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HomeMy WebLinkAboutCertificate of Compliance - 85 GRANVILLE LANE 11/30/2009 FF PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division A :C' n f , November As of: This is to certify that the individuaf subsurface disposa(system receiveda SATISTAC7ORT I (DEMON of the: ft&cement of an Individuaf • Disp y. Charfes Besfiara At: 85gra���� I 210/106.C-0054-0000.0 or tfi Andover, qw.9 o1845 7Fie Issuance of this certificate shafl not 6e construedas a guarantee that the system wifffunction satisfactoricy. T. Sawyer, ,f X 6CuWeafth V rector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnortliandover.com 0" 6�mr PUBIR tai ttla DEPARTMENT Conirimi iiay Developaievra lDivisim TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ()constructed; ( )repaired; By: Charles Beshara (Print Nome) Locatedat: 85 Granville Lane (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated Sept . 3 , 2009 and last revised on Sept . 21 , 2009 ,with a design flow of 440 _ 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 1.5.000,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) William S . MacLeod 11-30-09 And Print Name Final Construction Inspection Date: Engineer Representative(Signature) William S. MacLeod And—Print Name Install (Signature) Date: Charles Beshara And—Print Name Engiuer: ° " (Sig nature) Date: ° " William S. MacLeod And—Print Name 1600 Osgood Street, Noah Andover, Massachusetts 01845 Phone m6 . 40 Fox 978,688,8476 Web ht"l�l)://www.townoinoa°t,haandovei,.cwii %AORTH CY encatiirt nn�wrcw . ^� " u US PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM T TI LOCATION INFORMATION ADDRESS: 85 Granville Lane MAP: 106C LOT: 54 INSTALLER: Charles Beshara DESIGNER: William MacLeod PLAN DATE: 9/3/09 BOH APPROVAL DATE ON PLAN: 9/25/09 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 12/1/09 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan N/A Existing septic tank properly abandoned N/A Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: House is still being built and internal plumbing has not been installed yet. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® 1500 gallon tank has been installed H-10 loading mono construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688,8476 Web www.lowiiofnortliarrdover.coni Inspection Form June 2008 I �y. O R T S{SCntlYC tlwtl �' PUBLIC HEALTH DEPARTMENT Community Development Division ® Outlet tee installed, centered under access port (gas baffle) ® 24" inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL. ABSORPTION YST (General) ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan N/A 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www townofnorthondover.corn Inspection Form June 2008 N ow S U PUBLIC HEALTH DEPARTMENT Community Development Division BM = 123.88 HR = 2.28 HI = 126.16 SYSTEM ELEVATION ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark 123.88 Building Sewer OUT 2.55 123.26 123.03 Septic Tank IN 2.98 122.83 122.83 Septic Tank OUT 3.20 122.61 122.58 Distribution Box IN 3.26 122.55 122.54 Distribution Box OUT 3.41 122.40 122.37 Trench 4 TOP 3.60/3.84 In / End In Trench 4 INVERT 122.21 / 121.97 122.21 Trench 3 TOP 3.60 / 3.83 Trench 3 INVERT 122.21 / 121.97 122.21 Trench 2 TOP 6.62 / 6.83 Trench 2 INVERT 119.19 / 118.98 119.21 Trench 1 TOP 6.62 / 6.82 Trench 1 INVERT 119.19 / 118.99 119.21 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www,lawoofnorthandaver_com Inspection Form June 2008 oa4 sew F + X54. � PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL. SETBACK DISTANCES Mark those distances 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 1.0 10' • Private drinking well 75 1002 50 • Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh,Inland/Coastal Bank3 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 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web ww vr_)owirolnarthowrddower com Inspection Form June 2008 PAGE. 1/ 1 NOV.17.2009 10:52 AM Pitcherville Sand& Gravel 36 Brown Drive Greenville. NH 03048 603-878-0035 (fax) 603-878-0025 Sieve Analysis CONCRETE SAND Date 11113/2009 Source Wilton TOTAL% C-33 SIEVE SCREEN CUMLATIVE %RELATIVE SPEC WGT. WGT. %RETAINED PASSING SIZE 100.0 100 0.00 3 87 96.1 95--100 3/8" 0 14 47 3 87 r #4 14 64 9 a3 78.4 46--80 #8 80.58 21.55 56.3 #16 163 31 43 68 56 3 10 30 #30 163 31 72—k/ 2--1U #100 340.48 97.06 2.29 0 -3 #200 365.34 100.00 on PAN 37300 GROSS 373 9 CUstomev TARGET(,(INSTRUCTION FAX#603-890-9171 Job: 85 GRANDVIh1-E RD. N ANU(M I2 MA 310 CMR: DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.255: continued (f) where a retaining wall to stabilize the slope is required and also is proposed as an impervious barrier,in addition to meeting the requirements in 310 CMR 15.255(2),it shall be constructed of suitable structural material and be designed by a Massachusetts Registered Professional Engineer. (3) Fill material for systems constructed in fill shall consist of select on-site or imported soil material. The fill shall be comprised of clean granular sand,be free from organic matter and deleterious substances, and shall not contain Remediation Waste as that term is defined in 310 CMR 40.0000. Mixtures and layers of different classes of soil shall not be used, The fill shall not contain any material larger than two inches.A sieve analysis,using a#4 sieve,shall be performed on a representative sample of the fill.Up to 45%by weight of the fill sample may be retained on the#4 sieve. Sieve analyses also shall be performed on the fraction of the fill sample passing the #4 sieve, such analyses must demonstrate that the material meets each of the following specifications: SIEVE SIZE EFFECTIVE %THAT MUST PARTICLE SIZE PASS SIEVE # 4 4.75 mm 100% #50 0.30 mm 10%_ 100% #100 0.15 mm 0%- 20% #200 0.075 mm 0%- 5% A plot of the sieve analyses of the portion of the sample passing the#4 sieve shall fall on or between the lines on the following graph: PARTICLE SIZE DISTRIBUTION #200 #100 #50 #4 Sieve Size 100 r 90 r 80 r 70 Z Q 60 � e W 50 W40 U r a- 3o r 20 o � 10 0 Micron 60 200 600 2 6 10 mm 4/21/06 310 CMR-534