HomeMy WebLinkAboutCertificate of Compliance - 149 MARIAN DRIVE 3/12/2003 Town of North Andover � TtpRrh
Office of the Health Department
Q2-�rctr 4..�6 aOm
Community Development and Services Division
27 Charles Street
North Andover, Massachusetts 01845 DA4"°�r"°•,s
R47 CINUS�;
Sandra Starr Telephone(978)688-9540
Public Health Director Fax(978)688. 542
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE
3/12/03
This is to certify that
the individual subsurface disposal system
constructed O or repaired (X)
by
Todd Bateson
at
149 Marion Drive
has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the
North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will function
satisfactorily.
r n jAaGrasse
Board of Health Inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688_9535
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The u dersigned hereby certify that the Sewage Disposal System ( ) constructed;
( repaired:
by _ q__
located at 14,,,�,t
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit# , dated with an approved design
flow ofallons 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:
Engineer Representative
Final inspection d
Engineer Representative
Installer: V"462�5t�� Lic.#: Date: l PC- d
Design engineer: j Date: . °t" "
AS-BUILT CHE CKLIST
� LOT" NUMBER, STREET NAME
ASSESSORS MAP& PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
�- LOCATIONS & DIMENSIONS OF SYSTEM,
144.
✓� TIES TO LOT LINES & DWELLING
a. FROM SEPTIC TANK.
b. FROM LF-ACI4 AREA
LOCATIONS OF DEEP HOLES& PERC
TESTS
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
LOCATION OF WATER, GAS,ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK.&D-ROX
ORIGINAL STAMP & SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
LOCATION &ELEVATIONS OF BENCHMARK USED
. '
) INSPBCTlONCHECKLIST FOR SEPTIC SYSTEMS
� Yen NO Initials
A. Bottom of Bed
~` Excavation^– – —proper depth
| 2. With trenckes,aid�����iono��u�hB6�z�
|
3. Edge of excavation specified distance from foundation,etc.
Comments:
�
|
B. Retaining Wall
l. Wall height and width as specified
2. Waterproofed
3. Wall minimum )0` to|eaobiug facility
4. Wall meets specifications ofplan
Comments: �
C. Building Sewer
�
' ------
2. Schedule 4Opipe
3. Watertight joints
4. Inlet hmtank cemented '
l Slope minimum O.01 or 10" foot minimum
6. Pipe properly set on compact firm base
I Pipe laid oo continuous grade hn straight line
& C|aaowutu precede all change io alignment and grade
V. Manholes ut any 9U"change
10. |O`minimum offset Ln water lioe
Comments:
/
D. Septic Tank `
1. Level �~ �
l 1,500 gal minimum
3 0ou�uf� �� ouUui --�[�,-- ------
. �pr�u uo
4. Manhole tograde
5. Manholes over center and each tee
6. 3-20`~manholes ------- �
7. InlFt tee minimum l3"under invert --17--- -----' �
8. Outlet tee minimum l4^'under invert '
9. Outlet line cemented ------'
lO. Air space 3"above tees V ------
|1. 2"-3"drop from inlet tooutlet '
12. Pipe set
13. Compact base with 67`nf1/4"crushed stone under tank
14. Tank/ywatertight
Cmnmuonro:
�
�
�
/
�
Yes NO
E. Pump Chamber
1. if separate from tank,compact base with 6"of 3/4"stone underneath
2. Minimum 2"pipe to d-box if gravity system
3. 20"access manhole
4. Tank level
5. Watertight
6. Tank size agrees with plan specification
7. Manhole to grade
8. Check valve and bleeder hole present
9. Alarm in building on separate circuit �.
10. Alarm ftinctions
11. Manual operating switch
12. Pump delivers liquid to d-box ,
Comments:
F. Distribution Box
1. D-box level
2. Minimum 0.17"(2")drop from inlet to outlet %
3. Minimum 6"sump ,
4. Outlet pipes show equal distribution _
5. Compact base with 6"of stone beneath box --j'/
6. Box is watertight
7. All lines cemented with hydraulic cement
8. Schedule 40 pipe
Comments:
G. Soil Absorption system
1. All stone double-washed-3/4"- 1 %2"
-pea stone
Bucket test done?
2. Minimum 2"of pea stone above distribution lines
3. Minimum 6"stone beneath pipe _
4. Distribution lines capped or connected together -
5. Grading meets 3:1 slope
6. Minimum of 9"of fill graded over system
7. Toe of slope stops minimum 5' from edge of property; if not,then swale.
Comments:
H. Leach Trenches
1. Minimum 2 trenches
2. Length of trenches agree with plan. (Max.length 100')
3. Width of trenches agree with plan-Minimum 2';maximum-4'.
4. Vent present if<50 feet or specified
5. Distance between trenches minimum 4' and maximum of 6'
6. Minimum distance between trenches 10'
7. Pipe slope minimum 0.005 or 6"per 100'
8. Depth of trenches below outlet invert minimum of 6".
Yes NO
r 9. Pipes set on stable base.
Comments:
I. Leach Field '
1. Maximum length of field 100'
2. Pipe slope minimum 0.005 or 6"per 100'
3. Separation between pipe 6 maximum
4. Pipes connected at end ;
5. Separation between adjacent fields 10' minimum -�
6. Pipes set on stable base
7. Maximum 4'separation from edge of field to first line
8. Minimum two distribution lines
9. Maximum perc rate 20 mpi ,
Comments:
I Leaching Pits
1. Minimum inlet pipe 4"
2. Pits of concrete
3. Sidewall between 12"and 48"wide
4. Access manholes on each pit
5. Pipes cemented with hydraulic cement
i
Comments:
K. Final Grade
I. Slope over soil absorption system minimum 0.02
2. All system components covered by at least 9"soil
3. Cover soil free of stones larger than 6"
4. Grading slopes away from dwelling
5. No areas over system that may pond