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Home My WebLink AboutCertificate of Compliance - 7 OLYMPIC LANE 8/13/2014 CO�.,,,, ,,,, �`. I PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE S f® 8/1. 3/201 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction Complete Repair and On-Site By: Todd Bateson At: OlyTpic Lane Map 106B Lot 144 North Andover, MA 01845 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. a Sawy ''Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnortliandover.com a, PUBLIC HEALTH DEPARTMENT t:0111rrrLMOV ltoweloprrrbolrt ffiVisiorr TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION `S " J The undersigned hereby certify that the Sewage Disposal System constructed;( )repaired; r (Print Name) f C)V Located at:_1-i)L` (Installation Address) Was installed in pconformance with the North Andover Board of Health approved plan,originally dated and last revised on „_f �� _ with a design flow of O _- 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 31.0.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 Represen ative(Signature) Aix-And—Print Name Final Construction Inspection Date:= Engineer Representative(Signature) And—Print Name Installer: ° ignature) Date: -7._ � - And—Print Name s: t t �� (Signature) Date: Engine 2-1—w. .. And—Print Name 1600 Osgood Street, North Andover, r u t; 01845 Phone 978.688,9540 Fox 978.688.8476 Web http-//www.t,ownofi,ior,tliandover.,,coKyi North Andover (Health Department Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 7 Olympic MAP: 1068 LOT: 144 INSTALLER: Todd Bateson DESIGNER: Merrimack Engineering PLAN DATE: 5/16/2014, Rev 6/16/14 BOH APPROVAL DATE ON PLAN: 6/17/14 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 6/30/14 DATE OF FINAL CONSTRUCTION INSPECT( N: 7/2/14 DATE OF FINAL GRADE INSPECTION: �wp, . 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 NA Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged X 1500 gallon tank has been installed H-10 loading X Monolithic tank construction X Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port F71 Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box NA Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan (stone) NA 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 approved plan NA Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: House to corner 37' of bed bottom over dig length 62"x27", FINAL GRADE Loomed Seeded Cover per plan Comments: t DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by ,,,/Engineer and installer ❑ As-Built Plan BM = 108.00 HR = 2.72 HI = 110.72 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 104.0 Septic Tank IN 6.72 103.65 103.65 Septic Tank OUT 6.94 103.43 103.40 Distribution Box IN 7.09 103.26 103.25 Distribution Box OUT 7.26 103.11 103.08 Lateral 1 TOP 7.30 / 7.55 Lateral 1 INVERT 103.07 / 102.82 103.05 / 102.80 Lateral 2 TOP 7.30 /7.55 Lateral 2 INVERT 103.07 / 102.82 103.05 / 102.80 Lateral 3 TOP 7.30 / 7.52 Lateral 3 INVERT 103.07 / 102.85 103.05 / 102.80 Bottom of Bed 102.32 102.30 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 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank3 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 1 Suction line 222(2) 2 100 feet is a minimum 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