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Home My WebLink AboutCertificate of Compliance - 35 HOLLOW TREE LANE 8/4/2004 Town of North Andover NORTH Office of the Health Department Community Development and Services Division 27 Charles Street North Andover,Massachusetts 01845 4?*D t Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-Fax CERTI FICATF OE COM1'.GI3XCE As of: .August 4, 2004 This is to certify that the individual su6surface disposal system repaired Fuf(System by James Xeffett at 35 jh'oCCow Tree Lane North Andover, WA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover 0oard of Yfealth regulations. The issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. 'fS n 7 Sawyer, WROTSIR5 Tu6lic-7fealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TO OF NO6 TH A M' WER HEALTH DEPAR TG OF NORTH ANDOVE R SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed; )repaired; by D_ 14s, He] located at .3.1_11>_ L- -, 7/,z e was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# ,plan dated , 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 S 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: _ `r 12- o / Engineer Representative Final inspection date: _ `2 1 s' o 4 Engineer Representative Installer: Date: Engineer Dater` "~ civil_ NO,45891 �o Page I of I Dellechiaie, Pam From: Pamela DelleChiaie [pdellechiaie@townofnorthandover.com] on behalf of Dellechiaie, Pam Sent: Monday, July 19, 2004 9:54 AM To: Sawyer, Susan Subject: FW: 35 Hollow Tree Lane- Request for Final Grade Susan, Can You do a Final Grade on this? Jim Kellett was in looking for the COC due to escrow and getting paid, etc. I said that this one needs the following: • As Built • Installation Certification • Final Grade I can then issue the COC from the Health Dept. Tx, P -----Original Message----- From: Dan Ottenheimer [maiIto:info@miIIriverconsuIting.com] Sent: Tuesday, July 13, 2004 7:30 PM To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie' Subject: 35 Hollow Tree Lane Sue and Pam, Attached please find final inspection for 35 Hollow Tree Lane. All went well, gave ok to backfill. Dan Mill Ri"ver Consulting Daniel Ottertheirner, President Mill River Consulting Septic System Management Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 art-800-377-3044 fax: 978-282-0012 W'"(W,tYlillriv,ercoiisL,�iting.coiii info(i.r)niiiii-iverconsLilliiig.cotii 7/19/2004 TOW Office of N SERVICES 11F,A1,1111 10.11"AR"I'M1.�NT' 27 CHARLES STRA"IFT NORITI ANEXWE'R, MASSACHUSEl"I'S M45 ,,�usan Y, Sawyer, REHS/16 1)'79,68,8 95,40 Phone Public Health Director 978J"M,95,12 VAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 35 Hollow Tree Lane MAP: 104A LOT: 27 INSTALLER: James Kellett DESIGNER: Richard Tangard PLAN DATE: April 29, 2004 BOH APPROVAL DATE ON PLAN: 5/5/04 DATE OF BED BOTTOM INSPECTION: 7/8/04 DATE OF FINAL CONSTRUCTION INSPECTION: 7113/04 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION X PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = 1000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Infiltrator Trenches DIMENSIONS AND DETAILS OF SAS: 3 trenches, 7 chambers each 26.5 x 43.75 SITE CONDITIONS kI4 Existing septic tank properly abandoned 0 Internal plumbing all to one building sewer Topography not appreciably altered Comments: Page 1 of 4 TO"WN 011" NOIV�IH AMDOV�KR Office ol'COM M U N 1TV DEVE1,01'M ENT' AN 1) SERVICES YI]FIAL'I'll DEPAR,'FMFT1qT 27 (1 1ARIA"S STREF"T I Susan Y Sawvcr, R F"'F1�i/fts 97&6889540 Phone Pubfic Jleahh Dirator 9786U,95,42 FAX SEPTIC TANK X Bottom of tank hole has 6" stone base 0 Weep hole plugged In use/ not verified El 1500 gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) El Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, under access port 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 0 Hydraulic cement around inlet & outlet Comments: Riser over center access port. Water level below seam, could not check watertightness. PUMP CHAMBER Bottom of tank hole has 6" stone base did not see X Weep hole plugged 1000 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) Inlet tee installed, under access port FX1 Pump(s) installed on stable base 0 Alarm float working El Pump On/Off float working 0 Drain hole in pressure line 20 inch cover to within 6" of final grade installed over one access port Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs Hydraulic cement around inlet & outlet Comments: Water level in operating zone of tank will remain below seam. Page 2 of 4 ]'OWN OF NORTH ANDOVER Office SERVICES 11E.A1,111 DE11AR'VN1EN'F 27 CHARLES S'TRIT"T NORTI I At",H)OVE"R, NIASSACTILSETTS 0 1845 Swon Y. Sawlyer, REHYRS 978,6'88,9540— Phone Public I k.,ahh Director 978M&9542—FAX D-BOX El Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets 0 Observed even distribution 1:1 Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to 6" into C soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan 13 3/4-11/2" double washed stone installed El 1/8-1/2" (peastone) double washed stone installed 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 D Retaining wall (boulder/ concrete /timber/ block) 13 Final cover as per plan Comments: Water line re-routed per plan. CONTROL PAN EL Alarm & Pump are on separate circuits Alarm sounds when float is tripped El Location of control panel: Basement Rated for exterior if placed outside Comments: Page 3 of 4 TOWN OF NORTH ANDOVI'�,'R Office (WCOMMUNITY DEVE'LOPMEINTAND SE11VICES 11EAFF14 �DEPART'MEN'1' 27 (TIARL11:11S STR["U"T NOR'11 [ANI)OVER, 01845 Susan Y. Smy�er, REITSMS 978,6889540 Phom Public R"q11111 J)6-cdor 978,688,9542 FAX SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 3.88 Height of Instrument: 103.88 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 96-70 97.12 Septic Tank IN 96.50 96.87 Septic Tank OUT 96.25 96.62 Pump Chamber IN 96.20 Pump Chamber OUT 95.95 96.42 Distribution Box IN 99.92 D-Box OUT 99.75 Bottom of Chamber 99-11 Top of Chamber 100.11 100.10 Chamber Inlet Invert 99.65 99.67 Rain at time of inspection, performed limited number of elevation shots to confirm installation. Page 4 of 4 TOWN OF NORTH ANDOVE11 Office of(f'OfVINIUNI't'I' I)F,\/El.,O.PM[�,NT AND SERVICES 11EAum DEAR R'FMEN'1' 27 C 11 A R L FS STR FET -"I-,s 0 18115 NORT'll ANDOVER MASSACHUSE] SLIS,111 Y. Sawyer, RHIS/RS 978.6W9540 Phone Public Health Director 978A8.9542 FAX D-BOX Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) El Hydraulic cement around inlet & outlets 1:1 Observed even distribution El Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM El Bottom of SAS excavated down to (--`-soil layer, as provided on plan Size of SAS excavated as per plan El Title 5 sand installed, if specified on.plan 0 3/4-1 Y2" double washed stone installed 11 1/8-1/2" (peastone) double washed stone installed El laterals installed and ends connected to header (and vented if impervious material above) Orifices @ 5 & 7 o'clock positions El Gravelless disposal systems: type, number and location as per plan El Elevations of laterals installed as on approved plan El 40 Mil HDPE barrier installed Retaining wall (boulder/concrete /timber/ block) Final cover as per plan Comments: PRESSURE DISTRIBUTION E] inch manifold laterals installed with end sweeps size: material: El Squirt test ft in height Equal distribution to all laterals orifice size inch as per plan , Comments: Page 3 of 4