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HomeMy WebLinkAboutCertificate of Compliance - 344 RALEIGH TAVERN LANE 9/28/2010 s• i TLEDl ,..♦ ',. e North Andover Health Department Community Development Division CEIR"'FICA"' OF CO" IPLIANCE As of: September 28, 2010 This is to certify that the individual subsurface disposal system received a Satisfactory Inspection of the: Repa.� '/Rep lazenwwnt of SeptuiD% Sy By. rB At: 344 R 'g v rave nl L Map 107A LOV131 N A 0 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. ,Sus,ar Y. Sawyer ' Public Health Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ttORTH o ssa o +'k Cpvwlt¢41 in 14 ' t#lt PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION T LOCATION INFORMATION ADDRESS: 344 Raleigh Tavern Lane MAP: 107A LOT: 131 INSTALLER: Todd Bateson DESIGNER: Vladimir Nemchenok PLAN DATE: 8/12/10 BOH APPROVAL DATE ON PLAN: 8/26/10 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/21/10 DATE OF FINAL GRADE INSPECTION: q I"-)q I 0 SITE CONDITIONS NA 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 ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed loading ❑ Monolithic tank construction ❑ Water tightness of tank has been achieved by 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www'to wn0northoodover.com Inspection Form June 2008 i' 0 C> S3 444 t4 erlwttw,. Y�` `5 SA U PUBLIC HEALTH DEPARTMENT Community Development Division testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.06'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) 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 ® 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 NA Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,townofnorthandover,corn Inspection Form June 2008�� 'r 0 16 so 4rw f8 ame reiar o�x N. 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PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYST M (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 LP Infiltrator Chambers ® Number of chambers per row: 7 ® Number of rows (trenches): 6 Comments: Total Chambers = 42 BM = 100.00 HR = 2.24 HI = 102.24 SYSTEM ELEVATIONS ROD ELEVATION AS-ELT INVERT ELEV DESIGN INVERT ELEV Benchmark 2.24 Building Sewer OUT Septic Tank IN Septic Tank OUT Distribution Box IN 12.86 89.03 89.00 Distribution Box OUT 13.04 88.85 88.83 Lateral 1-6 TOP 13.10 Lateral 1-6 INVERT 88.79 88.78 Bottom of Bed/Chamber 13.79 88.50 88.50 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townotn�rthandover.win Inspection Form June 2008 'r * 'CA SS C pip 4ry M t�J PUBLIC HEALTH DEPARTMENT (ommunity 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 10' ® 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 ' 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,Massachusetts 01845 Phone 978.688.9540 Fax 978.688,8476 Web vrvew.tavra?anortlrondaver,torn Inspection Form June 2008 FINAL GRADE INSPEC"T"ION Date: Address: X/ y i El'!,LOAMED? SEEDED? ❑ COVER PER PLAN? Other: t 6�4'