HomeMy WebLinkAboutCertificate of Compliance - 64 STANTON WAY 10/9/2014 PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Developn-ent Division
k_,,hRT1F ICA TE OF
As of: 10/9/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Construction Complete
On-Site Sewage Disposal System
Matthew Manning
At:
64 Stanton Way lot 4
Map 61 Lot 119
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zl� ce of thi s certificaate shal not be iconstrued as a guarantee that the system will fi lction satisfactorily.
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Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.town0northandover,com
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PUBLIC HEALTH DEPARTMENT
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Community Development Division
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TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System V)cor7structed;( )repaired;
By: A4 xk+ \cud a i11L\ A. --
(Print Name)
Located at: ( S ta y'"I�(JY1 W1,q (a �x
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
and last revised on -,21 11 _-,with a design flow of,.
����rt 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. CNIR 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.
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Bottorn of Bed Inspection Date:
„ Engineer RepreseW tative(Signature)
C",t Vi"(e 3 c') .,.x'16 e
And—Print Name
Final Construction Inspection Date:
Engineer Representative(Signature)
And—Print Name
Installer., Si ❑a
( g ture) Date:
_ i4�
And—�� nt Name
Enginer: (Signature) Date:
And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com
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North Andover Health Department
Community Development Division
QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 64 Stanton Way MAP: 61 LOT: 16-4
INSTALLER: Matthew Manning
DESIGNER: Christensen & Sergi
PLAN DATE: 12/20/13, rev. 2/19/14
BOH APPROVAL DATE ON PLAN: 2/21/14
INSPECTIONS
TANK INSPECTION: 9/10/14
DATE OF BED BOTTOM INSPECTION:9/15/14
DATE OF FINAL CONSTRUCTION INSPECTION: 9/29/14
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
N/A Contractor reports any changes to design plan
N/A 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
N/A Cleanouts per plan
X Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
® Water tightness of tank has been achieved by
visual testing
® Inlet tee installed, centered under access port
® Outlet tee installed, centered under access port
(effluent filter)
® 24" inch cover to finish grade installed over
outlet access port
® Neoprene boots around inlet & outlet
Comments: 12' from foundation
DISTRIBUTION-BOX
® Installed on stable stone base
® H-20 D-Box
N/A Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
N/A Speed levelers provided (not required)
® Schedule 40 PVC Pipe
Comments:
SOIL ABSORPTION SYSTEM (General)
® Bottom of SAS excavated down to 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:
SOIL ABSORPTION SYSTEM (Presby Enviro-Septic)
® Brand and Model: Presby Enviro-Septic
® Number of chambers per row: 5
® Number of rows (trenches): 6
Comments: Total Pipes = 30
FINAL GRADE
0 Loamed
0 Seeded
Cover per plan
Comments:
DOCUMENTS NEEDED
Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
[ � As-Built Plan
BM = 87.50
HR = 8.90
Hl = 96.40
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 3.75 92.30 92.50
(4'from tank inlet)
Septic Tank IN 3.90 92.15 92.26
Septic Tank OUT 4.23 91.82 92.01
Distribution Box IN 8.26 87.79 87.82
Distribution Box OUT 8.46 87.59 87.65
Lateral 1 TOP 8.58
Lateral 1 INVERT 87.47 87.48
Lateral 2 TOP 8.98
Lateral 2 INVERT 87.07 87.08
Lateral 3 TOP 9.33
Lateral 3 INVERT 86.72 86.68
Lateral 4 TOP 9.65
Lateral 4 INVERT 86.40 86.38
Lateral 5 TOP 10.15
Lateral 5 INVERT 85.90 85.98
Lateral 6 TOP 10.46
Lateral 6 INVERT 85.59 85.58
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 Banl, 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