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HomeMy WebLinkAboutCertificate of Compliance - 534 BOSTON STREET 1/18/2008 w ORT11 " ``.. '.. C ry% ° AT9D � 4 w 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 arW 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 .,a D R ` "``.. am t 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 - I Of IC 4lliwldC wP�u2u k• 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 o00%40RT#j� ��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