HomeMy WebLinkAboutCertificate of Compliance - 50 STANTON WAY 11/20/2014 PUBLIC HEALTH DEPARTMENT
Town of forth Andover
Community Development Division
As of: 11/20/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair and Construction of an
On-Site i
By: Matthew Manning
4
At:
50 Stanton Wa Lot 16-5
Map 61 Lot 120
N rth Andover, MA 01845
The f s uance of this c& Ficyat !shall no be construed as a guarantee that the system will function satisfactorily.
� .
ichele , rant
Public Health Agent �_._....
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthondover.coni
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PUBLIC HEALTH DEPARTMENT
Community Development Division
Tower OF NORTH ANDOVER NOV 1 01
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION "f()VVN(wa-ri rn,tt�t Ate,
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The undersigned hereby certify that the Sewage Disposal System(constructed;( )repaired;
(Print Name)
Located at:_ .. A/j....1)r'J d fd r'c`/ _ 0 /
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
7 3 and lust revised on _ •. / with a design flow of
_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 of310, CNJR 15.000,Title 5 and local
regulations,and the final grading agrees 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: (,T
Engineer Repr4entative(Signature)
r VI'l p r And—Print Name
Final Construction Inspection Date:
Engineer Representative(Signature)
And— Print Name
Insta Ile r:•' � � � (Signature) Date: f o
A ,6t..0
And , rin
Enginer: (Signature) Date:
And—Print Name
1 600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.tooinofnorthandover.com
North Andover Health Department
Community Development Division
QNSITE WASTEWATER Y T NI CONSTRUCTION NOTES
ADDRESS: 50 Stanton Way MAP: LOT: Lot 5
INSTALLER: Matthew Manning
DESIGNER: Christiansen & Sergi Inc.
PLAN DATE: 4/22/13 (revised 6/13/13)
BOH APPROVAL DATE ON PLAN: 6/18/13
INSPECTIONS
TANK INSPECTION: 10/21/14
DATE OF BED BOTTOM INSPECTION: 10/8/14
DATE OF FINAL CONSTRUCTION INSPECTION: 10/28/14
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
X Weep hole plugged
X 1500 gallon tank has been installed
X H-10 loading
X Monolithic tank construction
®
Watertightness 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:
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)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
X Size of SAS excavated as per plan
® Title 5 sand installed, if specified on plan
(waiting on sieve analysis)
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: with overdig 40Wx45L, 32Lx29W
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber: High Capacity
Quick 4 Infiltrator Chambers
® Number of chambers per row: 8
® Number of rows (trenches): 3
Comments: Total Chambers = 24
FINAL GRADE
Loamed
Seeded
Cover per plan
Comments:
DOCUMENTS NEEDED
x Certification of Installation Farm submitted
By engineer and signed and dated by
"Engineer and installer
As-Built Plan
BM = 94.77
HR = 3.66
HI = 98.43
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 3.62 94.46 94.24
Septic Tank IN 3.91 94.17 94.04
Septic Tank OUT 4.22 93.86 93.79
Distribution Box IN 5.00 93.08 93.07
Distribution Box OUT 5.18 92.90 92.90
Lateral 1 TOP 5.22
Lateral 1 INVERT 92.86 92.86
Lateral 2 TOP 6.27
Lateral 2 INVERT 91.81 91.86
Lateral 3 TOP 7.19
Lateral 3 INVERT 90.89 90.86
Top of Chamber
Bottom of Bed/Chamber 6.54 / 7.52 / 8.53 91.89/90.91/89.90 91.90/90.90/89.90
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 Ban1c3 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