HomeMy WebLinkAboutCertificate of Compliance - 851 JOHNSON STREET 3/16/2005 Town of North. Andover
0
Office of the Health Deparfinent
Comniunity Developrnent and Services Divisjoll
400 OSGO01".)STREE'r
North Aridover, Massachusetts 01845 CHU
Susan Y. Sawyer, REHS/RS 978.688.9540-Phoiie
Public Health Director 978,68&9542-Fax
CERVEIC$TELej%'"r" CO-W(PLI.,,o,WCO'E
As of:
March 16 2005
This U* to certify that
the individuaf su6su�face disposal system
repaired Eud System
by
James Kellett
at
0 8 Q Johnson Street
iYorth,4ndover, 9Y,4 01845
has 6een instaffed in accordance with the provisions of Title V of the State Sanitary Code and
with the Xorth Andover hoard qfYfeafth regulations.
The Issuance of this certificate shall not 6e construed as a guarantee that the system will
function satisfactorily.
Susan T Sawyer
(Pu6fic JIfeafth (Director
BOARDOFAIIJIFALS688-95,41 B UILDING 6,98-9545 ('ONSERVATION689-9i30 HEALT11688-9540 11LANNING'688-9535
TOWN OF NORT11 ANDOVER
Office ofCO N1 M I J N I"IN DEN"E LO I'M ENTAN 1) SE"11VU 1K S
11E 1,"1'111 1)E11AR'1'ME'N'F
27 CI 1ARL,ES S']"REFIT
P
OR11 4 ANDOVER, OASSA U
CHSF.."I"I'S 019,4 5 (
N 4,
Susaa Y, Swvycr, M"JISMS 978 088,9540 f1hom
PutAic Ffcahh Director 978 68,10542 17AX
SEPTIC SYSTEM CONSTRUCTION NOTES
ADDRESS: 851 Johnson St MAP: 107A LOT: 62
INSTALLER: James Kellett
DESIGNER: Richard Tangard
PLAN DATE: Revised 2/23/04
BOH APPROVAL DATE ON PLAN: 3/25/04
DATE OF BED BOTTOM INSPECTION: June 28, 2004 Susan Sawyer
DATE OF FINAL CONSTRUCTION INSPECTION: July 1, 2004 Dan Ottenheimer
DATE OF FINAL GRADE INSPECTION: 'i
SELECT SYSTEM TYPE
X GRAVITY DISTRIBUTION
PRESSURE DISTRIBUTION
PRESSURE DOSING
HOLDING TANK
ADVANCED TREATMENT
OTHER
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 1500
LOADING OF SEPTIC TANK = H10
GALLON PUMP CHAMBER =
LOADING OF PUMP CHAMBER
TYPE OF SAS = Chamber
DIMENSIONS AND DETAILS OF SAS: 2 trenches with 5.5 chambers in each trench.
SITE CONDITIONS
� Existing septic tank properly abandoned
Internal plumbing all to one building sewer
Topography not appreciably altered
Comments:
Pagel of
TOWN W NORTH ANDOVER
Office SERVICES
REA1JI-1 DF,PARTMU M'
27 MARLES STREF"T'
NORTH ANDOVER, MASSACHL)SL'A"I'S
......................
Susan Y. Sawlyer, REMS/RS 97&688,9540 'hone,
Public Hrahh Director 9718.68,1� 9542 - FAX
SEPTIC TANK
Bottom of tank hole
has 6" stone base did not see
Weep hole plugged
gallon tank has been installed
(H-10 or H-20) (monolithic or 2 piece)
Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
Inlet tee installed, under access port
0 Outlet tee (gas baffle or effluent filter) installed, under
access port
20 inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
Hydraulic cement around inlet & outlet
Comments:
D-BOX,
Installed on stable stone base
Inlet tee (if pumped or >0.08'/foot)
Hydraulic cement around inlet & outlets
M Observed even distribution
Speed levelers provided (not required)
Comments:
Page 2 of 4
TOWN RIUN OV' NORFII AMDOVEM
Offic COM
e. of UTY WEVEL OPM IENT' AND S1ERVIICES
1J1,i,1AUF11 DEPART'MENT
27 CHARLT"S STREF'T
NORTHANDOVER, NIASSA(Iflim,'Trs 0�945 1 CM
�msan Y. Sawycr, REHYRS 979 6989540 Phone
Pubfic Health Direc,101, 978 68'89542—FAX
SOIL ABSORPTION SYSTEM
IF] Bottom of SAS
excavated down to 6" into C soil layer, as provided
on plan
El Size of SAS excavated as per plan
IM Title 5 sand installed, if specified on plan
0 3/4-11/2" double washed stone installed
El 1/8-1/2" (peastone) double washed stone installed
El laterals installed and ends connected to header (and
vented if impervious material above)
El Orifices @ 5 & 7 o'clock positions
0 Gravelless disposal systems: type, number and
location as per plan
El Elevations of laterals installed as on approved plan
40 Mil HDPE barrier installed
Retaining wall (boulder/ concrete /timber/ block)
Final cover as per plan
Comments: Wall to be constructed, checked at final grade inspection
Page 3 of 4
TOWN OF NORTH AN DOVE,�R
Office Sl,�,RVJCEIS
11 E A 11111)F PAICUMENT'
V
27
NORT11 ANDOVER, MASSACHUsE,rrs 01945
..........
Svm,m Y, Sawyci, REMS/RS 978,689,9540 Phone
Public llcafih Direclor 978,6889542 FWK'
SYSTEM ELEVATIONS
Benchmark: 100.00
Rod at Benchmark: 8.27
Height of Instrument: 108.27
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT 104.29 104.14
Septic Tank IN 104.09 104.02
Septic Tank OUT 103.29 103.92
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN 103.71 103.74
D-Box OUT 103.54 103.55
Lateral 1 Bottom of 103.00 103.03
Chamber
Lateral 1 Invert 103.54 103.52
Lateral 1 Top of 104.00 103.98
Chamber
Lateral 2 Bottom of 101.34 101.22
Chamber
Lateral 2 Invert 101.88 101.89
Lateral 2 Top of 102.34 102.30
Chamber
Page 4 of 4