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Home My WebLink AboutCertificate of Compliance - 259 GRANVILLE LANE 7/16/2009 OOR TH �kyy R-TI.0 D wu' uIN w! pw �0 ryl�dtip Diu PIIPU0�110 �. µ .. d r pp C6[NICN�WICN 1;��' AYE PUBLIC HEALTH DEPARTMENT Community Development Division ITICA�I' `�' �' �' ANCE As 0 �ufy 16 This is to certify that the individuarsudsurface disposal system received a S3 1'STACT0RT I S( EC1210X of the: Tspairl&p&cement B11, John Soucy A t: Gran-vide XorthAndover, -V,4 01845 The Issuance of this certificate shaft not be construed as a guarantee that the system wiff function satisfactorily. an T Sawy r Pubfic Wealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com PUBLIC HEALTH DEPARTMENT Community Development Division (')VVN OF NO T a°"I 141DO ER KI:::ALIH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;(v�repaired; By: JoAl (Print Name) Located at: a 1"9L AI l-.:LE (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated _Z�"1z—t -V(E) and last revised on X Z/ •- 'with a design flow of ddwgallons 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 C ) Engineer Representative(Signature) And—Print Name — Final Construction Inspection Date: l 1 —043 Engineer Representative(Sig afore) d And—Print Nam "� Installer: ,. � r „(Signature) stet �1A And—Print Name 1 Lnginer: � r� � �,�s �� M K, ie,natul•e) Date: 1. A.011•--1 t h I E V-j e -] FIB And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web httia://www.townofnorthattdover.coni AS-BUILT CBECKLIST 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 S L, LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF fDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM ° LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE r� DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW , LOCATION &ELEVATIONS OF BENCHMARK.USED AS-BUILT CHECKLIST i' LOT NUMBER, STREET NAME ASSESSORS MAP &PARCEL NUMBER LO'LINES &LOCATION OF DWELLINGS f LOCATIONS & DIMENSIONS OF SYSTEM, INCL-UDJNG4;MSFFVE l/ TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM ? ' TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 1 SO' OF SYSTEM -- �-- LOCATION OF WATER, GAS, ELECTRIC LINES CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX . ORIGINAL STAMP& SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW 'r LOCATION&ELEVATIONS OF BENCHMARK USED %AORTiN 0 Q cnc.iai a°wM.w 4' ' CHL)b � PUBLIC HEALTH DEPARTMENT fommunity Development Division ONSITE WASTEWATER SYSTEM T CTI N NOTES LOCATION INFORMATION ADDRESS: 259 Granville Lane MAP: 106A LOT: 152 INSTALLER: John Soucy DESIGNER: Vladimir Nemchenok PLAN DATE: 2/27/08 BOH APPROVAL DATE ON PLAN: 4/25/08 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 12/2/2008 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: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ® Cleanout added during construction ❑ 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 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.townofnorthandover.com Inspedion Form June 2008 ORTNj ''_ '., 04 pf s � S4YS WA4 v10S4mxSM �" S, SAC U PUBLIC HEALTH DEPARTMENT Community Development Division ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to finish grade installed over inlet and outlet access ports ® Hydraulic cement around inlet & outlet Comments: The existing building sewer line location was different than depicted on design plan, so a cleanout was added in order to get to the septic tank location. 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 2-piece construction) ® Inlet tee installed, centered under access port ® Pump 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 poi ❑ Water tightness of tank has been achieved by testing ® Hydraulic cement around inlet & outlet Comments: Goulds pump installed. CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: outside to next to front door ® Rated for exterior if placed outside ® NO - Alarm signal located inside 1600 Osgood Street,North Andover,Massachusetts 01045 Phone 978,608.9540 Fax 976.680.0476 Web www.townofnorthsmdover,com Inspection Form June 2008 C> co-C.9w.acew CHU PUBLIC HEALTH DEPARTMENT Community Development Division Comments: 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: 2" x 4" coupling located approx. 4' prior to d-box inlet. SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated dawn to 6 in into C sail 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 ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Infiltrator Chambers — Quick 4 ® Number of chambers per raw: 11 ® Number of rows (trenches): 4 Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 478.688.9540 Fax 978.688.8416 Web ww ., wnofnorthondover.conr Inspection Form June 2008 c cx aoc«��a�K ten. °" av aro 41'PO C US PUBLIC HEALTH DEPARTMENT Community Development Division BM = 100.00 HR = 0.40 HI = 100.40 SYSTEM ELEVATIONS ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Buildin Sewer OUT 7.70 92.35 94.0 Septic Tank IN 8.88 91.17 91.00 Septic Tank OUT 9.23 90.82 90.75 Pump Chamber IN 9.32 90.73 90.70 Pump Chamber OUT 9.60 90.63 Distribution Box IN 7.40 92.65 92.47 Distribution Box OUT 7.59 92.46 92.30 Lateral 1 TOP 7.72 Lateral 1 INVERT 92.33 92.27 Lateral 2 TOP 7.72 Lateral 2 INVERT 92.33 92.27 Lateral 3 TOP 7.72 Lateral 3 INVERT 92.33 92.27 Lateral 4 TOP 7.72 Lateral 4 INVERT 92.33 92.27 BED BOTTOM ELEV. 8.77 91.63 91.60 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthadover.cont Inspection Form June 2008 %AORTF1 ' CO,MdC FFEYWKAI `� `SAC Y�11 � PUBLIC HEALTH DEPARTMENT (ommunity 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 10 101 • 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 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 01045 Phone 970.600.9540 Fax 910.600.0476 Web www,to,wnofnortllnndover.conr Inspection Form June 2008 DelleChiaie, Pamela From: Grant, Michele Sent: Friday, December 05, 2008 8:42 AM To: DelleChiaie, Pamela Subject: Granville Lane Hi Pam, John Sousy will be completed with Granville Lane by the end of the day—Today He will need a final grade DelleChiaie, Pamela From: Marianne Peters[mpeters @millriverconsulting.com] Sent: Thursday, December 04, 2008 4:44 PM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 259 Granville Construction Inspection attached Attachments: 259 Granville Lane.pdf Attached please find the report for 259 Granville that was done yesterday. P], Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web: www.m lt:iverconsult:itt.cc>n 1 DelleCh1a1e, Pamela From: Marianne Peters[mpeters @millriverconsulting.cam] Sent: Monday, December 01, 2008 4:33 PM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 259 Granville inspection for 12/2 now moved to 12:30 We just moved the inspection with Soucy up to 12:30 rather than 1:30 due to a schedule conflict; sorry for the inconvenience. <outbind://37-00000000F5353D926F8C7242B15001AAC259AA8B84BA5100/cid:670275918 @15072008-24005 Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web: www.millriverconsul-tin .com <h� ww.mill riverconsult in .com y 1 elleChlaie, Pamela From: Marianne Peters [mpeters @miliriverconsulting.cam] Sent: Monday, December 01, 2008 3:51 PM To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 259 Granville Lane Inspection sched for Dec 2nd at 1:30 Importance: Low "l"his inspection has been scheduled with Jahn Saucy for 1:30 tornorrow, December, 2nd. Marianne Peters Office Manager ph 800-377-3044 ph 978-282-0014 fx 978-282-0012 web: ww\v.znillrive:rcoiistilttrrg.cc) 7i mm. .., From: DelleChiaie, Pamela [mailto:pdellech @townofnorthandover.com] Sent: Monday, December 01, 2008 3:05 PM To: mpeters @millriverconsulting.com; dano @millriverconsulting.com Subject: FW: 259 Granville Lane Importance: Low Hello Mill River, Please schedule 259 Granville Lane with John Soucy at: 603,216.7175. Thank you. From: brdufresne @comcast.net [mailto:brdufresne @comcast.net] Sent: Monday, December 01, 2008 2:26 PM To: DelleChiaie, Pamela Subject: [BULK] 259 Granville Lane Importance: Low Pam System is ready for final inspection, John Soucy will be in touch to schedule thank you, Bill Dufresne i TOWN OF NOR"I'll ANDOVER '45WT-fl-S =' 4, z Office of COMMUNITY DEVEL011MENT AND SERVICTS U1EA1,Tt1 DEPARTMEN71' 1600 OSGOOD s'rRFET, 13LI ilding 2-36 NOR'rl-f ANDOVE.R, MASSACHUSETTS 01845 6 Susan Y, Sawyer, REHS/RS 978M8�9540 Phone PUblic Health Director WM688.8476 FAX QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMAT,TI N ADDRESS' ? LOT: 4") .9/ INSTALLER - DESIGNER,,,// PLAN DATE�" 7, BOH APPROVAL DATE ON PLAN: INSPECTIONS .,..M . � �� .. TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 'let, 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) F-1 Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, 'N centered under access port F-1 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 F-1 Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page I of 6 TOWN OF NORTH ANDOVER Office of C.OMMUNITY DEVELOPMENTAND SERVK,"t�:,s HEALTH DEPARTMENT 1600 OSGOOD STREIETI- Building 2-36 AP 4 k4 N(,)R'Ff I ANDOVER, MASSACTIUSEITS 01845 CH Susan Y. Sawyer, RLIIIS/RS 97868&9540 Phone Public Health Director 97&68&8476 FAX Comments: PUMP CHAMBER r-1 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 'FOWN OF NORTH ANDOVE R, ot Office of COMMUNFIN DEVELOPMENTAND SERVICES HEEL,711 DEPARI'MENT' as 1600 OSGOOD S'TRUTT; Building 2-36 4 NORTH ANDOWR, MASSACTIUSt,"'I'T'S 01845 acaata 5 Susan Y. Sawyer, R1,'[1S/RS 978.688.9540 .--Phone PuNic health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) [:1 Hydraulic cement around inlet & outlets F-1 Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to(,',,, soil layer, as provided 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 F-1 Elevations of laterals installed as on approved plan F-1 40 Mil HDPE barrier installed ❑ Retaining wall (boulder concrete timber/ block) ❑ Final cover as per plan Comments: mm 7.1 e ')q Wastewate,r Sy�tem D cumentation—Feb 2006 ) Page 3 of 6 TOWN OF INORTH ANDOVER T Office of(.'.'0MMUNI'I"Y DEVELMMENTAND SEIZVI(','[F-.(,,,S ].,IEAI,,,'"['H DEPARTMENT 1600 OSGOOD S"I"'REEl', Building 2-36 NORTJ I ANDOVER, MASSACHUSE"I"I'S 01845 o4u. Susan Y. Sawyer, REHS/RS 978.688,9540--Phone Public Health Director 978M8.8476-- FAX PRESSURE DISTRIBUTION F-I -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals F-I orifice size inch as per plan Comments: CONTROL PANEL F-I Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped F-I Location of control panel: F-I Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER Office of COMMUNITV DEVEL,OPMENT' AND SERVICES 11EAL"I'll DEPARTMENT l600 OSGOOL) S'1'RE1E'I',, Building 2-36 NORI'l-i ANDOVER, MASSACHUSEI"I'S 01845 S* 11 a � Susan Y. Smvycr, 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 ❑ Stab foundation to 10 ❑ Deck, on footings, etc 5 10 ❑ Waterline 10 10 to, ❑ Private drinking well 75 too, 50 ❑ Irrigation well 75 100 F-1 Surface Water 25 50 F-1 Bordering Vegetated Wetland Salt Marsh, Inland/Coastal Batik 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 F-1 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 15.21 1(3),also by NA wetland bylaws Wastewater System Documentation-Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER Office of(.N,01WMt.JN1TV DEVEIAWMENTAND SERVICES 1-1EALTI-1 DEPART'MENT' 64�-.4 1600 OS STREI.�,'T; Building 2-36 NORTH ANDOVF'R, MASSACHUSETTS 01845 CHU St san Y, Sawyer, R H I S/R S 978M8.9540 Phone I'LlbliC Health Directot, 9786 U476 FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Wastewater System Documentation—Feb 2006 Page 6 of 6 FINAL, GRADE INSPECTION Date:.-' Address: j LOAMED. SEEDED? ❑ COVER PER PLAN? Other: