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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 a� Na R ify ♦ d f"fit 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, you /k 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