HomeMy WebLinkAboutCertificate of Compliance - 136 SAW MILL ROAD 8/26/2009 %40RTFI ®
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PUBLIC HEALTH DEPARTMENT
(ommunity Development Division
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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
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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
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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:
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E iGr-11ENaC?I~ 4 iii `;.
And–Print Name
Enginer: t ` 6q FG1t(Signature) Date:
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And–Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com
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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
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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
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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: ' �/
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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
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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:
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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
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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