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