HomeMy WebLinkAboutCertificate of Compliance - 41 CEDAR LANE 10/30/2014 � STLEb�
0
•
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE
COMPLIANCE
As of: 10/30/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Repair Complete
By: James Boraczek
At:
41 Cedar Lane
n �`
North r MA 01845
Th� I'Liance of this certifi�cat sh�ll not be Anstrued as a guarantee that the system will function satisfactorily.
/Michele Grant �
Public Heal th Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.iovnofnorthandover.com
s °
North Andover Health Department
Community Development Division
QNSITE WASTEWATER Y T M CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 41 Cedar Lane MAP: 106.A LOT: 0146
INSTALLER: James Borachek
DESIGNER:
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
D-Box INSPECTION: 10/28/14
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
❑ Contractor reports any changes to design plan
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Comments:
SEPTIC TANK
❑ Building sewer in continuous grade, on
compacted firm base
❑ Cleanouts per plan
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon tank has been installed
H-10 loading
❑ Monolithic tank construction
❑ Water tightness of tank has been achieved by
visual testing
❑ Inlet tee installed, centered under access port
❑ Outlet tee installed, centered under access port
(gas baffle/effluent filter)
❑ inch cover to within 6" of finish grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon Pump Chamber installed
❑ H-10 loading
❑ Monolithic tank construction
❑ Inlet tee installed, centered under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off floats working
❑ Separate on/off floats
❑ Drain hole in pressure line
❑ cover at final grade installed over pump
access port
❑ Water tightness of tank has been achieved by
testing
❑ Hydraulic cement around inlet & outlet
Comments:
CONTROLPANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel: basement
❑ Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX
Installed on stable stone base m
❑ H-20 D-Box ( � .... ..
❑ Inlet tee (if pumped or >0.0$/foot)
❑
6Y
Hydraulic cement around inlet & outlets °
Observed even distribution
_.
❑ Speed levelers provided (not required)
� 610, Schedule 40 PVC Pipe
Comments: "
Y21,11 uI ad,