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Home My WebLink AboutCertificate of Compliance - 481 REA STREET 12/8/2010 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division December 8, 1 Tiis is to certify that the individuafsudsurface disposafsystem receiveda SA`IISFAC7O1RTIAVSIPEC"cl'IOXof the: ft&ament ofUstyi6ution Bxxandoutfet Tee 'For an On-Site Sewage " osafSystem Y ToddBateson 4g_Wfq Street 210/03 8.0-0254-0000.0 01t6 Arufover, 9WX 01845 7/ie Issuance of tfiis certificate shaffnot be construedas aguarantee tfiiat the system wifffunction satisfactorify. r'^ 2u6lw' Yfealtht(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.towoofnorthandover.com FOR r1l UED Cr `�9ppRAYEU P, '4CHU�� PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION ADDRESS: MAP: LOT: INSTALLER: "✓ // DESIGNER; PLAN DATE: BOH APPROVAL DATE ON PLAN- INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned El Internal plumbing all to one building sewer Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base Ej 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 Fox 978.688.8476 Web www.tovmofnorfhandover.coni Inspection Form June 2008 %AORTI N ® RZLED ,b� "Yo 1( 11r 6 6 ®L O to L ®by OqA<ocHicnewrc `y'' � , �,.9 ORATEO PPP�.(5 SSA C HUS(G 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: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank 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 ❑ cover at final grade installed over pump access port ❑ Watertightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 %AORTN IL ? {� {OCNIE N[WK01 7' 41 .��a�N PED Ppp`<C;) S CHUrPc PUBLIC HEALTH DEPARTMENT Community Development Division DISTRIBUTION-BOX ❑ Installed on stable stone base ❑' H-20 D-Sox ❑ Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution [❑ Speed levelers provided (not required) Comments: � m . �_ ;L 1/ 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 tkoRTH IL i ®N9 O CO[MICnIWKn V^l At ��SSAC PUBLIC HEALTH DEPARTMENT Community Development Division BM = HR = HI = SYSTEM ELEVATIONS ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT . Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorihnndover.com Inspection Form June 2008 %A09TH O�,ct�e® ,6 v e ®L O M h � M " ®a y V �RA0RATED PPa` �y �S`SAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division SKETCH PLAN 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 %AORTw ,61 - �� ",. ,6 0 Z. ® rb b O GOCNIC NlWKp V^• �QDRAYED SSA USS" PUBLIC HEALTH DEPARTMENT Community 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 10 101 ® 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 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 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008