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HomeMy WebLinkAboutCertificate of Compliance - 72 WINDSOR LANE 3/17/2014 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division C Y7-n r.-m-TIFICATE OF uuMPLIANCE As Of: /17/1 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Repair of D-Box By: Robert Amor At: Andover,72 Windsor Lane Map 106D Lot 0070 North MA 01845 The Issuance of this ce)1,,' ate sh 11 not be construed as a guarantee that the system will function satisfactorily. ..ry Michele Grunt Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com illllll///���11If�'��� "• North Andover Health Department Community Development Division QNSITE WASTEWATER SY T CONSTRUCTION NO LOCATION INFORMATION ADDRESS: 72 Windsor Lane MAP: 106D LOT: 0070 INSTALLER: Robert Amor DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: 3/17/14 (D-Box) DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ 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 ❑ 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 pork (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUNK CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon Pump Chamber installed ❑ H-10 loading ❑ 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 ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet 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 F Installed on stable stone base ' H-20 D-Box Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets 1, Observed even distribution Speed levelers provided (not required) Comments: