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Home My WebLink AboutCertificate of Compliance - 17 LACY STREET 3/5/2008 NORT#1 '9 O ,$-ED , 0? 4616 O f0 O coc.ic niwrc• �• �s.9SSA TE DUS�,�'�5 CH PUBLIC HEALTH DEPARTMENT Lommunity Development Division %rW XT I FIC.��IE O F C0�44(Pl- V Ljy(/ �E As of: March S, 2008 This is to cent y that the individuafsu6surface disposafsystem received a SATISEACTORTINSPECION of the: Complete Septic System 1Repairl eplacement By• Joseph Flak At: 17 Lacy Street W ap 105. 1 ; (Parce111 S North Andover, MA 01845 The Issuance of this certificate shaff not be construed as a guarantee that the system will function satisfactorify. /Susohl 2'. Sawyer Pu6fc Yfeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER e HORT1{ Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET + NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone Susan Y. Sawyer,REHS/RS 978.688.8476-FAX Public Health Director E-MAIL: healthdept(t�townofnorthandover.com WEBSITE:http://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System O constructed; (P repaired; Ff CO F (Print Name) NOV 0 6 2007 located at 6 7 -AC (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated 6-5-07 and last Revised on ?-20 -0'7 , with a design flow of 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. Bed inspection date: (7—) �(7 7 1,.•w.t,.�� En eer Representative(Signature) 1'6SE PN B�gSSEv� And-Print Name Final inspection date: J 07 G C Engineer Represent ve(Signature) Zee-,,,. G And-Krint Name Installer: L34 A (Signature) Date: 0 :ase_'O , M / K And-Print Name Engineer- (Signature) Date: 1 — ° 0-7 And-Prin ame elleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, April 11, 2008 9:05 AM To: 'srundle @bwgroupusa.com' Subject: 17 Lacy Street Importance: High L—J Li Message from Message from Message from KMBT_600 KMBT_600 KMBT_600 Hi Scott, Attached is a COPY 044yottr COC', Certification from the Engineer and Installer, As built (2 separate attachments), and in orniation Oil your system, and that it needs to be inspected annually. I would suggest that YOU call YOUr engineer for ntrues of Companies which offer maintenance on your type of systen-r -• Presby F,'nviro- Septic System. ash`Ragwvds, 1,01W10 0w A9a401aG004lwla Health Department Assistant °° ' Town of North Andover 1600 Osgood Street N Building 20,Suite 2-36 orth Andover,MA o1845 978.688.9540-Phone ',978.688-8476-Fax htt P:// m www,townofnoi-thandoA,er.co healthdept @to,Amofnorthandover.com _ II 'y �w 1 Re: 17 Lacy Street Page 1 of 1. DelleChiaie, Pamela From: Scott Rundle [Srundle@bwgroupusa.com] Sent: Friday, April 11, 2008 9:16 AM To: DelleChiaie, Pamela Subject: Re: 17 Lacy Street Importance: High Thanks so much Pam. Sincerely, Scott Rundle On 4/11/08 9:04 AM, "DelleChiaie, Pamela" <pdellech @townofnorthandover.com> wrote: <<Message from KMBT_600» <<Message from KMBT_600» <<Message from KMBT_600» Ili Scott. Attached is a copy of your C°( C,Cerlific[ation from the Frrgineer tart<d Installer,As Built(2 separate attachments), and in6'or'r'nation area your,system,and that it needs t.o he inspected annually. 1 WOUld SUggest that YOU tall ytaur° engineer fa'ar names of contpanies avhich ofi'er mainlenance tart yaaur type of system-Fresby Enviro-Septic System. Best Regards, Pamela DelleChiaie Health Department Assistant Town of North Andover 1600 Osgood Street Building 20,Snite 2-36 North Andover,MA 01845 2978.688.9540-Phone — 978.688.8476-Fax ]tttta�'/uvevv��.t��twrtw�t"rt�kx°thtitinai�avt tt;t°a�rtx healthdept @ toivnofrrorthandover.corn 4/11/2008 A YYRO V AL FOR REMEDIAL USE Page 5 of 7 that are non-sanitary sewage generated or used at the facility served by the System shall not be introduced into the System and shall be lawfully disposed. 7. The System owner shall at all times properly operate and maintain the on-site sewage r-�---� disposal system. The System owner shall have the System inspected annually by an operas trained by the Company and shall submit the results of that inspection, on a technology checklist, to the local approving authority. 8. The System owner shall furnish the Department any information that the Department requests regarding the operation and performance of the System, within 21 days of the dat of receipt of that request. 9,__ N em owner shall authorize or allow the installation of the System o e by a person trained by the Company to install the System. 10. Prior to the issuance of a Certificate of Compliance for the System, the System owner shE record and/or register in the appropriate Registry of Deeds and/or Land Registration Offic a Notice disclosing both the existence of the alternative septic system subject to this Approval on the property and the Department's approval of the System. If the property subject to the Notice is unregistered land,the Notice shall be marginally referenced on the owner's deed to the property. Within 30 days of recording and/or registering the Notice, tl System owner shall submit the following to the Department and the local approving authority: (i)a certified Registry copy of the Notice bearing the book and page/instrumen number and/or document number; and (ii)if the property is unregistered land, a Registry copy of the owner's deed to the property, bearing the marginal reference. V. o to the Company 1. By January 31st of each year,the Company shall submit a report to the Department, sign+ by a corporate officer, general partner or Company owner that contains information on the System, for the previous calendar year. The report shall state: the number of units of the System sold for use in Massachusetts including the installation date and date of start-up during the previous year;the address of each installed System, the owner's name and address, the type of use(e.g. residential, commercial, school, institutional) and the design flow; and for all Systems installed since the date of issuance of this Approval, all known failures, malfunctions, and corrective actions taken and the address of each such event. 2. The Company shall notify the Director of the Watershed Permitting Program at least 30 days in advance of the proposed transfer of ownership of the technology for which this Approval issued. Said notification shall include the name and address of the proposed nem owner and a written agreement between the existing and proposed new owner containing, specific date for transfer of ownership, responsibility, coverage and liability between their. All provisions of this Approval applicable to the Company shall be applicable to successo and assigns of the Company,unless the Department determines otherwise. 3. The Company shall develop and submit to the Department: an operating manual includir information on substances that should not be discharged to the System and a recommende schedule for maintenance of the System essential to consistent successful performance of installed Systems within 60 days of the effective date of this Approval 4. The Company shall make available, in print and electronic format,the referenced 8/27/2007 1 I r" ✓ AS-BUILT T C C IST � LOT NUMBER, STREET NAME ASSESSORS MAP &PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS &DIMENSIONS OF SYSTEM, 'INCLUDING RESERVE TICS T"O 1:0 LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM "r LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK USED Page 1 of 1 DelleChiaie, Pamela From: Randy Burley [rburley @millriverconsulting.cam] Sent: Friday, October 26, 2007 11:39 AM To: Daniel Ottenheimer; dobrzut @millriverconsulting.com; Grant, Michele; Marianne Peters; DelleChiaie, Pamela; Sawyer, Susan Subject: 17 Lacy St. Good day, Please find attached the construction inspection for 17 Lacy Street. Everything appeared to be in order. Please do not hesitate to contact me with any questions or concerns. Sincerely, 1 nt � r �:ra�� uNtN�a Dandy Burley, Project Manager Mill River Consulting, Inc;. On-Site Wastewater Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 vvvv,zt illriverconSLIltillg,COI-n rburley(cr.)millriv rconsulti g.com 1.0/26/2007 t4ORTiPj qI,�l0 @6 ''.. 6 F� 0 rtas«isiwa a, ". rao HU5V PUBLIC HEALTH DEPARTMENT (Ommunity Development Division QNSITE WASTEWATER Y T U TI NOTES LOCATION INFORMATION ADDRESS: 17 Lacy Street MAP: 105 D LOT: 115 INSTALLER: Joeseph Flak DESIGNER: New England Engineering PLAN DATE: June 5, 2007, rev. July 20, 2007 BOH APPROVAL DATE ON PLAN: August 29, 2007 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECT] N: October 17, 2007 DATE OF FINAL GRADE INSPECTION: 0 � �� SITE CONDITIONS ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading Monolithic construction W RO ® Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ® Inlet tee installed, centered under access port ® Outlet tee (gas baffle) installed, centered under access port 1600 Osgood Street,North Andover,Mossochusetts 01945 Phone 979.699.4540 Fox 978.699.8476 Web www.townofnorthandover.com %AORTi4 cot C.N yy PUBLIC WEALTH DEPARTMENT Community Development Division ® 24" inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ❑ Inlet tee (if pumped or >0.06'/foot) ® Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: Distribution box is used as an inspection port only; it only had one outlet SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to 6 in into 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: ASTM C-33 sand (concrete sand) used for the entire system and overdig. As per approval letter, the installer was informed he was to provide the bill of lading to the property owner as proof of the sand quality. The installer agreed. 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com ooRt4 o ° * tIU PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYSTEM (Enviro-Septic leaching pipes) ® Number of rows: 10 ® Length of rows : 26 feet ® Elevations of laterals and chambers installed as on approved plan Comments: The approval letter requires a "high" vent off the distribution box. The designer did not specify one on the plan and when questioned about it, he faxed me information from the Design Guide; specifically, section F "Venting Requirements" which does state no vent is required on the distribution box if the system is not pumped. SYSTEM ELEVATIONS INVERT INFIELD PLAN INVERT ELEV. Building Sewer OUT 96.70 97.08 Septic Tank IN 96.50 96.78 Septic Tank OUT 96.25 96,.41 Distribution Box IN 95.92 95.78 Distribution Box OUT 95.75 95.78 Enviro-Septic Pipe 95.58 95.59 Inverts 1600 Osgood Street,North Andover,Massochusetts 01045 Phone 970,680,9540 Fax 978,688.0476 Web www.townofnorthandover.coni T . a r 16 41 ara � PUBLIC HEALTH DEPARTMENT Community Development Division 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 6 __ ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank-3 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)Foun(latlon 10(5) 20(10) ❑ Drywells 20 25 1 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.towoofoorthandover.rom