HomeMy WebLinkAboutCertificate of Compliance - 268 REA STREET 4/30/2010 O RgyBD 16 alI
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PUBLIC HEALTH DE' T T
(ommunity Development Division
RTIE1C,4 F COMPLIANCE
As
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2Wtis is to certify that the individuaCsu6sur.face disposaCsystem received a
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268 &a Street
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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
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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)
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And—Print Name
Final Construction Inspection Date:
Engineer Representative(Signature)
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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
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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_ �
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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
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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 _��
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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 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
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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
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