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HomeMy WebLinkAboutCertificate of Compliance - 268 REA STREET 4/30/2010 O RgyBD 16 alI O� b6 ' A '® O? cotY4lia`woca N� SRCHU"�� �� PUBLIC HEALTH DE' T T (ommunity Development Division RTIE1C,4 F COMPLIANCE As April 2Wtis is to certify that the individuaCsu6sur.face disposaCsystem received a SAVS FACT0RT IYS(PECZ70X of the: ftpairIftfitcentent of an On-Site Sew, age " osa(S 9wichaergzf iff 268 &a Street .T t: 8.0; Xortfi,Xndover, W 01845 The Issuance of this certificate shad not 6e construed as a gua�antee that the system u4ff Junction satisfactorily. A Y er, 1Pu6Cic 9 eaCth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com f i AV aWV m p�` uu ' PuttUC HEALTH DIEPARTMENY TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; By: ! 11'w� (Print Name) Located at: - &A jt (hnstallation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 1 C and last revised on I 1 7 ,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. Bottom of Bed Inspection Date: y Engineer Represen ative(Signature) j I � / �pB And—Print Name Final Construction Inspection Date: Engineer Representative(Signature) 11..1�--_ - �- ' � �'�. And—Print Name Installer:_ �� � � ,�� � (Signature) Date. 'I I PEI And—Print Name Enginer• K' �� &L/f A Signature) Date: �� And--Print Name 600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web httlt://www,towiiofttorthandover.cout AS-BUILT C E CKLIST LOT NUMBER, STREET NANIE ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS &DIMENSIONS OF SYSTEM, INCLUDING 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 ..,..w.w,....... TOP OF'FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM a..... LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE d , DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D—BOX ORIGINAL STAMP & SIGNATURE `` IMPERVIOUS AREAS —DRIVEWAYS, ETC. NORTH ARROW , w LOCATION & ELEVATIONS OF BENCHMARK USED V%ORTH o ,Iji�ao o 4e, > `' 4 csx mria n.xn 5 U PUBLIC WEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM T TI LOCATION INFORMATION ADDRESS: 268 Rea Street MAP: 38 LOT: 127 INSTALLER: Mike Reilly DESIGNER: Vladimir Nemchenok PLAN DATE: 10/22/09 BOH APPROVAL DATE ON PLAN: 12/21/09 INSPECTIONS It TANK INSPECTION: X141)0 DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 4/26/10 DATE OF FINAL GRADE INSPECTION: ��� D 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 ® Cleanout added at bend ® 1500 gallon tank has been installed H-10 loading mono construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978,688.8476 Web www.tow oMorthandover.com Inspection Form June 2008_ � T a k . A WYU' PUBLIC HEALTH DEPARTMENT Community Development Division ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: No cleanout proposed on plan but Installer added a cleanout at the bend in the building sewer line. 24" C.I. covers to finish grade above the inlet and outlet tees. PUMP CHAMBER ® 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" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by Visual testing ® Hydraulic cement around inlet & outlet Comments: CONTROL PAN L ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: DISTRIBUTION-BOX 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www_,townofnorthandover.com_ Inspection Form June 2008 on�w 61 It 0 0 (10 044r S U PUBLIC HEALTH DEPARTMENT Community Development Division Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution Z Speed levelers provided (not required) Comments: Even flow into D-box, 90 bend on 2" force main in D-box. SOIL ABSORPTION SYSTEM (General) Z Size of SAS excavated as per plan Z Title 5 sand installed, if specified on plan Z 40 Mil HDPE barrier installed Z Laterals installed and ends connected to header (and vented if impervious material above) Z Elevations of laterals and chambers installed as on approved plan NA Retaining wall (boulder/ concrete /timber/ block) F-1 Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) Z Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers Z Number of chambers per row: 13 Z Number of rows (trenches): 4 Comments: Total Chambers = 52 1600 Osgood Street,North Andover,Mosso(husens 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofiioriliaiidover.coiii Inspection Form June 2008 vA T° PUBLIC HEALTH DEPARTMENT Community Development Division BM = 100.00 HR = 0.90 HI = 100.90 SYSTEM ELEVATIONS ROD ELEVATION AS-ELT INVERT ELEV DESIGN INVERT ELEV Benchmark 0.90 Building Sewer OUT 4.50 96.05 96.0+/- Se tic Tank IN 6.06 94.49 94.70 Septic Tank OUT 6.37 94.18 94.45 Pump Chamber IN 6.44 94.11 94.40 Pump Chamber OUT 93.86 ----- Distribution Box IN 4.96 95.77 95.67 Distribution Box OUT 4.99 95.56 95.50 Lateral 1 TOP 5.04 Lateral 1 INVERT 95.51 95.47 Lateral 2 TOP 5.04 Lateral 2 INVERT 95.51 95.47 Lateral 3 TOP 5.04 Lateral 3 INVERT 95.51 95.47 Lateral 4 TOP 5.04 Lateral 4 INVERT 95.51 95.47 Top of Chamber 5.04 95.86 95.80 Bottom of Bed/Chamber 6.04 94.86 94.80 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688,8476 Web www.townofnort[tandover.com Inspection Form June 2008 _�� 0 0 0 00, c S 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 to, M Private drinking well 75 1002 50 Irrigation well 75 100 Surface Water 25 50 Bordering Vegetated Wetland Salt Marsh, Inland/Coastal Bank 3 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 1 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 fox 978.688.8476 Web www.towndnorthandover.coifl, Inspection Form June 2008 DelleChiale, Pamela From: Marianne Peters[mpeters a@rnillriverconsulting.cam] Sent: Monday, April 26, 2010 8:17 AM To: Sawyer, Susan; DelleChiaie, Pamela; Grant, Michele Cc: 'Isaac Rowe'; dano@millriverconsulting.com Subject: Final Inspection: 268 Rea will be this morning at 11:00 This final inspection for 268 Rea Street w/Mike Riley will be done this a.m. at 11:00 with Isaac. Mill River consulting f:"ui ,EV ¢^a;eirij,, rrrJ drr�ia�rm¢flal pm,r n :rg ?.aaruk::ilal rr,d�ry i�iro�:n,�� r�a Ha ('orv—alUkg Marianne Peters Office Manager 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 Fax: 978-282-1318 www.millriv rcgLr sultin_g.c rn MReters @LTlilwlriverconsulCing,, a 1