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Home My WebLink AboutCertificate of Compliance - 755 WINTER STREET 8/29/2008 NORTH O��,%,@D 16 qH� OL O to F- �0 o" O CO[MI[IWICw A0'#Are PPP��,(5 SSACHus� PUBLIC HEALTH DEPARTMENT Community Development Division C1F RTj-FIC. 4`IE OE COA��'�E As of: .August 29, 2008 This is to certjy- that the individuaCsubsurface disposaCsystem received a S39ISF3CT0RT-1NSITECT,r0-1V of the: Fuf(Septic System Repair (B ]on Whyman 755 Winter Street .Map 104.B; Parcel1 S2 Worth Andover, 9l1_X 01845 The Issuance of this certificate shad not 6e construed as a guarantee that the system wiff function satisfactoriCy. Sank Sawyer Pu6iic Aealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, June 23, 2009 3:45 PM To: 'happygilmoresmom @hotmail.com' Cc: Wedge, Donna; Hughes, Jennifer Subject: Info. Request-Septic-755 Winter Street-COC & Certification Form Attachments: SKMBT®60009062315320.pdf To: Roberta Gilmore Roberta, Here is your COC and Certification Form from the Health Dept, Donna in Conservation brought your file to my attention today, as she said that you called her department looking for a certificate of compliance. She does riot have anything for you, so she thought you were looking for something else from another department, Please call with any questions. R-1122c l I.7c^g/cXC:lzr zr 'FOWN OF NORTH ANDOVER �Tcrzlt�r 1?c�Z,rartrrzerat:�*siYst�trrt f fealth Dc�p artrrrent 1600 Osgood Street Builc hig 20,Suite 2-36 North Andover,lvlA 01845 978.6889540-Phone 978,688,84 76-Fax pclt,llec l iapc.Ctc,v xaCa1ort tat�clover~coo -1. n�wril Littp /O wvv�tc�v nofrroghapdovenco w4 c.l s to Notes: Ifa:vpic d to B(7 l Aletnhers - Rvhf rcncc:l a"(r y Only._o rc,51)onse rc quc9tCd at thiq t rrrc, From: noreply @townofnorthandover.com [mailto:noreply @townofnorthandover.com] Sent: Tuesday, June 23, 2009 4:33 PM To: DelleChiaie, Pamela Subject: Septic- 755 Winter Street- COC&Certification Form Tracking: 1 MOLIC HEAL r"DEPARTMENT tbtRnm frity Developnieni Diyisiorr 'OWN OF NORTH H ANDOV R SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal.System( )constructed;( repaired; Tay: -- (Print Name) Located tat: (Installation Address Was installed in conformance with the North Andover Board of Healt h approved plan,originally dated - RV and last revised ati with a design flow of gallons per clay. The materials used were in confotrrtance with those specified on the approved plait;the system was installed in accordance with(lie provisions of 310.CMR 15.000,Title 5 and local regulations,and the final grading agi°ees substantially with the approved plan.All work is accurately represented oil the As-built which has been submitted to the Board of Health. Bottorn of Bed Inspection]Date:. �` 'n ewx Representative(Signature) r And—Print Name "� l+"irrzai Construction Inspection Bate: �'" ✓ �' `� _ - ---_--- Engin lE�epr°esentative(Signature) "n .__77 M-, And—Print Installers ._._ Si attre IDate: d—Print Name Enginer. .... (Sigmature) Date: i�_ � .W_24— And- Print Name 600 Osgood Street, North Andover,Mussuchuseff s 01845 Phone 978,688,9540 Fox 978,688.8476 Web http://www.-townofriow,tha"dover.com Page ]. of 1 Attachments can contain viruses that may harm your computer. Attachments may not display correctly. ®elleChiaie Pamela From: Randy Burley [rburley @millriverconsulting.com] Sent: Fri 5/23/2008 10;59 AM To: 'Daniel Ottenheimer'; dobrzut @millriverconsulting.com; Grant, Michele; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Cc: Subject: 755 Winter St. Attachments: L Construction Inspection__Form 10 07.doc(178KB) Please find attached the construction inspection form for 755 Winter Street. The elevations in the leaching area were higher than specified, but this is not a problem, actually everything else seemed to be okay, Please feel free to contact me with any questions you may have. Oow��ulti�n Randy Burley, Project Manager Mill rover Consulting,Inc. On-Site Wastewater l�cxrza��en�ent S"Lr°vic��s 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www,milli'ivel'C011stllting.c otii rbLirley(4),ti,iilli•ivei-const.iltitig.(,,oiii http://exchange20O3/exchange/pdellechiaie/lnbox/755%2OWinter%2OSt..EML?Cm... 5/27/200$ 4 ° av SAC Ft PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 755 Winter St. MAP: 104B LOT: 152 INSTALLER: Jon Wyman DESIGNER: Joe Serwatka PLAN DATE: 10/20/07 rev. thru 4/23/08 BOH APPROVAL DATE ON PLAN: 4/25/08 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: qjjqj07 DATE OF FINAL CONSTRUCTION INSPECTION: 5/20/08 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: Could not gain access to the dwelling: existing tank had not been abandoned on 5/20/08 SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading Monolithic construction 2-compartment ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ® Inlet tee installed, centered under access port ® Outlet tee with effluent filter installed, centered under access port 1600 Osgood Street,North Andover,Mossochusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.ronn n' 1 PUBLIC HEALTH DEPARTMENT Community Development Division ❑ 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 ® Hydraulic cement around inlet & outlet Comments: The tank had only been in use from the previous evening and had very little water in it. DISTRIBUTION-BOX ® Installed on stable stone base ® Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: The d-box was poly, so the contractor used plumbers putty to seal the pipes. SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) Final cover as �erjlan Comments: ( (�C�11 Iva af of nob �r� SAIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Infiltrator quick 4 Std ® Number of chambers per row: 7 ® Number of rows (trenches): 3 1600 Osgood Street,North Andover,Mossarhusetts 01845 Phone 978,688.9540 Fax 978.688,8476 Web www.townofoorthandover.rorn OR141 t & d61 PUBLIC HEALTH DEPARTMENT (ommunity Development Division ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan Comments: The system was installed approximately 0.5' higher than the plan required. SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Building Sewer OUT 97.37 95.50 Septic Tank IN 97.23 95.30 Septic Tank OUT 96.98 95.05 Distribution Box IN 88.82 88.25 Distribution Box OUT 88.63 88.08 Trench 1 INVERT 88.63 88.08 Trench 2 INVERT 88.03 87.53 Trench 3 INVERT 87.58 87.03 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com c°.. 4044aa�wrk� PUBLIC HEALTH T E T (onlmunity Development Division 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 -- F-1 Waterline 10 10 10' ❑ Private drinking well 75 1002 50 ❑ 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 ' Suction line 222(2) 2 100 feet is a minirnum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fox 978.688,8476 Weh www.townofoorthandover,com r FINAL GRADE INSPECTION Date Address: 1 • LOAMED? • SEEDED? ❑ COVER PER PLAN? Other: 1 { I J