Loading...
HomeMy WebLinkAboutCertificate of Compliance - 130 MARIAN DRIVE 7/23/2012 i FF • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division erti cate f C ®rn fiance As of luf 12 This is to certify that a SATIS FA CTO RT INSTE CTIOX Was completedfor the: Co to ce t air o a .Site Wastewater osaC e By: ToddOateson at: Watian Ddve Parcel ID :210/107.C-0053-0000.0 XorthAndover WA 01845 The Issuance of this certificate shaff not 6e construed as a guarantee that the On Site Sewage Disposa( System wifffunction satisfactorily, f f V/ A 2/san 7 Sayryer, rl'u6ficYfeafth Dieector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 4M " uTMM,iw�,..�4ibA �uu Pllgtlt NEALM DEP RMENt conla,unity hvnlqment Divkiorl � r TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTII+ICATION el" The undersigned hereby certify that the Sewage Disposal System(Pconstructed;( )repair t#I:�' 9 p li IIW ` CT (Print Name) Located at: "° 1 11,"0 tl — .....-- — (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated ' "" - �,f and last revised on "" " " with a design flow of " j 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 Bed Inspection Date: °°' °' � Engineer Represen ative(Signature) And—Pant Name Final Construction Inspection Date: Engineer Representative(Signature) And—Print Name.,) F� Installer: , (Signature) Date: And—Print Name Enginer: J t f '� � � Signature) Date: . ..- And—Print Name '1000 Osgood Street, North Andover, Mossuchusetts 01845 Phone 970.688.9540 Fox 970.688.0476 Web http://www.townofnorthandover.com DelleChiaie, Pamela From: Randy Burley [rburley @millriverconsulting.com] Sent: Monday, July 09, 2012 4:58 PM To: 'Daniel ©ttenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: Emailing: Construction Inspection Form 7-9-12.doc Attachments: Construction Inspection Form 7-9-12.doc Please find was installed per plan.There is no one living in L there was about 4 inches of ater in th m he pause but the Construction Inspection F for 130 Marian Ajl Setic-tank T,he r st'aller said it was from a running toilet.This should of course be addressed. Sincerely, Randy Burley The message is ready to be sent with the following file or link attachments: Construction Inspection Form 7-9-12.doc Note:To protect against computer viruses,e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to htti :!/v sc.c state n a,us/prc/)rc i JL. wfir1,. Please consider the environment before printing this email. North Andover Health Department (ornmunity Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 130 Marian Dr MAP: 107 C LOT: 53 INSTALLER: Todd Bateson DESIGNER: Merrimack Eng PLAN DATE: 4-17-12 BOH APPROVAL DATE ON PLAN: 6-15-12 INSPECTIONS TANK INSPECTION: I-a-jg- DATE OF BED BOTTOM INSPECTION:7-6-12 DATE OF FINAL CONSTRUCTION INSPECTION: 7-9-12 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 NIA 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 Z Outlet tee installed, centered under access port (effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: Tank only had a small amount of water it from running toilet. No one is living there at this time. 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 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers LP ® Number of chambers per row: 4 ® Number of rows (trenches): 10 Comments: Total Chambers = 40 SYSTEM ELEVATIONS AS-BLT INVERT DESIGN INVERT ELEV ELEV Building Sewer OUT 97.67 97.50 Septic Tank IN 97.43 97.30 Septic Tank OUT 97.18 97.05 Distribution Box IN 96.31 96.20 Distribution Box OUT 96.15 96.03 Lateral 1 INVERT 96.05 95.98 Lateral 2 INVERT 96.03 95.98 Lateral 3 INVERT 96.02 95.98 Lateral 4 INVERT 96.03 95.98 elle hi ie, Pamela Prom: Randy Burley[rburley @millriverconsulting.com] Sent: Friday, July 06, 2012 10:34 AM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 130 Marian Dr Bed-bottom Todd Bateson had to excavate more than expected because of an unknown stump pit and leaching pit. The dimensions of the bed-bottom matched that of the plan and it scaled properly off the house to being in the correct location. He thought he may be ready Monday for a final inspection,but will let you know; I will try and keep time free if it comes together. Sincerely, Randy Burley,Project Manager Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 fax: 978-282-1318 �ywy\v.qtillr iv ,rc onsttG;fi coni rbu r,B cyccil,111i IIriVerco11su�trrt Mill Rrv(�,�,w,r consulting Please note the Massachusetts secretary of State's office has determined that most mails to and from municipal offices and officials are public records.For more information please refer to:.huq,Zr�w�v�„sec,mst�kr.n��.,,asl�a�P�reidx.htm. Please consider the environment before printing this email. 1 ff / AS® I°.-�qpq� �• .'pypYry 6 f b . All changes to the design plan have been reflected an 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) Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings served by the system c 2 Locations&Dimensions of system, including re xye`(if applicable) "OWN l NOr(r" j N OW EtiLT).,D DfaloARTMF T m. 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 Hales&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 r Location and holder of any easements which could impact the system i. Impervious Areas;Driveways, etc North Arrow Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) "I certify 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