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Home My WebLink AboutMiscellaneous - 857 CHESTNUT STREET 8/10/2007 RTH TOWN OF NORTH ANDOVER t NO Office of COMMUNITY DEVELOPMENT AND SERVICES o2�'>� HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 `y� ,SSRCHUSet 978.688.9540—Phone Susan Y.Sawyer,REHS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdept @townofnorthandover.com WEBSITE:hq://www.townofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System O constructed; ( )repaired; by (Print"°Name) xrl- located at (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated 21 and last Revised on 'Loo La ,with a design flow of 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. Bed inspection date: q ffngirr6er Representative(Signature) And rint Name Final inspection date: =_T Engineer Representative(Signature) �G w S2 And-Print Name Installer: (Signature) Date: �� a,//�/_/1 i//'Y/ -. And-Print Name Engineer: (Signature) Date: And-Print N ie e LOT NUMBER, STREET NAME r ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, C -INC tMING RESERVE... . TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM ! TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS WATERCOURSES WITHIN 1 S0' OF SYSTEM - LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX ORIGINAL STAMP& SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. _....- NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK.USED r' w . F , . .ft %4ORTH 0 PUBLIC HEALTH DEPARTMENT (ommunity Development Division QNSITE WASTEWATER Y T lJ TI NOTES LOCATION INFORMATION ADDRESS: 857 Chestnut St. MAP: 1070 LOT: 27 INSTALLER: Arco Installers (Tom Sawyer) DESIGNER: New England Engineering PLAN DATE: Aug. 21, 2006 and rev. thru Dec. 12, 2006 BOH APPROVAL DATE ON PLAN: Dec. 15, 2006 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: June 8, 2007 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: The existing septic tank had not been abandoned as of June 8, 2007. SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ® 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) ® Inlet tee installed, centered under access port ® Outlet tee (gas baffle or effluent filter) installed, centered under access port 1600 Osgood Street,North Andover,Mossorhnsetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthondover.roni O 'n, 0 f '0 yy , gyp 9P 0��fQf WBCeAk WUCK��• �` -0 Argo PUBLIC HEALTH DEPARTMENT (ommunity Development Division ® 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 ® Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ❑ Combo Tank installed. Size: ® 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" inch cover to within 6" of final grade installed over pump access port ❑ Water tightness of tank has been achieved Visual testing ® Hydraulic cement around inlet & outlet Comments: Monolithic tank should be water tight. There was only enough water in tank to verify pump operation not water tightness on June 8, 2007. 1600 Osgood Street,North Andover,Mossorhusetts 01645 Phone 976.688.9540 Fox 978.685.8476 Web www.town0northnndover.min vko� T 6 04 too AV CH S PUBLIC HEALTH DEPARTMENT Community Development Division DISTRIBUTION-BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.06'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: Speed levelers were discussed with the installer. Speed levelers were installed at the installer's discretion. The volume in the distribution box is adequate to accept the flow from the pump chamber without overflowing the box due to any restriction from the speed levelers. SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to 6 in into 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber Infiltrator Quick 4 ® Number of chambers per row 12 ® Number of rows (trenches) 10 ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 970.688.4540 Fax 470.688.8476 Web www.town0northandovetarn % ° V,0 °,. 0 PUBLIC HEALTH DEPARTMENT Community Development Division CONTROLPANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: In basement ❑ Rated for exterior if placed outside ® Alarm signal located inside Comments: SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Building Sewer OUT *1) 96.02 2 95.23 1 95.31 2) 94.46 Septic Tank IN *1 94.66 2 94.54 94.50 Septic Tank OUT 94.27 94.25 Pump Chamber IN 94.18 94.20 Pump Chamber OUT 93.99 93.95 Distribution Box IN 101.96 101.94 Distribution Box OUT 101.79 101.77 Lateral 1 INV 101.70 101.67 Lateral 2 INV 101.63 101.67 Lateral 3 INV 101.65 101.67 Lateral 4 INV 101.70 101.67 Lateral 5 INV 101.70 101.67 Lateral 6 INV 101.73 101.67 Lateral 7 INV 101.76 101.67 Lateral 8 INV 101.72 101.67 Lateral 9 INV 101.66 101.67 Lateral 10 INV 101.65 101.67 *Note; For the building sewer out and the septic tank in,elevations are recorded as; 1) =New construction of the pool"cabana" 2) =Existing pipe from the dwelling 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www,townofnortliniidover.coni Rl' On va 0 US PUBLIC HEALTH DEPARTMENT Community Development Division CRITICAL, SETBACK DISTANCES Mark those distances checked in the yield against the design plan and regulatory setback Tank SAS Semler ® 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 Bank 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)Fvund'ation 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). a 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,Massorhusetts 01945 Phone 979.699.9540 Fax 979.699.9476 Web www.townotnortbandover.unn