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HomeMy WebLinkAboutCertificate of Compliance - 15 NORTH CROSS ROAD 12/24/2003 Town of North Andover F p1ORTH Office of the Health Department Community Development and Services Division - 27 Charles Street'"AAt[n °q5* North Andover,Massachusetts 01845 "SSACNUSE` Heidi Griffin Telephone (978)688-9540 Acting Pcrhlic Health Director Fax(978)688-9542 TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE December 24, 2003 This is to certify that the individual subsurface disposal system constructed ( ) repaired (X) by Peter Breen at 15 North Cross Road North Andover, MA 01845 as been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Jonathan arkey Chairm ,North Andover Board of Health BOARD OF APPEALS 685-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLAINNVING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The 4ndersigned hereby certify that the Sewage Disposal System constructed; (repaired: by located at KWV-1-0 K-' PZ was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # dated with an approved design flow of 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 of Health. Bed inspection date: u-/ ujt Engineer Representative Final inspection date: i Engineer Represe tative Installer: Lic.ff: Date: Design Engineer: Date: --e" ......... 01"-I , AS-BUILT ClIE, CKLIST LOT NUMBER, STREET NAME 2 << ul ASSESSORS MAP& PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, TIES x0 LOT LINES &DWELLING, WELLS a. FROM SEPTIC TANK.. b. FROM LEACH AREA V LOCATIONS OF DEEP HOLES& PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION 'r LOCATIONS OF WELLS,DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM �,tq LOCATION OF WATER, GAS,ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK&D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW ✓_ LOCATION&ELEVATIONS OF BENCHMARK USED i y Page I of I DelleChiaie, Pamela From Can Oftenheimer[info@millriverconsulting.com] Sent: Monday, December 08, 2003 1:15 PM To: Heidi Griffin; Brian LaGrasse; Pamela Dellechiaie Subject: 15 North Cross Construction Inspection 1--Ieldi, Brk'ii-i and Parn, Attac.hed please find fhe consirud-ion insp&z,"Hon form for the botiorn of bed inspection at 15 Notfh Crc)ss l"'bad. All was fir"ie. Dar.) Daniel Offenhelmer, President Mill River Consulting Septic Systern Mcinagement Services 5 Blackburri Cl'er'Jer (-Iotx".esler, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-00,12 12/8/2003 MILL RIVER CONSULTING Septic System Management Services TOWN OF NORTH ANDOVER SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: 15 North Cross Road MAP: 38 LOT: 188 INSTALLER: Peter Breen DESIGNER: Merrimack Engineering PLAN DATE: 11/25/03 BOH APPROVAL DATE ON PLAN: DATE OF BED BOTTOM INSPECTION: December 4, 2003 DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: ELECT SYSTEM TYPE X GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = 1,500 LOADING OF SEPTIC TANK = H-10 GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER = TYPE OF SAS = Field DIMENSIONS AND DETAILS OF SAS: 38' x 20' SITE CONDITIONS Inspections Existing septic tank properly abandoned El Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 in f(-Ald L I c~c:m Page 1 of 3 MILL RIVER CONSULTING Septic System Management Services SEPTIC TANK ❑ Bottom of tank hole has 6" stone base D Weep hole plugged gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, over access port El Outlet tee (gas baffle or effluent filter) installed, over access port ❑ inch cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present Hydraulic cement around inlet & outlet Comments: 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: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to C soil layer, as provided on plan Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 1/2" double washed stone installed 1/8-1/2" (peastone) double washed stone installed laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 tin(, 'co -- m 7 .......... --.............. ............ Page 2 of 3 MILL RIVER CONSULTING Septic System Management Services El Gravelless disposal systems: type, number and location as per plan El Elevations of laterals installed as on approved plan 40 Mil HDPE barrier installed Retaining wall (boulder/ concrete / timber/ block) El Final cover as per plan Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 ij.-vfo0m ].Z I ti rig com Page 3 of 3 MILL RIVER CONSULTING Septic System Management Services Elevations of laterals installed as on approved plan Final cover as per plan Comments: Potable water supply line from street to house was not as shown on design plan. Pipe was rerouted around soil absorption system with slight modification in location of soil absorption system. Waterline location to be depicted on as-built plan. SYSTEM ELEVATIONS Benchmark: 100.00 Rod at Benchmark: 3.36 Height of Instrument: 103.36 INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Septic Tank IN 97.39 97.84 97.51 Septic Tank OUT 97.14 97.44 97.11 Distribution Box IN 96.92 97.36 97.03 Distribution Box OUT 96.75 97.16 96.83 Lateral HIGH 96.70 97.08 96.75 Lateral LOW 96.47 96.86 96.53 5 Blackburn Center, Gloucester, Massachusetts 01930-2259 toll free 1.800.377.3044 978.282. 0014 info(dulij I H.Ver'("Ons'ul i i r1q.com Page 3 of 3 Clear Day Page 1 of 1 elleChiaie, Pamela ......... From: Dan Ottenheimer[info@millriverconsulting.com] Bent: Thursday, December 04,2003 9:30 AM To: pdellechiaie @townofnorthandover.com Subject: RE: 15 North Cross Road -Bottom of Bed Inspection All set for 3:00 today (12/4) Daniel Ottenheimer,President Mill River Consulting Septic System Management Services 5 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 wvr ,trrillrivera;onsultirig.cotn irrt��P�a�rrrill ri�� re°,rmrt�ul I.irrt,.�rangy -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent: Wednesday, December 03, 2003 1:58 PM To: Daniel Ottenheimer(E-mail) Subject: 15 North Cross Road - Bottom of Bed Inspection Irmportance: High P ease sraGmr:rtstir ra Bottom of Bed InQ.:l.ection for UM above with Peter 131 een ...978.2651580 I..le ik bE° ready tornor row morning, Thanks, ks, rare Pamela DelleCffiaie, Health Dept Assistant 7"dwn of North An(Jover Community Development& services 7 Charles ,street North Andover, MA 01845 pdelleerhiaie towiiotrrortharrdovet-,cxonn 7`el, 978-588-9540 r-ax 978-688-9542 12/4/2003 Page 1 of 2 elleChieie, Pamela From: Dan Ottenheimer[info @miliriverconsulting.com] Sent: Wednesday, November 12, 2003 10:27 AM To: pdellechiaie @townofnorthandover.cam Subject: RE: 15 North Cross Road-Urgent Plan Review Request We will make this a priority. Regarding construction, if the contractors can get clean stone and the frost is not too thick I do not have a problem with continuing construction beyond December 1. Dan Mill Diver Consulting Septic System 1 anagement Services 5 Blackburn Center Gloucester,MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 info@milltiverconsulting.com -----Original Message----- From: Pamela DelleChiaie [mailto:pdellechiaie @townofnorthandover.com] Sent: Wednesday, November 12, 2003 10:06 AM To: Daniel Ottenheimer(E-mail) Cc: Lagrasse, Brian Subject: 15 North Cross Road - urgent Plan Review Request Importance: High Hi Dan, The homeowner of 15 North Cross Road, Jan Rooney, came in this morning concerned about her plans getting reviewed in time for septic construction. These are revised plans submitted by the engineer last week. Here is her situation: Mrs. Rooney and her husband are being transferred to St. Louis, and are moving the first week of December. The closing on the house is Dec. 9th. Her main concern is that they have buyers for their house, and as this is a revised set of plans, if it does not pass,they will lose the sale, and be out of state, and can't do anything about it. She states that she knows that Nov. 30th is the cutoff for construction. November 30th is the formal cutoff construction date in the regulations, but my understanding is that, based on the weather conditions, and working within reason, a system could be potentially be repaired(constructed after that date if there is a hardship, or a situation warrants it being so. Therefore, can you make this revised plan review a priority due to the above situation? I know that you have lots of other things going on, but I did tell Ms. Rooney that I would forward her concerns to you. If you want to call her at all, her number is: 978.682.4741. Thank you. Pamela tDelleChiaie, hk.balth Dept. Assistant 1.1/12/2003