The URL can be used to link to this page

Home My WebLink AboutCertificate of Compliance - 174 GRAY STREET 9/29/2006 %A®RTj4 lb le�' ®L ® o� ®�A cocw¢newmn`d7• PUBLIC HEALTH DEPARTMENT Community Development Division PLIAXCE TIE As of: Septem6er29, 2 This is to certify that the individuafsu6surface disposaf system received a: u f'e tic System onostr ctio by rles Todd At: 174 GraY Street, aka, Lot 15 %bnhAndover, .WA 01845 The Issuance of this certificate shaff not 6e construed as a guarantee that the system wiff function satisfactorily. i -- f 1 Wichefe E. Grant Pu6fic.Ifeafth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Weh www.townofnorthandover.com TOWN OF NORTH ANDOVEF a rH� Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT o A )0 4@#OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 � �cw ` 978.688.9540—Phone Susan Y. Sawyer, REHS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdept likownofnorthandover.com WEBSITE• http://www.towilofnorthandover.com TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM — INS'TALLA'TION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( constructed; ( ) repaired; c): a.. w� (Print Name) located at 1 1 - (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated c.i- o .and last Revised on t 0 — t`!> 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. •M 4VX Engineer Representative Bed inspection date: ""'�1 • �_ �°�. '" -� (" En gi p ative(Signature) And Print N A Name w, Final inspection date: - " C. Engmeer Representative(Signature) And- Print Name s 'd.,. �,.,k ,... r Installer. ..'� ' � `�'�-...� � '�,�.'��'"` ,�� (Signature) Date:_ �) And-Print Name a� Engineer: ft.. li ��?r�� ignature) Date:rl wrl�.N.. a 1 And-Print Name t �ANAL i o 6 o Avap- SACH PUBLIC HEALTH DEPARTMENT (ommunity Development Divisiail QNSITE WASTEWATER SYSTEM N T lJ TI NOTES LOCATION INFORMATION ADDRESS: 174 Gray Street (aka 15) MAP: 107D LOT: 6 INSTALLER: Charlie Todd DESIGNER: Joseph Sewartka PLAN DATE:9/28/04 revised 10/13/05 BOH APPROVAL DATE ON PLAN: 10/23/05 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION:In lb DATE OF FINAL CONSTRUCTION INSPECTION: 8/16/06 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: 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 pork ® Outlet tee (gas baffle or effluent filter) installed, centered under access port 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.4540 Fox 978.688.8476 Web www.townotnorthandover.com 0 , p o w *4C Ci PUBLIC E,ALT H DEPARTMENT (ommunity Development Division ❑ 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: DISTRIBUTION-BOX ® Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ❑ 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 ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Stone & Pipe) ® 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 ® Elevations of laterals installed as on approved plan 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.4540 Fox 978.688.8476 Web www.towoohorthondover.coni '``•. PUBLIC HEALTH DEPARTMENT Community Development Division Comments; SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT 198.62 198.87 Septic Tank IN 198.40 198.60 Septic Tank OUT 198.15 198.27 Pump Chamber IN Pump Chamber OUT Distribution Box IN 197.99 198.02 Distribution Box OUT 197.82 197.88 Trench 1 HIGH 197.73 197.75 Trench 1 LOW 197.50 197.52 Trench 2 HIGH 197.73 197.75 Trench 2 LOW 197.50 197.52 Trench 3 HIGH 197.73 197.75 Trench 3 LOW 197.50 197.52 Trench 4 HIGH 197.73 197.75 Trench 4 LOW 197.50 197.51 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.town0northandover.cam VkORTH ( � 'YP � CCVCMIC'aMN WW6��" ^P -0 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 1001 50 • Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank 3 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 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Mlossochusetts 01945 Phone 979.699.9540 Fox 979.699.9476 Web www.townotnorthnndover.coni Page 1 of 1. ®elleChiaie, Pamela From: Lisa LeVasseur[lisal @millriverconsulting.com] Sent: Friday, August 18, 2006 12:06 PM To: Sawyer, Susan; Marianne Peters; delleChiaie, Pamela; dano@millriverconsulting.com Subject: Construction Notes for#174 Gray Street Lisa LeVasseur Mill River Consulting Your Complete Source,for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 0 193 0-225 9 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.i illrlvet•consLI]titlg.c:oM 8/18/2006 Lot 15 (akal74) Gray Street Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters @millriverconsulting.com] Sent: Tuesday, August 15, 2006 4:44 PM To: DelleChiaie, Pamela; 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew (E-mail)' Subject: RE: Lot 15 (aka174) Gray Street HI,. I'VE SCHEDULED FINAL_ INSPECTION FOR TOMORROW AFTERNOON AFTER WE DO THE SOIL...TESTING @ SUMMER STREET. SPOKE W/CHARLIE AND TOLD HIM WE'D CALL_TO LET HIM KNOW WI-IEN; ALL.SET. TI-IANKS. MARIANNE Front: DelleChiaie, Pamela [mailto:pdellechiaie @townofnorthandover.com] Sent: Tuesday, August 15, 2006 2:07 PM To: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); Marianne Peters (E-mail); McBrearty Andrew (E-mail) Subject: Lot 15 (aka174) Gray Street Hello, James 1-1. MacDowell from Eastern Land Survey stated that this site is all set for a f=inal Construction Inspection. Please contact Charlie Todd (installer)to setup a time for the inspection: 508.962.0311, Thank you. 910sf 801941- s, P��raG�ea 17aG�Ba�l�l�ri� Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax litti)://www.towrlofiioi-tharidoNiei,.com ioi-tharidoNiei,.com healthdept @townofnorthandover.com 8/16/2006 DelleChieie, Pamela From: DelleGhiaie, Pamela Sent: Wednesday, August 16, 2006 2:01 PM To: Sawyer, Susan Subject: Gray& Boston Street Inspection Requests Mello„ _. CharlieJ,odd was gust in, and would like a Bottorn of Bed/i°"ank inspection for Lot 12 aka 346 Boston Street did Lot 15 aka �,,... i74 Gray.Street for a Tank Inspection. He can be reached at: 508.962.0311. Let me know if I should forward fo—mlchel : �a�f R�agr�rd�, ARAW0041 A9104400.41410 Health Department Assistant Town of North Andover 160o Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnol-thandover.com healthdept @townofnorthandover.cam 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, August 15, 2006 2:07 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; Marianne Peters (E-mail); 'McBrearty Andrew(E-mail)' Subject: Lot 15 (aka174) Gray Street Hello, Janes H. MacDowell from Eastern I-arid Survey stated that this site is all set for a Final Construction Inspection. Please contact Charlie Todd (installer) to setup a time for the inspection: 508,962,0 11. Thank you, gos/h'0g -olds, Health Department Assistant Town of North Andover 1600 Osgood Street Building 20, Suite 2-36 d North Andover,MA o1845 978.688.9540-Phone 978.688.8476- Fax http://www.townofnorthandover.com healthdept @townofnorthandover.corn ��yeti FREE 1 RE CU W www.GreenMouniaRoffee.corn �. .. n � DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, July 26, 2006 11:33 AM To: Sawyer, Susan Subject: Bed Bottom Inspection - 174 Gray Street aka Lot 15 Importance: High A Tom called for Charles Todd requesting a Bed Bottom Inspection. Ready to go. Call 508.962.0312 if any questions. 8losf Reguods, PAiy¢l�ir D¢G�G�BLiliiwi¢ Health Department Assistant Town of North Andover 160o Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476- Fax http://www.townofnorthandover.com healthdept @townofnorthandover.com 1 CelleChiaie, Pamela Subject: FW: Susan or Michele- Bottom of Trench Inspection Location: Lot 15 Gray Street Start: Thu 8/3/2006 9:00 AM End: Thu 8/3/2006 9:30 AM Show Time As: Tentative Recurrence: (none) Meeting Status: Not yet responded Required Attendees: Grant, Michele Hi Michele, Ignore this. Per Susan, we don't need to do it. Thanks. Parn -----Original Appointment----- From: DelleChiaie, Pamela Sent: Wednesday,August 02, 2006 4:00 PM To: Sawyer,Susan; Grant, Michele Subject: Susan or Michele-Bottom of Trench Inspection When: Thursday,August 03, 2006 9:00 AM-9:30 AM (GMT-05:00) Eastern Time(US&Canada). Where: Lot 15 Gray Street -8/2/06 at 3:.50 p.m. - request by Charlie Toddi 508.962.0311. Can only inspect two trenches at a time due to the size of the lot, Two trenches are open and ready for inspection tomorrow morning. Please call Charlie if neither of you can do the inspection, and let me know so that I can reschedule it, Thanks, Pam I am leaving file and request in Susan's inbox, 1 T()WN OF NORTH AN I)OVER It's Office of COMWNITY DEVELOPMEN'r ANI) SERVIC HEA1,11.4 DEPARTMENIF 0 too 400 OSG001) S'l'REk,T NOWITI ANt)OVI,"Jt, MASSACI ILJSE'l"I'S 01845 CH Sus,an Y. Sawyer, RETIS/RS 978,688.9540 Phone Public:Health Director 978.688.8476---FAX SEPTIC SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: _M P: LOT: 2 INSTALLER: 0, DESIGNERm . PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS �eel TAN1', 'INSPECTION. .......... -71 A DATE' ED t&ITONrINSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE 1. GRAVITY DISTRIBUTION,..0 1 PRESSURE DISTRIBUTION...❑ 1 PRESSURE DOSING...Ll 4. HOLDING TANK...❑ 5. ADVANCED TREATMENT...J 6. OTHER...J PUMP SYSTEM COMPONENT SUMMARY FROM PLAN 1. GALLON TANK = 2. LOADING OF SEPTIC TANK . 3. GALLON PUMP CHAMBER = 4. LOADING OF PUMP CHAMBER 5. TYPE OF SAS = 6. DIMENSIONS AND DETAILS OF SAS: Comments: Page I of 4 TOWN OFNORTH ANDOVER Office of COMMUNITY DEVELOPMF 'RVI(..ES ,N,r AND SE, HEA1_,TH IDEPAR'rMEN'l. 400 OSG001) STR EEI NOR'14-1 AN I)OV ER, MASSACI I USEFFS 0 1845 Si,isaii Y. Sa\A,yer, REFIS/RS 978.688,9540 Phone PUblic Health Dhvctoi, 978,688.84'76 FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...L) 2. Internal plumbing all to one building sewer. El 3. Topography not appreciably altered...Ll SEPTIC TANK 1. Bottom of tank hole has 6" stone base...LJ 1 Weep hole plugged...El 1 Tank has been installed (H-20) Tank Size: 1,500 2-piece ...EJ - H-40 4. Water tightness of tank has been achieved (Visual)... LJ 5. Inlet tee installed,under access port...0 6. Outlet tee (gas baffle or effluent filter) installed,under access port... 7. Cover to within 6" of final grade installed over one access port,must be over outlet of tank if effluent filter is present- Inches of Tank...Ll S. Hydraulic cement around inlet& outlet...Cl ****Comments• PUMP CHAMBER®n/ 1. Bottom of tank hole has 6" stone base...LJ 2. Weep hole plugged...L) 3. Pump Chamber. Installed—Combo tank Gallons; (1-1-20) (Monolithic) 4. Inlet tee installed, under access port...LJ 5. Pump(s) installed on stable base...L) 6. Alarm Float Working...❑ 7. Pump On/Off Float Working...❑ 8. Total # of Floats... 9. Drain hole in pressure line...EJ 10. Cover to within 6" of final grade installed over one access port...Ll 11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24 hours (circle) 12. Hydraulic cement around inlet& outlet...Ll Comments: Page 2 of 4 TOWN 01" NORT11 ANDOVER '40""I'tj ' ".. 0 to Office of C'OMMUNITY DEVELOPMENTAND SERVICES HEALTH DEPAR MENT 400 OSGOOD STREET' NORT11 AND0Vr.,A'(, MASSMAJUSFIA"J"'S 01845 w ".M1 tl Susan Y. Sawyer, Rki-MRS 978.688.9540-Phom Public Health Dit'eCtol' 978,688.8476 FAX D-BOX 1. Installed on stable stone base...J 2. Inlet tee (if pumped or >0.08'/foot)... J 3. Hydraulic cement around inlet&outlets...EJ 4. Observed even distribution...U 5. Speed levelers provided (not required)...El - Comments: SOIL ABSORPTION SYSTEM 1, Bottom of SAS excavated down to C Soil Layer, as provided on plan...0 2. Size of SAS excavated as per plan...J 3. Tide 5 sand installed,if specified on plan...J 4. 3/4-1 1/2" double washed stone installed...U 5. 1/8-1/2" (peastone) double washed stone installed 6. Laterals installed and ends connected to header (and vented if impetvious material above) 7. Gravel-less disposal systems: type, number and location as per plan.........J 8. Elevations of laterals installed as on approved plan...LJ 9. 40 Mil HDPE barriers installed...L3 10. Retaining wall (boulder / concrete / timber / block) ...EJ 11. Final cover as per plan ...LJ *****Comments• ***** CONTROL PANEL 1. Alarm&Pump are on separate circuits...J 2. Alarm sounds when float is tripped......J 3. Location of control panel: 4. Rated for exterior if placed outside...U Comments: Page 3 of 4 TOWN OF NORTH ANDOVER Office of COMMUNITY I)EVE1,011MENTAND SERVICES HEALTH DEPARTMENT' 400 OSG001)STREET N0101-1 ANI)OVI,"'R, MASSAClIUSETTS 01845 nran Susan Y. Sawyer, Rl-.-,1'l-lS/RS 978.688,9540 Phoue Public Health Director 978.688.8476- FAX SYSTEM ELEVATIONS 1. Benchmark: 2. Rod at Benchmark: 3. Height of Instrument: INVERT ON DESIGN INVERT PLAN ELEVATION Building Sewer OUT 19996 199.65 Septic Tank IN 199.75 199.24 Septic Tank OUT 199.50 198,98 Distribution Box IN 208.95 D-Box OUT Manifold 208.73 Lateral I HIGH 208.80 209.16 Lateral 1 Inv 208.71 208.69 Lateral 2 HIGH 207.20 207.54 Lateral 2 Inv 207.11 207.09 Lateral 3 HIGH 205.60 205.99 Lateral 3 Inv 205.51 205.53 Page 4 of 4