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Home My WebLink AboutCertificate of Compliance - 23 FOREST STREET 5/11/2007 �Ar � ? PUBLIC HEALTH DEPARTMENT XT �:oF�n�unsty Oevelo0naent 0ivssion �� As of Ilse l 1, , �'i,.�:�is to cerl'rf y trio'! the ��nra��:ari a.a saa.f�sua face disposar ystem receivec�a.. the. T'U e is System Xepair Y. A t. 23 Eorest Street %ort(flii. over, W, 01845 Wie -Issrrarr.ce of tfiis cent jiicate shrarr riot & corr.str^ued as a guaro tee that the system. wiff �ra.rrct:iorz satr�sfactoriCy. ` rtcft&E, �jtval (Pi,ifiric.1feaf;h Irr.spector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 478.688.9540 fax 978,688.8476 Web www.townofnoi-thundovei-.coni NORTIi x r a r SAC HUS'� 4 . F �D � Pu®Llc HEALTH DEPARTMENT � Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(,-j constructed;( )repaired; By:_ -R'PF, '11� (Print Name) Located at: Z;; rZ �!� (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated Z1' G--V �' and last revised on ' °—I '_-7V_7 with a design flow of 44& 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: l e•° 0 Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: " Engineer Repr entative(Signature) _f2 i Ld 04 And—Print Name Installer: C !_ LL nature) Date: a /M C!'l of � ,C And—Print Name Enginer: , ? t (Signature) Date: 0e' :3 i _. ,y - Htii 4—�- C) Civil- ��/ p r' VCA�.7wll /VE/t(6tz '.t/&'!_ iir�.3�3�0 And—Print Name 7 PM 1 0 sgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.towtiofnorthandover.com AS-BUILT CBECKLIST p " LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER _ LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES .� DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM _ LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF „. TANK &D-BOX ORIGINAL STAMP & SIGNATURE �:..- IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK USED ORT 40 Arilo F °4C O i16 PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SY T M CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 23 Forest Street MAP: 106A LOT: 69 INSTALLER: Bateson Enterprises Inc. DESIGNER: Merrimack Engineering Services PLAN DATE: December 2, 2006 BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: 4 OI o~1 l DATE OF BED BOTTOM INSPECTION: 0 01 DATE OF FINAL CONSTRUCTION INSPECTION: April 13, 2007 DATE OF FINAL GRADE INSPECTION: 511116-7 SITE CONDITIONS ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments:New water line from street installed (noted on 4/13/2007) SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1,500 gallon tank has been installed H-10 loading Monolithic construction ® Water tightness of tank has been achieved (®Visual or ❑Vacuum Test or Water held for 24hrs) ® Inlet tee installed, centered under access port 1600 Osgood Street,North Andover,Massodrusetts 01845 Phone 978.688.9540 Fax 478.688.8476 Weh www.townofiiorthandover.com 0 CH PUBLIC HEALTH DEPARTMENT Community Development Division SEPTIC TANK (Continued) 0 Outlet tee ❑gas baffle or ❑effluent filter) installed, centered under access port M 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 M Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER (Check Were if not applicable F-1 Bottom of tank hole has 6" stone base ❑ Weep hole plugged F-1 Combo Tank installed. Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) F-1 Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base F-1 Alarm float working [:1 Pump On/Off floats working ❑ Separate on/off floats F-1 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 by Visual testing F-1 Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX 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: 1600 Osgood Street,North Andover,Mossa(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.town0northandoverarn 0 00 A At US PUBLIC HEALTH DEPARTMENT Community Development Division SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan F-1 40 Mil HDPE barrier installed F-1 Retaining wall (boulder/ concrete / timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) Brand and Model of Chamber Infiltrator Quick 4 Number of chambers per row 7 Number of rows (trenches) 6 F-1 Laterals installed and ends connected to header (and vented if impervious material above) Elevations of laterals and chambers installed as on approved plan Comments: CONTROL PANEL (Check Here if not applicable F-1 Alarm & Pump are on separate circuits F-1 Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside F-1 Alarm signal located inside Comments: 1600 Osgood Street,North Andover,Musso(husetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofiiarthandaver.com %AORTIq 06 0 to .0 cmh4 i*.K. Its C US PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Benchmark 100 Building Sewer OUT 96.76 97.05 Septic Tank IN 96.64 96.57 Septic Tank OUT 96.41 96.32 Pump Chamber IN N/A N/A Pump Chamber OUT N/A N/A Distribution Box IN 96.16 96.17 Distribution Box OUT 96.07 96.00 Lateral 1 INV 95.99 95.97 Lateral 1 TOP 96.30 Lateral 2 INV 96.01 95.97 Lateral 2 TOP 96.30 Lateral 3 INV 95.97 95.97 Lateral 3 TOP 96.30 Lateral 4 INV 95.97 95.97 Lateral 4 TOP 96.30 Lateral 5 INV 95.97 95.97 Lateral 5 TOP 96.30 Lateral 6 INV 95.98 95.97 Lateral 6 TOP 96.31 96.30 Bottom of Sand @ 95.30 95.30 Trench Invert BEGIN Bottom of Sand @ 95.32 95.30 Trench Invert END 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fox 978.688.8476 Web www.towiiofiiortliaiidover.com %40RT#q 0 4, 0 so Are SAC PUBLIC HEALTH DEPARTMENT Community Development Division 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 El Inground pool 10 20 ❑ Slab foundation 10 10 ❑ Deck,on footings, etc 5 10 -- F-1 Waterline 10 10 101 F-1 Private drinking well 75 1001 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland Salt Marsh, Inland/Coastal Bank) 75 100 F-1 Wetlands bordering surface water supply or trib. (in Watershed) 150 150 F-1 Trib.to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains(wat. SLIpply/trib.) 50 100 F-1 Drains(intercept g.w.) 25 50 F-1 Drains (Other)Foundation 10(5) 20(10) F-1 Drywells 20 25 Suction line 222(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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978,688.9540 Fax 978.688.8476 Web www.towiiofiiortliandover.com