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Home My WebLink AboutCertificate of Compliance - 287 FOREST STREET 7/20/2001 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 7/20/01 This is to certify that the individual subsurface disposal system constructed (X) or repaired ( ) by William Sawyer at 287 (Lot A) Forest 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. Board of Health Inspector TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; repaired; located at was installed in conformance with the North Andover Board of Health approved plan, System Design Permit 41Z) , dated ! �) _, with an approved design flow ofd 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. r Bed inspection date: Engineer Representative Final inspection date: ` ' "`hnjineer Representative Installer: Lie.#: Date: v� Design Engineer: Dater i; t 71�/� � AS-BUILT CHECKLIST LOT NUMBER, STREET NAME �- ASSESSORS MAP & PARCEL NUMBER -! LOT LINES &LOCATION OF DWELLINGS �.� .. LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS f / ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WA== R, GAS, ELECTRIC LINES, CABLE r DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX ORIGINAL STAMP & SIGNATURE G. f IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW V J LOCATION&ELEVATIONS OF BENCHMARK USED INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initi Is 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 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 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90°change 10. 10' minimum offset to water line Comments: 4i) cleft 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 ! ° 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 Ct � 14. Tank is watertight Comments: Yes NO E. Pump Chamber 1. If separate from tank,compact base with 6"of 1/4"stone underneath 2. Minimum 2"pipe to d-box if gravity system °° 3. 20"access manhole ' 4. Tank level ®° 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade valve 8. Check bon dser present � pi 9. Alarm n building g 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 0.17"(2")drop from inlet to outlet 3. Minimum 6"sump 4. Outlet pipes show equal distribution r 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--/."- 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' 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; 1. 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 between adjacent fields 10' minimum 6. Pipes set on stable base 7. Maximum 4'separation from edge of field to first tine 8. Minimum two distribution lines 9. Maximum pert rate 20 mpi Comments; I 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 r I 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 ��.w�r�aA � Goo 542 .. n A^r mi 1S FOB.SEPI IC,SE'S' "X` I 1'L i idJ[m A a ea��.., NO 'araiX¢w.G� of Bed ticRX r ditlX e�SacA red ier.etc. -... w -• Wall MM* ilYkWn 10' teaming t aw—Y �. '+fail IMeets spCOMCM11jKla�6 r— Building 1 laid diamdiff MinuuUm 3. AbA 6amb foot rnXnXXMA® XasAaa xX -- _W ..n.. amU wade .wm. CWnQM FK line _..d..P.�_:.... m^a. P J!b,.,an ruM1 oPA9 I.AM1�A'.4 t t' e r i l Miniffimn Vpp �. prowt oil Owe , " 4. atl tO M, b aC W d over QMAt'"_.:t 12"under invtfx oudet cemented yy�• .X 3" 14Jf 3 n 41. 1 X a bed 5jone UndW iL A A Tshvlk iS WMWWt gaol a,nn �� 4� � . __ lees-14-00 1�>CT� P�4®Y°°taF°1 Arr°r�eav®r Cvr'r. ��® , R I 4 Ill �UPIC� YCS NO E. Pump, widl 6"of/."stone undern I(SetMte 2 M' ` um 2° to d it vIIY sy 3. 20°'access m ate 4. Taftil Mveg ` ` � .,P With 01-an tion �1 8. Check valve and bleeder hole prtsall r 9, Almn in buiidift On SqNMW ctrw" 10. AlaM IU=LQDS - ��® r4 aTa 1, 04WX level 2_ minimum 4.17(2„)drop from inter to out 3, Minimum 6”SWnP 4. t"iVt D[ m6.,-..y..m. .- u _®-w, o;"of vtovte limenth box c _ ;_®W"t- ight - �. All l' ted with hvdrIulic cement — Schedule 40 pipe n f Comments: (o r 0 ( St "W_ G. Sail AbG i*ft SYMCM ( t 1. All L'-W t 1 Vl\ e of_ sine ahave distnbution lines — z 1lRiniretu 6°' -°e beneath pipe S. Grading mW5 3A slope ,✓ 6 Ug y RL Lala�e p:.v. e-_ - Trariches agree with"tan, ( -tCngth 10(1') ------ 7 wmth of trenches agrW with plan-Minim Z';mmumum C vent pwmn if<50 feet or specified a, S b' cites r Huln"'n-r 7 m -�. rTW BE v r°°�am...e a - e a .a,^� -_Phi below outlet invert retinbnu�t aF6' a. ....,P—._-----. jun® 14®oo 10:02 North Andover COT". D v® 50s 6aa 9542 , YcS NO 9. pip=w an stable base. Comments, i. Mmwirmtrn l g*of field 100' n 2- Pine sime minimum 0.WS or 6°°per 100' - e 9 Pi at end p �-U_—.I;;!—,- rn•�aA;�.,g. ®. L'; sit vie S=tlz...-.-° __--• -. -r A ,:rm►itm &om cAwe of field to first beat R Minim nt two distribution limes 9. Majamum Perc TUC 20Mpi - �oamrat�: MinimaM inlet pipe 4" 2. Pits of corweft 3. Sjoewdli hErmem 1.6 rSne s D: w,tped wide lowimm6c cemewit I -Co.A.. soil ghgamtion rstem eritntmt 0.02 2. An SVSICM CMPMCPAN cmemd by$t 10ast Vk-kPt1 3. Cover soil five of stona JuSer d=6^ x 4. Grading 510M a y trOM ailing 31 No S MAY paMacm