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Home My WebLink AboutCertificate of Compliance - 1049 SALEM STREET 10/1/2014 v 1 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division IC A As Of: 10/1/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the; Complete Construeflon of an On-Sifte Sewage Disposal System By- Rob Daigle At: 1049 Salem Street Map 104.D Lot 0070 North Andover, MA 01845 The Issuanc ; of this certific e,shall not be construed as a guarantee that the system will function satisfactorily. Susan Sawyer.' iublie Health Agent/""""' 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com ,sue"t°OF 7'11 a C i F 4t5, w1Y I" 1 �Y�Yy Tin R�f� 'j4 •ei 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: V2_0 I? 0—A 1 i (Print Name) Located at:� -� ' 1 Ad 1 j2y[i i (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on "y —1 72 ,with a design flow of +h2 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.CMR 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. e Bottom of Bed Inspection Date: Engineer Representative(Signature) rAdh � And—Print Name Final Construction Inspection Date:_�'� Engineer Representative(Signature) And—Print Name Installer: . c� (Signature) Date: And—Print Name Enginer: ignature) Date: �A&AU Him- i�FED c H Cook-'_ And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.600.8476 Weil http://www.towtiofiiorthaiidover.com North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 1049 Salem St. MAP: 104.D LOT: 0070 INSTALLER: Rob Daigle DESIGNER: Merrimack Engineering PLAN DATE: 10/21/13, rev. 12/16/13 and 12/17/13 BOH APPROVAL DATE ON PLAN: 1/24/14 INSPECTIONS TANK INSPECTION: 6/16/14 DATE OF BED BOTTOM INSPECTION:6/16/14 DATE OF FINAL CONSTRUCTION INSPECTION: 6/23/14 DATE OF FINAL GRADE INSPECTION: 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 X Bottom of tank hole has 6" stone base X Weep hole plugged X 1500 gallon tank has been installed H-10 loading X 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) ® 20" inch cover to finish grade installed over outlet access port ® Neoprene boots on inlet & outlet Comments: 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) ® Elevations of laterals and chambers installed as on approved plan NA Retaining wall (boulder/concrete /timber/ block) ❑ Final cover as per plan Comments: 5' deep @ TP2, 7'6" @ TP1, 26'x50'6" with overdig; 15'x40' staked FINAL GRADE Loamed [ / Seeded Cover per plan Comments: DO ,UMENTS NEEDED Certification of Installation Form submitted y engineer and signed and dated by Engineer and installer As-Built Plan BM = 154.00 HR = 2.60 HI = 156.60 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 2.97 153.27 153.10 Septic Tank IN 3.33 152.92 152.90 Septic Tank OUT 3.56 152.69 152.65 Distribution Box IN 3.60 152.65 152.60 Distribution Box OUT 3.74 152.51 152.43 Lateral 1 TOP 3.78 /4.00 Lateral 1 INVERT 152.47 / 152.25 152.40 / 152.20 Lateral 2 TOP 3.78 /4.00 Lateral 2 INVERT 152.47 / 152.25 152.40 / 152.20 Lateral 3 TOP 3.78 /4.00 Lateral 3 INVERT 152.47 / 152.25 152.40 / 152.20 Bottom of Bed 4.87 151.73 151.70 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 10' ® 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) ® 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 SIEVE ANALYSIS 7/2/2014 OF W/C/S KINGSTON MATERIALS A Division of Torromeo Industries, Inc., P.O. Box 2308, Methuen, MA 01844 978-686-5634 Kingston Plant at 18 Dorre Road, Kingston, NH Methuen Plant at 33 Old Ferry Road, Methuen, MA ................. . .. .......................... .................... ........................... .. ....... ................................. M................................... ........................................................... . .. .... ........... ........................ ,........... . ....... .......... ................... ....... ...... ........ ...... ..... ............. ........................................................................ .............. . ................................................................ ....... ... .. ...................... .............. X'X .................. . ..... ...... . . ... ........ ....... ........................................................ ................................ . . ............................................................................................ mE" .. . ............ R�W RIETA 0: ............. ..........10. IG X IEW E: .-E..Z Z Z .2,60 J ............ 3/8" 0 0 0 100 100 TO 100 #4 0.9 0 0 100 95 TO 100 #8 'I'll 10 10 90 80 TO 100 #16 162.4 14 24 76 50 TO 85 #30 208.8 18 42 58 25 TO 60 #50 347.5 30 72 28 10 TO 30 #100 233.6 20 92 8 2 TO 10 #200 81.8 7 99 1 0 TO 5 PAN 11.3 1 TOTALS 1157.3 100 ... ............ .............................. . .............................. .. ...................... .. 2" ............. [SIEVE ANALYSIS OF WICIS --*-TOTAL%PASSING -W-MIN. DEVIATION X MAX, DEVIATION ------------ 120 100 C/) 80 60 40 Rj 20 0 1 --------r 1 2 3 4 5 6 7 8 EVE SIZES SAND DELIVERED TO: 1049 SALEM STREET N. ANDOVER, MA j r ......... F"r, Blackburn, Lisa From: Sawyer, Susan Sent: Tuesday, September 30, 2014 4:58 PM To: 'aputterl @aol.com' Cc: Blackburn, Lisa Subject: 1049 Salem Street Attachments: 201409301701.pdf Mr. Ahern, please find attached,the as-built check list for as-built submitted today for 1049 Salem Street that is dated 6- 20-14. The circled items are the identical items that were noted missing on 1053 Salem Street a few months ago; which has yet to receive a Certificate of Compliance for their septic system. As soon as a complete as-built is received, Lisa will be ready to issue the COC for 1049. Subsequently, I request that the same be submitted for 1053 as soon as possible,so we may close these files. Thankyou Susan -----Original Message----- From: noreply @townofnorthandover.com [in ilto:nore I townofnorthandover.com] Sent:Tuesday, September 30, 2014 5:01 PM To: Sawyer, Susan Subject: Message from "ComDev-Health-Ricoh" This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002). Scan Date: 09.30.2014 17:01:00 (-0400) Queries to: riore I townofnorthandover.cotn 1 Town of North Andover ® Sevfic Svstem 1) t,., All changes to the design plan have been reflected on the as-built 2) Is 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) 1.// 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 Ties to Lot Lines from leach area C 8),/i Locations of Deep Holes &Peres 9) Top of Foundation Elevation 10) Locations of Wells,Drains,Watercourses within 150 feet of system 1.1 Location of water,gas,electric lines,cable 12) /L,ocation of Structures within 6 Inches of Finished Grade 13) Original Stamp &Signature 14) Location and holder of any easements which could impact the system r. Impervious Areas;Driveways,etc 16) North Arrow 17) Location&Elevations of Benchmark used 18) STATEMENT ON PLAN (NA 5.3) a. "I cetlify the locations,elevations, ties, covermatelial;exposed component covers etc.,shown on this as-built substantially agi ee with the approved plan and ha ve detelmhied that the break out ele vations,if applicable,ha ve been met." Signature of,b signer Date ,F F b. 'If a tU'tURAL WALL IS PRESENT NA 4.9 a Letter ov statement on the as-built indicating tlae wall �,as, v wds not constructed in accozdance with the intended desi n artd anvrrtariufacturer's specifications." Signature of Designer Date As of:Friday,April 29,2011