HomeMy WebLinkAboutCertificate of Compliance - 534 BOSTON STREET 1/18/2008 w
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PUBLIC HEALTH DEPARTMENT
Community Development Division
, TITY
As .
.
Januaiy 18, 2008
This is to certify that the individuafsu6surface drsposa(system received a
S.AVS(FACT'O1RT INS(PEC TIOAr of the.
Complete ,Septic System RepairlReplacement
B.
.
James Keffett
At:
(Boston Meet
Wap 10 . Parcef 81
XorthAndover, 9Y,4 01845
The Issuance of this cent cate shaft not 6e construed as a guarantee that the system wiff
function satisfactorify.
Susan T Sawyer
(Pu6fic ifeafth Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Weir www.townofnortlrandaver.rorn
TOWN OIL NORTH ANDOVER of
Office of COMMUNITY DEVELOPMENT AND SERVICES 3r •'r
0
HEALTH DEPARTMENT ,
400 OSGOOD STREET "c r 4
NORTH ANDOVER, MASSACHUSETTS 01845 9S'TACHUO
978.688.9540–Phone
Susan Y.Sawyer, REVS/RS 978.688,8476–FAX
Public Health Director E-MAIL: healthdept(a>townofnorthandover.com
WEBSITEhttp://,vww.townofiiorthandover.com
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL, SYSTEM ® INSTAL,L,ATION CER'T'IFICATION
The undersigned hereby certify that the Sewage Disposal System ( } constructed; ( repaired;
by .�
(Print Name) (�
located at 5J I�f P�� �b, dU tyle�
(Installation Address)
was installed in conformance with the North Andover Board of Health approved plan, originally
dated V S 204 and last Revised on b , 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
Air, 2 i
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. ry
Bed inspection date: �C
-
EnkKeer Re resentative(Signature)
t��,gssveYz
And-Print Name
Final inspection date: 1 2 a
E meer Representative(f� ature)
e,6. tee. 1 v -/) }z—
And-Pint Name
Installer: (Signature) Date: �U 0
And- Print Name
Engineer: (Signature) Date: / f�
eft` 2
And-Print Nam
Daniel Gutman
534 Boston St.
North Andover, MA 01845
To Whom It May Concern:
As the current owner of the property at 534 Boston St., I can affirm that Jim Kellett of
Kellett excavation spread loam across the disturbed areas of the yard upon completion of
the installation of the septic system. After speaking with Jim Kellett about the remainder
of the work, we have decided to defer the installation of the hydro mulch until next spring
to give it a better chance to grow. Money will be set aside from the escrow established
by the previous owner of the property to cover the expense of installing the hydro mulch/
seeding which will be completed at the earliest prudent time in 2008.
Sincerely,
Dan Gutman
AS-LT CIM, CIMIST
991 l ik4 f74 I ' d�G fuel ��1 a, J
tllG1ltr� / !A'
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
' LOCATIONS & DIMENSIONS OF SYSTEM,
a.
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
f TOP OF FDN ELEVATION
LOCATIONS OF WELLS, DRAINS, WATERCOURSES
WITHIN 150' OF SYSTEM
LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE
v' DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK. & D-BOX
ORIGINAL STAMP & SIGNATURE
IMPERVIOUS AREAS -DRIVEWAYS, ETC.
NORTH ARROW
,r
LOCATION &ELEVATIONS OF BENCHMARK USED
ttORT�#
PUBLIC HEALTH DEPARTMENT
Community Development Division
QNSITE WASTEWATER 1( TI NOTES
LOCATION INFORMATION
ADDRESS: 534 Boston Street MAP: 107D LOT: 81
INSTALLER: Jim Kellet
DESIGNER: New England Engineering
PLAN DATE: June 5, 2007
BOH APPROVAL DATE ON PLAN: 819101
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: November 26, 2007
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
® Existing septic tank properly abandoned
® Internal plumbing all to one building sewer
® Topography not appreciably altered
Comments:
SEPTIC TANK
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
® 1,600 gallon tank has been installed
H-10 loading Monolithic construction
® Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
® Inlet tee installed, centered under access port
® Outlet tee (gas baffle or effluent filter) installed,
centered under access port
1600 Osgood Street,North Andover,Mossorhusetts 01845
Phone 976.680.9540 Fox 970.688.8476 Web www.townofnorthnndover.com
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6-01 ,
PUBLIC EALTH DEPARTMENT
Community Development Division
® 24" inch cover to within 6" of final grade installed over
one access port, must be over outlet of tank if effluent
filter is present
® Hydraulic cement around inlet & outlet
Comments: Clean Solutions Alternative System was installed utilizing a combo Septic
Tank and treatment unit
PUMP CHAMBER
Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ Combo Tank installed. Size:
® 1000 gallon Pump Chamber installed
H-10 loading Monolithic 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" inch cover to within 6" of final grade installed over
pump access port
® Water tightness of tank has been achieved
Visual testing
® Hydraulic cement around inlet & outlet
Comments: Hydromatic Pump Installed as specified
DISTRIBUTION-BOX
❑ Installed on stable stone base
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑ Speed levelers provided (not required)
Comments: Not applicable
1600 Osgood Street,North Andover,Mosso(husens 01845
Phone 978,688,9540 Fox 978.688.8476 Web www.townfnorthnndover,rorn
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PUBLIC EALT DEPARTMENT
(ommunity Development Division
SOIL ABSORPTION SYSTEM (General)
❑ Bottom of SAS excavated down to 6 in into C soil
layer, as provided on plan
® Size of SAS excavated as per plan
® Title 5 sand installed, if specified on plan
® 40 Mil HDPE barrier installed
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments: specified squirt height was achieved during start up
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber: Infiltrator Quick 4 Std
® Number of chambers per row: 11
® Number of rows (trenches): 3
❑ Laterals installed and ends connected to header (and
vented if impervious material above)
® Elevations of laterals and chambers installed as on
approved plan
Comments: Splash block and inspection ports installed as specified
CQNTR®L PAN L
® Alarm & Pump are on separate circuits
® Alarm sounds when float is tripped
® Location of control panel: Interior
❑ Rated for exterior if placed outside
® Alarm signal located inside
Comments:
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townotnorthandover.corn
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PUBLIC HEALTH DEPARTMENT
Community Development Division
SYSTEM ELEVATIONS
INVERT IN FIELD PLAN INVERT ELEV.
Benchmark HI ®103.50 / 114.04 102.65
Building Sewer OUT 98.57 NIA
Septic Tank IN 98.42 98.47
Septic Tank OUT 98.25 98.22
Pump Chamber IN 98.21 98.17
Pump Chamber OUT 98.56 N/A Pressure
Lateral 1 Invert Beg, 111.52 111.67
Lateral 1 Invert End 111.52 111.67
Lateral 2 Invert Beg. 111.52 111.67
Lateral 2 Invert End 111.52 111.67
Lateral 3 Invert Beg. 111.52 111.67
Lateral 3 Invert End 111.52 111.67
Lateral 4 Invert Beg. 111.52 111.67
Lateral 4 Invert End 111.52 111.67
Top of Septic Tank 99.55 N/A
Top of Pump Chamber 99.55 N/A
top of H®PE Barrier 111.90 112.00
1600 Osgood Street,North Andover,Mossachusetts 01845
Phone 976.686,9540 Fox 978.688.9476 Web www.townofinorthandover.conr
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��c cae w c'. m uuc rr Vol 45
US
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 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
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fox 478.688.8476 Web www.tow 0northandover,com