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HomeMy WebLinkAboutCertificate of Compliance - 30 OXBOW CIRCLE 5/17/2016 ® e ® SgTI e 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 r � �YY 1600 Osgood Street,North Andover,Massachusetts 01845 tt , Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com tea ; . r�'fFfi 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: i