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Home My WebLink AboutCertificate of Compliance - 51 STANTON WAY 9/5/2014 r mF PUBLIC HEALTH DEPARTMENT Town of loath Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 9/5/14 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction On—Site Sewage Disposal By: Matthew Manning At: 51 Stanton Wa ,111ot 21 Map 61 Lot 117 North Andover, MA 01845 The Issu ce of this certific shall not be construed as a guarantee that the system will function satisfactorily. S sa lawyer, ublic Health'Age 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,townofnorthandover.com Ot ,,OR ily-�. rr Y4 p w j iSrACHUSES h PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION t t, Tlee undersigned hereby certify that the Sewage Disposal System ( )constructed;( )repaired, J ,s I� By: 6- ✓fie °� /d fl 1�4 (Print Name) o u Located at: (Installation Address) Was installed in conformance with the North Andover Board of I-lealth approved plan, originally dated 'ell rte. aced last revised one �f� .� v _ 'r _ ,with a design flow of ZrI o gallons per day. The materials used were in conformance with those specified on tlee approved plan;the system was installed in accordance with the provisions of 310. CN,IR 15.000,Title 5 and local regulations,and the final grading alarees substantially with the approved plan. All work is accurately represented oil the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: v � ��✓�� Engineer R4� ntative(Signature) And–Print Name Final Construction Inspection Date: _ Engineer Representative(Signature) And–Print Name Installer: ,; ° —(Signature) Date: And–Print 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.townofiiorthaiidover.coi-m North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES ADDRESS: 51 Stanton Way MAP: LOT: Lot 2 INSTALLER: Matthew Manning DESIGNER: Christiansen & Sergi Inc. PLAN DATE: 4/17/13 (revised 6/12/13/modified 4/23/14) BOH APPROVAL DATE ON PLAN: 4/23/14 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION:8/18/14 DATE OF FINAL CONSTRUCTION INSPECTI /29/14 DATE OF FINAL GRADE INSPECTION: ADDITIONAL INSPECTIONS or SOIL COLL C 10 S: Type: Date: Type: Date: Type: Date: SITE CONDITIONS ® 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 (gas baffle) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: septic tank was not there yet 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 ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X 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: 40'Lx14'3", 531 w/ overdig x 26'w SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers High Capacity ® Number of chambers per row: 10 ® Number of rows (trenches): 2 Comments: Total Chambers = 20 FINAL GRADE Loamed eeded 9Cover per plan 'V Comments: DOCU ENTS NEEDED Certification of Installation Form submitted f� By engineer and signed and dated by V gineer and installer As-Built Plan ,) BM = 92.52 HR = 11.68 HI = 104.20 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 3.74 100.11 100.05 Septic Tank IN 3.97 99.88 99.85 Septic Tank OUT 4.18 99.67 99.60 Distribution Box IN 4.86 98.99 99.00 Distribution Box OUT 5.05 98.80 98.83 Lateral 1 TOP 5.17 Lateral 1 INVERT 98.68 98.71 Lateral 2 TOP 5.17 Lateral 2 INVERT 98.68 98.71 Top of Chamber 5.14 99.06 99.08 Bottom of Bed/Chamber 6.46 97.74 97.75 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 M 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