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Home My WebLink AboutCertificate of Compliance - 34 RALEIGH TAVERN LANE 6/20/2013 � S�;xxr.iJrr 14,0- r PUBLIC HEALTH DEPARTMENT Town of forth Andover Community Development Division r-,tc,TIFICATE OF COMPLIANCE Hof: / 0/ 01 This is to certify that the individual subsurface disposal system has been installed in accordance with the provisions of Title 5 of the State Environmental Code: Complete Repair and Construction of an On-Site Sewage Disposal System By: James Kellett At: 34 Raleigh.Tavern Lane Map 107A Lot 0105 North Andover, NIA 01845 Tl e Issuance of thisicertifirte shall not be construed as a guarantee that the system will function satisfactorily. Mic ele Grant Public Health Agent jf Ill I f 'J.. 6rm,rA^ .nrm�"J/IIQ IiW 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.6889540 fox 978.688.8476 Web www.townofnortliandover.com RECEIVED 0 13 J(J N p � Amp".0 t V01 OF tt m°tl..,t ANDOVER d#t-'�tt,. 0 t9RUC 0fALM DEPA 'rMEtl,l V tb i i"t P fl � � C=n iirrnity 0eveloprrnnt Mvi:itrn TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION r The undersigned hereby certify that the Sewage Disposal System( j constructed;( )repaired; (Print Name) N Located at:��G" (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 3-U,", r?7 I ? and last revised on -4 with a design flow of _-fz e> 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. Bottom of Bed Inspection Date: ..- Engineer Representative(Signature) And-Print.Name '"� " Final Construction Inspection Date: "-1 Engineer Representative(Signature) And-Print Name Install (Signature) Date: And-Print Name Enginer: t/�%401lG Date: And-Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978,688.8476 Web http://www.townofnoi,thaiidover.cotn � S�T'�L�Deyc North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 34 Raleigh Tavern Lane MAP: 107A LOT: 105 INSTALLER: James Kellett DESIGNER: Merrimack Engineering PLAN DATE: 4/23/13 BOH APPROVAL DATE ON PLAN: 5/8/13 INSPECTIONS TANK INSPECTION: 6/4/13 DATE OF BED BOTTOM INSPECTION: 6/4/13, 6/6/13 DATE OF FINAL CONSTRUCTION INSPECTION: 6/12/13 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS N/A Contractor reports any changes to design plan ® 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 X 1500 gallon tank has been installed H-10 loading 10.6 from corner of house 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) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots Comments: PUMP CHAMBER X Bottom of tank hole has 6" stone base ® Weep hole plugged X 1500 gallon Pump Chamber installed ® H-10 loading 1000 gal. X Monolithic tank construction ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by Visual testing ® Neoprene boots Comments: CONTROLPANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet baffle wall ® Hydraulic cement around inlet & outlets ® Observed even distribution N/A Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Engineer did not stake out B/B, went out to do it after 1St inspection (2 inspections needed). B/B 27wx346"L. 28" in TP1, 30" in TP2 Corner of house to system 28.8 first inspection/32" 2nd inspection. SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Low Profile Infiltrator Chambers ® Number of chambers per row: 6 ® Number of rows (trenches): 6 Comments: Total Chambers = 36 FINAL GRADE Loamed Seeded 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 = _100.00 HR = 2.12 HI = 102.12 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 5.18 96.59 96.60 Septic Tank IN 5.35 96.42 96.40 Septic Tank OUT 5.61 96.16 96.15 Pump Chamber IN 5.63 96.14 96.10 2" Pump Chamber OUT 5.45 96.50 ----- 4" Distribution Box IN 0.83 100.94 101.00 Distribution Box OUT 0.92 100.85 100.83 Lateral 1 TOP 1.05 Lateral 1 INVERT 100.72 100.78 Lateral 2 TOP 1.05 Lateral 2 INVERT 100.72 100.78 Lateral 3 TOP 1.05 Lateral 3 INVERT 100.72 100.78 Lateral 4 TOP 1.05 Lateral 4 INVERT 100.72 100.78 Lateral 5 TOP 1.04 Lateral 5 INVERT 100.73 100.78 Lateral 6 TOP 1.05 Lateral 6 INVERT 100.72 100.78 Top of Chamber 1.02 101.10 101.17 Bottom of Bed/Chamber 1.70 100.42 100.52 SKETCH PLAN 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 75 100' 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank 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 a irn, Lisa subject: FW: 34 Raleigh Tavern Lane rom: wrdufresne(abcomcast.net [ma i Ito:wrdufresne(aOcomcast net] ent: Thursday, June 06, 2013 1:48 PM o: Blackburn, Lisa c: Sawyer, Susan ubject: 34 Raleigh Tavern Lane performed an excavation inspection at the above site today and found it to be satisfactory. ,dditionally I staked out the proposed leach field. usan had informed me that the area was excavated incorrectly but I staked the field out at 32 feet om the nearest house corner and 17 feet from the side property line per plan and found the area to E) excavated accurately. The proposed field fell approximately 5 feet inside the excavated area as squired. lease pass this information along to Michelle if she is the BOH Agent dealing with this matter. hank you and have a Great rest of the Day Lisa Blackburn. rase note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more :mnation please refer to:htti)://www.sec.state.ma.usfl)re/preidx.htm. ease consider the environment before printing this email 1 Pag 1 of 1 p � � f m N do Y j i A ri fi f 9 F 0 f b y� ti /,�A "� ' by �,•-,Y�CW PEA �, W http://web.mail.comeast.axet/service/home/—/photo.JPG?auth=-=co&loc=-en-US&id--:166641&... 6/6/2013