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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�:' .. IIII Po�"�a r{F f„ p V B (;W/N 01 fr i{ t I , .., I.L I Hir�: � 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