HomeMy WebLinkAboutCertificate of Compliance - 124 STONECLEAVE ROAD 5/15/2008 X10 R Tli
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PUBLIC HEALTH DEPARTMENT
Community Development Division
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As of:
May 15, 2008
This is to certify that the individual su6surface disposal system received a
SA` 1S,FAC70RT 1-X 1�-EC` 0-V of the:
Tank elocation Only
By-
2oddBateson
./fit:
124 Stonecfeave Road
Map 104-B; Parce[125
Xorth Andover, 911,4 01845
The Issuance of this certificate shall not 6e construed as a guarantee that the system will
function satisfactorily.
Susan T Sawyer
1Pu6lic 9fealth Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com
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tlpi'UC O'tdtt..t'0 DEPARTMENT
(Wuursmlity N)ovelapt Bonn Divnsdorl
TOWN OF NORTH ANDOVER
SEPTIC .DISPOSAL SYSTEM—INSTALLATION CERTIFICA:IION #A.,w.,A,,e
The undersigned hereby certify that the ewage Disposal System O constructed- repaired;
By:
INV
(Print Name)
Located at:
---------------------------------------------- --------------------------------------------
(Installation Address)
Was installed in conformance with the North Andover Board ofHea approved plan,originally dated
Y. and last revised on 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.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.
Bottom of Bed Inspection Date:
Engineer Representative(Signat -e)
And—Print Name 9-0 9
Final Construction Inspection Date: 411 - or
70*j 690 4*WV*.0 En me presen a Sig ature)
And---Print nan
Installer: ,� ��(Signature) Date:
AJAnd� Print axne
Enginer: (Signature) Date: _Paw
And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688,9540 Fox . "deb httl)://www.townofnoo,ihanclover,.coon
AS-BUILT CBECKLIST
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,✓ tiW.. ,%� fit .� 'f "s."
p., LOT NUMBER, STREET NAME �
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
F
TIES TO LOT LINES DWELLIN�, WELLS e7 ~ °
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
Sullivan Engineering Group, LLC
Civil Eg6ieer.s&Land Development Consultants
May 1.2, 2008
North Andover Health Department— Susan Sawyer
1600 Osgood Street
Building 20; Suite 2-36
North Andover MA 01845 -4 ` 4 F"(1
Rey As-Built Flan — 124 Stone�cleave Road ��n�l ; 'k {
Ms. Sawyer;
Enclosed are the following as part of the Septic As-Built submittal package:
1) Two (2) stamped As-Built Plans
2) A completed/signed Installation Certificate
If you have any questions please feel free to contact me.
Very Truly Y ur
"'Ja k Sullivan, P.E.
Cc: Kevin Murphy - Builder
22 Mount Vernon Road Boxford, Massachusetts 01921 — (978)352-7871-P17one 978 352-7871 -Fax
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OWNER:
BENCHMARK: LOT 22A MICHAEL & NATALIE PAPELL
NAIL SET IN 10" OAK 44,031 S.F.± 124 STONECLEAVE ROAD
ELEVATION = 100.00' NORTH ANDOVER, MA 01845
(ASSUMED DATUM)
1.4'f ABOVE GROUND
-o
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0
C)
Lo , ���� NEW 1,500 GALLON CONCRETE r
O �p� MONOLITHIC SEPTIC TANK W/ m
• TEES & OUTLET GAS BAFFLE
Z COVERS TO FINISHED GRADE
X. 20' X 45' SEPTIC LEACHING
BED WITH LOCATION TAKEN FROMI
I
AS BUILT PLAN BY JOSEPH
BARBAGALLO DATED 9124178 3,2,'
_
C)
3.7 f
EX. D-BOX
oil
10.3' W/ NEW COVER 1 -°
.....
10' MIN. PIPING FROM HOUSE
42.0' o ti TO D-BOX IS ALL
"o FUTURE 1 ST. ADDITION 6 4" SDR 35 PVC
N W/ CRAWLSPACE ( A
c-
.x �x , 4" PVC
* ; CLEANOUT BULKHEAD Cn
TO GRADE
I EX. 1 STORY
EX. 2 STORY C)
GARAGE WD. FRAME �'
co `'' STRUCTURE � `
�l TOP OF FND=101.17'
m #124
.SEPTIC TIES 1
A B C i
PIPE @ FOUNDATION 12.0'
INTO SEPTIC TANK 16.2' 15.3' THE ONLY NEW SEPTIC COMPONENT INSTALLED
AS PART OF THIS AS-BUILT PLAN IS THE
OUT OF SEPTIC TANK 26.7' 23.8' 1500 GALLON SEPTIC TANK.
D—BOX 26.8' 53.2' TIC UIL
ELEVA TION S 124 S TONECL EA VE ROAD
SEWER INV. @ FOUNDATION 97.75' NORTH ANDOVER, MASS.
SEWER INV. INTO SEPTIC TANK 97.31' PREPARED BY:
SEWER INV. OUT OF SEPTIC TANK 97.06' JOHN D. SULLIVAN I I C, P.E.
SEWER INV. INTO D-Box 96.57' 22 MOUNT VERNON ROAD
BOXFORD, MA 01921
ASSESSOR INFORMATION: (978) 352-7871
TAX MAP 104E LOT 125 SCALE: 1 "=20' DATE: 5/12/08