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HomeMy WebLinkAboutCertificate of Compliance - 32 HOLLOW TREE LANE 12/9/2003 Off ice of ffi t... I f elaftit H CNCaa�"6.�a !"�aaa�°a�ra,a. C�✓1iA:»rGGa('�)Lo�aad�., Qhi�34;:� ��� "<m�au� � n p Heidi Griffin N'ck,p[wcGrie (97,S)O88-aX540 ,,fly 99rrs; Pitblic Uea'allh 1.9G"reclor iaaaw (978) 088-9542 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE December 9, 2003 This is to certify that the individual subsurface disposal system. constructed ( ) or repaired ( ) by John Soucy at 32 Hollow Tree Lane 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 satisfactor' Jonat an Markey Chairman,North Andover Board of Health BOARII b 4W AN°V ALS 688 95`1 d M JIC,NNG r 688_4a A5 4'd9NS�FR.'e/f1 M 1N 648-9S,30 V WMn 119 689-9540 INI.ArOUNl a 699"da4; r t 'tqoV 2 A C TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( )"constructed; ( ) repaired, located at �- « 4, c 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 w_ ere in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CNIR 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: to / " i , Engineer Representative Final inspection date`' ,.. Engineer Representative Installer: ' ,� � ,� L1C.#� Date: Engineer' %` '✓ c Date: 1//' A10 A.Ww. VI-) Page 1 of] elle hiaie, Pamela From: Dan ®ttenheimer[info @millriverconsulting.com] Sent: Friday, November 21, 2003 10:50 AM To: 'Heidi Griffin'; Brian LaGrasse; Pamela Dellechiaie Subject: 32 Hollow Tree Lane ldeid, Brian and Parn, Attached l,Dlease find H-i c or isirr. (I.tic)r.i inspec: for i r ,,:)or.l. for the septic: systerµn built of 32 l...lollow Tree Lane by John Sc)uc . 114o f.>ro bler.n were f ond. Dan Daniel Oftenhelmer, President Mill River Consulting Sepiic System Marogernent Services Blackburn Center, Gloucester, MA 01 9,30--225 d 978-282-001 A or 1 -800-377-3044 fax: e173..282-0012 www. ccx isu Ilirrg,cx)rr_I irr'fr,rp.�,o�r�iW @A�n�rcwic �..�r�r��r�Vtlr�r�1 11/21/2003 KILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 32 Hollow Tree Lane MAP: 104A LOT: 17 INSTALLER: John Soucy DESIGNER: New England Engineering Services PLAN DATE: 8/21/03 BOH APPROVAL DATE ON PLAN: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION X PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1,500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = 1,000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Infiltrator Trenches DIMENSIONS AND DETAILS OF SAS: 37.5' L x 38.5W SITE CONDITIONS Date & Initials Inspections El Existing septic tank properly abandoned El Internal plumbing all to one building sewer El Topography not appreciably altered Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1. 800.377.3044 978.282. 0014 j I Page 1 of 5 MILL RIVER CONSULTING Septic System Management Services SEPTIC TAN Bottom of tank hole has 6" stone base El Weep hole plugged El 1,500 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) El Inlet tee installed, over access port El Outlet tee (gas baffle or effluent filter) installed, over access port El 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 El Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER El Bottom of tank hole has 6" stone base x Weep hole plugged El 1,000 gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) El Inlet tee installed, over access port Pump(s) installed on stable base Alarm float working x Pump On/Off float working Drain hole in pressure line 24 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 X Hydraulic cement around inlet & outlet Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1. 800.377.3044 978.282. 0014 1 Z. :¢v c:°r:,ra;>11 J C r r)e „COM Page 2 of 5 MILL RIVER CONSULTING Septic System Management Services ADVANCEDTREATMENTTECHNOLOGY ® Type of treatment El Installed per manufacturers requirements El All components working in accordance with manufacturer's requirements Comments: D® OX El Installed on stable stone base El Inlet tee (if pumped or >0.08'/foot) Hydraulic cement around inlet & outlets x Observed even distribution x Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to C soil layer, as provided on plan x Size of SAS excavated as per plan x Title 5 sand installed, if specified on plan El 3/4-1 W double washed stone installed ® 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 El Retaining wall (boulder/concrete /timber/ block) Final cover as per plan Comments: Trench bottoms excavated level 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 infoOm ttr;avrr'c:'r>nsult:arkq,Cojs Pane 3 of 5 MILL RIVER CONSULTING Septic System Management Services PRESSURE DISTRIBUTION inch manifold El laterals installed with end sweeps size: material El Squirt test ft in height Equal distribution to all laterals El orifice size inch as per plan Comments: C N1° CL PANEL El Alarm & Pump are on separate circuits El Alarm sounds when float is tripped El Location of control panel: Basement El Rated for exterior if placed outside Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 itEfoc`gmi 11 r w.k.~c:orl"I'U.]L:r ng� ;;om Page 4 of 5 HILL RIVER CONSULTING Septic System Management Services SYSTEM LEVATI N Benchmark: 100.00 Rod at Benchmark: 6.58 Height of Instrument: 106.58 INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT 4.64 101.61 Septic Tank IN 5.09 101.16 Septic Tank OUT 5.44 101.14 Pump Chamber IN 5.62 100.63 Pump Chamber OUT 6.10 100.31 Distribution Box IN 4.26 102.15 Distribution Box OUT 4.28 101.97 Manifold Lateral 1 HIGH 4.44 101.81 Lateral 1 LOW Lateral 2 HIGH 4.46 101.79 Lateral 2 LOW Lateral 3 HIGH 4.44 101.81 Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 info(drvi ,-Y iver con,�:u.i.d t 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