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Home My WebLink AboutCertificate of Compliance - 322 BOSTON STREET 5/25/2010 "I t%ORTN IIV db a Ira uvxm�nw "W" v�o IA 0 coau[riwru.��' 41 Rap"�Are �sS U � PUBLIC HEALTH DEPARTMENT Community Development Division 1-11r 1' C0914PL1AjrVCE May 25, 1 This is to certify that the individuafsu6surface disposaf system received a SA`IISEAC`7ORT IM1PEC`7IOX of the: it o On-Site B Toda"Bateson At: 322 Boston Street Map-107D; Parref-24 i' 9WA 01845 The Issuance of this certificate chaff not 6e construed as a guarantee that the system wile function satisfactorify. usan rY. Saa'yer, REWS/ Pu6fic.Ifeafth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com ^�mrnu��uc ryk'b � � Hk „6 urP om W ,i.a tRLKalt 1I0 DEPA IMENT I°IWN OF a t"tq ANDOVER Wniniinity&1nv(dopfmf tivisim HEAUni DEARI' E NU'T I TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; (Print Name) Locatedat: %"i (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on I with a design flow of 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: w Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: E a m Engineer Repres tative(Signature) And—Print Na Installer: ' " - " (Signature) Date f And—Print Name Enginer: V kUltf d W A(d"i'klCie- (Signature) Date: And—Print Name 1600 Osgood Street, North Andover, Mussuchuse'th 01845 Phone 978.688.9541 Fax 978,688.8476 Web littp://www.i,ownofnor,tliundovei,.(:oiti s LOT NUMBER, STREET NAME % ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA ° LOCATIONS OF DEEP HOLES &PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE L/L DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK USED 'r -(%A 1 0 6 CHU PUBLIC HEALTH DEPARTMENT Community Development Division ONSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION ADDRESS: 322 Boston Street MAP: 107D LOT: 24 INSTALLER: Todd Bateson DESIGNER: Vladimir Nemchenok PLAN DATE: 2/3/10 BOH APPROVAL DATE ON PLAN: 3/25/10 INSPECTIONS TANK INSPECTION: ( �!O DATE OF BED BOTTOM INSPECTION. 6 J)D DATE OF FINAL CONSTRUCTION INSPE TION: 5/10/10 DATE OF FINAL GRADE INSPECTION: I SITE CONDITIONS NA Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base NA Cleanouts per plan ® 1500 gallon tank has been installed H-10 loading mono construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (/effluent filter) 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.tawnafnorthnnclovera"m Inspection Form June 2008 %AORTH CD Coc+rie re CU PUBLIC ALTH DEPARTMENT (ommunity Development Division ® 24" inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base NA Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: H-20 D-box installed. SOIL ABSORPTION SYSTEM (General) ® Size of SAS excavated as per plan ® 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 approved plan NA Retaining wall (boulder/ concrete /timber/ block) El 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: 11 ® Number of rows (trenches): 4 Comments: Total Chambers = 44 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.town0northandover.caar Inspection Form June 2008 a 1 0 s 0 ^ 43 cuc*tia r�ia Wew 9. A us PUBLIC HEALTH DEPARTMENT Community Development Division BM = 100.00 HR = 1.90 HI = 101.90 SYSTEM ELEVATIONS ROD ELEVATION AS-ELT INVERT ELEV DESIGN INVERT ELEV Benchmark 1.90 100.00 Building Sewer OUT 96.75+/- Se tic Tank IN 5.15 96.40 96.39 Septic Tank OUT 5.40 96.15 96.14 Distribution Box IN 5.84 95.71 95.70 Distribution Box OUT 6.02 95.53 95.53 Lateral 1 TOP 6.06 Lateral 1 INVERT 95.49 95.50 Lateral 2 TOP 6.06 Lateral 2 INVERT 95.49 95.50 Lateral 3 TOP 6.08 Lateral 3 INVERT 95.47 95.50 Lateral 4 TOP 6.06 Lateral 4 INVERT 95.49 95.50 Top of Chamber 6.02 95.88 95.83 Bottom of Bed/Chamber 7.02 94.88 94.83 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978"688.8476 Web www.townofaorthandover.com Inspection Form June 2008 V40RTN.. AT ' CS cac wiernaw°x,y"' 5 4 t U PUBLIC HEALTH DEPARTMENT Community Development Division 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 trrb. (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 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.tovenofnorthnndovgr, Oim Inspection Form June 2008