HomeMy WebLinkAboutCertificate of Compliance - 30 OXBOW CIRCLE 5/17/2016 ® e
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE-1 u"T
C""'MPLIANCE
As o : 5/17/16
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Repair of D-Box
By: John DiVincenzo
Ato
30 Oxbow Circle
Map 107.B Lot' 0146
North Andover, 01845
d1ssu ce of this ce ificate shall not be construed as a guarantee that the system will function satisfactorily.
! aGrasse
Public Health Director
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1600 Osgood Street,North Andover,Massachusetts 01845
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Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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North Andover Health Department
Community and Economic Development Division
QNSITE WASTEWATER Y T NI CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 30 Oxbow Circle MAP: 107.13 LOT: 0146
INSTALLER: John DiVincenzo
DESIGNER:
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
D-Box INSPECTION: �✓
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
Contractor reports any changes to design plan
H Existing septic tank properly abandoned
❑MA-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
❑ Weep hole plugged
❑ 1500 gallon tank has been installed
H-10 loading
❑ Monolithic tank construction
❑ Water tightness of tank has been achieved by
visual testing
❑ Inlet tee installed, centered under access port
❑ Outlet tee installed, centered under access port
(gas baffle/effluent filter)
❑ inch cover to within 6" of finish grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon Pump Chamber installed
❑ H-10 loading
❑ Monolithic tank 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
❑ cover at final grade installed over pump
access port
❑ Water tightness of tank has been achieved by
testing
❑ Hydraulic cement around inlet & outlet
Comments:
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel: basement
❑ Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX
Installed on stable stone base
H-20 D-Box
Inlet tee (if pumped or >0.08'/foot)
Hydraulic cement around inlet & outlets
[� Observed even distribution
[� Speed levelers provided (not required)
[� Schedule 40 PVC Pipe
Comments:
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