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Home My WebLink AboutCertificate of Compliance - 69 OAKES DRIVE 10/8/2008 14O R TH ore qP'1 �^ � C y C 0f 'tt" CP C4C WEE M1fi WH.M 4" C' A 0r @4Ll PUBLIC HEALTH Cornawnity Development Division AS Of.- October 8, 2008 This is to certify that the individuafsu6surface disposarsystem received a SgTISF/4CTO1RTI-r rSITECTIO-�V of the: TuffSystem Repair of the ,Sufisu face ,Sewage 1DisposafS ystem �. Fumes Keffett At: es Dn've 69 Oak Map ® , Ybrth,4ndover, 9Y,4 01845 The Issuance of this certificate sharf not 6e construed as a guarantee that the system wiff function satisfactofily. Susan T Sawyer 1Pu6lic.Ifealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.con7 �^ wa ccwazo-w`•�was ,a• SAC Mitt PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM TI NOTES LOCATION INFORMATION ADDRESS: 69 Oakes Drive MAP: 107A LOT: 143 INSTALLER: Jim Kellett DESIGNER: New England Engineering Services PLAN DATE: 9/15/04 revised 7/2/08 BOH APPROVAL DATE ON PLAN: 7/25/08 INSPECTIONS TANK INSPECTION: ) �� DATE OF BED BOTTOM INS ECTION: 167 DATE OF FINAL CONSTRUCTION INSPECTION: 9/11/08 DATE OF FINAL GRADE INSPECTION:Ia 0 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 � P � '1 pk- Z Weep hole plugged ® 2600 gallon Clean Solutions tank has been installed H-10 loading construction F-1 Water tightness of tank has been achieved by testing 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,towwnofnorthandovercom Inspection Form June 2008 '`. '.. rs eocwa „cw,�'�• 01�4 10 SA 5 PUBLIC HEALTH DEPARTMENT Community Development Division ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (circle one: gas baffle or effluent filter) ❑ inch cover to within 6" of final grade installed over one access port, must be to grade and 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 ❑ Combo Tank installed. Size: ® 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 floats working ® Separate on/off floats ❑ Drain hole in pressure line ❑ inch cover at final grade installed over pump access port ® Water tightness of tank has been achieved by testing Hydraulic cement around inlet & outlet Comments: SOIL ABSORPTION SYSTEM (General) 1600 Osgood Street,North Andover,Mossuchusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www,townognorthundoverani Inspedion Form June 2008 ,raw ss� av 0 Z. NA PUBLIC WEALTH DEPARTMENT Community Development Division ❑ Bottom of SAS excavated down to 6 in into 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (gavel-less Chambers) ® Brand and Model of Chamber: Quick 4 ® Number of chambers per row: 11 ® Number of rows (trenches): 5 Comments: CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement w/blower Rated for exterior if placed outside ® Alarm signal located inside Comments: SYSTEM ELEVATIONS 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web vww_vd.towijohortho"dover,com Inspection Form June 2008 140R*0a OA a ..bw. ^+ C? cax oiaw.narea.nu,tr°. PUBLIC HEALTH DEPARTMENT Community Development Division INVERT IN FIELD PLAN INVERT ELEV. Benchmark 100 Building Sewer OUT 98.35 97.80 Septic Tank IN 98.04 97.50 Septic Tank OUT 97.74 97.25 Pump Chamber IN 97.72 97.20 Pump Chamber OUT 98.02 97.45 Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT 99.77 99.76 Lateral 2 TOP Lateral 2 INVERT 99.27 99.76 Lateral 3 INVERT 99.77 99.76 Lateral 4 INVERT 99.78 99.76 Lateral 5 INVERT 99.77 99.76 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web wvww.towoofnorthandover.corn Inspection Form June 2008 OORTIN s '� vx % 6 PUBLIC HEALTH DEPARTMENT Community Development Division 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 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh,Inland/Coastal Bank3 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 1 Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.21.1(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Mosso(husetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.towndoorthondover.com Inspection Form June 2008 AS-BUILT CHECKLIST 1 LOT NUMBER, STREET NAME .. - ASSESSORS MAP &PARCEL NUMBER LOT LINES &LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC ..- NORTH ARROW LOCATION & ELEVATIONS OF BENCHMARK.USED a� r F✓ � fad /. ma / ,F � F r I o F tAoRry o o � 2 � O COMIC lwKM 1 ��SSgc Husi PUBLIC HEALTH DEPARTMENT Community Development Division CEq((I('ICgrIE O F COjcVr'.GI. ArCE As of: October 8, 2008 This is to certify that the individuafsudsurface disposafsystem receiveda SA` ISIFACTORTINSTEC7IONof the: Tuff System Repair of the .S'ubsur�-face .-Yewaae 1DisposaCSystem By� James Keffett At: 69 Oakes Drive Map 10T.A; Tarce(143 North Andover, MA 01845 The Issuance of this certificate shad not 6e construed as a guarantee that the system U4(r function satisfactorify. S an 7 Sawyer Pu6fic Yfeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthanclover.com 'TOWN OF NORTH ANDOVER < NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT a p 400 OSGOOD STREET "', NORTH ANPOVER,MASSACHUSETTS 01845 �IS$AGNUSE�� Susan Y.Sawyer, RFH 978.688.9540—Phone'S/RS 978.688.8476—FAX Public Health Director ! (, 21 �,GO'" E-MAIL: healthdeptcitownofnorthandover.com WEBSITE: htq)://www.tovvnofiiorthandover_coni TOWN OF NORTH AN DO ER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; (" repaired; by �` ra 'us' a //c/I/_ (Print Name) located at da ke /_')*''j o Pe .A&ter (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated //s/ D and last Revised on_ _, with a design flow of 96 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: Engin 0_;R7 p ature) An Ndarac2— � int Name Final inspection date: 0'12) '' En ine Re resentative S' iature g p � ) And-Print Name Installer: (Signature) Date: And-Print Name Engineer; --(Signature) Date: (® And- Print Ndme