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Home My WebLink AboutMiscellaneous - 1476 SALEM STREET 9/18/2012 $ f :f' PUBLIC WEALTH DEPARTMENT (oonnonity Develonmenf Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (Aonstructed;( )repaired; (Print Name) Located at: ------ - (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated ?.. ,.. and last revised on �C 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. Bottom of Bed Inspection Date: // Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: Engineer Representative(Signature) 7 And—Print Name Installer: �� uc �k/ -., - (Signature) _ Date: e t /�2)261 9-- And—Print Name Enginer: w (Signature) Date: And—Print Name 1600 Osgood Street, North Andover, Alossuchusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Wei) http://www.townofnorthandover.com GRAp III. . _-RWIW IM CONSULTING. L . L Registered Professional Civil EngineersI __ October 4, 2012 Susan Sawyer, REHS/RS Public Health Director " Health Department 1600 Osgood Street Building 20-Suite 2-36 North Andover, MA 01845 RE: As-built Certification—41476 Salem Street Dear Susan and Board Members: Enclosed please find two copies of the revised as-built plan. The plan has been revised to show a tie table as requested. If you have any questions please do not hesitate to call. Sincerely, GRADY CONSULTING,L.L.C. F "" W'I I(RD Fir, .1. rn# � erg Richard" rally, P. is"e�!\l1Y�, 3,3072 Principal Engineer cc: Albert Koenig c/o Wind River Environmental 70 Batzak Drive Holliston, MA 01746 IIAGC\2012\12-072\Asbui1t cert.doc 71 Evergreen Street, Suite 1 * Kingston, MA 02364 Tel (781)585-2300 Fax (781) 585-2378 AS-BUILT CHECKLIST l All changes to the design plan have been reflected on the as-built Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings served by the system Locations&Dimensions of system,including reserve(if applicable) Ties to dwelling or Permanent Structure a.From Septic Tank `) G' t�` ' ` e— b.From Leach Area Ties to Lot Lines from leach area Locations of Deep Holes&Peres i Elevations of Disposal System Top of Foundation Elevation j/ Locations of Wells,Drains,Watercourses within 150 feet of system 6/ Location of water,gas,electric lines, cable Distances from Corners of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways,etc North Arrow Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) "I certify the locations, elevations, ties, cover material, exposed component covers etc. shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, or was not, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of:Wednesday,April 27,2011 AS-BUILT CHECKLIST All changes to the design plan have been reflected on the as-built Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings se Locations&Dimensions of system,inc r5 C Ties to dwelling or Permanent Structure a.From Sepi b.From Lea e"K Ties to Lot Lines from leach area Locations of Deep Holes&Percs Elevations of Disposal System Top of Foundation Elevation Locations of Wells,Drains, Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Comers of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways, etc North Arrow Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) "I certify the locations, elevations, ties, cover material,- exposed component covers etc. shown on this as-built substantially agree with the approvedplan and have determined that the break out elevations, if applicable, have been met. Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, f specifications or was not, constructed in accordance with the intended design and any manufacturer's speci Signature of Designer Date As of:Wednesday,April 27,2011 A. 74 D Id CONSULTING , L ro 0 l Registered Professional Civil Engineers August 15, 2012 r WVT14011 k' /kTH�:�rta�a\/8,9 Susan Sawyer, REHS/RS P u,l x� N 1u F�� N�^ ,,, Public Health Director " Health.Department 1600 Osgood Street Building 20-Suite 2-36 North Andover,MA 01845 RE: As-built Certification—#1476 Salem Street Dear Susan and Board Members: We hereby certify that we have inspected the septic system at the above referenced address and the system has been constructed in compliance with 310 CMR 15.000, the approved design plans and all local requirements, and that any changes to the design plans have been reflected on the enclosed as-built plans. Enclosed please find two copies of the as-built plan. If you have any questions please do not hesitate to call. Sincerely, GRADY CONSULTING,L.L.C.OAM , F81C:HAli1.� rya a Richard Grady, Pt. <> C=RADY Principal Engineer >. cc: Albert Koenig c/o Wind River Environmental 70 Batzak Drive Holliston, MA 01746f °°" ° ° H:\GC\2012\12-072\Asbtfflt cert.doc � ,'.,t �t i u 71 Evergreen Street, Suite 1 * Kingston, MA 0231 (nl e • • • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division . C A)TRIEELICAAETE COWPLI3NCE As of: 5WLe�� '" This is to certify that the individua(su6surface disposafsystem received a SA`IISFAC` ORTINS(PEMONof the: comprete air and d ConStm-ction of an On-Site Sewage "osa[System Wiffiam &denhiser At: 14 76 Sakm Street 210/106.B-0018-0000.0 Map-1 06.(B~tParcef-001 8 01845 7Fie Z su"ance of this certifi' to (taCE�not 6e construed as a guarantee that tFie system willfunction satisfactor Cy. 9KicFiefe E. Grant Eu u6CYfeafth Inspector 5VorthAndover9feafth(Department 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com DelleChiaie, Pamela From: Randy Burley [rburley@millriverconsulting.com] Sent: Wednesday, August 01, 2012 5:03 PM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 1476 Salem St I completed the final inspection today with Rodenheiser, checked the numbers onsite and all is well. I am off until Monday and will prepare the final report then. The only thing I cautioned him on is the amount cover cannot be more than 3 ft. He acknowledged and said lie is going to slope the site down near the shed so as not to exceed 3' of cover. I liked what he did by cementing the inspection ports into the infiltrator and inserting rebar in the cement;this will give the inspection ports more stability and make them easier to find with a metal detector if they get buried. Sincerely, Randy But-ley,Project Manager Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 fax: 978-282-1318 yen con S k I ltt nVC01-p. ............. Wriverconsuffiri 0111 ............ .11 R."i'ver consulting Please riote the Massachusetts Secretary of State's office has detGrrnined that most emails to and from rywriicipal offices arid officials are pUblic records.For wore information please,refer to:http:.,L/_v��F �1 5b,L/[e, jqx,..htrn, _ - Please consider the onviromnerit before:printing this email. o ° • North Andover Health Departiment Community Development Division QNSITE WASTEWATER SYSTEM T UCTI NOTES LOCATION INFORMATI N ADDRESS: . f❑ M r MAP: LOT: INSTALLER " DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION, ....._ DATE OF BED BOTTOM INSPECTION: i 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,krn . <"compactedefirm-base �.� Cleanouts per plan Bottom of tank hole has 6" stone base Weep hole plugged �. ❑ � i z gallon tank has been installed loading °" Monolithic tank construction Water tightness�....,❑ g Hess of tank has been achieved by testing °� .. ❑�.��.µ � Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final 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 12 (X'-dallon Pump Chamber installed ❑ '1-1,& loading olithic 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 ❑ Watertightness 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 ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: 4 SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to C soil layer, as provided on plan ❑ Size of SAS excavated as per plan ti❑-._. Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers = BM = HR = HI = SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank3 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib.to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot.Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10 (5) 20(10) ® Drywells 20 25 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws