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Home My WebLink AboutCertificate of Compliance - 514 WINTER STREET 11/8/2006 NORTI� OE4t�tD ig�ti0 Oc O A_O COCMfG1N WKII y1' 0,Aral) 9SSAC HUS�� PUBLIC HEALTH DEPARTMENT Community Development Division CF(2I FIC.A`I'E O F CO.JVI<1'-IAXVff As of: .November 8, 2006 This is to certify that the individual su6surface disposal system received a SAMIFAC7O TIN 1PEMOYof the: Complete Septic System replacement By• 2oddBateson 514 Winter Street North Andover, W q 01845 The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. --lf'4U. `Y. Sawyer, RE-34S, rid Public 3fealth Inspector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com IBC VIUSEK NOV 2006 PUBLIC HEALTH DEPARTMENT Community Development Division "I°OWN OF �m-n- i/"oQOVER Hk:AL'TH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;(, paired; By: Tc �,1 �,.�•1�� (Print Name) Located at: ' 'C-1 1 .7.d- (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated , and last revised on ,with a design flaw of Lgallons 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. Bottom of Bed Inspection Date: Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: 91_lOd�)'!�' vr�-- f2 Engineer Representative(Signature) "I 1 I_[" 124 And—Print Name Installer: ("' `�, (Signature) Date: �v Itt��§ And-Print Name UI�C71i Enginer: �Zz (Signature) Date: //-06 616' c� No,39840 - And—Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fox 978.688.8476 Web http://Www.townofnorthandover.com TOWN O1 N ORT1-1 ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVIC EIS HEALTH DEPART'MENT 1600 OSGOOD STREET; BUILDING 20, SUITE 2-36 R4C, . +Jy. °qro rrp".4°i NORTH ANDOVER, MASSACHUSETTS 01845 ZY 0400—' Susan Y. Sawyer, REHSIRS 978.688.9540—Phone Public Health Director 978.688.8476--FAX QNSITE WASTEWATER SYSTEM N T UCCTl N NOTES LOCATION INFORMATION ADDRESS: MAP:/t,,P`14 LOT: 77- INSTALLER: DESIGNER: PLAN DATE: 'y-i, BOH APPROVAL DATE ON PLAN: A4 INSPECTIONS TANK INSPECTION: 5"'104 DATE OF BED BOTTOM INSPECTION: , ° DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS ❑existing septic tank properly abandoned ❑Internal plumbing all to one building sewer ❑Topography not appreciably altered Comments: SEPTIC TANK Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ 1500 gallon tank has been installed H-10 loading Monolithic construction ❑ 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 (gas baffle or effluent filter) installed, centered under access port ❑ 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 Wastewater System Documentation—Feb 2006 Page I of 6 TOWN OF NORTH ANDOVER F�,oHrH Office of COM.MUNITY DEVELOPMENT AND SERVICES �?�` • �� HEALTH DEPARTMENT o T p a - o 40 „ v 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 ,,'•0,^1,0.^`�5 NORTH ANDOVER, MASSACHUSETTS 01845 �SSACHUS" Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688,8476— FAX Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ Combo Tank installed, Size: ❑ 1000 gallon Pump Chamber installed H-10 loading Monolithic construction) ❑ Inlet tee installed, centered under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off floats working ❑ Separate on/off floats ❑ Drain hole in pressure line ❑ 24" inch cover to within 6" of final grade installed over pump access port ❑ Watertightness of tank has been achieved Visual testing ❑ Hydraulic cement around inlet & outlet Comments: ADVANCED TREATMENT TECHNOLOGY ❑ Type of treatment device: ❑ Installed per manufacturers requirements ❑ All components working in accordance with manufacturer's requirements Comments: Wastewater System Documentation—Feb 2006 Page 2 of 6 'TOWN OF NORTH ANDOVER 0 Office of COMMUNITY DEVELOPMENT 2kND SERYKITITS114 HEAL'f H DEPAWYMEW 1600 OSGOOD STIZEET; BUILDING 20; SUITE 2-36 " NORTH ANDOVER, MASSACHUSETTS 0 1845 SAC 14 S SLIS',111 Y. Sawyer, REFIS/RS 978.688.9540 Phone Public Health Director 9'78.688.8476 FAX D-BOX F-1 Installed on stable stone base F-1 Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets F-1 Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM Bottom of SAS excavated down to ..soil layer, as """provided on plan ❑ ,,. Size of SAS excavated as per plan F1 Title 5 sand installed, if specified on plan F-1 3/4-1 1/2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed F-1 Laterals installed and ends connected to header ❑ Laterals vented if impervious material above ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravel-less disposal systems: type, number and location as per plan F-1 Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) F-1 Final cover as per plan Comments: Wastewater System Documentation-Feb 2006 Page 3 of 6 TOWN OF NORTH ANDOVER �„ORTH a Yp Office ®f COIF MUNt'rY DEVELOPMENT AND SERVICES 0?�`", HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 s °aen° NORTH ANDOVER, MASSACHUSETTS 01845 "ssnc�ase Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX PRESSURE DISTRIBUTION ❑ -- inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals ❑ orifice size inch as per plan Comments: CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: ❑ Rated for exterior if placed outside Comments: Wastewater System Documentation—Feb 2006 Page 4 of 6 TOWN OF NORTH ANDOVER of No ora�Wo Office of COMMUNITY DEVELOPMENT AND SERVICES 4 1�EL�LTA1 DEPARTMENT 1 ~ p Y a 1600 OSGOOD STREET, BUILDING 20; SMITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 �'"SSA uset`y Susan Y. Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX 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 tine 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(Nft 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 Wastewater System Documentation—Feb 2006 Page 5 of 6 TOWN OF NORTH ANDOVER NoRrw Office of COMMUNITY DEVELOPMENT AND SERVICES ,t?ob', fl �"oc HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 ��SSACIiU564�<i Susan Y. Sawyer, REHS/RS 978.6889540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS INVERT ON DESIGN PLAN FIELD INVERT ELEV. Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT 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 Wastewater System Documentation—Feb 2006 Page 6 of 6 o o 0 h ° o a� Nb v 00 on,E V y r C/1 Q N O W W ° m o E UO s. E _ a Oa C7 ✓ a, v O cG 'a ° CJ a 3 z -t �c � o o z 4 b z C7 r is U O d U C) d d v d p 4 O N I •pra � CV I a in „ � a GA �� a7 oo N 00 � C ' O c cd if] O O bon.0 Z � U U O > o C4 ° a w 0.CL. ai N E p� C) �ON, 0 ® z z a Cb d ❑ °O �n va C7 C7 `C `� o lu G o CD N E p. N 0 rq w ch wo a � v° ar oa E o 0 514 Winter Street - Final. Construction Inspection Page 1 of 1 DelleChiaie, Pamela From: Marianne Peters [mpeters @millriverconsulting.cam] Sent: Wednesday, August 30, 2006 1:50 PM To: DelleChiaie, Pamela; 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew (E-mail)' Subject: RE: 514 Winter Street- Final Construction Inspection 'THIS HAS BEEN SCHEDULED E°OR°romc)rtf=OW A.M. AT£3:00 A.M. From: DelleChiaie, Pamela [mai Ito:pdellechiaie @townofnorthandover.com] Sent: Wednesday, August 30, 2006 11:43 AM To: Daniel Ottenheimer (E-mail); Lisa LeVasseur(E-mail); Marianne Peters (E-mail); McBrearty Andrew (E-mail) Subject: 514 Winter Street- Final Construction Inspection Importance: High Hello, Bill Dufresne and Todd Bateson called re: this site. It is ready for a Final Construction Inspection. Please call Todd at: 978.886.8698. He will be at the site all day. Thank you. aSf 810041-Ids, Health Department Assistant Town of North Andover 160o Osgood Street Building 20, Suite 2-36 North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax littp://www..towiz(-)f iortliaiidover.(.,,oni healthdept@townofnoithandover.com 8/30/2006