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Home My WebLink AboutCertificate of Compliance - 51 HAY MEADOW ROAD 5/21/2015 A ° • PUBLIC HEALTH DEPARTMENT Town of North Andover Community Developtnent Divisioii CU'--*'-M-y"'L IAN C E As of. 5/21/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair of an On-Site Sewage Disposal System By: Robert Daigle At: 51 Hal Meadow Road Map 104.B Lot 0098 North ndover, MA 01845 The I ne e o this certificat °sh l �onstiue as a guarantee that the system will function satisfactorily. Michele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com PUBLIC HEALU t"EPAEtmEN'r Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INST'ALLAT'ION CERTIFICATION ION The undersigned hereby certify that the Sewage Disposal System(4constructed;( )repaired; By: K4'F,� poi I G L-C (Print Name) Located at: r7- �IAA �j�fli)C i,,7 (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated I ey_ I t ' and last revised on 10.'-1 — I+ ,with a design flow of ze+(2 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 Bell Inspection Date: _ Engineer Representative(Signatre) 1 d mN Z015 And—Print Name , Final Construction Inspection Date: Engineer Representative(Signature) And—Print Name Installer: ? 4' '(Signature) Date: And—Print Name Engine.: 4�%f.t .. /� e � „"Signature) Date: V �Mj Lam, �l�p�G - nka�� And—Print Name 1600 Osgood Street, North Andover, Massachusetts l 45 Phone 978.688.9540 Fax 978.6$8.8476 Web http://www.townofnortliaiidover.cotyi North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 51 Hay Meadow MAP: 1048 LOT: 98 INSTALLER: Robert Daigle DESIGNER: Merrimack Engineering PLAN DATE: 8/18/14, Rev 10/1/14 BOH APPROVAL DATE ON PLAN: 10/7/14 INSPECTIONS TANK INSPECTION: 11/20/14 DATE OF BED BOTTOM INSPECTION: 12/1/14 DATE OF FINAL CONSTRUCTION INSPECTION: 1 15/14 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, on compacted firm base N/A Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to finish grade installed over outlet access port ® Neoprene boots around inlet & outlet Comments: He is deeper than it needs to be. Extra stone in bottom of hole. DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan N/A 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 N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Low Profile Quick 4 Infiltrator Chambers ® Number of chambers per row: 11 ® Number of rows (trenches): 4 Comments: Total Chambers = 44 FINAL GRADE ® Loamed U Seeded [ / Cover per plan Comments: DOCUMENTS NEEDED it Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As-Built Plan BM = 157.80 HR = 0.54 HI = 158.34 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 6.00 151.99 151.75 Septic Tank IN 6.46 151.53 151.50 Septic Tank OUT 6.70 151.29 151.25 Distribution Box IN 6.88 151.11 151.00 Distribution Box OUT 7.04 150.95 150.83 Lateral 1 TOP 7.15 Lateral 1 INVERT 150.84 150.78 Lateral 2 TOP 7.15 Lateral 2 INVERT 150.84 150.78 Lateral 3 TOP 7.15 Lateral 3 INVERT 150.84 150.78 Lateral 4 TOP 7.15 Lateral 4 INVERT 150.84 150.78 Top of Chamber 150.64 151.17 Bottom of Bed/Chamber 7.77 150.57 150.50 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 BanO 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 I Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). s 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 Town of North Andover — Septic to - AS-BUILT CHECIdIST 1) \j/ All changes to the design plan have been reflected on the as-built 2) V Is of suitable scale; (one inch = 40 feet or fewer for plot plans and one inch = 20 or fewer for details of system components) 3) ° Lot number,Street Name,Assessors Map and Parcel Number 4) Lot Lines and Location of Dwellings served by the system 5) `� Locations,Elevations and Dimensions of system,including reserve (if applicable) r 6) Ties to dwelling or Permanent Structure &Wells J a. F"corn Septic Tank&Distribution (D) Box _b. From Leach Area 7) _2,1 Ties to Uz)i Lines from leach area �._ II Loca, ,� " bans of Deep Holes &Peres ,�E,...,� x w 9) _ "r'op of Foundation Elevation („ { ( .' , . .� 10) Locations of Wells,Drains,Watercourses within 150 feet of system 11) '1 ,Location of water,gas,electric lines,cable 12) Location of Structures within 6 Inches of Finished Grade 13) Original Stamp&Signature 14) Location and holder of any easements which could impact the system 15) Impervious Areas;Driveways,etc 16) North Arrow i f Benchmark 17) Location&Elevations o used 18) STATEMENT ON PLAN (NA 5.3) real;exposed component covers etc.,shown on ' Y 1p 1 _.._'I cortify-the a this,�s-biult substantl�ll to rr ee wrth the atreroved �lar�ar�f have deterrrz�nec�`tlidt the break elevations,ifapplicable,have been met." Signature of Designer fir' Date If a SI UC7 UW_WALL IS P2L'S (NA 4. 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