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HomeMy WebLinkAboutCertificate of Compliance - 136 SAW MILL ROAD 8/26/2009 %40RTFI ® LED Z. ® rN n N ° C.0 HIf MIWKN y1' OAreo Pvp� �SSACh0US 4% PUBLIC HEALTH DEPARTMENT (ommunity Development Division C 3rr(P OE C0914"')'-1-3jrVCE As August , 2009 This is to certify that the individual su6surface disposal system received a SMYSTACTo 1RT IM(PE07ON of the: Compfete ftair1TSp&cewnt of the Septic 0 Div osa[System 0 : 94iffy At. ® Parcef North Andover, 9VA 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will' function satisfactorily. Ai san Sawyer P"u6lic Ylealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com 01-N4R'(li 9_1 F T N Tf ro 6 Y SSACHO PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(.'°constructed;O repaired; By: (Print Name) Located at: 12-56 A (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised one ®® ,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 Repres ntative(Signature) And–Print Name Installer: , (Signature) Date: G VlmA I I L. — E iGr-11ENaC?I~ 4 iii `;. And–Print Name Enginer: t ` 6q FG1t(Signature) Date: p a ,_—F And–Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com Nov 18 09 11,54a 9'78-475-3102 p.3 m 4 A3h a.; a T.Onc NS a 'B *'ST + r�am MOV31 d J ,nm Ave s R tr f i rw� SUMMARY OF INVERTS BUILDING TIES PLAN d( CERTIFICATION Is Nor SEWER 0 FDTN. 98.15 BLDG. CORNER A 8 C SEPTIC TANK IN 97.87 SEPTIC TANK OUT 33.8 25.3 A WARRANTY OF TNC SUBSURFACE DISPOSAL SEPTIC TANK OUT 97.59 PUMP TANK OUT 44,5 35.8 SYSTEM. IT IS A RECORD OF THE LOCATION PUMP TANK IN 97.55 DIST. BOX 25.5 34.5 AND ELEVATION OF THE EXISTING SYSTEM COMPONENTS. DIST. BOX IN 100.00 DIST. BOX OUT 99.79 INV. IN CHAM. 99.67 BOTT, CHAM. 99.0 LoLnL i_IML1'X Ja i ( t 3 is J' •,.` )��,vim..era..� i 3 '. w. mum ?m W I Wwk PAC C w 7kK rare NFiII.tIFACK t`^� \cn AS BUILT PLAN OF SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./136 SAWMILL ROAD AS PREPARED FOR ZACH & JOANNE FARARMAND TM: 1049 DATE: 8-21-09 TL: 64 r— u SCALE: I"=40' 0 20 40 se MERRIMACK ENGDMRING SERVICES 66 PARK STREET ANDOVER, MASSACHUSETTS 01810 Z•d ZOLE-9Lb-9Z6 rt,94L 60 9L AON TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES I3EAL'I H DEPARTMENT 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 actuss Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMA6TI N ADDRESS: ,x A (: MAP: LOT: ~ INSTALLER: ' �/ qJ DESIGNER. PLAN DATE: BOH APPROVAL DATE O LAN: INSPECTIONS TANK INSPECTION: ' " f DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: b sl 01 SITE CONDITIONS ❑Existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK ' ❑ . .Bottom of tank hole has 6" stone base We.ep,,hole plugged , '( 86 Gallo ankwhas been installed ❑ �f50���allon t . Monolithic construction ❑ Water tightness 6fti has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) 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 msµ'" filter is present � ;' ' ' ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 / Page 1 of 6 TOWN OF NORTH AIVDOVER OF t1ORTk � Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT O p 1600 OSGOOD STREET;Building 2-36 �^ , ,,;.,,4,k" V* NORTH ANDOVER MASSACHUSETTS 01845 $ACHU5k Susan.Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX Comments: PUMP CHAMBER ❑ , Pottam of tank hale has 6" stone base ❑`'"`Weep hale plugged Combo Tank installed. Size: i._ ' .� .: � ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic 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 ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ 'Water tightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with Po : manufacturer's requirements Commr5"�s m qq , y "r .� ,,✓ q Wastewater System Documentation—Feb 2006 ¢� Page 2 of 6 TOWN OF NORTH ANDOVER o� NORTH� Office 01'COMM [9EVEIL OPMEiNT AND SERVICES �� �itit4a "°tlHOOL HEALTH DEPARTMENT 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 cF;,;s ``� Susan Y. Sawyer,REI'IS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM' ❑" Bottom of SAS excavated down tow ,.soil layer, as /provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 1/2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less 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: /e; /J f L ` iii...._.... .,,..,.„^ f �r f ' I w µ� 4 r Wastewater System Documentation—Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER p1oRTH Office of COMMUNITY DEV ELOPMENT AND SERVICES 6q�O� HEALTH DEPARTMENT A 1600 OSGOOD STREET; Building 2-36 ioq . NORTH ANDOVER, MASSACHUSETTS 01845 AGHUSE Susan Y. Sawver,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location -f Control panel: ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER NoRrk Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT A 1600 OSGOOD STREET;Building 2-36 NORTH ANDOVER,MAS SACHUSETTS 01845 �'�SS"CH„SE��� Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476—FAX 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 -- El 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 Wastewater System Documentation—Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES ;e gtiOL HEALTH DEPARTMENT A 1600 OSGOOD STREET; Building 2-36 NORTH ANDOVER,MASSACHUSETTS 01845 ��SSgCHUSE��h Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT 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 Wastewater System Documentation—Feb 2006 Page 6 of 6 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, August 14, 2009 1:49 PM To: Sawyer, Susan; Grant, Michele Subject: Septic- 136 Sawmill Road - Bottom of Bed Inspection Request for Monday, August 17th. Importance: High Hello, Mike Reilly was ready for a BB inspection today. No one at MIS. available, so I a:rn passing the message on to both. of"yon ---whoever can go. I will leave the file can my table. Please call Mike, on Monday at: 978.375.4811 to setup a time to ;o see the site on Monday. Thank you. 0 Gam' F.'wn4a Denllec"Ilklie I-16111th Department tme nt A s szstant lical.th Department 1600 Osgood Street Building 20;Suite 2-36 North Andover,MA 01845 97€3.C~88.9540 . Phoney � 97£ . rf3£i l347Ci Fax 3 " p{elh c ht�ie(a>tL) n rcrrtlr t rcic�vcr�cc ar Web site NyW r l Il cryca is e1 tc?731,"7 IcraraCaeyz s—lZcr,%cx c rrc r C:cr r 7rr1 —n r'r z e s�cnsc r c raexwr From: Joan Farahmand [mailto:jmfarahmand @hotmail.com] Seat: Friday, August 07, 2009 7:31 AM To: DelleChiaie, Pamela Subject: RE: 136 Sawmill Road - Plan Review Status - Pending Hi Pamela, I will be in this morning. I will be s0000 glad when the septic saga and the entire move is over. The whole process is extremely stressful! I will see you later. Thanks again, Joan From: pdellech @townofnorthandover.com To: jmfarahmand @hotmail.com Date: Thu, 6 Aug 2009 13:22:21 -0400 Subject: RE: 136 Sawmill Road - Plan Review Status - Pending Received the form. Gave to Susan. She will generate the approval letter, and you can get a copy of that when you come in to sign the Forrn A. Won't you be glad when this is over? (D Pamela 1