HomeMy WebLinkAboutCertificate of Compliance - 415 SALEM STREET 10/19/2007 tAORTH '9w.
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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
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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
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(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:
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Engineer Representative(Signature)
4 I
And—Print Name
Final Construction Inspection Date.
"iJineer Repred`entative(Signature)
And—Print Name
Installer: _ (Signature) Date: a._,,
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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
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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
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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
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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
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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:
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