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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 za, ",� ,,� ,,✓NN r�rr�, ,, raxmrruu mirNi,i�,..,.�,,;,aexx�rnmai vri,�%,,:a„�zrrc-rrrias� � m Installer: ,. .'” (Signature) Date: And -Print Name Engineer: (Signature) Date: 2 u_ And-Print Name 5.......... ............ _-.-OL ..__.-.... I .............. ih. - .................._....... l. .v\.t?��.1..C. .. .......t"c.. ..... .r� .... ..�fr... . . y.c�..�. . . . avr� a v4� �x5. isa�r.. ............... lea. . . .. .. ................ P.�,.a in e. .. ro 1-7 91.8 S 1. ....... .. ...................... ��, .. . . .. . ...... . ®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. 1