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Home My WebLink AboutCertificate of Compliance - 52 OLYMPIC LANE 10/16/2012 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: October 16, 2012 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System By: Jim Kellet At: 52 011myic Lane Ma p 106B Lot 111 North Andover, MA 01845 W e of this certifi shall not be construed as a guarantee that the system will function satisfactorily. The r, RE 5 Public Health Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com � v I, PUBLIC HEAMI DEPARTMENT C onillmlity Deva,Yopi, :r:nt V;Yivisie'ns r 2 i YV C ��A;F rVir i r I TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(vconstructed;( )repaired; (Print Name) Located at: (Installation Address) ddress) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on 61 " -'`""� ' with a design flow of e, 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 Iced Inspection Date: !7h ---_e Engineer Representative(Signature) And--Print Name � ,.�� -.•4� Final Construction Inspection Date: Engineer Repres'ntative(Signature) And—Print Name Wt ' , (Signature) Installer: Date: 4, And rink Name � finer: �/ d'DZ �' e �> ignature) Date: 0 En g And—Print Name 1600 Osqood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Ftt .6 a "6 Web littp://www,towtiofnorthandover.coan o • North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T tJ TI NOTES LOCATION INFORMATION ADDRESS: 52 Olympic Lane MAP: 106B LOT: 111 INSTALLER: Jim Kellett DESIGNER: Vladimir Nemchenok PLAN DATE: 5/23/11 BOH APPROVAL DATE ON PLAN: 8/27/12 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/19/12 DATE OF FINAL GRADE INSPECTION: l()jj k SITE CONDITIONS n/a 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 n/a Cleanouts per plan Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port Z Outlet tee installed, centered under access port (effluent filter) ® 20" inch cover to finish grade installed over outlet ® Neoprene boots around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base Weep hole plugged ® 1500 gallon Pump Chamber installed ® H-10 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 ® 24" cover at final grade installed over outlet ® Water tightness of tank has been achieved by visual testing ® Neoprene boots 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 >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution n/a Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan n/a 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 ® 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 Low Profile ® Number of chambers per row: 8 ® Number of rows (trenches): 6 Comments: Total Chambers = 48 BM = 96.1 HR = 2.47 HI = 98.57 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark 96.1 Building Sewer OUT 3.89 94.33 94.62 Septic Tank IN 3.98 94.24 94.26 Septic Tank OUT 4.18 94.04 94.00 Pump Chamber IN 4.20 94.02 93.95 2" Pump Chamber OUT 4.02 94.38 ---------- 4" Distribution Box IN 2.00 96.22 96.00 Distribution Box OUT 2.16 96.06 95.83 Lateral 1 TOP 2.37 Lateral 1 INVERT 95.85 95.78 Lateral 2 TOP 2.39 95.78 Lateral 2 INVERT 95.83 95.78 Lateral 3 TOP 2.37 95.78 Lateral 3 INVERT 95.85 95.78 Lateral 4 TOP 2.37 95.78 Lateral 4 INVERT 95.85 95.78 Lateral 5 TOP 2.38 95.78 Lateral 5 INVERT 95.84 95.78 Lateral 6 TOP 2.38 95.78 Lateral 6 INVERT 95.84 Top of Chamber 2.38 96.19 96.17 Bottom of Bed/Chamber 95.52 95.50 SKETCH PLAN 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 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 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