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Home My WebLink AboutCertificate of Compliance - 141 STONECLEAVE ROAD 6/13/2005 Town of Nortli Andover Office of the Flealth Department Coniniunity, Developinentand Services Division 400 OSGOOD STREET Susan Y. Sawyer, REHS/RS 978.688,9540-Phone Pa;rLl icy l:-le alt .. Director 978.688,8476 - Fax leNIV CERVq7ICAq'tE uw C0914TLIANCE S Furze 13, 2005" This is to certify that the individuafsu6surface disposal system Repair (X.X)' by 2sodd Batesou At 141 Stonec°Ceave Road ,?VorthAndover, ,4 01845 Ylas been installed in accordance with the provisions of Titfe v of the State Sanitary Code and with the Worth Andover Board of.Ifealth regulations. The Issuance of this cent f'cate shall not 6e construed as a guarantee that the system will function satisfactorily. Susan T Sawyer, REYfS19U Tu6fic Yfeafth Director 130ARDOFANIFALS688-954 @3d.1lLIAN6688-954.5 H Al;' 11688.954(1 PLANNdNGW98-953> AS-BUILT C HE CKLIST LOT NUMBER, STREET NAME 0 ASSESSORS MAP& PARCEL NUMBER 1 2005 LOT LINES & LOCATION OF DWELLINGS e ° DEFIARI LOCATIONS & DIMENSIONS OF SYSTEM,. I tiled. TIES.TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LFAC14 AREA LOCATIONS OF DEEP HOLES& PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION AIA LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN I SO' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-ROTC ORIGINAL STAMP & SIGNATURE ✓ IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW "�� LOCATION& ELEVATIONS OF BENCHMARK USED TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The dersigned hereby certify that the Sewage Disposal System ( ) constructed; ( repaired: by -To ne located at '0�'o N rU_J!�;k y i; YLv4 P was installed in conformance with the North Andover Board of Health approved plan, System Design Permit# dated ' with an approved design flow of 440 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. Bed inspection date: Engineer Representative Final inspection date: 5"/?-0 2 Engineer Repre entative Installer: Lie.#: Date: Design Engineer: Date: TOWN OFNORTIJ ANDOVER Offi ce of(--,0MN4LJNYl'Y DEVELOPMEN'r AND SERVICES 11EA1.31-1 DEPARI'MEW 27 CHARLES STR EL"T NORTTI ANI)OVER, MAS` AC IC.S1."T'I'S 0 1845 Susan Y, Sawyer, RE[IS/RS 978M8.9540 Phone Public 11calth Director 978k88.9542 - FAX ADDRESS: 141 Stonecleave MAP:104B LOT: 13L INSTALLER: Todd Bateson DESIGNER: Anthony Korovos PLAN DATE:4/15/2005 BOH APPROVAL DATE ON PLAN: 4/20/2005 DATE OF BED BOTTOM INSPECTION:5/13/2005 DATE OF FINAL CONSTRUCTION INSPE TLQNi/6/18/2005 DATE OF FINAL GRADE INSPECTION: 1,51 0'� SELECT SYSTEM TYPE Pressure Dosing COMPONENT SUMMARY FROM PLAN GALLON TANK = 1500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = 1000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Stone & Pipe Field DIMENSIONS AND DETAILS OF SAS: 51 x 30 SITE CONDITIONS EExisting septic tank properly abandoned DInternal plumbing all to one building sewer ❑Topography not appreciably altered Comments: Page 1 of 4 TOWN OF NORTH ANDOVER OLI Office of C'ONIMUNITY DEVE.L.01)NI ENT ADD SERV1(,JS HEA1 141 DEdPART'MENT' to 27 CHARLES STREET m NCRTH AND V ER, MASS C..'11 USE"TTS X91 STS SLIS01 Y, Sawyer, RFAN/RS 978.6W9540 Phone Flublic Health Director 978.688.9542 FAX SEPTIC TANK 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) Inlet tee installed, centered under access port Outlet tee (gas baffle or effluent filter) installed, centered under access port 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 Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged 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 float working 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 Visual testing Hydraulic cement around inlet & outlet Comments: Page 2 of 4 111)WN OF NORTI-1 ANDOVER Office of COMMUNUTY DEVELOPMENTAND SERVE ,'Ji11SQ1 1-1EALTI-1 DEPARTMEN11 27 C11ARLJ,.S STREET N(.)R'1'11 AND0V ER, MASSA( f JUSETTS 0 1845 Susan Y. Sawyer, REIIS/RS 978.688.9540-- Phone Public Health Director 978.688,9542 FAX D-BOX ❑ Installed on stable stone base ® Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution F-1 Speed levelers provided (not required) Comments: Missing Hydraulic cement on pipes. SOIL ABSORPTION SYSTEM ❑ 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 (and vented if impervious material above) Orifices @ 5 & 7 o'clock positions F-1 Gravelless 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: CONTROLPANEL Alarm & Pump are on separate circuits Alarm sounds when float is tripped ❑ Location of control panel: F-1 Rated for exterior if placed outside Comments: Page 3 of 4 TOWN OF NORTH ANDOVER C It's Office of OMMUNIT DE VELOPMENTAND SERV IC.. Y FA HEAL.111 DEPAR'I'NIEN'r wo 4 27 CIIARI-.,ES STREE'll' N(,)R'I'H ANDOVER, MASSACHUSEITFS 01845 Susan Y. Sawyer, RE16/16 97&688,9540 Phone Public Health Director 978.6W9542— I'M SYSTEM ELEVATIONS Benchmark: 132.00 Rod at Benchmark: 5.68 Height of Instrument: 137.68 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 128.70 Septic Tank IN 128.64 128.51 Septic Tank OUT 128.39 Pump Chamber IN 128.35 Pump Chamber OUT 129.71 Distribution Box IN Distribution Box OUT 132.05 132.10 Manifold Lateral I HIGH 132.00 132.07 Lateral 1 LOW 131.60 131.85 Lateral 2 HIGH 132.00 132.05 Lateral 2 LOW 131.60 131.85 Lateral 3 HIGH 132.00 132.10 Lateral 3 LOW 131.60 132.85 Lateral 4 HIGH 132.00 132.09 Lateral 4 LOW 131.60 131.83 Page 4 of 4 FW: 141 Stonecleave - Send Final Inspection Report Page 1 of 2 DelleChiaie, Pamela From: Sawyer, Susan Sent: Monday, June 13, 2005 2:59 PM To: DelleChiaie, Pamela Subject: RE: 141 Stonecleave - Send Final Inspection Report Thanks, pis print out for the file. We should be close in getting some of these cold ones closed. Susan -----Original Message----- From: DelleChiaie, Pamela Sent: Friday, June 10, 2005 2:32 PM To: Sawyer, Susan Subject: FW: 141 Stonecleave - Send Final Inspection Report HERE YOU C O_. -----Original Message----- From: Dan Ottenheimer [mailto:info @millriverconsulting.com] Sent: Friday, June 10, 2005 1:26 PM To: DelleChiaie, Pamela Subject: RE: 141 Stonecleave - Send Final Inspection Report Yes, sorry about that one. Enjoy the weekend, See attached, Dan Daniel Ottenheimer, President Mill Fiver Consulting, Inn. Septic,ystern Mana, errrent Ser vices 2 Blackburn ( enter Gloucester, MA 01930-2251 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 Nvww,nii l lrivercoiisulti ng.coni (:latio((�,)nrillb°iverconstilt,iii .corii From: DelleChiaie, Pamela [mai Ito:pdellechiaie @townofnorthandover.com] Sent: Friday, June 10, 2005 10:57 AM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur (E-mail); McBrearty Andrew (E-mail) Subject: FW: 141 Stonecleave - Send Final Inspection Report Ili, Can you send along the Final Inspection Report on above? Thanks. P $/4/2005 FW: 141 Stonecleave - Send Final Inspection Report Page 2 of 2 - .--Original Message---- From: DelleChiaie,Pamela Sent: Thursday,June 09,2005 2:15 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: 141 Stonecleave Hello, Did Susan send you the Bed Bottom Inspection info. for the above done on 5/13? If not, please let me know, and I will send it. Thanks. SON/N0010rds, P10#1004 RWX04011#l401.0 Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www,townofnort[lailclov r.coin healthdept@townofnoi-thandover.com 8/4/2005 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 27 CHARLES STRUT 0 A NORTH ANDOVER,MASSACHUSE17S 01845 'SACrIb S Susan'Y, Sawyer,REHS/RS 978,688.9540-Phone Public Health Director 978,688.9542-FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS./l/2Z MAP: LOT. INSTALLER: xxlf mn-%, DESIGNER: I ".." t ,#,ps PLAN DATE: A --- 46, BOH APPROVAL DATE ON PLAN' DATE OF BED BOTTOM INSPECTION: _Z013 I T" DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT "OTHER ..... .. ..... .... ....... ....... ...... ..................... ... ... ... .. ... ...... ........ .. ..... ............. ..... ... ........ .... .. . ..... ................ ....... . ... .. . ..... .... COMPONENT SUMMARY FROM PLAN GALLON TANK = R," Z,,�4",P LOADING OF SEPTIC TANK GALLON PUMP CHAMBER LOADING OF PUMP CHAMBER TYPE OF SAS = DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS Existing septic tank properly abandoned El Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Page 1 of 2 i 1 I TOWN OF NORTH ANDOVER Office of COMMUNITV DEVELOPMENT SERVICES HE ALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER MASSACIWSETTS 01845 ACHUS Susan Y. Sawyer,RLHS/RS 978,68&9540—Phone Public Health Director 978,688.9542—FAX J SEPTIC TANK %uP Bottom of tank hole has 6" stone base ,r Weep hole plugged �� !,gallon tank ha, be, Installed H- (�) monolithlc ►r 2 piece) r; ightness of tank has been achieved ("Visu l'A' r Vacuum Test or Water held for 24hr ) Inlet tee installed,.under access part Outlet tee (gas ba 'I or effluent filter) installed, under access port h' inch cover to within 6" of final grade installed over one access part, must be over outlet of tank if effluent filter is present Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER *r"'' ' Bottom of tank hole has 6" stone base Weep hole plugged f; v allon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) Inlet tee installed, under access port Pump(s) installed on stable base El Alarm float working El Pump On/Off float working Drain hale in pressure line ❑ inch cover to within 6" of final grade installed over one access part Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs El Hydraulic cement around inlet & outlet Comments: Page 2 of 2