you have any questions please feel free to contact me. Very Trul s, ack Sullivan, P.E. 22 Mount Vernon Road — Boxford,Massachusetts 01921 — (978)352-7871-Phone — 978352-7871 -Fax TN (6C NVC N6�n[ef �' 6U PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION ADDRESS: 415 Salem Street MAP: 37B LOT: 36 INSTALLER: Jack Sullivan DESIGNER: Jack Sullivan PLAN DATE: 7-11-06 BOH APPROVAL DATE ON PLAN: 7-20-06 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 10-3-06 DATE OF FINAL GRADE INSPECTION: 10.. SITE CONDITIONS ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Could not see relocated water line route. 10/3/06. SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading 2-PC construction ❑ Watertightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofiiorthundover.com % T g m a.0 -6 0 C0 0 'W Cd CKrC iK emg rKw '1. "Y" PUBLIC HEALTH EPA T Community Development Division ® Inlet tee installed, centered under access port ® Outlet tee (gas baffle or effluent filter) installed, centered under access port ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ® Hydraulic cement around inlet & outlet Comments: Watertightness of tank needs to be demonstrated. Manhole to grade over effluent filter needed. 10/3/06. DISTRIBUTION-BOX ® Installed on stable stone base ❑ 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) ❑ Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ❑ Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688,8476 Web www,towirofnorthandover.coir7 Iq °`.. '.. to p HUS'- PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Benchmark Building Sewer OUT 101.30 99.95 Septic Tank IN 100.52 99.75 Septic Tank OUT 100.30 99.50 Pump Chamber IN Pump Chamber OUT Distribution Box IN 99.97 99.27 Distribution Box OUT 99.81 99.10 Lateral 1 I NV 99.74 99.80 Lateral 1 END 99.22 99.05 Lateral 2 I NV 99.67 99.80 Lateral 2 END 99.23 99.05 Lateral 3 I NV 99.65 99.80 Lateral 3 END 99.24 99.05 1600 Osgood Street,North Andover,Mlossorhosetts 01845 Phone 978.608.9540 Fox 478.688.8476 Web www,town ofnorthondoverarn Ti�j . � ID � '* Cb cra%iia awm "' PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL SETBACK DISTANCES Mark those distance 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 10 101 ❑ 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 i Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). l As defined in 3'10 CMR 10.55, 10.32, 10.54, and 10.30,respectively,pursuant to 15.21 l(3),also by NA wetland bylaws 1600 Os0ood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.cooi FINAL GRADE INSPECTION Date: - � Address: o�A AMED? CEDED? OVER PER PLAN? Other: z