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HomeMy WebLinkAboutCertificate of Compliance - 114 REA STREET 4/26/2007 FORTH.. 0 PUBLIC HEALTH DEPARTMENT Community Development Division E II E OT COMPLIAXCE, It rd � 2007 Ot i s is to certify that the disposaf system. received a O1�ff,9VYcjjL,7IONof the. f John Soucy Atl� 114 Rea Street Xorth yndover, 9YA 01845 The Issuance of this certificate shaf not he co-ustrued as a guarantee that the system wiff fulnctiott satisfactorily. .bus .az. ! Sa wyet (R- ,wslws ---- Tuhfic`hafth (Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnoi-thandover.com µ f •. � l..w TOWN OF NORTH ANDOVER p14RTN Office of COMMUNITY DEVELOPMENT AND SERVICES DO 14 2006 HEALTH DEPARTMENT / 420 4ft OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 �4 a��1t6,Q C�f L '�`�'V 4 I�Il�1¢.1��I=uw �s4c�+us�� � .-; .... .........P it �� �u: �:h � . � �I��ENc . . 978.68$.9540-Phone Susan Y.Sawyer,REHS/RS 978.688.8476-FAX Public Health Director E-MAIL: healthdept@townofnorthandover.corn WEBSITE:hLtp://www.townofilorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM: ® INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (c)-it"paired; by (Print Name) S'located at I Q f �C�. oc)b lid-c,°� (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated w t& )�_, ?X End last Revised on ', � (�(,� , with a design flow of 17 r` 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: IZ-7-()( _ E, gineer Representative(Signature) And-Print Name Final inspection date: / I t- , ,- cD ,02 Engineer Representa6e(Signature) And-Print Name r Installer: f ctv —(Signature) Date: L t And Print a Al IJ r- Engineer: _ (Signature) Date: 11.2-1, (, _ And Flame AS-BUILT CHECKLIST r^r ff "p`q'J F LOT NUMBER, STREET NAME °w..."... 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 r TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM m. LOCATION OF WATER, GAS,ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP & SIGNATURE r IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK USED ✓d' tl 7 r/a ri r Y 1 Y rr a o,,.ompM .wnm ,w,a cornrrr w'�4 [)evEflq)rrer�i ONIT°E WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 114 Rea Street MAP: 98A LOT: 8 INSTALLER: John Soucy DESIGNER: NE Engineering PLAN DATE:6/18/06 BON APPROVAL DATE ON PLAN: 10/25/06 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 11/8/06 S. Sawyer DATE OF FINAL CONSTRUCTION INSPECTION: 12/1/06 DATE OF FINAL GRADE INSPECTION: (;6Tt�pa j SITE CONDITIONS Existing septic tank properly abandoned Internal plumbing all to one building sewer Z Topography not appreciably altered Comments: SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged Tank has been installed ® 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",en�iL f14rOh A1ndrww, 0 184 F-'hono 918.688 Frr; `c',,.I G"OFH H ryry 0 JIIX d II 911W I��"'�P�1`;� q.a�lNre�d�t�f6'IMp+ moo � I fff r✓ f s dpr x'°ti U.I.H i IV 4 "f 24" inch cover to within 6" of final grade installed over one access port, must be over nutlet of tank if effluent filter is present Hydraulic cement around inlet & outlet Comments: 2100 gallon "Clear Solution" tank Model 250 ST3. 12/1/06 Did not see bottom of hole, installer told to move forward hole caving in. PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® Combo Tank installed 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 Z 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: 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 iH'00()sgE.odSGfeJ Andow,� iV s,r4� Pifa ¢A4kt (r'11 ° TAO �,X IV8 688 840-3 'V1(,J) vr.!vvl fr,.^�o�E�;�in�r�RiEiirr��wA,rrrxni N.II6ryyN, go .. (d'' DeWoprnerit : i iib� Comments: Retaining wall not yet built. Squirt test results showed 14"A 8" squirt height. This is typically less than the recommended pressure suggested for keeping orifices clean. May need more than typical maintenance of the pressure distribution system. 12/1/06 IL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber Infiltrator Quick 4 ® dumber of chambers per row 8 ® Number of rows (trenches) 4 ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan Comments: CANT QL PAN L ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped Location of control panel in garage ❑ Rated for exterior if placed outside Alarm signal located inside Comments: 160 1'hon , M,8'688,95,10 F T, 978',6'8,8,8V6 Web con) sir o r SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Benchmark 100.00 Building Sewer OUT 101.93 101.92 Septic Tank IN 100.56 101.50 Septic Tank/Pump 100.40 101.25 OUT Lateral 1 INV 103.65 103.64 Lateral 1 TOP Lateral 2 INV 103.64 103.64 Lateral 2 TOP Lateral 3 INV 103.63 103.64 Lateral 3 TOP Lateral 4 INV 103.64 103.64 Lateral 4 TOP 1600 O,,: ,q od`rPY�,`��, NorlPt iPbC��r���u( E 1 ,. �.r,lil r+�;�ra 0I,84 [lhoClc `)f8("58(S 93 140 I: x 688 sRVI","; VVob vrEwol (Morn z r v, r r w mN 1 "BC"4` 1�RfljgM d) i � OD) CRITICAL SETBACK DISTANPES 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 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 Cl Bordering Vegetated Wetland , Salt Marsh,Inland/Coastal Bank' 75 100 ❑ Wetlands bordering surface water supply or trio. (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)FotLrtdadon 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 IOTA wetland bylaws 1600Os(�oo�#�;fr ,r.Wf, k[Whf�r�r�>.��� hix, 9/868U M/6 Vvh-b °1Vt" ' f �sClllli !"ifi`f't'tY"YI:'i.J�frl' E�P"Yl