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Home My WebLink AboutCertificate of Compliance - 940 JOHNSON STREET 6/21/2012 o ° PUBLIC HEALTH DEPARTMENT Torn of North Andover Community Development Division . .w�. As of° This is to certify that a SATIS-AC`I0RTBVWEC'T10,'Ar Was completeddfor the: .Ins-taffation o On-Site, Wqstewqte,rT�Vsq at: Parcel 11) :27 1/1 17. -0091-000f).O T 90 01845 The Issuance of this certificate shaft not be construed as a guarantee that the On Site Sewage DisposaCSystem wifffunction satisfactorify. usa ,2(J e j �Y a Pu6ficYleart6 Director- 1600 Osgood Street,North Andover,Nlossoehusetts 01845 Phone 978.688.9540 Fox 978.608.6476 Web www.townotnorthondover,com Ipyl[ qry 1 h7 BByyyy I PUBLIC HEM.'aaa a EPAltl"6W ENT C iiiiuuify Devi lopi�i(, C Divisioir � TOXIN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(-)"constructed;O repaired; (Print Name) Name) Located at: I Cto hj1 Ej*P (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated Ij- J';I I I and last revised on r'. ""1 ,with a design flow of r" 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 31.0.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 Hied Inspection Date: Engineer Representative(Signature) And-Print Name Final Construction Inspection Date: Engineer Represen ative(Signature) F191 UZ And-Print Name ,P Installer: Ail (Signature) Date: 5"Ir And-Print Name Enginer: A"^dy; � , ,. Si g nature) Date: V LA 1'211-1 And-Print Name 1601 Osgood Street, North Andover, Massachusetts 01845 Phone 9 8.688.9 40 Fax 9711.688,8476 Web http://iNww.townofnorthaaatdover.com qJ�r off All changes to the design plan have ben reflected on/the'as- r ( f biri t 0 P'v,I r� C i'_)6 44 f/i,',�}pC It.�Vpf G' I III°.A T I 1 I/f.I'l�"�j,u 1 vj1. I I tl I Is of suitable scale; (one inch—40 feet or fewer for plot plans and one inch—20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings served by the system Locations&Dimensions of system, including reserve(if applicable) „.. ` Ties to dwelling or Permanent Structure&Wells a.From Septic Tank b.From Leach Area Ties to Lot Lines from leach area Locations of Deep Holes&Peres Elevations of Disposal System " Top of Foundation Elevation Locations of Wells,Drains,Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Corners of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways, etc North Arrow Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) "1 certi,the locations, elevations, ties, cover material; exposed component covers etc. shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met.” Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, or was not, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of;Wednesday,April 27,2011 IleChiaie, Pamela From: DelleChiaie, Pamela Bent: Tuesday, June 12, 2012 10:08 AM To: 'Bill Dufresne (wrdufresne @com cast.net)' Subject: Septic- 940 Johnson St- Need As Built and Final Certification Form Attachments: Construction Inspection 940 Johnson 6-1-12.doc; L field at 940 Johnson.JPG Michele did the Fire al.Gracicm for 940 jolinson Street. She c.hec.kc d the grading,and pipe, :and all is okay. So....we are all sct:for the As Built:and final certification tifi.c:ation forn") thaat yOU and 1\4ike n ecl to sign. J-hank you! --Pcatnel<;a From: Randy Burley[miji Ito.rbUi-le f)111 ljrivercon,sutu.ng&ctLnl Sent: Friday, June 01, 2012 3:19 PM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 940 Johnson St 1-Ii All, The system installed by FP Reilly was installed properly. I cautioned the installer to be mindful of the grading when backfilling and that 3 feet was the maximum allowable cover; he acknowledged. You can see from the attached photo,the system is deep near the vent. It is not greater than 3 feet and should be fine unless the contractor is not careful and puts too much fill on. As always, feel free to contact me should you have any questions. Randy Burley Project Manager Mill liver C"onsulting 6 Sargent Street Gloucester, MA 01930 Ph 978-282-001.4 Fx 978-282-1318 www ritillrive i,corasulting,,c(�IlI a burleyji.,la llriverconstaltin <°_<>m Please note the Massactausetts Secretary of;Mate's office has determined that most einail<s to and frorn inunc;ip al offices and officials are Pcrblic records.For rnore information please refs to:h1tt .;/lvnrrw se sec;sf4P.g rrp,�.�a�/fa ciz.htrm. Please c;onsicter the environment before printing this email. 1 North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NO LOCATION INFORMATION ADDRESS: 940 Johnson St. MAP: 107A LOT: 91 INSTALLER: F.P. Reilly DESIGNER: Merrimack PLAN DATE: 11-13-11 BOH APPROVAL DATE ON PLAN: 12-12-11 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 6-1-12 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: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1000 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 visual testing ® Hydraulic cement around inlet & outlet Comments: Only visual water test to pump float elevation. CONTROL PANEL ® 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 tee (if pumped or }0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYST M (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: Warned contractor to not have more than 3' of cover over system; it appears to be somewhat deep in portions. SOILS ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers LP ® Number of chambers per row: 10 ® Number of rows (trenches): 4 Comments: Total Chambers = 40 SYSTEM ELEVATIONS AS- LT INVERT DESIGN INVERT ELEV ELEV Benchmark 100.00 100.00 Building Sewer OUT 91.47 91.5 Septic Tank IN 90.53 90.13 Septic Tank OUT 90.17 89.88 Pump Chamber IN 89.76 89.70 Pump Chamber OUT pressure pressure Distribution Box IN 97.45 97.40 Distribution Box OUT 97.26 97.23 Lateral INVERT 97.21 97.18 Lateral 2 INVERT 97.21 97.18 Lateral 3 INVERT 97.20 97.18 Lateral 4 INVERT 97.20 97.18 Bottom of Bed/Chamber 96.91 96.90 FINAL GRADE MPEC IC.N Date: Address: o" LOAMED? a,,"/'SEEDED? Li COVER PER PI,AN? 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