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Home My WebLink AboutCertificate of Compliance - 42 STANTON WAY 7/17/2014 o - • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE COMPLIANCE As of: 7/17/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and s r cti On-Site Sewage Disposal System By: Matthew Manning At: 42 Stanton Wa Map 61 Lot 121 'North Andover, MA 01845 Thi Issuance of�this eerti icate shall not be construed as a guarantee that the system will function satisfactorily. ichele Gran Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com VI0 H TH I S s.i CtaUS PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( constructed; ( )repaired; By: (Print Name) (, Located at: r (Installation Address Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on_ ` aw.I 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 of 310. C:MR 1 5.000,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: C at ° -- — Engineer Rei•esentative(Signature) And—Print Name E ( Final Construction inspection Date: a1 Engineer Representative(Signatrre) And—Print Narne „ �1, /'0 Installer: (Signature) Date: And —Print Narne Enainer r t" � � ignature) Date: 14 F d 1 G.1 L,7 _ .. -A,� S 174. mL,>6-- r And—Print;*lame 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 973.688.9540 Fax 97&688.8476 Web http://www.townofnorthandover•cony T over ® Sevfic Svstem - AS-BUILT CHECKLIST 1) All changes to the design plan have been reflected on the as-built 2) ZIs of suitable scale; (one inch= 40 feet or fewer for plot plans and one inch= 20 or fewer for details of system components) 3) °`° Lot number,Street Name,Assessors Map and Parcel Number 4) �., f Lot Lines and Location of Dwellings served by the system 5) Locations,Elevations and Dimensions of system,including reserve (if applicable) 6) / Ties to dwelling or Permanent Structure&Wells a.From Septic Tank&Distribution (D) Box b. From Leach Area 7) Ties to Lot Lines from leach area B) Locations of Deep Holes&Peres 9) /� Top of Foundation Elevation 10) Locations of Wells,Drains,Watercourses within 150 feet of system 11) Location of water,gas,electric lines,cable 12) Location of Structures within 6 hlches of Finished Grade 13) Original Stamp&Signature 14) Location and holder of any easernents which could impact the system 15) hnpervious Areas;Driveways,etc 16) North Arrow 17) Location&Elevations of Benchmark used 18) STATEMENT ON PLAN (NA 5.3) a. "I certifT the locations,elevations, ties,cover material;etposed component covers etc.,shoit-n on this as-built substantially agree 147itla the approved plan and have determined that the hwak out elevations,il`applicahle,have heen met." Signature of Designer _ Date b. "If a STUCTURAL WALL IS PRESENT(NA 4.J)a Letter or statement on the as-built indicating the V17311- was,or was riot Conti°acted in accol dance with the intended design and any naarrufactcirer's SPeclf cations." Signature of Designer Date As of:Friday,April 29,2011 North Andover Health Department fommunity Development Division QNSITE WASTEWATER Y T M CONSTRUCTION NOTES ADDRESS: 42 Stanton Way MAP: LOT: Lot 6 INSTALLER: Matthew Manning DESIGNER: Christiansen & Sergi Inc. PLAN DATE: 4/29/13 (revised 6/14/13) BOH APPROVAL DATE ON PLAN: 6/18/13 INSPECTIONS TANK INSPECTION: 6/18/14 DATE OF BED BOTTOM INSPECTION: 6/18/14 DATE OF FINAL CONSTRUCTION INSPECTION: 6/23/14 DATE OF FINAL GRADE INSPECTION:7/1/14 ADDITIONAL INSPECTIONS or SOIL COLLECTIONS: Type: Sand Sieve Analysis Date: 5/16/2014 Failure Type: Date: Type: Date: SITE CONDITIONS NA Contractor reports any changes to design plan NA 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 NA Cleanouts per plan ® 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 outlet access port ® Neoprene boots on inlet & outlet Comments: 1/3 of hold had only 3 to 4" of stone. Shea was still setting the tank so we pulled the tank and scraped the stone off. Depend the hold. Pulled out some sand. Leveled ground. Packed. Replaced stone and packed DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box NA 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 NA 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) *See Note Elevations of laterals and chambers installed as on approved plan NA Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: House to hold 17', 40'6"x20', 54'x24 with overdig *Lateral 1 (high trench) invert elevation is 0.16' lower than approved *Lateral 2 (low trench) invert elevation is 0.11' lower than approved SOIL ABSORPTION SYSTEM (Gravel-leas Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 2 Comments: Total Chambers = 20 Title 5 sand used for the installation NOT sand from on site. Sieve analysis of sand fill from manufacturer should be requested. FINAL GRADE X Loamed X Seeded X 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 = 118.59 HR = 9.43 H1 = 128.02 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 3.29 124.38 124.17 Septic Tank IN 3.52 124.15 123.95 Septic Tank OUT 3.76 123.91 123.70 Distribution Box IN 4.28 123.39 123.50 Distribution Box OUT 4.45 123.22 123.33 Lateral 1 TOP 4.54 Lateral 1 INVERT 123.13 123.29 Lateral 2 TOP 7.15 Lateral 2 INVERT 120.52 120.63 Top of Chamber Bottom of Bed/Chamber 5.81 / 8.45 122.21 / 119.57 122.33 / 119.67 *Lateral 1 (high trench) invert elevation is 0.16' lower than approved *Lateral 2 (low trench) invert elevation is 0.11' lower than approved 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) ® Diywells 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