HomeMy WebLinkAboutCertificate of Compliance - 155 BOSTON STREET 5/2/2016 0
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As f® 5/2/16
This is to certify that the individual-subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Full Repair/Replacement
On-Site Sewage Disposal System
By: James Kellett
155 Boston Street
Map 107B Lot 0046
rth Andover, MA 01845
The Issuance of this certifica j Oil not b construed as a guarantee that the system will function satisfactorily.
l�Iicbele Grant
Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
IlUBLIC HEALTH DEPARt" Ilt:dtt"
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TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INST.ALL.ATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System( )constructed;O repaired;
By: �Vmjb y� I 1,11i
(Print Name)
Located at: � ��.� a tits" / •� 4 "�",���-
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
7 v -° 1/ and last revised on i c-" M 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.CMIC '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 Tied Inspection Date:�v
Engineer Representative(Signature)
And—Print Name
Final Construction Inspection Date:
oll"es R � �
,I entative(Signature)
And—Print Name
Installer- " (Signature) DatE;
And—Print Name
Engineer: (Signature) Date; I �i
And—Print Name
1600 Osgood Streel, DU tl l°I� A indov it, Massachusetts 1
h lroe 978.688.9,540 1'ax 978. 8.8476 Wei) iit"ip,//www,townm!;iiuitoo�,,tii;;iu°; oven"w;:ou�n
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North Andover Health Department
Eonmunity and Economic Development Division
QNSITE WASTEWATER SYSTEM N T CTI N NOTES
LOCATION INFORMATION
ADDRESS: 155 Boston St. MAP: 107.13 LOT: 0046
INSTALLER: Jim Kellett
DESIGNER: originally Richard Tangard/ now Ben Osgood
PLAN DATE: 7/25/11 revised 9/19/11
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
TANK INSPECTION: 10/30/15 see pictures
DATE OF BED BOTTOM INSPECTION: 11/3/15
DATE OF FINAL CONSTRUCTION INSPECTION: 11/13/15
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
® Contractor reports any changes to design plan
® Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments:
SEPTIC TANK
® Building sewer in continuous grade, on
compacted firm base
® Cleanouts per plan
® Bottom of tank hole has 6" stone base
® Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
® Water tightness of tank has been achieved by
visual testing
® Inlet tee installed, centered under access port
Z Outlet tee installed, centered under access port
(effluent filter)
® 20" inch cover to finish grade installed over one
access port
® Neoprene boots around inlet & outlet
Comments:
PUMP CHAMBER
® Bottom of tank hole has 6" stone base —took
pictures
® Weep hole plugged
® 1000 gallon Pump Chamber installed
® H-10 loading
® Monolithic tank construction
® Inlet tee installed, centered under access port
® Pump(s) installed on stable base
® Alarm float working
® Pump On/Off floats working
® Separate on/off floats
® Drain hole in pressure line
® 24" cover at final grade installed over pump
access port
® Water tightness of tank has been achieved by
Visual testing
® Neoprene boots around inlet & outlet
Comments:
CONTROL PANEL
® Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel: basement
® Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX
® Installed on stable stone base
® H-20 D-Box
® Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
N/A Speed levelers provided (not required)
® Schedule 40 PVC Pipe
Comments:
SOIL ABSORPTION SYSTEM (General)
® Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
® Title 5 sand installed, if specified on plan
® 40 Mil HDPE barrier installed
® Laterals installed and ends connected to
header (and vented if impervious material
above)
® Elevations of laterals and chambers installed as on
approved plan
N/A Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments:
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers
® Number of chambers per row: 6
® Number of rows (trenches): 5
Comments: Total Chambers = 30
FINAL GRADE
w Loamed
❑ Seeded
❑ Cover per plan
Comments:
DOCUMENTS NEEDED
Certification of Installation Form submitted
By engineer and signed and dated by
,,Engineer and installer
As-Built Plan
BM = 101.06
HR = 1.71
HI = 102.77
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 9.00 93.42 95.00
Septic Tank IN 9.31 93.11 94.80
Septic Tank OUT 9.68 92.74 94.65
Pump Chamber IN 9.71 92.71 94.55
Pump Chamber OUT (2") 9.41 93.19 94.30
Distribution Box IN (4") 5.43 96.99 96.94
Distribution Box OUT 5.61 96.81 96.77
Lateral 1 TOP 5.80
Lateral 1 INVERT 96.62 96.67
Lateral 2 TOP 5.80
Lateral 2 INVERT 96.62 96.67
Lateral 3 TOP 5.80
Lateral 3 INVERT 96.62 96.67
Lateral 4 TOP 5.80
Lateral 4 INVERT 96.62 96.67
Lateral 5 TOP 5.80
Lateral 5 INVERT 96.62 96.67
Top of Chamber 5.76 97.01 97.00
Bottom of Bed/Chamber 96.01 96.00
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 --
® Inground pool 10 20 --
® Slab foundation 10 10 --
® Deck, on footings, etc 5 10 --
® Waterline 10 10 10'
® Private drinking well 75 1002 50
® Irrigation well 75 100
® Surface Water 25 50
® Bordering Vegetated Wetland ,
Salt Marsh, Inland/Coastal BariO 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)Foundation -10(5) 20(10)
® Drywells 20 25
I Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
s 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
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Town of ver — Septic System a AS-BUILT
1) All changes to the design plan have been reflected and noted on the as-built plan
2) As-built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans)
3) Street Address,Assessor's Map and Lot Number
4) Lot Lines and Location of Dwellings served by the system
5) Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable)
6) V� Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure
7) Setback distances are shown on the as-built plan from system components to:
A Subsurface,interceptor&foundation drains
4 Catch basins
Property lines
1,� Dwellings or other structures
Private water supply or irrigation wells
Watercourses or i�etlari d,q)
8) Locations of Wells,Drains,Wetland Resource Areas within 150 feet of system
9) 7Location of water,gas,electric Lines,cable,control panel (if applicable)
10) Location of Structures within 6 Inches of Finished Grade
11) Original Stamp&Signature
12) ! ' Location and holder of any easements which could impact the system IJ 13) Impervious Areas;Driveways,etc
14) North Arrow
15) Location &Elevation of Benchmark used
16) STATEMENT ON PLAN (NA 5.3)
a. "I certify the Locations, elevations, ties, cover material;exposed component covers etc.,
showz7 Ore this as--built Substantiallyagrce with the approved plan and have determined that the
break out elevations,if applicable,have been met."
Signature of Designer Date
b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built irrdicath
the Wall- WaS, 0r Was 1701;COl1SfrGleted 112 accordance wltll the intended desi�rl and anx
lnanufactzrrer's specifr'catians."
Signature of Designer Date
As of:Thursday,January 14,2016
Grant, Michele
From: martin @avproworldwide.com
Sent: Wednesday, November 04, 2015 8:01 AM
To: Grant, Michele
Subject: Garbage disposal.
Attachments: FullSizeRenderjpg; FullSizeRenderjpg
Good morning Michelle,
As promised, photos of the garbage disposal, now removed from under the kitchen sink at 155 Boston St. No.Andover.
Best,
Martin Allen
Sent from my iPhone
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