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:
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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