HomeMy WebLinkAboutCertificate of Compliance - 32 HOLLOW TREE LANE 12/9/2003 Off ice of ffi t... I f elaftit
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Heidi Griffin N'ck,p[wcGrie (97,S)O88-aX540
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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
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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.
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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 inn.<,.°om
Page 5 of 5