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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" Cmawuddd ty bevaadapuneo Diviaui wk 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 4 . • 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 j u M r /1 �, 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 i I r J is i :II / l / ; I a mom r/ 1! 1 �I 1 1 / i d OR el