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HomeMy WebLinkAboutCertificate of Compliance - 35 MARIAN DRIVE 11/17/2011 ti PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE O COMPLIANCE As of: 11 /17/2011 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System James Kellett At: 35 Marian Drive Map 107C Lot 43 North Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.coni PUBLIC HEALTH DEPARTMENT (orpirr7urriPy[1evc;Bopainwr:Uivkirarr TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby fcertify that the Sewage Disposal System( )constructed;( )repaired; (Print Name) Located at; (Installation IAd ess Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on with a design flow of ` jo 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. Bottorn of Bed Inspection Date: � �)l' Engineer Representative(Signature) And—Print Name Final Construction Inspection Date; Engineer Representative(Signature) And—Print Name (Signature) ate: �/ ;� .. '"Z nstaller ✓- ..-.....,,, An —Print Name Enginer: PW~ (Signature) Date: And—Print Name 600 Osgood Street, North Andover, Massuchuselts 01845 Phone rr 0 Fox 978.688.8476 Web lwtt M//wwwwt!o�wnofinor°mhand ver,fa a,ii North Andover Health Department fommunity Development Division QNSITE WASTEWATER SYSTEM T 11 TI NOTES LOCATION INFORMATION ADDRESS: 35 Marian Dr MAP: 107 C LOT: 43 INSTALLER: Jim Kellett DESIGNER: Merrimack E g PLAN DATE: 8-12-11 f qkk1 J1 1 I BOH APPROVAL DATE ON PLAN: 10-6-11 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: I CJ�5111 DATE OF FINAL CONSTRUCTION INSPECT ION: 10-31-11 DATE OF FINAL GRADE INSPECTION: 1, 01) 1 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: At the time of this inspection, the laundry had not yet been connected. SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan N/A Bottom of tank hole has 6" stone base ® Weep hale 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 port (effluent filter) ❑ inch cover to within 6" of final 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 ® Watertightness of tank has been achieved by visual testing ® Hydraulic cement around inlet & outlet Comments: 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: Two compartment d-box; tee not needed 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: No inspection port at time of inspection 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): 11 Comments: Total Chambers = 44 SYSTEM ELEVATIONS AS-BLT INVERT DESIGN INVERT ELEV ELEV Building Sewer OUT 100.45 6' off fnd 100.6 Septic Tank IN 100.07 100.10 Septic Tank OUT 99.90 99.85 Pump Chamber IN 99.86 99.80 Pump Chamber OUT n/a n/a Distribution Box IN 103.78 103.20 Distribution Box OUT 103.06 103.03 Lateral 1 INVERT 102.99 102.98 Lateral 2 INVERT 102.99 102.98 Lateral 3 INVERT 102.98 102.98 Lateral 4 INVERT 102.98 102.98 LlelleChiale, Pamela From: Randy Burley[rburley @millriverconsulting.com] Bent: Wednesday, November 02, 2011 8:43 AM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 35 Marian Dr. final inspection Attachments: Construction Inspection Form 11-1-11.doc The job was mostly done. The inspection pout was not yet installed and Jim Kellett had not yet tied the laundry plumbing into the main plumbing. Other than those items, it was fine. Randy Burley Pr°vject Manager Mill Rivet,t`on ulttng 6 Sargent Street Gloucester, MA 01930 Ph 978-282-0014 Fx 978-282-1318 µ._�.....:..w,iiJ 11.i°iverconsrllli.Il ,, ,� r�?I.... frr tnn j lrvcr rarr I1_Btlt cc:a:rl Please note.the Massachusetts Secretary of State's office has dote irnined that most einails to and from music al offices and officials are r aublic records For more information please refer to:h2n//M sec 4 s ;_rn .,,u ltaa l ireidx.l tm. Please consider the environment before printing this email. 1 DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, October 24, 20114:04 PM To: DelleChiaie, Pamela Cc: Grant, Michele Subject: RE: Final Grade Inspection Request-85 Ogunquit(Peter Breen) lima Kellett will .r�� rbab{y need his BOB tomorrow afterno at 35 Marian, so hen one of us does there we can swim out tt Bock y.Brock; aw, 1 think there was that housing insp. 'too, but I don't know what time.... I have a tentative appointment set with Melanie from Royal Crest on Wed at 1.0 am, From: DelleChiaie, Pamela Sent: Monday, October 24, 20114:01 PM To: Sawyer, Susan Subject: Final Grade Inspection Request - 85 Ogunquit(Peter Breen) i It Susan, l �,uncluit. i E�lvascd hiln that. we nc.cd the final } 4 t°I.�IlIIC l usl callCC�.T�,C1 �lu��+w Fora Final (,it-i cte lri s�7C'�.,tion t 85 C � c cr°t:rltt,ation form tliat h c <ind I h.e e nine r°sign, as weal as tl" c Asi'wu It plarr from the criginecr,, N ve Morin rin i.s the Enginccr-. Can you sclAccl k, a final grade. for this sitc? Thank you. Partiela Delle Ctiiaie Departmental Assistant I Community Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 20 I Stwite 2-36 North Andover,MA o1845 W Office-978-688-9540 i_Tl Fax-978-688-8476 Email ttltllcolax_:rc(qak.rrwrEl.rlb�c>tt,NrKwzllarv€r,ccttt7. " V)sitc Iattlw:/f. GVty,tr�wltawlrle rl,lqs tawlrt�s r,a�r��t�E r /�rtck , ma lt? a"wn F'ld^"vet-.'ec' the palh f)f out- f ive are im) hu;1ry.l f1C;P,dsIng on the),)ebbles under ouP". eel. °"......,Anonymous From: Isaac Rowe Lm ,il ,l,rtrmlillivercrcltlirag cctrl,j Sent: Friday, September 23, 2011 12:30 PM To: Sawyer, Susan; 'Marianne Peters'; DelleChiaie, Pamela Cc: 'Randy Burley'; 'Dan Ottenheimer' Subject: RE: 85 Ogunquit Susan, Attached is the final inspection report for the above referenced property. Everything looked good. Please let me know if you have any questions. Thanks, Isaac M. Rowe,R.S. Project Manager Mutt River Consulting 6 Sargent Street 1 CloucLster, MA 01930-2719 Phone: (978) 282-0014 Fax:(978) 282-131.8 irc a cry illiv �cgnc,wtfltij .. cam r illy vercon _ultir� , am From: Sawyer, Susan [tnda:s r �ictc�fatrtl _nccr c. r Sent: Thursday, September 22, 2011 12:45 PM To: 'Marianne Peters'; DelleChiaie, Pamela Cc: 'Randy Burley'; 'Isaac Rowe' Subject: 85 Ogunquit .This message is a follow up to the call l rnade to Mill Giver earlier.-rhe installer is hoping for an insp. on Friday. Please call Mr. preen to.set up appointment for a final inspection.. 'Thank you Susan Final inspection 85 Ogunquit Peter Breen (978) 265-7580 cell f,leasra note tlara Massachusetts Secretary of States office'has determined that most enaail,to and from rrrnnicipal offices and officials ire faartalio records. For more infonnsation please refer to:Vatt�r,.0 ;�✓.s.���': fit.r w gLs/prn�fpr iCEx�.httv�. Please consider the environment before printing this erntail, 2 AS-BUILT LIB f, 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) 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(i 'applicable) Ties to dwelling or Permanent Structure&Wells a.From Septic Tank b.From Leach Area j 1 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 1.50 feet of system Location of water,gas,electric lines,cable wh, 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, 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