HomeMy WebLinkAboutCertificate of Compliance - 344 RALEIGH TAVERN LANE 9/28/2010 s•
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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:
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344 R 'g v rave nl L
Map 107A LOV131
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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
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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
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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��
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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
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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:
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El'!,LOAMED?
SEEDED?
❑ COVER PER PLAN?
Other:
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