HomeMy WebLinkAboutCertificate of Compliance - 50 ROCKY BROOK ROAD 7/26/2000 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
7/26/00
This is to certify that
the individual subsurface disposal system
constructed (X) or repaired ()
by
Peter Breen
at
50 (Lot 23A) Rocky Brook
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
Board of Health Inspector
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AS-BUILT CHECKLIST
(✓ LOT NUMBER, STREET NAME
ASSESSORS MAP &PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS &DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
1/ 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 150' OF SYSTEM
LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK&D-BOX
G` ORIGINAL STAMP & SIGNATURE
l/ IMPERVIOUS AREAS - DRIVEWAYS, ETC.
G-�
NORTH ARROW
LOCATION&ELEVATIONS OF BENCHMARK USED
' y
PLAN REVIEW CHECKLIST
ADDRESS el)Z-2, j . "" � '.:_�.� a ENGINEER
GENERAL
3 COPIES STAMP LOCUS NORTH ARROW " SCALE "..
CONTOURS I PROFILE m.. SECTION ��" � BENCHMARK SOIL &
ELEVATIONS,., - WETS . DISCLAIMERS --" WELLS & WETS
WATERSHED? /;l. L."--""" .,.
DRIVEWAY (E1�v) WATER LINE �� FDN DRAIN,
SCH40 TESTS CURRENT? 4,-" SOIL EVAL `�
SEPTIC TANK
MIN 1500E L , 17 INVERT DROP GARB. GRINDER (2 comps x-200)
10 ' TO FDN "" w MANHOLE ELEV '°`" GW ~"
# COMPS . GBH
D—BOX
SIZE # LINES FIRST 2 ' LEVEL STATEMENT
OUTLET 047_- 6 _ (211 OR 17' FT) TEE REQ "D? k
LEACHING
MIN 440 GPD? �";
RESERVE AREA 4 ' FROM PRIMARY? "'"p- 2% SLOPE
100 ' TO WETLANDS ' 100" TO WELLS � " 4 ' TO S .H.GW �µ (5 ' >2M/IN)
20 ' TO FND & INTRCPTR DRAINS :..., .. 400 ' TO SURFACE H2O SUPP .°.. . -
4 ' PERM. SOIL BELOW FACILITY " "
MIN 12 COVER FILL? 51 )
BREAKOUT MET?
TRENCHES
..........
MIN 440 gpd SLOPE (min. , 005 or 6"/100 ' ) I, SIDEWALL DIST. 3X EFF.
W OR D (MIN 6 ' ) ` RESERVE BETWEEN TRENCHES ) IN FILL? MUST
BE 10 ' MIN. m• °' 4" PEA STONE? f°' VENT? ry (>3 ' COVER; LINES >50 ' ')
BOT ,,�O ° + SIDE X LDNG _ TOT
(L x W x #) (DxLx2x#) (G/ft2)
Copyright D 1996 by S.L. Starr