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Home My WebLink AboutCertificate of Compliance - 795 JOHNSON STREET 11/21/2005 Town of North .Andover No�rro oast,.®a ,e!tio Office of the Health Department 4� Community Development and Services Division a _ 400 OSGOOD STREET North Andover,Massachusetts 01845 ��SSAV Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax CERVqqCgqq� 0"T" COMPLIANCE As O ® November 21, 2005 This is to certify that the individua(su6surface disposafsystem was Fully repaired® 6y John Soucy .�t 795 Johnson Street North Andover, .CIA 01845 Yfas 6een instaffed in accordance with the provisions of Titfe V of the State Sanitary Code and with the North Andover hoard of 9feafth regulations. The Issuance of this certificate shaff not 6e construed as a guarantee that the system miff function satisfactorily. 4 9vic efe E. Grant Pu6fic Yfealth Inspector BOARD Ol:APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER Tw Office of COMMUNITY DEVELOPMENT AND SERVICES a�°myo"° `4^ °Q11 HEALTH DEPARTMENT 400 OSGOOD STREET "aq,..o NORTH ANDOVER, MASSACHUSETTS 01845 �ss�cwu�� 978.688,9540—Phone Susan V.Sawyer, REHS/RS 978.688,8476–FAX Public Health Director E-MAIL: healthdc t&townofnorthandover.com WEBSITE: http://www.towiiofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM ® INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (>e) repaired; (Pr'nt Name) located at �1 k v .K.?' e c (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. Bed inspection date: i �, Engineer Repp�se� ntative(Signature) And-Print Name Final inspection date:— "O.IZ810 Engiu eesentati e(Signature) And- rint Name pntrt ,; IMMUNE r„ „; io ,,,,rr, znrrrim wurr ra m%;,iciri Installer ` (Signature) Date: And-Pr' t Name j 14�e :rd� ,.. _. Engineer: K I A Pj I N ignature) Date: r;r .JR. clyll, And-Print ame a � � 'rowN 014' NORTH ANDOVER ORT Office of('.'OMA4[.JNI'I'Y' DEVEI..,OPMEN't' ANI) SERVICES 11EAL314 DEPARTMEN'F 400 (AGOOD STREET NORTH ANDOVER, MASSAC14USET"I'S 0 1845 Susan Y. Sawyer, RF.,11YRS 9713.68&9540 Phone Public Heahli Director 978,68&9542 FAX ADDRESS: 795 Johnson Street MAP:1 07A LOT: 68 INSTALLER: John Soucy DESIGNER: New England Engineering PLAN DATE:9/1/2005 Rev: BOH APPROVAL DATE ON PLAN: 9/15/2005 DATE OF BED BOTTOM INSPECTION: 10/18/2005 DATE OF FINAL CONSTRUCTION INSPECTION: 10/27/2005 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned ZInternal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK F-1 Bottom of tank hole has 6" stone base ❑ Weep hole plugged Z 1500 gallon tank has been installed H-10 loading Monolithic construction F-1 Watertightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Z Inlet tee installed, centered under access port Z Outlet tee (gas baffle or effluent filter) installed, centered under access port Z 24" inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present Z Hydraulic cement around inlet & outlet Comments: Pagel of TOWN OF NORTH ANDOVER are Office of COM MUNITY DEVELOPMENT AND SERVICES HEALTIi DEPARTMENT 400 OSGOOD STRfTT NOR H I ANDOVL�R, MASSACI 1USETTS 0 1845 Susan Y. Sawyer. REHS/RS 978.(i8&9540 Phone Public Health Director 97UM.9542—FAX PUMP CHAMBER F-1 Bottom of tank hole has 6" stone base F-1 Weep hole plugged 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) Inlet tee installed, centered under access port Pump(s) installed on stable base Alarm float working Pump On/Off float working 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: ADVANCED TREATMENTTECHNOLOGY ❑ Type of treatment F-1 Installed per manufacturers requirements F-1 All components working in accordance with manufacturer's requirements Comments: D® OX Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets Observed even distribution ❑ Speed levelers provided (not required) Comments: Page 2 of 5 Mf TOWN01;' NOR"I'll ANDOVER Office ofCOMMUNITY DEVELOPMEATAND SERVICTS HEAUrli DEPARI'MEN'T 400 OSGOOD STRFIET NORTH ANL)0VL,A, MASSACI II-ISEITTS 01845 Susan Y. Sawyer, REHS/RS 97&68&9540 Phone Public Health Director 978.688.9542 FAX SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan ❑ 3/4-1 1/2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed F-1 laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan Elevations of laterals installed as on approved plan 40 Mil HDPE barrier installed F-1 Retaining wall (boulder/ concrete /timber/ block) F-1 Final cover as per plan Comments: Trenches shifted a couple of feet on the North side due to mistake on tree location. Elevations same as design, asked installer to add (approx 15') barrier to North side, because placement of trenches may cause breakout concern. PRESSURE DISTRIBUTION F-1 -- inch manifold ❑ laterals installed with end sweeps size: material: F-1 Squirt test ft in height F-1 Equal distribution to all laterals F-1 orifice size inch as per plan Comments: Page 3 of 5 T(-)WN OF' NORT'll ANDOVER Office of COMMUNIT'Y DENELOPME'NTAND SERVICES HEAL'I'll DEPAIIIMENT 400 0SG(-.)0D STREF"T NORTH ANDOVE'R, MASSACHUSETTS 01845 Susan Y. Sawyer, REI IS/RS 978,6W9540- Phone Public I lealth Director 978M8�9542 FAX CONTROL PANEL Alarm & Pump are on separate circuits Alarm sounds when float is tripped Location of control panel: Rated for exterior if placed outside Comments: Control box had alarm light on switch, instead of on top of box. Control panel located in basement Page 4 of 5 TOWN OF NORTH ANDOW R Office of(".0MMU NIT Y DEVELOPMENYAND SERVICES 1-1 EA[.,114 DEPAR'I'MEN"r 400 OS(3001) STRF"ET NORTH ANDOVE"R, MASSACHUSF."I"FS 01845 tp Susan Y, Sawyer, RUJIS/RS 978.688.95 1111011c Public Fleafth Director 978,688.9542 FAX SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 10.50 Height of Instrument: 110.50 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 88.03 92.40 Septic Tank IN 87.79 92.08 Septic Tank OUT 87.54 91.83 Pump Chamber IN 87.52 91.78 Pump Chamber OUT 87.27 91.42 Distribution Box IN 109.98 109.91 Distribution Box OUT 109.81 109.73 Manifold Lateral 1 HIGH 110.17 110.20 Lateral 1 LOW 110.17 110.08 Lateral 2 HIGH 108.17 108.06 Lateral 2 LOW 108.17 107.96 Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 5 of 5 Page 1 of 1 DelleChiie, Peel From: Lisa LeVasseur[lisal @millriverconsulting.com] Sent: Wednesday, October 26, 2005 11:15 AM To: Sawyer, Susan; amcbrearty @millriverconsulting.cam; DelleChiaie, Pamela; dano @millriverconsulting.com Subject: 795 Johnson Final Inspection Final construction inspection for 795 Johnson scheduled for Thursday, October 26 at 8:30 a.m. Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www,niillr°i erconSL]Iting,.coiii 11/21/2005