HomeMy WebLinkAboutCertificate of Compliance - 85 GRANVILLE LANE 11/30/2009 FF
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
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November As of:
This is to certify that the individuaf subsurface disposa(system receiveda
SATISTAC7ORT I (DEMON of the:
ft&cement of an Individuaf
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Charfes Besfiara
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tfi Andover, qw.9 o1845
7Fie Issuance of this certificate shafl not 6e construedas a guarantee that the system wifffunction satisfactoricy.
T. Sawyer,
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X 6CuWeafth V rector
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Web www.townofnortliandover.com
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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
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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
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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
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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
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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