HomeMy WebLinkAboutCertificate of Compliance - 66 HAY MEADOW ROAD 6/1/2004 Town of forth Andover ®�OO D*6�a
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET gpD
North Andover,Massachusetts 01845 �SSwCHUge4
Susan Y. Sawyer,REHS/RS 978.688.9540-Phone
Public Health Director 978.688.8476-Fax
fwgWql"Tq� OE COWPLIAW-CE
As
,dune 1, 2004
This is to certify that
the individual subsurface disposafsystem
Wevaired o ® EuffSeystem�f�
by
John Soucy
At
66 Yfaymeadow Road
North Andover, 914A 01845
Yfas 6een installed in accordance with the provisions of Title v of the State Sanitary Code and
with the North Andover hoard of Wealth regulations.
The Issuance of this certfcate shall not 6e construed as a guarantee that the system wilt
function satisfactorily.
,/S S an T Sawyer, RUIS19U
(Public Yfeafth Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
TO'WN,OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;
(0 repaired; ,
by TO Sou G
.located at
was installed in conformance with the North Andover Board of Health approved plan,
System Design Permit*-,plan dated
Of gallons ,with a design flow
g 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.
Bed inspection date: 51,-11
`1( o
ngi;�je_er,Re presentative
Final inspection date: S zo 1ct
ngin epresentative
Installer: �, , �,
Uc.#: Date:
Engineer: RICH
C. Cl TANGARD
��c, Date:
13021
` �S�ONAL
RICHARD �y
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TANGARE,
9 13021 �®
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Page 1 of 1
DelleChl le, Pamela
From: Dan Ottenheimer[info @millriverconsulting.com]
Seat: Wednesday, May 19, 2004 8:49 AM
To: Susan Sawyer; amcbrearty @millriverconsulting.cam; 'Pamela Dellechiaie'
Subject: 66 Haymeadow Road
Sue and Pam,
Attached please find the final construction inspection report for 66 Haymeadow Load. System was built with no
problems evident. We could not access the basement to see the control panel and confirm the alarm and pump
were on separate circuits, but this has never been a problem before with this installer plus the electrical inspector
was slated to arrive this afternoon. Installer also put magnetic marking tape the entire length of the force main so
it can be found if needed on some dark and cold winter night. This is a real good thing which I have started
encouraging installers to include. It was nice to see someone actually listens to my nasally voice every once in a
while.
Dan
------- -- _ _...
Daniel Ottenheitner, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
""W w,III 1II a°w ercons,s 1Iti fig o6;om
5/19/2004
MILL RIVER CONSULTXNG
Septic System Management Services
TOWN OF NORTH ANDOVER
SEPTIC SYSTEM CONSTRUCTION NOTES
ADDRESS: 66 Haymeadow Rd MAP:1 04B LOT: 103
INSTALLER: John Soucy
DESIGNER: NEES
PLAN DATE: 11/17/2003
BOH APPROVAL DATE ON PLAN: 112/3/2003
DATE OF BED BOTTOM INSPECTION:5/6/2004
DATE OF FINAL CONSTRUCTION INSPECTION: 5/18/04
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE Pressure Dosing
COMPONENT SUMMARY FROM PLAN
GALLON TANK ® 1500
LOADING OF SEPTIC TANK ® H-10
GALLON PUMP CHAMBER = 1000
LOADING OF PUMP CHAMBER ® H-10
TYPE OF SAS ® Infiltrator Trench
DIMENSIONS AND DETAILS OF SAS: 62.5' x 15'w/overdig : 2 rows, 10 chambers ea.
SITE CONDITIONS
ZExisting septic tank properly abandoned
❑Internal plumbing all to one building sewer
❑Topography not appreciably altered
Comments:
Could not access house but contractor indicated only one building sewer
5 Blackburn Center, Gloucester, Massachusetts 01930-2259
toll free 1. 800.377.3044 978.282. 0014 itlf(aNm) I
Page 1 of 5
MILL RIVER CONSULTING
Septic System Management Services
SEPTIC TANK
F-1 Bottom of tank hole has 6" stone base
❑ Weep hole plugged
1500 gallon tank has been installed
H-10 loading 2-Piece construction
Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
Inlet tee installed, over access port
Z Outlet tee (gas baffle or effluent filter) installed, over
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:
Building sewer not a straight line to septic tank because of location of exit from house.
Contractor put in several 22 and 45 degree bends and a cleanout to grade.
PUMP CHAMBER
F-1 Bottom of tank hole has 6" stone base
❑ Weep hole plugged
Z 1000 gallon Pump Chamber installed
H-10 loading
2-Piece construction)
Z Inlet tee installed, over access port
❑ Pump(s) installed on stable base
Z Alarm float working
❑ Pump On/Off float working
Z Drain hole in pressure line
Z 24 inch cover to within 6" of final grade installed over
one access port
Z Water tightness of tank has been achieved
Visual testing
Hydraulic cement around inlet & outlet
Comments:
5 Blackburn Center, Gloucester, Massachusetts 01930-2259
toll free 1. 800.377.3044 978.282. 0014 ii)J,o0111 i I l
Page 2 of 5
MXLL RXVER CONSULTXNG
Septic System Management Services
ADVANCEDTREATMENTTECHNOLOGY
❑ Type of treatment
F-1 Installed per manufacturers requirements
F-1 All components working in accordance with
manufacturer's requirements
Comments:
n/a
D-BOX
❑ 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:
No elevations given on plan for D-Box.
SOIL ABSORPTION SYSTEM
Z Bottom of SAS excavated down to C soil layer, as
provided on plan
Z Size of SAS excavated as per plan
Z 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 (and
vented if impervious material above)
F-1 Orifices @ 5 & 7 o'clock positions
Z Gravelless disposal systems: type, number and
location as per plan
Z Elevations of laterals installed as on approved plan
Z 40 Mil HDPE barrier installed
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments:
Trench from pump chamber to septic tank has magnetic marking tape for ease of
location. Owner also installed electrical conduit to swimming pool in same trench.
5 Blackburn Center, Gloucester, Massachusetts 01930-2259
toll free 1. 800.377.3044 978.282. 0014 i, c')Nmi ) It
Page 3 of 5
MILL RIVER CONSULTING
Septic System Management Services
PRESSURE I T 1 UTI
❑ 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:
n/a
CNT OL PANEL
❑ Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
❑ Location of control panel: Inside
❑ Rated for exterior if placed outside
Comments:
Could not access inside house to check control panel but electrical inspector was slated
to check panel later in day.
5 Blackburn Center, Gloucester, Massachusetts 01930-2259
toll free 1. 800.377.3044 978.282. 0014 J Ia f()(Jm i l l.r C vr;r-(°o1r ";uJJ j))V,,�, coul
Page 4 of 5
MILL RIVER CONSULTING
Septic System Management Services
SYSTEM ELEVATIONS
Benchmark: 100.00
Rod at Benchmark: 7.60
Height of Instrument: 107.60
INVERT ON DESIGN PLAN ACTUAL INVERT ELEVATION
Building Sewer OUT 95.00 95.13
Septic Tank IN 94.55 94.70
Septic Tank OUT 94.30 94.43
Pump Chamber IN 94.25 94.36
Pump Chamber OUT 94.00 94.20
Distribution Box IN 103.50
D-Sox OUT 103.30
Manifold
Lateral at Chamber 102.79 102.91
Top of Sand Fill 102.25 102.34
5 Blackburn Center, Gloucester, Massachusetts 01930-2259
toll free 1.800.377.3044 978.282. 001.4 i 1�P oOm j]'L(r r`
Page 5 of 5