HomeMy WebLinkAboutCertificate of Compliance - 67 RALEIGH TAVERN LANE 12/11/1997 Form No.4
Town of North Andover, Massachusetts
BOARD OF HEALTH
December 11 , 1997
CERTIFICATE OF COMPLIANCE
This is to certify that
the Individual Soil Absorption Sewage Disposal System constructed ( ) or repaired )
by David Currier
INSTALLER
at 67 Raleigh Tavern Lane -
SITE LOCATION
has been installed in accordance with Board of Health Regulations as described in the Design
Approval Site System Permit No dated 19
The issuance of this certificate shall not be construed as a guarantee that the system will_
function satisfactorily.
BOARD OF HE LTFF
t�.
AG V✓ i JJ VJ•J1H1'1 ULUO-L5I Lt( "LHL 1 H lltt'I • 1 t�08 281 '37213 P-02
FORM 3A-® CERTMCATE OF COA93LMXCE
COMMONWEALTH OF MASSACHUSETTS
Board of Health, Nog7/-0 4&po t/. MA.
CERTIFIC:ATE OF COMPLIANCE
Description of Work: 0 Individual Compone ) t4 Camplete System
--The undersigned__hereby certify that the Sewage Disposal System; _
Constructed Repaired.( ), Upgraded O, Abandoned ( )
at: Ce 7 � A 1� �5� 4,4 A.)
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 51 and-the
approved design plans/as-built plans relating to application No.
dated Approved Design Flow (gpd)
Installer
Designer: •� �„ Inspect or
Oate - —
The issuance of this permit shall not be construed as-a guarantee that the system will '
function as designed.
•�s
OEF"Ptovw FORM SM6
TOTAL P.02
PLAN REVIEW CHECKLIST
ADDRESS �_;
..,� ��`; ,�✓�.,',�,� ✓'�' "� ENGINEER
GENERAL
3 COPIES "xw„,r„ STAMP °” .w LOCUS NORTH ARROW SCALE '
CONTOURS PROFILE (Sc) SECTION ....., BENCHMARK SOIL &
PERCS ELEVATIONS WETS . DISCLAIMER ,,,,,,- ""` WELLS & WETS
WATERSHED? /1/6> DRIVEWAY WATER LINE ° FDN DRAIN M&P
SCH40 TESTS CURRENT? EVAL
SEPTIC TANK
MIN 1500G . 17 INVERT DROP " ".m.- GARB. GRINDER L ( 2 comps +200)
10 ' TO FDN-Li- MANHOLE '""°' ELEV GW ## COMPS . GB
D-BOX
SIZE ## LINES FIRST 2 ' LEVEL STATEMENT
INLET - OUTLET = (2" OR . 17 FT) TEE REQ 'D?
LEACHING
MIN 440 GPD? RESERVE AREA-- 4 ' FROM PRIMARY? 2-6 SLOPE
I, I
100 ' TO WETLANDS 100 ' TO WELLS 4 ' TO S .H.GW `
20 ' TO FND & TNTRCPTR DRAINS 400 TO SURFACE H2O SUPP
4 ' PERM. SOIL BELOW FACILITY MIN 12" COVER FILL? "" ( 15 ' )
BREAKOUT MET?_Z'
TRENCHES
MIN 440 gpd SLOPE (min . 005 or 6"/100 ' ) SIDEWALL DIST . 3X EFF.
W OR D (MIN 6 ' ) RESERVE BETWEEN TRENCHES? IN FILL? MUST
BE 10 ' MIN. 4" PEA STONE? VENT? ( >3 ' COVER; LINES >50 ' )
BOT + SIDE = K LDNG = TOT
(L x W x ##) (DxLx2x#) (G/ft2 )
Copyright 0 1996. by S.L. Starr
F
9
r
r�
f
PITS
r'5
�' MIN 440 LEACHING MIN 1 ( 13 'x16 ' ) PIT MANHOLE/PIT
GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE
BOT + SIDE x LOAD = TOTAL
( L x W x #) (2x(L+W)xD x #) (G/ft2)
CHAMBERS
MIN 440 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT
MANHOLES 12"-48" STONE SPLASH PADS SLOPE . 005
BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT
BOT + SIDE X LOAD = TOTAL
(L x W x #) (2 x ( L+W)xD x #) (G/ft2 )
FIELDS
MIN 440 GPD ",-/ 900 ft2 BED C-' GW MIN 4 ' BELOW BOTTOM OF FIELD '" ry
PIPE ENDS JOINED? PEA STONE? "° DIST LINE SLOPE . 005?
>3 ' COVER-VENT ' SCH 40 MIN 12" COVER
RATE ( X ) X = TOTAL
L W LDG
DOSING TANKS AND PUMPS
DIMENSIONS X X = PUMP CAPACITY gpm
L W D Vol .
DISCHARGE SIZE 4 , (" °'DISCHARGE RATE DISCHARGE TIME J /',-
gpm
MANHOLES TO GRADE '°' ALARM SEP. CIRC. GW (Min. 1 ' below
inlet) HWL LWL CHECK VALVE BLEEDER HOLE . MANUAL
OP , SWITCH ENUF STORAGE? TDH WEIGHTED?
Copyright Copyright 9 1996 by SA, Starr