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HomeMy WebLinkAboutMiscellaneous - 70 OAKES DRIVE 11/3/2004 TOWN-OF NORTH A.NI)OVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed; repaired; located at -70 was.installed in conformance with the North Andover Berard of Health.approved plan, System.Design Permit.# ,plan dated with a design flow of gallons per day. The materials used were in conformance with those specified `-bn the a�iproved plan;the system wasUstallcd in aci ordaace�v�ith.tlie provisions of.-3-10- MR.15.OSJ0,Tit regulations,-and the final 5 and local re grading agrms-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 fte: - : Engineer Representative Final inspection date• Engineer Representative Installer: Pate: "OF Engineer: Date: es SGO®®,A C169L N®.46899• /STV% �� Page 1 of 1 Dellechiaie, Pamela From: Dan Ottenheimer[info @millriverconsulting.com] Sent: Friday, December 03, 2004 4:29 PM To: amcbrearty @millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subject: 70 Oakes Attached is the inspection report for 70 Oakes Avenue. The inspection went ok. Two items need attention —a manhole cover needs to be put on the septic tank over the effluent filter, and the installer changed the pump from the one specified. This needs to be reviewed and confirmed by the designer and also depicted on the as-built. I have indicated this to Jon Whyman. Dan Daniel Ottenheimer, President Mill River Consulting Septic System Management Sen)ices 2 Blackburn Center Gloucester, MA 01.930-2259 978-282-001.4 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsulting.com ano( millriverconsulting.cor 12/6/2004 TOWN OF NORT11 ANDOVER ORT Office of COMMUNITY 1".)EVELOPMENT AND SELIVICES HEALT11 DEPARTMENT' 400 OSGOOD s,rREET x. 4G u NORTH ANDOVER, MASSAC11L)SE"I"I'S 01845 S 56 C US SLIsan Y. Sawyer, REIIS/RS 978M8,9540- 111hone Nbfic Health Director 978,6W9542--. FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 70 Oakes Drive MAP: 107.A LOT: 144 INSTALLER: Jon Whyman DESIGNER: NEES PLAN DATE: October 14, 2003; Last Revised: 11/10104 BOH APPROVAL DATE ON PLAN: November 2, 2004 DATE OF BED BOTTOM INSPECTION: November 8, 2004 DATE OF FINAL CONSTRUCTION INSPECTION: Nov 29, 2004 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 = 1500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = 1000 LOADING OF PUMP CHAMBER = H-10 TYPE OF SAS = Infiltrator Trenches DIMENSIONS AND DETAILS OF SAS: 2 -501 Trenches SITE CONDITIONS 0 Existing septic tank properly abandoned Internal plumbing all to one building sewer Topography not appreciably altered Comments: Page 1 of 4 '"FOWN OF Nown-1 ANDOVER ORTIJ Office of COM.MUNITY DEVE1,OPMENT' AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOW,"R, MASSACHUSEITTS 01845 17 Susan Y. Sawyer, REI IS/RS 978.688.9540 Phone Public Health Director 97&6M9542 FAX SEPTIC TANK El Bottom of tank hole has 6" stone base — Did not see Weep hole plugged 1,500 gallon tank has been installed (H-10) (monolithic) Water tightness of tank has been achieved (Visual) Inlet tee installed, under access port Outlet tee (effluent filter) installed, under access port 24"nch 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: 2 Compartment tank. Manholes requested over effluent filter. PUMP CHAMBER El Bottom of tank hole has 6" stone base ❑ Weep hole plugged 1,000 gallon Pump Chamber installed (H-20) (monolithic) El Inlet tee installed, under access port 1:1 Pump(s) installed on stable base 1E Alarm float working El Pump On/Off float working El Drain hole in pressure line 1Z 24 inch cover to within 6" of final grade installed over one access port El Water tightness of tank has been achieved Visual El Hydraulic cement around inlet & outlet Comments: Pump changed to Liberty-brand by installer. This needs to be confirmed by the designer and shown on the as-built plan. Page 2 of 4 'TOWN OF NORT'll ANDOVER MIT Office of COMMUN11"'Y DEVELOPMENT AND SERVICES HEALT-II-1 DEPARTMEM' 400 OSGOOD STREET 6A. NOR"I'll ANDOVER, MASSA(A]USETTS 01845 SUSUI Y. Sawyer, REHYRS 978.6W9540 Phone Public Health Director 978.688.9542 FAX D-BOX Installed on stable stone base Inlet tee (if pumped or >0.08'/foot) El Hydraulic cement around inlet & outlets 191 Observed even distribution ❑ Speed levelers, provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to B 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 1E Gravelless disposal systems: type, number and location as per plan El Elevations of laterals installed as on approved plan El 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) El Final cover as per plan Comments: CONTROL PANEL Alarm & Pump are on separate circuits Alarm sounds when float is tripped ❑ Location of control panel: Basement ❑ Rated for exterior if placed outside Comments: Page 3 of 4 TOWN OF NOIZTH ANDOVER Th Office of(',,,OMM(JNI'I'Y' DEVEI..,OPMEN'I' ANI) SERVI(CIPS' HEALTH DEPARTMENT 400 OS FOOD STREE,r *.z.,1A N0RT11 ANDOVE'R, MASSACI-K.JSETTS 01845 Susan Y. Sawyer, REHS/RS 978.688,9540 11hone Public I leafth Director 978M8.9542--PAX SYSTEM ELEVATIONS Benchmark: 184.50 Rod at Benchmark: 19.00 Height of Instrument: 203.50 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 181.50 185.17 Septic Tank IN 181.30 185.00 Septic Tank OUT 181.05 184.86 Pump Chamber IN 181.00 Pump Chamber OUT 180.75 Distribution Box IN 192.44 192.07 D-Box OUT 192.27 191.93/191.92 Lateral 1 Top of Sand 191.17 190.90 Lateral 1 Pipe Invert 191.71 191.77 Lateral 1 Top of 192.17 192.17 Chamber Lateral 2 To of Sand 189.17 189.05 Lateral 2 Pipe Invert 1189.71 189.77 Lateral 2 Top of 190.17 190.10 Chamber Page 4 of 4 ---- ---—------- Town of North Andover, Massachusetts Form No. 3 t4ORTH BOARD OF HEALTH 'T-9— 4. 'ISS DISPOSAL WORKS CONSTRUCTION PERMIT 4 H 5 j Applicant 'XA ME K TELEPHONE ADD E ZSS Site Location— Permission is hereby granted to Construct or Repair LWn�Individual Soil �,bWrption Sewage Disposal System as shown on the Design Approval S.S No. CrAN, BOARD OF HEALTH Fee D.W.C. No. MISS10tj VOf 0,F-5KATI-o n?S K-L1 C-n 0� 10, ............- Y r NOV p. . i TOWN OF NORTH ANDOVER 'q 0 TH _ ' 'i Office of COMMUNITY DEVELOPMENT AND SERVICES 00 M HEALTH DEPARTENT 1644� M k, 27 CHARLES STREET 6 NORTH ANDOVER, MASSACHUSE'l-I'S 01845 6 Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.9542-FAX healtlide tL�towlidnorthandover.com P —--------------- www.towtiofiioi,tliandovei-.coiii APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: LOCATION: l Y1 f , LICENSED INSTALLER NAME: PLEASE PRINT SIGNATURE'S TELEPHONE# 7c� 1 3. 1_3 .......... ...... ...........____....... CHECK ONE: FULL SYSTEM REPAIR: ($250) COMPONENT REPAIR(indicate what parts): ($125) • NEW CONSTRUCTION: • If NEW CONSTRUCTION, please attach the Foundation As-Built Plan. .......... ....... ....... ................ $/250 00,�r$125 Fee Attached? Yes No C-Project Manager Obligation From Attached? Yes No Foundation As-Built? Yes No Floor Plans? Yes No 4""� e�z�" Approval of Health Agent (_­�')` ��_ -Date: OJd, K, INSTALLED PROJECT MANAGEMENT OBLIGATIONS NOV 20 r As the North Andover licensed installer for the construction of the septic syste n r(heC, property at % () � 1«� µ._� (c.rv" relative to the application of U�i-vv 4 (6t.Vf-dated (.� ° a`?y _.c cmm.( for plans by O;,:"i 656-06 i) and dated I0'4 03 with revisions dated (l 1 o�.i I understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. I must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item three shall be applicable. 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed - generally first inspection unless there is a retaining wall which should be done first. Installer must request the inspection but does not have to be present. b) Final inspection — Engineer must first do their inspection for elevations, ties, etc. As-built or verbal OK from engineer must be submitted to Board of Health, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer I understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license to operate in the Town of North Andover; significant fines to all persons involved are also possible. 5. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant. d) Installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other components. 6. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigr�ied Licensed eptic Installer � ,P ' Date: �l I)i$p'osal W Mks Construction Permit# 7