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Home My WebLink AboutCertificate of Compliance - 171 FOREST STREET 4/23/2009 %AOw14 ® ,�•(L E D f 6 4 0 OL O ta+ a � IL ®<y o ADRATED �SSACHUS�� PUBLIC HEALTH DEPARTMENT Community Development Division cEq(TI FIc.A`r� ®F �l<1'GI��CE As of: April 23, 2009 This is to certify that the individuaf subsurface d�sposafsystem received a SA`1TSF.AC70RT1XS(EM09V'of the: Replacement of the Oistri6ution Boat 'BY Todd Bateson 171 Forest Street 911ap - 106.A; (Parcel- 1 76 North Andover, 914A 01845 The issuance of this certificate shaft not 6e construed as a guarantee that the system wiff function satisfactorily. us n 2:Savvy <is tic Yfeafth Virector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OP' NORTH ANDOV11;,11 4--rte Office of COMMUNITY DEVE1,0111MENTAND SERVICES 1-1EA1.,'YH DEPARTMENT 1600 OSGOOD STREFT; Building 2-36 NORTH ANDOVER, MASSACI 1USE"'I"'I'S O1 4 Susan Y. Sawyer, IMF I-IS/RS 978M8,9540 Phone Public Ileafth Director 978M8.8476 - FAX QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: I'] I fbf t�j MAP: J(bA LOT: INSTALLER:-rw&� AV-")rA- DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑Existing septic tank properly abandoned ❑internal 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 ❑ 1500 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) F-1 Inlet tee installed, centered under access port ❑ Outlet tee (gas baffle or effluent filter) installed, centered under access port F-1 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 ❑ Hydraulic cement around inlet & outlet Wastewater System Documentation—Feb 2006 Page 1 of 6 TOWN OF NORT11 ANDOVER ra Ofl*iceof('OMMLJNI'I'Yl.)EVEI�0i'MEN'I' AND SEItVl(,I�,,,s I tEALT11 DEPARI'MENT N 1600 OSGOOD STREL'A', Building 2-36 0 N(.,)Rl'f-I ANDOVEIR, MASSACHUSE,,"ITS 01 45 ��ac�a��A Susan Y. Sawyer, RFITIS/RS 978.688,9540— Phone Public Health Director 978A8,8476 FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed. Size: ❑ 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 floats working F-1 Separate on/off floats ❑ Drain hole in pressure line F-1 24" inch cover to within 6" of final grade installed over pump access port F-1 Water tightness of tank has been achieved Visual testing F-1 Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation-Feb 2006 Page 2 of 6 TOWN OF NORTH ANDOVER Office ofCOMMUNF]"Y DEVEL,OPMENTAND SERVICES I 1EA1_X11 DEPARI'MENT' 1600 OSGOOD STREET; Building 2-36 NORTI I ANDOVER, MASSACHUSE'll'S 01 45 & ACH Susan Y. Sawyer, RMS/RS 978.688.9540 Phone a .PUbfiC I lealth Director �7907 M8.8476 FAX 5 D-BOX 6/1 Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foo+L) Hydraulic cement around inlet & outlets ❑ Observed even distribution Speed levelers provided (not required) Z`o Comments: .......... SOIL ABSORPTION SYSTEM F-1 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 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ Laterals installed and ends connected to header ❑ Laterals vented if impervious material above E:1 Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Wastewater System Documentation—Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER .." ,0;T�0.. Office of COMMI JNYFY DEVELDPMEN'r AND SERVICES 0 HEAUYH DEPARTMENT 1600 OS GOO D STREF,"T; BUilding 2-36 NORTJ I AN D(')V F"R, MASS C. U.)SETTS 01 845 4a, Susan Y. Sawyer, REIIS/RS 978.6M9540 Phorw PuNic Health Director 978 6M84'76—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: 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: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF N011141 ANDOVER Office of COMMUNITY DEVELOPMENT' AND SE11VI CES I 1EALTI-1 DEPARTMTry 1600 OSGOOD STREET; Building 2--36 NORTH ANDOVER, MASSACI IUSI'VI'S 01845 C. U. Susan Y. Sawyer, REIIS/RS 978.688.9540 Phone Public Health Director 978.6W84'76- FAX CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ❑ Property line 10 10 El Cellar wall 10 20 El Inground pool 10 20 ❑ Slab foundation 10 10 F-1 Deck, on footings, etc 5 10 -- Ej Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 F-1 Surface Water 25 50 ❑ Bordering Vegetated Wetland Salt Marsh, Inland /Coastal Bank 3 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains (Other)Foun(lafloii 10(5) 20(10) F-1 Drywells 20 25 1 Suction line 222(2) 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 Wastewater System Documentation—Feb 2006 Page 5 of 6 TOWN OF NORT14 ANDOVER 0 1%4—ORT-bo' Office ofCOMMUNrry DEVEI...,OPMENTAND SERVI(1"'�S 1-1EALTH DEPARTMEN"I" 1600 OSGOOD STREf"I', Building 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y. Sawyer, REI-IS/RS 97&6W9540 Phone PUbfic I leafth Director 978M8.8476 FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Wastewater System Documentation—Feb 2006 Page 6 of 6