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Home My WebLink AboutCertificate of Compliance - 53 WHITE BIRCH LANE 11/30/2006 f NORTH q ® �46ED 6r8lro0 0 A T O COtNKHIWKw 1 T �9SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division %(-YFRT1(F1C Arr(F OE COW' IA As of: November 30, 2006 This is to certify that the individual subsurface disposal system received a SA7IS WTORTINSTEC`Z1"ONof the: Fuf(Septic System Replacement 'BY-0 ,7oseph R. ((Buddy) Watson At: 53 White Birch Lane North Andover, .AKA 01845 The Issuance of this certiftate shall not be construed as a guarantee that the system will function satisfactorily. Susq4 `Y. Sawyer Public Ifealth(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 0 x aJ Sw Cbd JS PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATIO aired; aThe undersigned hereby certify that the Sewage Disposal System constructed; N �'» t °� W+ C µV By: (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 i "" 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 Iced Inspection Date: f l C r Engineer Representative(Signature) And—Print Name y Final Construction Inspection Date: -24--e6, Engineer Representative(Signature) And—Print Name r w, .„, �. � � � Date: Installer: ) ,� k CYitflItj t.., And—Print Name AVIL. � Signature)7 L Date: � &J tVca. 3 J tCd 0” fly And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://www.townofiiorthandover.com RT "'Zi 46 Ss,.: a S PUBLIC HEALTH DEPARTMENT fommunity Development Division QNSITE WASTEWATER SYSTEM N T UCTI N NOTES LOCATION INFORMATION ADDRESS: 53 White Birch Ln. MAP:61 LOT: 90 INSTALLER: Buddy Watson DESIGNER: Merrimack Engineering PLAN DATE: 1/28/06 rev, 4/10/06 BOH APPROVAL DATE ON PLAN: INSPECTIONS l A h()l u TANK. INSPECTION: I UZP ' DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 8/9/06 DATE OF FINAL GRADE INSPECTION: P X41 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 Weep hole plugged ® 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ Water tightness of tank 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 1600 Osgood Street,North Andover,Mossorhusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthondover.ronr e.r4 P y Arl "4"" �A S4MCa1y et9tMU �N• "�' ask PUBLIC HEALTH DEPARTMENT (ommunity Development Division ❑ 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present ® Hydraulic cement around inlet & outlet Comments: Not sure about water tightness at time of inspection. Installer to fill tank and check. Also, advised installer to install riser over outlet port. 8/9/06 PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed. Size: ❑ 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: No liquid in pump chamber to check water tightness or drain hole. DISTRIBUTION-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) 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofoorthandover.com R' P c Z. 'W" � CPbC W Crd••k tlkM x, "W" �ACHUS PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil H®PE barrier installed ® Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments; SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber Infiltrator Quick 4 ® Number of chambers per row 10 ® Number of rows (trenches) 4 ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan Comments: Vent not installed at time of final inspection. CONTROLPANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel ® Rated for exterior if placed outside ® Alarm signal located inside Comments: 1600 Osgood Street,North Andover,Massachusetts 01645 Phone 976.666.9540 Fax 976.666.6476 Web www°townolnorthandover.min VkORT�j :1 1b 0 cce ¢eara�-rc nx ap. Mt PUBLIC EALT DEPARTMENT Community Development Division SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT 139.85 No access Septic Tank IN 139.30 139.22 Septic Tank OUT 139.09 139.02 Pump Chamber IN 139.00 138.97 Pump Chamber OUT N/A pressure N/A pressure Distribution Box IN 141.07 141.12 Distribution Box OUT 140.87 140.95 Lateral 1 INV 140.87 140.87 Lateral 1 TOP 141.20 141.20 Lateral INV 140.87 140.87 Lateral 2 TOP 141.20 141.20 Lateral INV 140.87 140.87 Lateral 3 TOP 141.20 141.20 Lateral INV 140.87 140.87 Lateral 4 TOP 141.20 141.20 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ° Ar *� t8U PUBLIC EALT DEPARTMENT Community Development Division 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 Bank 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 1600 Osgood Street,North Andover,Mnssuchusetts 01945 Phone 979.699.9540 lox 479.699.8476 Web www.townofoorthondover.coin