HomeMy WebLinkAboutCertificate of Compliance - 149 MARIAN DRIVE 3/12/2003 (2) Town ®f North. Andover
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Office ®f the Health Department K4�
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Community Development and Services Division
27 Charles Street
North Andover,Massachusetts 01845 �RSS AC;o„ES`'y
Sandra Starr Telephone(978)688-9540
Public Health Director Fax(978)688.9542
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 JXaGrasse
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:
located at
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit# , dated with an approved design
flow of allons 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: Lic.#: Date:
Design grigineer: Date: . 93 _Z y° '�
AS-BUILT C , C IST
LOT NUMBER, STREET NAME � �44°�`i� � " '2032
✓r ASSESSORS MAP& PARCEL NUMBER
✓� LOT LINES & LOCATION OF DWELLINGS
�--' LOCATIONS & D[W..NSIONS OF SYSTEM,
TIES TO LOT LINES & DWELLING F h�.
d. FROM SEPTIC TANK
b, FROM LF-AC14 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-BOAC
l / ORIGINAL STAMP & SIGNATURE
''ter/l IMPERVIOUS AREAS - DRIVEWAYS, ETC.
NORTH ARROW
"'�! LOCATION &ELEVATIONS OF BENCHMARK USED
N
IT
INSPECTION CHECKLIST FOR SEPTIC SYSTEMS
Yes NO Initials
A. Bottom of Bed
1. Excavation to proper depth
2. With trenches,sides of excavation are beneath B horizon
3. Edge of excavation specified distance from foundation,etc.
Comments:
I
x
B. Retaining Wall
1. Wall height and width as specified >r�
2. Waterproofed
3. Wall minimum 10'to leaching facility''"
4. Wall meets specifications of plan
Comments:
C. Building Sewer
1. Pipe diameter imum 4"
2. Schedule 40 p Pe
3. Watertight joints
4. Inlet to tank cemented 1 °'
5. Slope minimum 0.01 or 1/8"per foot minimum gr'
6. Pipe properly set on compact firm base -
7. Pipe laid on continuous grade in straight line
8. Cleanouts precede all change in alignment and grade
9. Manholes at any 90°change
10. 10'minimum offset to water line
Comments:
D. Septic Tank
1. Level '
2. 1,500 gal minimum
3. Gas baffle present on outlet
4. Manhole to grade
5. Manholes over center and each tee
6. 3-20"manholes
7. Inlet tee minimum 12"under invert
8. Outlet tee minimum 14"under invert _
9. Outlet line cemented /
10. Air space 3"above tees
11. 2"-3"drop from inlet to outlet
12. Pipe set
13. Compact base with 6"of 3/4"crushed stone under tank
14. Tank is watertight
Comments:
�
�
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|
~
'
`
Yes NO
E. Pump Chamber
|� l' lfaeyu,ote from tank,compact base with 6` uf1/4" stone underneath |
------ |
2. Minimum 2"pipe tod-boxif gravity system
3. 2U"access numdhWc
4. Tank level
5. Watertight
6. Tank size agrees with plan upeuifiunhoo
| 7. Manhole tograde
|
Q. Check valve and bleeder hole present 77
9. Alarm iu building on separate circuit
lO. Aluzoz fimodoua
� ll. Manual operating switch
| l2. Pump delivers liquid tnd-hox
Comments:
F. Distribution Box
1. D-box level
2. Minimum 0.IT'(2")drop from inlet tooutlet
3. Minimum 6"sump
4. Outlet pipes show equal distribution
S. Compact base with 6"of stone beneath box
6. Box iowatertight
7. All lines cemented with hydraulic cement
8. Schedule 4Opipe
Cmonnendm:
G. Soil Absorption system
-pea stone
Bucket test done?
2. Minimum 2"of pea stone above distribution lines
3. Minimum 6`^stone beneath pipe
4. Distribution lines capped o«connected together
5. Grading meets 3:l slope
6. Minimum nf9"of fill graded over system
7. Toe of slope stops minimum 5` from edge of property; if not,then onm|c._��___
Comments:
H. [each Trenches
I. Minimum 2trenches
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<5O feet or specified
5. Distance between trenches minimum 4` and maximum of6`
6. Minimum distance between treoc6ea 10`
7. Pipe slope minimum 0.005 ur6'"per 100'
8. Depth of trenches below outlet invert minimum oy6".
Yes NO
9. Pipes set on stable base.
Comments:
1. 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 ".-
I7. Maximum 4'separation from edge of field to first lines
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
1. 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