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HomeMy WebLinkAboutCertificate of Compliance - 240 GRAY STREET 8/8/2005 Town of North Andover NOFTH Of ciao Office of the health Department 02 °a'' �A Community Development and Services Division 4 00 400 OSGOOD STREET a:�. 4 North Andover,Massachusetts 01845 �9SS�cH � Susan Y. Sawyer, REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax r(FRV EICAqtF o97 C09Y(1)crA9rCE "1 As of: August 8, 2005 , This is to certify that the individuaf subsurface disposaf system Constructed�f' — FuffSystem 6y Bo6 Innis .4t .Got 4 (aka 240) Gray Street North Andover, 9V q 01845 alas been instaffed in accordance with the provisions of Titfe v of the State Sanitary Code and with the North Andover Board of Yfeafth regufations. The Issuance of this certificate shaff not be construed as a guarantee that the system wiff function satisfactorify. S'Usa .plT Sawyer, RE)TSIgU Pubfic Yfeafth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVA'T'ION 689-9530 HEALTH 688-9540 PLANNING 688-9535 TO F NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (X)'constructed; repaired; b --QA),V t located at /,�-o-r H &RAY �" �3 "V o was installed in conformance with the North Andover Board of Health approved plan, System Design Permit.# ,plan dated , 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: _ (612'.V/e>-5-- Engineer Representative Final inspection date:��� a�. Engineer Representative Installer: II Uc.#: Date: 4 1 5ll.��V Engineer: .�w' Date: l l CIVIL. No 46W)l AUG 0 3 2005 r M r DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, June 27, 2005 9:33 AM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Cc: Sawyer, Susan Subject: 240 Gray Street- Final Inspection Request Hello, Bob Innis called for a Final Const. Inspection of the above. Please call him at: 978.663.6006 to schedule a time to go out. Thanks. 810s/Rooards, PaHi¢Ba D-040-0 64ialo Health Department Assistant Town of North Andover 400 Osgood Street North Andover, MA o1845 978.688.9540- Phone 978.688.8476- Fax http://www.townofnorthandover.com healthdept @townofnorthandover.com Tracking: Recipient Read 'Daniel Ottenheimer(E-mail)' 'Lisa LeVasseur(E-mail)' 'McBrearty Andrew(E-mail)' Sawyer,Susan Read:6/27/2005 10:32 AM . 1 'roWN OF' NORT11 ANDOVER 0 41 Office of COMMUNITY DEVELOPMEW AND SERVII(IEW ISS, flEA1,111 WiPARI'MEM' 400 OSGOOD STREET NORTH ANDOVER, MASSACHLISFIA"I'S 01845 C1"W Susan Y. Sawyer, REIIS/RS 978.688.c 540 —Phone Public Health Director 978,6W8476 FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 240/Lot A Grav .4q;tr et MAP:107.D LOT: 10 INSTALLER: Robert Innis DESIGNER: New gpg!@nd En PLAN DATE: 1/13/2005. . BOH APPROVAL DATE ON PLAN: 02/15/06 DATE OF BED BOTTOM INSPECTION: 6/8/2005 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: 4LOK- SELECT SYSTEM TYPE GRAVITY DISTRIBUTION...................................... X PRESSURE DISTRIBUTION.................................. PRESSURE DOSING............................................. HOLDING TANK..................................................... ADVANCED TREATMENT ....... ............... ............ FAST OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER TYPE OF SAS = Trench, Infiltrators DIMENSIONS AND DETAILS OF SAS: 3 Trenches SITE CONDITIONS 0 New System El Existing septic tank properly abandoned 1:1 Internal plumbing all to one building sewer El Topography not appreciably altered Comments: Page I of 4 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMEN'r AND SERVIC1,"S t1EAL'"F11 DEPAR'I'AIENT 400 OSGOOD STREET 'R, MASSACI IUSET"T'S 01845 NORTH ANDOW, C U Susan Y. Sawyer, REHYRS 97&6W9540 Phone Public �lealth Director 978M884'76- FAX SEPTIC TANK El Bottom of tank hole has 6" stone base EJ Weep hole plugged El 1500 gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) El Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) El Inlet tee installed, under access port El Outlet tee (gas baffle or effluent filter) installed, under access port El inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present El Hydraulic cement around inlet & outlet Comments: Fill against septic tanke with stones 76". Requested removal and replace with clean fill.—S.Sawyer. PUMP CHAMBER – N/A El Bottom of tank hole has 6" stone base El Weep hole plugged El gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) El Inlet tee installed, under access port [I Pump(s) installed on stable base El Alarm float working El Pump On/Off float working ❑ Drain hole in pressure line El inch cover to within 6" of final grade installed over one access port El Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs El Hydraulic cement around inlet & outlet Comments: Page 2 of 4 TOWN OF NORTH ANDOVER vrko;-�, ot P$ Office of COMMUNITY DEVEIL,OPMENTAND SERVIC"T's flEA1.141 DEPARTMENT J, 400 OSGOOD STREET 14 0 NORTH ANDOVER, MASSACHUSETT'S 01845 Susan Y. Sawyer, REI IS/RS 97 .688.9 540 Phone Public I lealth Director 978688.8476 FAX D-BOX ❑ Installed on stable stone base 1:1 Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets El Observed even distribution El Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to Q soil layer, as provided on plan Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4...1 dOUble, washed stone instWled N/A 1/8-1/2" (1,,)eastone) double washed stone installed - laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: PRESSURE DISTRIBUTION El inch manifold El laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: Page 3 of 4 TONNIN OF NORT'll ANDOVER g,C, Office of'COMMUNITY DEVEI.A.WMENTAND SERVICIE's", 11EAL'I'll DEPARTMENT' 400 OSGOOD STREET NORTH AT J)()VE'R, MASSAC11US1,"'I""I'S 01845 SLISM Y. Sawyer, R 1,"I IS/RS 978.6W95,40 Phone PuNic Health Director 978,68U476 - FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: El Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV(cD TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4 lb q. ' ell ITCHERVILLE SAND GRAVEL L FteD&�c Road ti E3jIIc,i a, .YA''!M f tncc tide Rod o Hubba dslor, MA U,.4,52' Gr:,el Sarti t.oar-1 Orman Brown 97d fFi?•i�33 Slovo Anslysl cohor+►tar Sand Date T.4 NIC If a Pu" 100,9 100 .7 cJ,b tl. 100 27519 9.2 1.66 ` 9.67 X0.1 lie 325.3 .� 73.7 4540 1815 422.6 155.9 2627 4C.1 030 568.3 318.7 +9 53.95 10-30 tR50 7'55.4 455.7 76.97 21,0. 564.6 9'3.45 6.8 2-•10 sl oo 621.3 .47 1.53 0-3 1200 "1.1 564.4 0,0 Pfd $60.2 593.5 Moo FM 2.64 960.2 26S.7 NET 5133.5 lrliiiJ i