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Home My WebLink AboutCertificate of Compliance - 215 OLD CART WAY 6/10/2011 ® 'ItED 16Q6 0 • e PUBLIC HEALTH DEPARTMENT Town of North Andover (ommunity Development Division CEW2LIFIC Aw-P OT COMPLIANCE AT As of.-- This is to certify that the individuaCsubsurface ATosafsystem received a S3TISTACT0R TINSlTEM0jYof the: to System Wepair of an ;Sit "osa(System By e W§iffy ------- 9yik ... At. 215 Off Catt Wa ,y 9Wap—10 7.B,-,Pa rre f—0 109 %oithAndover, 9WA 01845 The issuance of this certificate shall not 6e construedas aguarantee that the system wiCCfunction satisfactorily. Susa?tlT Sawyer REYfS19U Pu6Cu Yfeafth(Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com W� u � G q >U1 IWL &DEPARTMENT nn A q 2,011 Co[nimnity Dnve&op'n(:,W Divki im TOWN OF NORTH ANDOVER MIALTH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC TDISPOSAL SYSTEM—INSTALLATION CERTIFICATION ION The undersigned hereby certify that the Sewage Disposal System( )constructed;(vIrepaired; (Print Name) Located at: 0 U L�P CA rZ 14-1 A Y. (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated 0 0-- 1 -- 0_ —and last revised on with a design flow of 44" 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. Bottom of Bed Inspection Date:-11 Engineer Representative(Signature) rL And—Print Name Final Construction Inspection Date:_� � Engineer Repi°esen five(Signature) And—Print Name Installer: / (Signature) Date: A d—Print Name Enginer: i/�'��/ea Njlt�i l signature) Date: e �� And—Print Name 1600 Osgood Street, North Andover, ass chu et 01845 Phone 978.688,9540 Fox 978.688.8476 Web htl,p://www.townofnortliaridover.com a AS-BUILT CHECKLIST All changes to the design plan have been reflected on the as-built w Is of suitable scale;(one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number Lot Lines and Location of Dwellings served by the system RECEIVED Locations&Dimensions of system, including,reserve(if applicable) Z011 Ties to dwelling or Permanent Structure&Wells TOWN OF OR'n f ANDOVER �IEAL.Ttt DEPARTMENT a.From Septic Tank b. From Leach Area Ties to Lot Lines from leach area Locations of Deep Holes&Peres �...- Elevations of Disposal System Top of Foundation Elevation -- " Locations of Wells,Drains,Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Corners of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade � Original Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways,etc North Arrow Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) '7 certify the locations, elevations, ties, cover material; exposed component covers eta shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if alplicable, have been met." Signature of Designer Date or, of a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, or was not, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of:Wednesday,April 27,2011 elle hieie, Pamela From: Isaac Rowe [irowe @millriverconsulting.com] Sent: Thursday, June 16, 2011 11:02 AM To: 'Susan Sawyer(ssawyer @townofnorthandover.com)' Cc: Grant, Michele; DelleChiaie, Pamela; 'Dan Ottenheimer'; 'Randy Burley'; 'Marianne Peters' Subject: 215 Old Cart Way Attachments: 215 Old Cart Way Final Grade Inspection 6-15-11.pdf Susan, Attached are my filed notes for the final grade inspection at the above referenced property. The finish grade elevation meets the maximum 3' requirement as proposed on the design plan. There is a slight(1-2") low spot above the SAS compared to the surrounding grade. This is very minor and I do not believe this will pose any potential problems during storm events as it relates to runoff. Please let me know if you have any questions. Thank you, Isaac M. Lowe,R.S. Project Manager Dill Riveir Consulting 6 Sargent Street 1 w F 9 f 4 j 7 4 Ltd d CL CL Z CL CA O4 , r co a C) w if (j Z t � z i 1 J X) tb _j < kp CL, C}jr) " a iA l f LLI r w l_ { J, i� .. C1 i r o e. iL >svi c j �1 V)MFrL Z CL C>C 7 IA r 4 R. y / E w A s n j v7 L _J Z < ,. Or, d n " r t'" t�°� d� -� �§� � w,ary� m1@ rl ^fir ,�`�at �?� . �°� �. °0 ( .')d� � �a� ✓� � elleChlaie, Pamela From: Randy Burley [rburley r7a millriverconsulting.com] Sent: Thursday, June 09, 2011 8:13 AM To: Sawyer, Susan Cc: Grant, Michele; DelleChiaie, Pamela; 'Isaac Rowe' Subject: RE: 215 Old Cart Way Hi Susan, I am not on the schedule to come at this point. I see Isaac is scheduled for Wednesday, may be he might be able to run over. I'll check with him. Thanks, Randy Burley Project Manager 978-282-0014 From: Sawyer, Susan mailto:ssawyer townofnorth ndover.com Sent: Wednesday, June 08, 20114:19 PM To: 'Randy Burley' Cc: Grant, Michele; DelleChiaie, Pamela Subject: FW: 215 Old Cart Way Randy, Mike Reilly is asking for a final grade at 215 OCW. Are you going to be in town tomorrow, Monday or Tues? Maybe you'd like to check it out with Michele. Bill says he is going to do spot elevations to confirm, but I wouldn't mind getting your input as well. Let us know if you are available to do a final grade. Thx .Susan From: rei andsons omcast.net maiIto;for illy rrdsanscEbcomcast.netl Sent: Wednesday, June 08, 20112:21 PM To: Sawyer, Susan Subject: Re: 215 Old Cart Way Susan, Michael asked that I let you know that we are all set with 215 Old Cart Way. The system is staked and it has been loamed & seeded. Please call me at 978-475-1237 if you have any questions. Thanks, Debbie ----- Original Message ----- i elleChiaie, Pamela From: DelleChiaie, Pamela Sent: Wednesday, May 25, 2011 1:07 PM To: Sawyer, Susan; Grant, Michele Subject: Septic-215 Old Cart Way- Bottom of Bed Inspection request- Mike Reilly Importance: High Follow Up Flag: Follow up Flag Status: Flagged Mike Reilly just called....-he needs a BOB inspection for 215 Old Cart Way......really deep hole. Please call him at 978.375.4811 to schedule a time that someone will do the inspection and confirm with Mike. Thank you. Vede , Patricia DelleChiaie Departmental Assistant I Community Development I Health Department 'town of North Andover 1600 Osgood Street I Bldg 20 1 Suite 2-36 North Andover,MA 01845 Office-978-688-9540 0 Fax-978-688-8476 O Email p�lel;l ecii.iaie(�)Ltowiiof'riortliaiid(o) encom `L1 Website ttttl>/�wwFw.tc>wrae�inc»thando�ci.c_rxrujT"age ./uacityx_ ail, e c(in trever°see flag peah qf our/�/c q`tu e are lore/iusY ba°trsing on the pel bles under over ftel. Aitol1,Y111 oils 1 d • North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION, ❑,� ADDRESS; .. ❑ MAP: LOT: INSTALLER: �/ � ��,✓❑ DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS w TANK INSPECTION: �` ❑' ��, , r' ; DATE OF BED BOTTOM INSPECTION: ❑'^ r DATE OF FINAL CONSTRUCTION INSPECTI N: DATE OF FINAL GRADE INSPECTION: �� 1 SITE CONDITIONS ❑ Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ❑ Internal plumbing all to one building sewer ❑ Topography not appreciably altered Comments: SEPTIC TANK ❑ Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon tank has been installed loading ❑ Monolithic tank construction ❑ Water tightness of tank has been achieved by testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ loading ❑ Monolithic tank 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 ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement around inlet & outlet Comments: CONTROLPANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel: basement ❑ Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ❑ H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution ❑ Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) 1 ❑ Bottom of SAS excavated down to C soil layer, provided on plan iEr Size of SAS excavated as per plan i � � ' '''"' �, �� ❑� Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header and vented if impervious material above) ❑ Elevations of laterals and chambers installed as on & r approved plan �' ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers =