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
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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
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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