HomeMy WebLinkAboutCertificate of Compliance - 252 GRAY STREET 11/4/2005 .. °.. C
^ C:
PUBLIC LT H DEPARTMENT
fommunity Development Division
CERTI(FICATE OT' P
As of.-
j ovember 4, 2005
This is to certify that the individuaCsu6surface disposaCsystem received a
SATISTACTOIRT IMTECT10-1-V of the:
to Septic System Repair
constructed by:
Charfes Todd
At:
®t 3 Gray Street
%orth.Andover, 914,A 01845
The Issuance of this certificate shaft not 6e construed as a guarantee that the system wiCC
function satisfactorily.
Susan T Sawyer
Pu6Cic.IfeaCth(Director
1600 Osgood Street,Worth Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.6888476 Web www,towriotnorthandover.com
TOWN OF NORTH ANDOVER TH
Office of CjMMiJN1TV DEVELOPMENT AND ERVICES
HEALTH DEPA T'MENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 US�
978.688.9540—Phone
Susan Y.Sawyer,REHS/RS 978.688.8476—FAX
Public Health Director E-MAIL: healthdept2townofnorthandover.coin
WEBSITE: http://www.townofnorthandover.com
TOWN OF NORTH ANDOVER
SEPTIC )ISPOSAL SYSTEM ® INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System�'°J`constructed; ( ) repaired;
by
(Print Name)
located at �)..-r
(Installation Address)
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.
Bed inspection date:
Engineer Representative(Signature)
And-Print Name
Final inspection date:
Engineer Representative(Signature)
And-Print Name
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Installer: ,. .'” (Signature) Date:
And -Print Name
Engineer: (Signature) Date: 2
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And-Print Name
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®ellXhiaie, Pamela
From: amcbrearty @verizon.net
Sent: Monday, October 24, 2005 9:44 AM
To: Sawyer, Susan; DelleChiaie, Pamela
Cc: Grant, Michele; lisal @millriverconsulting.com; info @millriverconsulting.com
Subject: Construction inspections
240 Farnum St LoO Gray St Const
Const Insp.,doc Insp.doc
Hi All, ..J
Here are two inspection reports from last week. Gave OK to backfill
h, remain to
check at final:
ot3 Gray: Barriertobeinstalled, Check hydraulic cement at d-box and
,.'septic tank pipes, and verify riser 'on tank, (within 6" of final grade) �
240 Farnum: No power to pumps. Need to check floats, and wiring, and
all flow to single sewer with basement access.
thanks,
-andy
1
TOWN OF N011111 ANDOVER
Office of COMMUNITY DEVELOPMENTAND SERVICES
HEA1 I'll DE]"AirrMEN'll'
400 OSGOOD STREE'.1'
NOW"I'll ANDOVI,1'1�, MASSACIIUSETTS01845
SLISM) Y. Sawyer, REHYRS 978.688.9540 Phone
PUblic Health Director 978.688,9542 FAX
ADDRESS: Lot 3 Gray St. MAP: LOT:
INSTALLER: Charles R. Todd
DESIGNER: Joseph Serwatka
PLAN DATE:4/15/04 Rev. 3/16/05,4/20,8/4,8/24/05
BOH APPROVAL DATE ON PLAN: 9/8/05
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 10/20/05
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
❑ Existing septic tank properly abandoned
El 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
El 1500 gallon combo 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)
El Inlet tee installed, centered under access port
121 Outlet tee (gas baffle) installed, centered under
access port
❑ 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:
Hydraulic cement needed on all pipes. Covers not in place (10/20/05).
Page I of 3
TOWN OF NORTH ANDOVER OKI'
Office of COMMUNUTV DEVELOPMEN'r AND SERVICIE'S
I-1EA1..,'"1'H DEPAR'I'MEN'I'
10
400 OSGOOD STUET
NORI'll ANDOVER, NIASSA(�I-JUSETTS 01845 C'U
Sus aii Y. Sawyer, RL.,'11JS/FMS 978,6W9540-- Phone
Public I leafth Director 978.6W9542 FAX
D-BOX
0 Installed on stable stone base
121 Inlet tee (if pumped or >0.08'/foot)
0 Hydraulic cement around inlet & outlets
El Observed even distribution
Comments:
Hydraulic cement needed (110/20/05).
SOIL ABSORPTION SYSTEM
0 Bottom of SAS excavated down to soil layer, as
provided on plan
0 Size of SAS excavated as per plan
121 Title 5 sand installed, if specified on plan
0 laterals installed and ends connected to header (and
vented if impervious material above)
21 Gravelless disposal systems: type, number and
location as per plan
[H] Elevations of laterals installed as on approved plan
0 40 Mil HDPE barrier installed
0 Final cover as per plan
Comments:
Plan did not call for vents, none required by Title 5 for this trench length, Installer
offered to put vents on system, but I did not require them. Barrier to be installed after
wall is built. To be checked at final (110/20/05).
SETBACK DISTANCES
Tank SAS Sewer
El Property line 10 10
El Cellar wall 10 20
Page 2 of 3
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENTAND SERVICES
0
FlEAL341 DEPARTMEN'"r
400 OSGO(M STIM"'T
NOR'I'IIANI")OVI,',R, MASSA(.-11(,.JSf.'I"1--i-S01845 caaa
SLISMI Y. Sawyer, 10-A IS/IRS 9'7&688.9540- Phone
Public Health Direclor 978.688.9542 FAX
SYSTEM ELEVATIONS
Benchmark: 193.87
Rod at Benchmark: 12.30
Height of Instrument: 206.17
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT 201.55 201.95
Septic Tank IN 201.75 201.39
Septic Tank OUT 201.00 201.06
Distribution Box IN 200.75 200.84
Distribution Box OUT 200.50 200.68
Lateral 1 HIGH 201.00 201.11
Lateral I LOW 201.00 201.14
Lateral 2 HIGH 199.30 199.48
Lateral 2 LOW 199.30 199.47
Lateral 3 HIGH 197.20 197.17
Lateral 3 LOW 197.20 197.16
Lateral 4 HIGH 196,0 196.0
Lateral 4 LOW 196.0 195.88
Lateral 5 HIGH
Lateral 5 LOW
Page 3 of 3
Page 1 of 2
DelleChiaie, Pamela
From: DelleChiaie, Pamela
Sent: Wednesday, October 19, 2005 10:20 AM
To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew (E-mail)'
Subject: FW: FW: lot 3 Gray
Also, Tom is Charles brother. Tom coordinates everything for Charles, so please call him to schedule. Thanks.
-----Original Message-----
From: DelleChiaie, Pamela
Sent: Wednesday, October 19, 2005 10:19 AM
To: 'Andy McBrearty'
Cc: Grant, Michele
Subject: RE: FW: lot 3 Gray
Yes --two inspections on 1017 and 10/12. Michele did not fill out the farm, but they were done, She did the BB
on 10/7, and checked the tank on 10/12.
-----Original Message-----
From: Andy McBrearty [mailto:amcbrearty@millriverconsulting.com]
Sent: Wednesday, October 19, 2005 10:16 AM
To: DelleChiaie, Pamela
Cc: Daniel Ottenheimer(E-mail); Lisa LeVasseur (E-mail)
Subject: Re: FW: lot 3 Gray
Hi Pamela,
Who is Tom? Do you have the bed bottom inspection from this site? I don't see it in my files.
thanks,
-andy
DelleChiaie, Pamela wrote:
Call 'rom at: 508.962.0312 to schedule a Final Inspection please. Charles Todd is the
installer.
-----Original Message-----
From: DelleChiaie, Pamela
Sent: Tuesday, October 18, 2005 4:31 PM
To: 'Daniel Ottenheimer (E-mail)'; 'Lisa LeVasseur (E-mail)'; 'McBrearty Andrew (E-mail)'
Subject: FW: lot 3 Gray
-----Original Message-----
From: Sawyer, Susan
Sent: Tuesday, October 18, 2005 4:29 PM
To: DelleChiaie, Pamela
Subject: FW: lot 3 Gray
fyi
10/19/2005
Page 2 of 2
_____Original Message-----
From: joeserwatka@corricast.net [ryiailto:,joeserwatka@cwotnc st..r)et]
Sent: Tuesday, October 18, 2005 4:10 PM
To: Sawyer, Susan
Subject: RE: lot 3
I'm all set on lot 3 if you want to send mill river out.
Joe
10/19/2005
DelleChiaie, Pamela
Subject: Michele-Bed Bottom Inspection
Location: Lot 3 Gray Street
Start: Fri 10/7/2005 10:30 AM
End: Fri 10/7/2005 11:00 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Required Attendees: Grant, Michele; Sawyer, Susan
508.962.0312 -To reach Tom Todd -doing excavation for brother, Charles Todd.
They will get certified on the infiltrators after the Bed Bottom inspection. Tom was told by me today over the phone to call
and let us know when the supplier will be there who is going to certify them on putting in the infiltrators. I spoke with
Susan about this for verification. Should be okay.
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