HomeMy WebLinkAboutCertificate of Compliance - 239 GRANVILLE LANE 11/23/2009 PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
TE 0 T 1 0�4 4 PL (Ar' X�r) (C E
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Movem6er 23, '"2009
This is to certify that the in&idua(su6surface disposaf system received a
S.AT1S ACToRT1YS(EC` 0X of the:
compfete ftair andConstruction of an
On-Site Sewage "osa(System
Joe Cantso
At:
236LC nv& Lane
Wap-1 06,Co-lParcef-0066
The issuance of this,certi'cate shaff not be construedas aguarantee that the system wifCfunction satisfactori(y.
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SwaWIT S ruyer,��
0 6Ctc 9feafth erector
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System(�constructed;( )repaired;
By:,/, V U 5 O co_
r(Print Name)
Located at: -239 V y-q N V( ( 1`e Lane
(Installation Address)
Was installed in conformm+ance with the North Andover Board of Health approved plan,originally dated
7-00 1 and last revised on )L A V I Z 0 D 9 ,with a design flow of
S;�® 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: 0 01 `—�/ �v ev-1
Engineer Representative(Signature)
Lv�2 ), Coy
And—Print Name '}
Final Construction Inspection Date: 1 1 1 q � C7q ✓v
LV 00( Engineer Representative(Signature)
And—Print Na e
Installer:� / �?��g`ture) Date: 6 l�
And—Print Name
Enginer: ( )J C\"q ignature) Date:
Lv �e
And—Print Name
1600 Osgood Street, North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com
ellehlle, Panel
From: Isaac Rowe [irowe c°7x millriverconsulting.com]
Sent: Wednesday, November 11, 2009 3:10 PM
To: 'Daniel Ottenheimer'; Grant, Michele; irowe @millriverconsulting.com; 'Marianne Peters';
DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan
Subject: 239 Granville Lane
Attachments: Construction Inspection Form -239 Granville Lane 11-11-09.doc
Susan,
Please find attached the final inspection report for the above referenced property. You will notice on the inspection report
that there are 2 bends in the building sewer pipe with no cleanouts. The design plan proposed 1 bend with 1 cleanout.
The engineer and installer felt there was enough pitch in the pipe to justify no cleanouts plus there is a cleanout in the
basement. I told the installer not to backfill around bends until he gets the OK from you. I told the installer the plan
required one and I would pass along my report to you. You may want to speak with Luke Roy the engineer to discuss?
Other than the building sewer pipe the install was very well done. They did add a 2"x4" coupling with a 6' length of 4" SCH
40 pipe prior to the d-box to reduce the velocity of the effluent. This allows the effluent to enter d-box smoothly and allows
even distribution to the laterals.
I would recommend that we begin requiring this for all pump to d-box systems. As designers this is what we do for our
projects and it works well. When there is just a 2"tee the effluent still tends to be very turbulent in the d-box and usually
seeps out the cover of the d-box.
Please let me know if you have any questions.
Thank you,
Isaac
Isaac M. Rowe,R.S.
Project Manager
Mill 11iveir Coitsulting
6 Sargent Street
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PUBLIC HEALTH DEPARTMENT
Community Development Division
QNSITE WASTEWATER SYSTEM T TI NOTES
LOCATION INFORMATION
ADDRESS: 239 Granville Lane MAP: 106 LOT: 66
INSTALLER: Joe Caruso
DESIGNER: Luke Roy
PLAN DATE: 5/29/09
BOH APPROVAL DATE ON PLAN: Revised ® 7/1/09
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 11/11/09
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
® Contractor reports any changes to design plan
® Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments: Old building sewer pipe was capped in basement.
SEPTIC TANK
® Building sewer in continuous grade, on compacted
firm base
*❑ Cleanouts per plain ®see note below.
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
® 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,towii fiiorthandover.com
Inspection Form June 2008
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PUBLIC HEALTH DEPARTMENT
Community Development Division
® Outlet tee installed, centered under access port (gas
baffle & effluent filter)
® 24" inch cover to within 6" of final grade installed over
one access port
® Hydraulic cement around inlet & outlet
Comments: There are 2 bends in building sewer pipe with 0 cleanouts. The design plan
proposed 1 bend with 1 cleanout.
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
® 1000 gallon Pump Chamber installed
® H-10 loading monolithic construction)
® Inlet tee installed, centered under access pork
® Pump(s) installed on stable base
® Alarm float working
® Pump On/Off floats working
® Separate on/off floats
® Drain hole in pressure line
® 24" cover at final grade installed over pump access
port
® Water tightness of tank has been achieved by
Visual testing
® Hydraulic cement around inlet & outlet
Comments: Barnes pump installed per design plan.
CONTROLPANEL
® Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel: basement
® Alarm signal located inside: basement
Comments:
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8416 Web www,townofnortliandover.com
Inspection Form June 2008
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PUBLIC HEALTH EPARTM NT
Community Development Division
DISTRIBUTION-BOX
® Installed on stable stone base
® Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
N/A Speed levelers provided (not required)
Comments: 2" x 4" coupling approximately 6' from d-box to provide velocity reduction of
effluent into d-box. 6' section of 4" SCH 40 pipe prior to d-box.
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
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: End of chambers connect to vent manifold then to vent.
SOIL ABSORPTION SYSTEM (gravel-less Chambers)
® Brand and Model of Chamber: Standard Quick 4
Infiltrator Chambers
® Number of chambers per row: 7
® Number of rows (trenches): 6
Comments: 42 Total Chambers
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 978,688.8476 Web www,townufiiorthontfover.conr
Inspection Form June 2008
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PUBLIC HEALTH DEPARTMENT
Community Development Division
BM = 95.32'
FIR = 3.43'
1-11 = 99.25'
SYSTEM ELEVATIONS
ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV
Benchmark
Building Sewer OUT 2.65 96.25 94.00
Septic Tank IN 5.56 93.34 93.25
Septic Tank OUT 5.32 93.03 93.00
Pump Chamber IN 6.14 92.76 92.75
Pump Chamber OUT 6.56 92.52 92.50
2"
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.towrmhorthundover.com
Inspection Form June 2008
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PUBLIC HEALTH DEPARTMENT
Community Development Division
BM = 97.37'
HR = 1.85'
HI = 99.22'
SYSTEM ELEVATIONS
ROD ELEVATION AS-ELT INVERT ELEV DESIGN INVERT ELEV
Benchmark
Distribution Box IN 4" 3.13 95.75 95.67
Distribution Box OUT 3.33 95.54 95.50
Lateral 1 TOP 3.41
Lateral 1 INVERT 95.46 95.42
Lateral 2 TOP 3.41
Lateral 2 INVERT 95.46 95.42
Lateral 3 TOP 3.41
Lateral 3 INVERT 95.46 95.42
Lateral 4 TOP 3.41
Lateral 4 INVERT 95.46 95.42
Lateral 5 TOP 3.41
Lateral 5 INVERT 95.46 95.42
Lateral 6 TOP 3.41
Lateral 6 INVERT 95.46 95.42
BED BOTTOM ELEV. 4.40 94.82 94.75
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.towiiofnorthandaver.com
Inspection Form June 2008
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PUBLIC HEALTH EPA TM
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 10 10'
® 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
1 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 Fax 978.688.8476 Web wwwwtownofnorthandover.com
Inspection Form June 2008
TOWN OF NORTH ANDOVER °F NORTH q
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT 0 ` p
1600 OSGOOD STREET;Building 2-36
NORTH ANDOVER,MASSACHUSETTS 01845
Susan Y. Sawyer,REHS/RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: Z3 � ,', ( L MAP: I c� LOT: Ly L
INSTALLER:
DESIGNER: t__ K, Re y
PLAN DATE: s°`f z -7/n7-
BOH APPROVAL DATE ON PLAN: `7
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
❑Existing septic tank properly abandoned
❑Internal plumbing all to one building sewer
❑Topography not appreciably altered
Comments:
SEPTIC TANK
Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon tank has been installed
H-10 loading Monolithic construction
❑ Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
❑ 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
Wastewater System Documentation=Feb 2006
Page 1 of 6
6/1/1 0,
TOWN Or NORTH ANDOVER of NoRry q
Office of COMMUNITY DEVELOPMENT AND SERVICES
0 .
HEALTH DEPARTMENT
1600 OSGOOD STREET;Building 2-36
NORTH ANDOVER,MASSACHUSETTS 01845 �93
SHCHl15E
Susan Y. Sawyer,REHS/RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ Combo Tank installed. Size:
❑ 1000 gallon Pump Chamber installed
H-10 loading
Monolithic construction)
❑ Inlet tee installed, centered under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off floats working
❑ Separate on/off floats
❑ Drain hole in pressure line
❑ 24" inch cover to within 6" of final grade installed over
pump access port
❑ Water tightness of tank has been achieved
Visual testing
❑ Hydraulic cement around inlet & outlet
Comments:
ADVANCED TREATMENT TECHNOLOGY
❑ Type of treatment device:
❑ Installed per manufacturers requirements
❑ All components working in accordance with
manufacturer's requirements
Comments:
Wastewater System Documentation—Feb 2006
Page 2 of 6
TOWN OF NORTH ANDOVER of NORTFI A
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET;Building 2-36
NORTH ANDOVER,MASSACHUSETTS 01845 ASSACHUS��
Susan Y. Sawyer,REHS/RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
D-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'
Bottom of SAS excavated down to s it layer, as
frovided on plan
® Size of SAS excavated as per plan
Title 5 sand installed, if specified on plan
❑ 3/4-1 1/2" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
❑ Laterals installed and ends connected to header
❑ Laterals vented if impervious material above
❑ Orifices @ 5 & 7 o'clock positions
❑ Gravel-less disposal systems: type, number and
location as per plan
❑ Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments:
Wastewater System Documentation—Feb 2006
Page 3 of 6
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TOW1.OF NORTH ANDOVER of "'14,
PV � I A SERVICES
Office of COMMUNITY DEVEI® D F
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HEALTH STREET;Building2y-,36
1600 OSGOOD y qTp PF �S
NORTH ANDOVER,MASSACHUSETTS 01845 CHUStiK
978.688.9540—Phone
Susan Y. Sawyer,REHS/RS•, 978.688.8476—FAX
Public Health Director
PRESSURE DISTRIBUTION
❑
-- inch manifold
El laterals installed with end sweeps
size:
material: "
❑ Squirt test ft-in height
❑ Equal disi:ribution to all laterals
❑ 'orifice size inch as per plan
Comments:
CONTROL PANEL ❑
Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel:
❑ Rated for-exterior if placed outside
Comments:
Wastewater System Documentation—Feb 2006
Page 4 of 6
i
TOWN OF NORTH ANDOVER o�Nfl oT 69 0
Office of COMMUNITY DEVELOPMENT AND SERVICES
0
HEALTH DEPARTMENT
1600 OSGOOD STREET;Building 2-36w �w-n
� �f AORni[o PPP`�'�(j
NORTH ANDOVER,MASSACHUSETTS 01845 �ssacHUSet
Susan Y. Sawyer,REHS/RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
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 10 10,
❑ Private drinking well 75 1002 50
❑ Irrigation well 75 100
❑ Surface Water 25 50
❑ Bordering Vegetated Wetland ,
Salt Marsh,Inland/Coastal Bank.3 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
1 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
Wastewater System Documentation—Feb 2006
Page 5 of 6,
FINAL GRADE' SPE IO
Date:
Address:
z Ile
o LOAMED?
W/-'SEEDED?
COVER PER PLAN?
Other: