HomeMy WebLinkAboutCertificate of Compliance - 105 CARLTON LANE 7/31/2012 m
PUBLIC HEALTH DEPARTMENT
Town of North Andover
Conrnrunity Oeveloprnent Division
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This 2s to certify that a
SA TIS EA C T'a RT I NS P E C T I O
Was completed for thee
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Parcel ID :210/106.0-0086-0000.0
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The issuance of this certificate shaff not 6e construed as a guarantee that the On-Site Sewage Disposaf
System wif f nction satisfactorily.
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Susail rr. Sawyer, 40S/�10-`
(Pu6fic Yfeafth Director
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1600 Osgood Street,North Andover,Massachusetts 01 845
Phone 978.688.9540 Fox 978.688.8476 Web www.townotnorthandover.corn
North Health Department
Car Development
ONSITE WASTEWATER SYSTEM T TI N NOTES
LOCATION INFORMATION
ADDRESS:
MAP: LOT:
INSTALLER:
DESIGNER: ; �.. �. ..w
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS .. /�,�,,. ',�� ��.e_�,�
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TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
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:
CONTROL PANEL
❑ 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 >0.087foot)
Hydraulic cement around inlet & outlets
Observed even distribution
Speed levelers provided (not required)
Comments: