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Home My WebLink AboutCertificate of Compliance - 2009 SALEM STREET 12/20/2011 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division Certificate ® C®m Cince As of 1Decem6er 20, 2011 This is to certify that a SATIS FACI01 T EMST ECIIOX Was completedfor the: ftairlWepfitcement of e ®.sacs stem Oy: saule., at: 2009 Safem Street a rcefl of Woirtfi.Andover, WA 0184S The Issuance of this certi cate shad not be construed as a guarantee that the On Site Sewage 1DisposaCSystem willfunction satisfactorify. 1 � r /S' an 2r Sa "er, 1�VI 9S -- Pu6fcYfealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 7HtFAL(THDERFOA ac 0 11 PUBLIC HEALTH DEPAR"rmENT TOWN OF NOR 11 ANt)()Ve',rt C r:�wr�url¢i N"1eWa�al {�a°cqui1t Ckiuisiai TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(,.constructed;( )repaired; By: (Print Name) Located at: ' 01KI � ,P-I '21_ t� "L (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on 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: k >(00' Engineer Representative(Signature) And-Print Name "° Final Construction Inspection Date: " Engineer Represe tative(Signature) And-Print Name nature Date: Installer:,• ., _._ (Signature)g � And-Print Name Enginer: VL ' � � � 'f � '��;' (Signature) Date: ��' "' ��'•"rr✓" And-Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone µ . I Fax 978.,6 88.8476 Web http://www,,,townofviorti,iondovet-.com DelleChiaie, Pamela From: Isaac Rowe [irowe @millriverconsulting.com] Bent: Thursday, November 17, 2011 9:26 AM To: DelleChiaie, Pamela; 'Daniel Ottenheimer'; 'Peters, Marianne'; 'Randy Burley' Cc: 'Susan Sawyer(ssawyer @town of north andover.com)' Subject: RE: 2009 Salem Street- FC Inspection ok'd by Bill Dufresne Attachments: 2009 Salem Street(Existing Dwelling) -Construction Inspection Form 11-16-11.doc Susan, Attached is the inspection form.for the above referenced property.As you would expect from Tom,everything looked great.It was what I would hope to find at every inspection.All covers opened and everything exposed for an easy inspection. Please let me know if you have any questions. Thanks, Isaac M.Rowe,R.S. Project Manager Mill River Consulting 6 Sargent Street Gloucester,MA 01930-2719 Phone: (978) 282-0014 Fax: (978)282-1318 ia°oxv, ."tliilt v�r.� rz trlti g crra vv v :.zniltri pt(sultin com -----Original Message----- From:DelleChiaie,Pamelar7�uiltc�lcllt ICtlX:t]wncl�a�rt} lcvwr. � �t Sent:Tuesday,November 15,20113:02 PM To: 'Daniel Ottenheimer';'Isaac Rowe';Peters,Marianne;'Randy Burley' Subject: 2009 Salem Street-FC Inspection ok'd by Bill Dufresne -----Original Message --- From:Bill Dufresne t11 i ltknvr-dU1 c D ((a)C.�B-Ic a.s ncd, Sent:Tuesday,November 15,20113:01 PM. To:DelleChiaie,Pamela Subject: Pam 2009 Salem Street is ready for final inspection. Thanks Sent from my Bill's i phone Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: htwll�/f, way S t t� iim��a a:°112r ft ��'i 1 kid ®�. Please consider the environment before printing this email. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to: 'it r f /_/yw\v state,I .1,, /p ' - ---tip-'' Please consider the environment before printing this email. 2 ® I Noah Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T UCTI T LOCATION INFORMATION ADDRESS: 2009 Salem Street MAP: 108A LOT: 2 INSTALLER: Tom Sawyer DESIGNER: Vladimir Nemchenok PLAN DATE: 9/2/11 BOH APPROVAL DATE ON PLAN: 10/20/11 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 11/16/11 DATE OF FINAL GRADE INSPECTION: 1(51, 1 SITE CONDITIONS N/A 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 N/A Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle & effluent filter) ® 24" inch C.I. cover to finish grade installed over outlet access port ® Hydraulic cement around inlet & outlet Comments: 24" C.I. cover installed to within 6" of finish grade over inlet access port DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: 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 N/A 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 N/A 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 — Low Profile ® Number of chambers per row: 7 ® Number of rows (trenches): 5 Comments: Total Chambers = 35 BM = 127.94 HR = 2.68 HI = 130.62 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 2.68 127.94 Building Sewer OUT 2.68 127.59 126.70 Septic Tank IN 3.57 126.70 126.50 Septic Tank OUT 3.92 126.35 126.25 Distribution Box IN 3.99 126.28 126.20 Distribution Box OUT 4.14 126.13 126.03 Lateral 1 TOP 4.26 Lateral 1 INVERT 126.01 125.98 Lateral 2 TOP 4.26 Lateral 2 INVERT 126.01 125.98 Lateral 3 TOP 4.25 Lateral 3 INVERT 126.02 125.98 Lateral 4 TOP 4.23 Lateral 4 INVERT 126.04 125.98 Lateral 5 TOP 4.26 Lateral 5 INVERT 126.01 125.98 Top of Chamber 4.24 126.38 126.37 Bottom of Bed/Chamberl 4.96 125.66 125.70 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 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 AS-BUILT E LIST ' s & All changes to the design plan have been reflected on the as Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number 7 " Lot Lines and Location of Dwellings served by the system �°° �,✓ �, ��; �� , ,, � p Locations&Dimensions of system,including rserve(if applicable) , Ties to dwelling or Permanent Structure&Wells _ � ? ;; °off a.From Septic Tank b.From Leach Area 4�� ,�� r ; "I" � ✓ " t .. .- r Ties to Lot Lines from leach area Locations of Deep Holes&Peres Elevations of Disposal.System Top of Foundation Elevation / Locations of Wells,Drains,Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Corners of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways,etc North Arrow Location&Elevations of Benchmark used / STATEMENT ON PLAN(NA 5.3) "I certify the locations, elevations, ties, cover material, exposed component covers etc. shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement an the as-built indicating the wall was, or was not, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of:Wednesday,April 27,2011 December 6, 2011 Regarding Septic COC, 2009 Salem St North Andover MA 01845 To Whom It May Concern: I, George Haseltine,owner of 2009 Salem St and trustee of the 2009 Salem St Realty Trust understand that the seeding is not a requirement of the State Title V regulations and am I requesting the final grade be conducted prior to seeding. If you have any questions please feel free to call me. George Haseltine 603.785.8768 cell George.Haseltine @gmail.com