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Home My WebLink AboutCertificate of Compliance - 193 LACY STREET 12/29/2005 wn of North Andover o� tAORT`,' Office of the Health Department Community Development and Services Division 400 OSGOOD STREET North Andover, Massachusetts 01845 cHUSe�� Susan Y. Sativyor, RE IS/RS 978.688,9540- Phone Public Health Director 978.688.5476- Fax CERVEICATtE O F C 0 W tP.GIAj(VCE As of: (December 29, 2005 This is to certify that the individual subsurface disposal system was a Fully Constructed �By ,john Soucy At: 193 .Lacy Street North Andover, W,4 01845 Was been installed in accordance with the provisions of Title V of the State Sanitary Code and with the WorthAndoverBoardof.7feafth regulations. The issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. I Susan 2'. Sawyer, REjfS19U 1Pu6C'c Yfealth Director 130ARI)Of,APIT AI S 688-95-11 1311111AAN(i W'00)>1i (()V, 1:R VA I'ION 6XX-'7S3)) 111 ALI'I I()X8-9 IU PI.;AN\IN(. N OF NORTH ANDOVER �,o�rw� ffke of fJMiv UNITY DEVELOPMENT AND SEk v WES HEALTH DEPARTMENT ,l V �=� 400 OSGOOD STREET.'°dp,r ORTH ANDOVER, MASSACHUSETTS 01845 's�ACNUS�R 978.688.9540—Phone _Sn 1An`''QV'.- allwyer, ICEHS/Rf 978.688.8476—FAX Public Health Director E-MAIL: healthdept@townofnot°tilandover.com WEBSITE: i lttp://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISP®SAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ') repaired; b 5,v (Print ame) located at a q( C 6_(E_i 1b WD4 AAJ (Instalfation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated Iq ! and last Revised on L1 4 r , with a design flow of J140 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 CNIR 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. ® . Bed inspection date: A,�, Engi eer keprese tive(Signature) 13e,i Ossoo,0 And-Print Name Final inspection date: V z o ma r Engii eer Representative Signature) o And-Print N me t/ 7"Installer: (Signature) date: Gm M And-Print Name Engineer: AL 'J (Signature) Date: c° o cs..:,u._.. And-Print Name DelleChiaie, Pamela From: amcbrearty @verizon.net Sent: Friday, September 09, 2005 12:21 PM To: DelleChiaie, Pamela; Sawyer, Susan; Grant, Michele Subject: Construction inspection 193 Lacy St � 193Lacy Const. Insp.doc Hi All, Const. Inspection for 193 Lacy went well. Quite the mound in their backyard. Hopefully Soucy can grade it in well. Here is the const. report. (3-floats, BTW. . . ) 1 TOWN OF NORTH ANDOVER Office of 0)MMUNFTY DEVEA,OPMENT AND SERVI("-1ES HEAL'I'll DEPARTMENT 400 OSGOOD STRE11"'I"' C NO% NORTH AN DOV ER, MASSA( I I USE'I'TS 0 1845 Susan Y, Sawyer, RFAIS/RS 978.6W9540—Phone Public Health Director 978.688.9542 FAX ADDRESS: 193 Lacy Street MAP:I 05D LOT: 8D INSTALLER: Soucy Septic DESIGNER: Milestone Engineering PLAN DATE:9/14/04 (Rev. 4/16/2005) BOH APPROVAL DATE ON PLAN: 7/25/2005 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/9/2005 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned Zlnternal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK F-1 Bottom of tank hole has 6" stone base [:1 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) Z Inlet tee installed, centered under access port Z Outlet tee (gas baffle or effluent filter) installed, centered under access port Z 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 Z Hydraulic cement around inlet & outlet Comments: 2-compartment mono tank, tees at inlet, outlet and compartment wall as required Page 1 of 3 TOWN OF NORTH ANDOVER, Office o'f COMMIJNrry DEVELAWM EN T AND SERVIC',,ES 111�Al.,Ttl DEPARTMENT 400 OSGOOD STRE1311' NOR"I'l I AND(WER., MASSACHUSETI'S 0 1845 SLISMI Y. Sawyer, REHYRS 978.688.9540 -Phone Public flealth Director 978688,9542 -FAX PUMP CHAMBER F-1 Bottom of tank hole has 6" stone base F-1 Weep hole plugged Z 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered under access port Z Pump(s) installed on stable base Z Alarm float working Z Pump On/Off float working Z Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Watertightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: 3 floats as called for in plan D- OX Z Installed on stable stone base Z Inlet tee (if pumped or >0.08'/foot) Z Hydraulic cement around inlet & outlets Z Observed even distribution ❑ Speed levelers provided (not required) Comments: CONTROL PANEL Z Alarm & Pump are on separate circuits Z Alarm sounds when float is tripped Z Location of control panel: F-1 Rated for exterior if placed outside Comments: Page 2 of 3 TOWN OF NORTH AN DOVER Of of C.'OMMUNITY' DEVELOPMENT AND SERVICES I-I'EAt,xi-I DEPARTMENT 400 OSGOOD STRETT NORTH ANDOVI-"A, MASSACHUSE"I"I'S 01845 Susan Y. Sawyer, REHS/RS TM6W9540 Phone Public Health Director 978,6W9542-FAX SOIL ABSORPTION SYSTEM F-1 Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan laterals installed and ends connected to header (and vented if impervious material above) Gravelless disposal systems: type, number and location as per plan Elevations of laterals installed as on approved plan 40 Mil HDPE barrier installed ❑ Final cover as per plan Comments: d3', 1 f1i 2q.S M1 0,#V' q LU � Q �� )�'r'� 2, �n SYSTEM ELEVATIONS Benchmark: 126.39 Rod at Benchmark: 7.89 Height of Instrument: 134.28 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 129.70 129.03 Septic Tank IN 127.50 128.90 Septic Tank OUT 127.25 128.65 Pump Chamber IN 127.15 128.62 Pump Chamber OUT 126.90 128.49 Distribution Box IN 133.56 133.45 Distribution Box OUT 133.39 133.29 Manifold Lateral 1 HIGH 133.70 133.70 Lateral 1 LOW 133.70 133.70 Lateral 2 HIGH 133.70 133.70 Lateral 2 LOW 133.70 133.70 Lateral 3 HIGH 133.70 133.70 Lateral 3 LOW 133.70 133.70 Lateral 4 HIGH 133.70 133.70 Lateral 4 LOW 133.70 133.68 Lateral 5 HIGH 133.70 133.70 Lateral 5 LOW 133.70 133,70 Page 3 of 3