HomeMy WebLinkAboutCertificate of Compliance - 1491 TURNPIKE STREET 7/12/2005 Town of forth Andover ®f%4°oTN
Office of the Health Department
Community Development and Services Division
400 OSGOOD STREET °qA > �' • ^'®
°RRT°AP�y�
North Andover,Massachusetts 01845 ASS aCHO
Susan Y. Sawyer,REHS/RS 978.688.9540-Phone
978.688.8476-Fax
Public Health Director
As f
,duly 12, 2005
This is to certify that
the individuarsubsurface disposarsystem
Constructed( � or
Repaired—
(By
y
John ,Soucy
At
1491 Turnpike Street
JVorthAndover, WA 01845
Yfas been instaffed in accordance with the provisions of Titre V of the State Sanitary Code and
with the North Andover Board of Yfealth regulations.
The Issuance of this certificate shall not be construed as a guarantee that the system wirr
function sat4actoriry.
usan T. Sawyer, i&S/
(Public Yfearth Director
r
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( )'constructed;
(repaired;
by Soicyli rgv(-
located at I*q 1 v,r D%)&e -A�,e e-'�
was installed in conformance with the North Andover Board of Health approved plan,
System.Design Permit# , plan dated 11 Q_)0 g. _ , with a design flow
of 330 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 ofLo-231-or Health.
Bed inspection date: _�
Engineer Representative
Final inspection date: .t_
Engineer Representative
Installer:
L.ic.#: Date:
VA OF
En
gi Date:
CIVIL
NO.45001 C�:'
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Page 1 of 1
DelleChiaie, Pamela
From: Andy McBrearty [amcbrearty @millriverconsulting.com]
Sent: Monday, July 11, 2005 2:29 PM
To: Sawyer, Susan; DelleChiaie, Pamela
Subject: Emailing: 1491 Turnpike Const. Insp
Pam& Susan,
Here is the const inspection for 1491 Turnpike St. Did not have access to basement, so could not verify
separate circuits for pump and alarm. Appeared to be OK from outside. Wall was not yet installed, and
I am a little concerned about ponding of water right in front of the garage, but guess that is more of the
designer's issue than mine.
Am out in N.A. tomorrow doing soils and perc tests.
-andy
7/11/2005
TOWN OF NORTH ANDOVER OR.T
Office of DEVEL,011AIEN'r AND SERVICES
0
A1,'FH DEPARI�'MENT'
2N CHARLES ST'Rt"'IFT
NOR"I'l I AND(WER, MASSACTIUSETTS 0 184 5
SUsan Y. Sawyer, REED/R 978.688.9540 Phone
Public I leafth Director 9M6W9542 FAX
SEPTIC SYSTEM CONSTRUCTION NOTES
ADDRESS: 1491 Turnpike Street MAP:38 LOT: 42
INSTALLER: John Soucy
DESIGNER: NEES
PLAN DATE: 11/22/04
BOH APPROVAL DATE ON PLAN: 12/17/04
DATE OF BED BOTTOM INSPECTION: to Il
DATE OF FINAL CONSTRUCTION INSPECT ll'N:,Z 6/24/05
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
0 Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
0 Topography not appreciably altered
Comments: No access to basement—verify on final grade inspection
SEPTIC TANK
El Bottom of tank hole has 6" stone base
El Weep hole plugged
1E 1500 gallon tank has been installed
(H-10) (2 piece)
El Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
El Inlet tee installed, under access port
El Outlet tee w/ gas baffle installed, under access port
El 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
El Hydraulic cement around inlet & outlet
Comments: Hydraulic cement repaired @ S.T. outlet and PC inlet.
Page 1 of 4
TOWN OF' NOR11-1 ANDOVER ,RTt i
Office of("'OMMUNITY 1)EVE 1.,0PA1 ENTAND SERVICES
1-1EAL,"I'll I)EPARTMENT
27 (A I A R L,1
NORTH ANDOV F."R, MASSACI 11 SE"T'J'S 01 845
Susan Y. Sawyer, tai,,JJS/RS 97&688.9540 Phone
Public lleafth Director TM688.9542 FAX
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
F-1 Weep hole plugged
Z 1000 gallon Pump Chamber installed
H-10 loading
2-Piece construction)
Z Inlet tee installed, centered under access port
❑ Pump(s) installed on stable base
Z Alarm float working
❑ Pump On/Off float working
Z Drain hole in pressure line
Z 24" inch cover to within 6" of final grade installed over
pump access port
❑ Water tightness of tank has been achieved
Visual testing
Z Hydraulic cement around inlet & outlet
Comments:
CONTROLPANEL
F-1 Alarm & Pump are on separate circuits
Z Alarm sounds when float is tripped
Z Location of control panel: Outside house
❑ Rated for exterior if placed outside
Comments:
Could not access basement to verify wiring —to be done at Final Grade Insp.
D-BOX
Installed on stable stone base
Inlet tee (if pumped or >0.08'/foot)
Hydraulic cement around inlet & outlets
Observed even distribution
El Speed levelers provided (not required)
Comments:
Page 2 of 4
TOMIN OF NORTH A NDOVER vkoR.r
Office of COMMUNITV DEVEADPMEN'r AND SERVICES
0
14F,'AUTH DEPARTMENI'
27 HARITS STREITT
NORTH ANDOVER, MASSACTIUSETTS 01845
SUsan Y. Sawyer, REFIS/RS 9'71,688.9540 Phone
Public Health Director, 978,6W9542— FAX
SOIL ABSORPTION SYSTEM
IN Bottom of SAS excavated down to 6 in into C soil
layer, as provided on plan
0 Size of SAS excavated as per plan
El Title 5 sand installed, if specified on plan
El 3/4-1 1/2" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
El laterals installed and ends connected to header (and
vented if impervious material above)
❑ Orifices @ 5 & 7 o'clock positions
Gravelless disposal systems: type, number and
location as per plan
Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments: Ret. Wall to be constructed.
Page 3 of 4
TOWN OF NORTH ANDOVER
'VE1, 'RVICES
Office of COMMUNITY DE .,OPMEN'r AND SE
0
I-JEA1.311 DEPARD4ENT
27 CI 1ARIAS STREET
�A
NORTI I ANDOVER, MASSACHUSf,"T"i-S 01845
-7
Susan 'Y, Sawyer, REHS/RS 978.688.9540 Phone
PUblic Health Director 978M8.9542- FAX
SYSTEM ELEVATIONS
Benchmark: 206.96
Rod at Benchmark: 10.22
Height of Instrument: 217.18
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT 96.93
Septic Tank IN 96.83 97.20
Septic Tank OUT 96.58 96.96
Pump Chamber IN 96.53 96.91
Pump Chamber OUT 96.28 96.64
Distribution Box IN 99.77 99.83
D-Box OUT 99.60 99.64
Lateral 1 Invert 99.50 99.67
Lateral 1 Top of 99.96 100.11
Chamber
Lateral 2 Invert 99.50 99.62
Lateral 2 Top of 99.96 100.08
Chamber
Lateral 3 Invert 99.50 99.61
Lateral 3 Top of 99.96 100.07
Chamber
Lateral 4 Invert 99.50 99.62
Lateral 4 Top of 99.96 100.08
Chamber
Page 4 of 4
F
F
AS-BUILT CHECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & L.00ATION OF DWELLINGS
LOCATIONS & DIMENSIONS OF SYSTEM,
INCLUDING RESERVE
TIES TO LOT LINES & DWELLING, WELLS
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 ARE
AS -DRIVEWAYS, ETC.
N
NORTH ARROW
` LOCATION&ELEVATIONS OF BENCHMARK USED