HomeMy WebLinkAboutCertificate of Compliance - 123 MARIAN DRIVE 6/26/2007 0
PUBLIC HEALTH DEPARTMENT
Community Development Division
As o
June 26- 2007
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'511, T'Sawyer,
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1600 Osgood Street,North AndoveA,Mas$arhnsetts 01845
Phone 978.688,9540 Fox 918.688.8476 Web www.townofnoi-thandover.coni
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PUBLIC HEALTH DEPARTMENT
Community Development Division J U N
TOWN OF NORTH ANDOVER a
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;(v�repaired;
(Print Name)
Located at: hA 6x,12-1'k,
(Installation Address)
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Was installed in conformance with the North Andover Board of Health approved plan,originally dated
and last revised on with a design flow of
(� 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: d""� "oce'
Engineer Repre ntative(Signature)
And—Print Name
Final Construction Inspection Date: 10
Engineer Representative(Signature)
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And—Print Name
Installer: 0 OA (Signature) Date:
VL ADRAIR L. And—Print Name
r NE CHEN
Enginer: ignature) Date: °o'G,
No.39840
At And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 123 Marian Drive MAP: 101 C LOT: 49
INSTALLER: F.P. Rieley and Sons
DESIGNER: Merrimack Engineering
PLAN DATE:2-20-06
BOH APPROVAL DATE ON PLAN: 7-20-06
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTIONA-
DATE OF FINAL CONSTRUCTION INSPECTION: 10-16-06
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
® Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments:
SEPTIC TANK
(� Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading Monolithic construction
❑ Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
® Inlet tee installed, centered under access port
® Outlet tee (gas baffle or effluent filter) installed,
centered under access port
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688,9540 Fox 978.688.8476 Web www.townofnortliandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
❑ 24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
® Hydraulic cement around inlet & outlet
Comments:
DISTRIBUTION-BOX
® Installed on stable stone base
❑ 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 6 in into 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
® Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments:
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber Infiltrator Quick 4
® Number of chambers per row 7
® Number of rows (trenches) 6
❑ Laterals installed and ends connected to header (and
vented if impervious material above)
® Elevations of laterals and chambers installed as on
approved plan ,
Comments:
1600 Osgood Street,North Andover,Mossachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
SYSTEM ELEVATIONS
INVERT IN FIELD PLAN INVERT ELEV.
Benchmark
Building Sewer OUT 94.68 94.62
Septic Tank IN 94.48 94.42
Septic Tank OUT 94.15 94.17
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN 93.69 93.67
Distribution Box OUT 93.52 93.50
Lateral 1 INV 93.47 93.47
Lateral 1 TOP 93.81
Lateral 2 INV 93.47 93.47
Lateral 2 TOP 93.81
Lateral 3 INV 93,49 93.47
Lateral 3 TOP 93.83
Lateral 4 INV 93.49 93.47
Lateral 4 TOP 93.83
Lateral 5 INV 93.48 93.47
Lateral 5 TOP 93.82
Lateral 6 INV 93.46 93.47
Lateral 6 TOP 93.80
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688,4540 Fax 478.688.8476 Web www,townofnorthandover.roni
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DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Thursday, November 02, 2006 2:33 PM
To: Grant, Michele; Sawyer, Susan
Subject: Final Grade Requests
Importance: High
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Hello,
Can one of you possibly take care of two final grade inspections for:
23 Ash Street
123 Marian Drive
Mike Reilly was the installer. Thank you.
�Bgf Rag�rdSr
Pu�iaG�A Da��aG�lOfafa
Health Department Assistant
Town of North Andover
1600 Osgood Street
Building 20, Suite 2-36
North Andover,MA o1845
978.688.9540-Phone
978.688.8476-Fax
http://www.townofnorthandover.com
healthdept@townofnorthandover.com townofnorthandover.corn
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