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Home My WebLink AboutCertificate of Compliance - 44 MARIAN DRIVE 10/1/2010 a � � G �- as Ssnc�au�e PUBLIC HEALTH DEPARTMENT Community Developmont Division TOWN Or NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(4'�constructed;( )repaired; TOWN OF NOR'v4 ANOOVEF? By: �d 'f � lIEALT P PAI! r EN°r (Print Name) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated V-11%° Fa and last revised on ,� ,with a design flow of 44c 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: ��'' �� > 1"d ( -�°'�•.-''^ Engineer Representative(Signature) C VU And-Print Name Final Construction Inspection Date: 0- Engineer Representative(Signature) And-Print Name Installer: � (Signature) o Date: IVA'°'[62 And-Print Name Enginer: V,dDlkl�p 41 ,U i' i�(/ d (Signature) Date: la-1 - 10 And-Print Name 1600 Osgood Street, North Andover,Massachusetts 01045 Phone 978.60$.9540 Fax 970.600.0476 Web http://www.townofnorthandover.com AS-BUILT CHECKLIST All changes to the design plan have been reflected on the as-built Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) i..µ Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings served by the system i" Locations&Dimensions of s y stem including res�xye,(i 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) "I certify the locations, elevations, ties, covet,nraterial; 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 %AO o .su o 0 'V KAK NIG X44 WV4X, SACHU PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM I NOTES LOCATION INFORMATION ADDRESS: 44 Marian Drive MAP: 107C LOT: 57 INSTALLER: Todd Bateson DESIGNER: Vladimir Nemchenok PLAN DATE: 6/3/10 BOH APPROVAL DATE ON PLAN: 7/30/10 INSPECTIONS glagII TANK INSPECTION: DATE OF BED BOTTOM IN SPECTION:11)-] DATE OF FINAL CONSTRUCTION INSPECTION: 9/29/10 DATE OF FINAL GRADE INSPECTION: SITE CONDITION ® 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web wrww.tpwnofrnorthandover.com Inspection Form June 2008 FORTH Ce coca%aa"aO.K. Fill PUBLIC HEALTH DEPARTMENT Community Development Division Visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) 24" inch cover to final grade installed over inlet and outlet 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 pork ® Pump installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/oft floats ® Drain hole in pressure line ® 24" cover at final grade installed over pump access pork ® Water tightness of tank has been achieved by Visual testing ® Hydraulic cement around inlet & outlet Comments: C NTR L PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.t®w'7ofnorthondover.'nm. Inspection Form June 2008 o C? t oc.i�iax°wsw:..c PUBLIC HEALTH DEPARTMENT Community Development Division DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 ®-Sox ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution NA Speed levelers provided (not required) Comments: SOIL A SO PTI N 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 NA Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: IL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard (wick 4 Low Profile Infiltrator Chambers ® Number of chambers per row: 7 Number of rows (trenches): 6 Comments: Total Chambers ® 42 1600 Osgood Street,North Andover,Massachusetts 01645 Phone 978.688.9540 Fax 978.680.8476 Web www.towrdroinoEtlia[tdover.com Inspection Form June 2008 Cb CntaelC nc�acu "0.. "� S FU PUBLIC EALT r Community Development Division BM ® 102.56 HR = 2.06 HI ® 104.62 SYSTEM ELEVATIONS ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark 102.56 Building Sewer OUT 5.31 98.96 99.5+/- Se tic Tank IN 5.76 98.51 98.70 Septic Tank OUT 6.03 98.24 98.45 Pump Chamber IN 6.14 98.13 98.40 2" Pump Chamber OUT 9.22 95.23 ---- 2" Distribution Sox IN 4.98 99.47 99.40 Distribution Box OUT 5.03 99.24 99.23 Lateral 1 TOP 5.08 Lateral 1 INVERT 99.19 99.18 Lateral 2 TOP 5.09 Lateral 2 INVERT 99.18 99.18 Lateral 3 TOP 5.12 Lateral 3 INVERT 99.15 99.18 Lateral 4 TOP 5.13 Lateral 4 INVERT 99.14 99.18 Lateral 5 TOP 5.10 Lateral 5 INVERT 99.17 99.18 Lateral 6 TOP 5.10 Lateral 6 INVERT 99.17 99.18 Top of Chamber 5.10 99.5 99.5 Bottom of Bed/Chamber 98.8 98.9 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthcmdoyer.(om Inspection Form June 2008 'rPt e.�cr a CM ei5cw`rduitw^xcw " US PUBLIC HEALTH DEPARTMENT (ammunity 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 -a ® Deck, on footings, etc 5 10 __ ® Waterline 10 10 1.01 • Private drinking well 75 1002 50 • Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Ban1{3 75 100 ® Wetlands bordering surface water supply or trio. (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, 1.0.32, 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 wrvvr,towrnotriartlrundover.coi7r Inspection Form June 2008