HomeMy WebLinkAboutCertificate of Compliance - 700 MIDDLETON STREET 5/16/2016 e °
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE 0"F
Cu" MPLIANCE
As of: 5/16/16
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Full Repair of an
On-Site Sewage Disposal System
By: Jay Wadsworth
Ate
700 Middleton Street
Map, 109 Lot
North Andover, A
T ssuance of this certr icate shall not be construed as a guarantee that the system will function satisfactorily.
lVfichele Grant , J
Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
a
North Andover Health Department
Community and Economic Development Division
QNSITE WASTEWATER Y T M CONSTRUCTION NO
LOCATION INFORMATION
ADDRESS: 700 Middleton St. MAP: 109 LOT: 29
INSTALLER: Jay Wadsworth
DESIGNER: James Morin
PLAN DATE: 5/25/15, Rev 9/25/15
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
TANK INSPECTION: 11/18/15 re-inspection on 12/16/15
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 12/18/15
DATE OF FINAL GRADE INSPECTION: 06
SITE CONDITIONS
® Contractor reports any changes to design plan
X Existing septic tank properly abandoned
11/30/15
® 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
X Bottom of tank hole has 6" stone base
X Weep hole plugged
X 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
(effluent filter)
® 24" inch cover at finish grade installed over
one access port
❑ Hydraulic cement around inlet & outlet
Comments: placed p-stone in hole instead of 3/" which is shown on the plan. Jay
will remove and replace with appropriate stone. Hit ledge bought a plastic tank.
(Roth Tank) Tank had to be turned and a portion is now in the overdig.
Discussed with Jay Wadsworth, the installer, to evaluate the elevations and pitch
with the designer and that all is in accordance with the plan.
*Elevations and pitch was incorrect (stop work)
New pipe was raised 12" above old pipe, foundation to tank 12'. Plastic tank 12"
of stone because of the placement of the tank due to ledge, the d-box will be
placed at the end of the tank instead of in between tank and field.
Jay indicated the elevation coming out of the house is 98.98 plan says 101
please check all elevations thoroughly
12/18/15 — Building sewer pipe not supported or bedded for much of the length of
it. No hydraulic cement required because rubber grommets at tank inlet and
outlet. Roth poly tank backfilled with sand or soil, not peastone. Installer
instructed to examine the approval for the tank to confirm acceptability of backfill.
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:
12/18/15 — Pipes exiting the distribution box were not level at all within the box so
no even flow could be achieved. Pipes exiting distribution box were not level for
2' out beyond the box.
SOIL ABSORPTION SYSTEM (General)
❑ Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
M 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: 24'Lx16'W 29'Lx26'W with overdig
12/8/15 — SAS size correct
SOIL ABSORPTION SYSTEM (gavel-less Chambers)
® Brand and Model of Chamber: Cultec C4
® Number of chambers per row: 3
® Number of rows (trenches): 4
Comments: Total Chambers =
FINAL GRADE
❑ r
Laamed
❑ Seeded
❑ Cover per plan
Comments:
DOCUMENTS NEEDED
❑ Certification of Installation Farm submitted
By engineer and signed and dated by
Engineer and installer
As-Built Plan
BM = 100.00
HR = 3.03
HI = 103.03
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SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 3.67 99.03
Septic Tank IN 4.21 98.49
Septic Tank OUT 4.44 98.26
Distribution Box IN 4.58 98.12
Distribution Box OUT 4.76 97.94
Lateral 1 TOP 4.79 98.24
Lateral 1 INVERT 4.90 97.80
Lateral 2 TOP 4.80 98.23
Lateral 2 INVERT 4.90 97.80
Lateral 3 TOP
Lateral 3 INVERT 4.90 97.80
Lateral 4 TOP
Lateral 4 INVERT 4.90 97.80
SKETCH PLAN
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
1 Suction line 222(2)
❑ Irrigation well 75 100
❑ Surface Water 25 50
❑ Bordering Vegetated Wetland ,
Salt Marsh, Inland/Coastal Bank 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
12/18/15 —Distance from SAS to well on subject property 79'. Distance to wall of house
12' - note that design plan shows a distance of 23.5' but that is inaccurately depicted and
is likely the distance to the inner wall of the house, not the outer wall of the house.
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
s 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
The Fischer Family
M:&Mrs.Martin S.Fischer
700 Middleton Road
North Andover,MA 01845
978-683-3630
May 18,2016 zmartvz@aol.com
Michelle E. Grant
Public Health Agent
Town of North Andover
1600 Osgood Street Suite 2035
North Andover,MA 01845
Dear Ms.Grant,
Subject: 700 Middleton Street
Confirming our telephone conversation of the 16"'regarding the completion of the
project,I will hereby assume responsibility for the final grade. You had agreed that
if•I,do so,,that you would be able to issue a certificate of compliance. Thank you for
your help over the past year.
Sincerely,
Martin S.Fischer
°To of North Andover — Se tic S ste a AS-BUILT CHECKLIST
1) A11 changes to the design plan have been reflected and noted on the as-built plan
2 T"As-buill plan has a suitable scale; 0 inch = 40 feet or fewer for lot plans)
p � p p
3) Street Address,Assessor's Map and Lot Number
4) of Lines and Location of Dwellings served by the system
5) Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable)
6) Ties to all tank openings,d-boa,and leach area from dwelling or Permanent Structure
7) Setback distanc s are shown on the as-built plan from system components to:
ubsurface,interceptor&foundation drains
atch basins
Property lines
ellings or other structures
rivate water supply or irrigation wells RECEIVED
Watercourses or wetlands
$) .ovations of Wells,Drains,Wetland Resource Areas within 150 feet of system
TOWN OF tiC�t TFi ANDOVER
9) ocation of water,gas,electric lines,cable,control panel (if applicable) 11 t:111 DEPARTMENT
10) 6ation of Structures within 6 Inches of Finished Grade
ll) Original Stamp&Signature
12) 71rr cation and holder of any easements which could impact the system.
13 ery ious Areas•Drivewa s etc
) p � Y �
14') orth Arrow
15) /Location &Elevation of Benchmark used
16) STATEME 'ON PLAN (NA 5.3)
a. "I certify the locations,elevations, ties,cover material;exposed component coverts etc.,
shown on this as-built suhstantially agree with the approved plan and have determined that the
break ozz tion s,if applicable,have been met,"
Sign=XA igner Date
b. " I, WAL L IS Pli'L'SEAT W 4.9)a Letter or statement on the as-built indicator z
the wall- was, or was not,constr ucted in accordance with the intended desr,;n and any
manufacturer's specifzcations."
Signature of Designer Date
As of:Tuesday,March 17,2015
Tovm of ver — Septic stem I ` T
1) All changes to the design plan have been reflected and noted on the as-built plan
2) As-built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans)
3) /Street Address,Assessor's Map and Lot Number
'
1) Lot Dines end Location of Dwelling ..served by the system
5 cat io.n. s' levatio.,n s`an <.. im.. en
s ions
�A -built s y stem components,z
naltdin g°rese reserve (if applicable)
6) Ties to all tank openings,d-3box,and g t Structtit�e
and leach area ftorax dwellin or Permanent
7) Setback distances are shown on the as-built plan from system components to:
Subsurface,interceptor&foundation drains
Catch basins
Property lines
Dwellings or other structures
77, Private water supply or irrigation wells
Watercourses or wetlands
0) Locations of ells,Drains,Wetland Resource Areas within 150 feet of system
9) cation of water,gas,electric lines,cable,control panel (if applicable)
10) Location of Structures within 6 Inches of Finished Grade
11) Original Stamp&Signature
12) ALocation and holder of any easements which could impact the system
13) Impervious Areas;Driveways,etc
14) \ North Arrow
15) Location &Elevation of Benchmark used
16 ',., STATEMENT ON PLAN (NA 5.3) �.,.,.. � ��., �, �- `�,�(� d (��J i �, � � � � Y
a. "1 certify the locations, elevations, ties, cover material,e1j.?osed component covers e
shown on tivs as-built substantially agree with the approved plan and have detern ned that the
break out elevations;if applicable,have been inet."
Signature of Designer Date
b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating
the wall- was, or was not,;constructed in accordance with the intended desi�n and any
manufacturer's specifications."
Signature of Designer Date
Revised 3/17/15
edge, Lisa
From: Dan Ottenheimer <dano @millriverconsulting.com>
Sent: Friday, December 18, 2015 5:28 PM
To: Grant, Michele; Hadge, Lisa
Cc: 'Isaac Rowe'; Pam Lally
Subject: Construction Inspection - 700 Middleton Street
Attachments: 700 Middleton St. Construction Inspection.doc; Roth Tank Approval -w054018.pdf,
p511032rev3 proof.pdf
Attached please find the results of the construction inspection performed at this address.
The construction of the leaching facility portion of the system was found to be acceptable.
Several issues were identified in relation to the components prior to the leaching facility.
Outstanding issues which were identified are as follows:
1. The building sewer pipe exiting the dwelling towards the septic tank was not backfilled to provide adequate
support against settling.
2. The septic tank used is a Roth Multitank. The MassDEP approval section IV 4 (attached) requires the installer be
certified to put these tanks in the ground. Mr.Wadsworth indicated he believed he was certified and was going
to check his paperwork. Relatedly, the tank was backfilled with sand, not pea gravel, and at the time out in the
field I was not sure if that was acceptable or not. I have now reviewed the approval for these tanks and the
associated installation manual and it does say clean sand is acceptable as long as the sand or pea gravel is placed
inside the bumps (haunches, as they call them) of the tank(attached). I did not get to discuss this with Mr.
Wadsworth but from the parts of the tank that I saw, this type of backfilling was not completed. Mr.Wadsworth
was instructed to investigate the tank installation in general as well as the MassDEP approval further, and was
instructed that as the licensed installer he is expected to maintain compliance with all relevant approvals at the
construction project.
3. The distribution box was poorly constructed with one or several pipes protruding through the wall at a steep
angle and thus even flow exiting the box could not be provided. The pipes were also not level for the first 2'
exiting the box.
Mr. Wadsworth was told the soil absorption system was completed adequately and he was free to backfill it, but that
the area around the piping, tank and distribution box was to remain exposed for further work and inspection.
Mill Rivell,
consulting
Daniel Ottenheimer, President
Mill River Consulting, Inc.
6 Sargent Street
Gloucester, MA 01930-2719
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