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Home My WebLink AboutCertificate of Compliance - 555 BOSTON STREET 10/22/2012 u PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: October 22, 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: Rob Daigle At: 555 Boston Street Ma p 109 Lot 44 IN rth Andover, MA 01845 T nce of this c i ate all not b construed as a guarantee that the system will function satisfactorily. i le Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,townofnorthandover.com ............ -0-" RECEIVED v � 1 'rO N OF N ORT I.1 ANDOVEF moPUBLIC MfAt7t nt r r T Commuoity Development livisiou KAL.T R EtARTMENI TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION "rhe undersigned hereby certify that the Sewage Disposal System( }constructed;(, )repaired; By . __._ ,t2 r ............ _._.._._.._._._......_...-.. (Print Name) I...ocated at:_...,.k 7 .......__...._� (Installation Address) Was installed in conformance with the North Andover hoard of 1-lealth approved plan,originally dated C a design w 1 last revised an _ '� ! ✓ .- hir flow of am ?� ✓ ' _._.__._..___._._._._gallons per day. "II'lic materials used were in conformance with those specified on the approved plan;the systern was installed in accordance with the provisions of 310.MIR 15.1)00,"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 I-fealth. Bottom of Bed Inspection 1)ate: ...� .:m._...w.��/ig .E ngineer Repr•esentativ ature) And Print Name 1� Final Construction Inspection flats .. , �..!7 2_ .:::..____....~ Engineer Itepresentaa(Signature) -r°"7 r w't d.(V wa 1._✓.,.l,._...... `,. .:m._...._'°,-'�S s t>e a _(J (X......_..__ And- Print Name Installer: �.a��'n _.(Signature) Date:_._ A < . / And--Print Name r , (._� „_(Signature) / And Print Name 1600 Osgood Stroot, North Andovor,Massachusetts 01045 Phone 970.600.9540 Fax 970.688.8476 Web http://www.townofnorthandover.com �µ d R North Andover Health Department Community Develol ment Division QNSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION ADDRESS: � �� , �.� V `�. b MAP: LOT: INSTALLER: ``bi (�' .E' (,-( DESIGNER: d-.... PLAN DATE: BOH APPROVAL DATE ON PLAN: ��, INSPECTIONS TANK INSPECTION: 'K cxi DATE OF BED BOTTOM INSPECTION: "� DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: 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 f compacted firm base Cleanauts per plan f ❑, " Bottom of tank hole has 6" stone base ❑,, . l . W e hole plugged ❑ ❑ gallon tank has been installed , .. � �°°" � ;"` ❑..� loading �1 ❑. (❑ Monolithic tank construction o'f ❑ ❑ Water tightness of tank has been achieved by ❑ ❑ .:., ,' i testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed ❑ 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 ❑ cover at final grade installed over pump access port ❑ Watertightness of tank has been achieved by testing ❑ Hydraulic cement 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 ❑ Speed levelers provided (not required) Comments: SOIL A PTIN SYSTEM eneral) 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 ❑ 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 ❑ Detaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ❑ Brand and Model of Chamber: Standard (wick 4 Infiltrator Chambers ❑ Number of chambers per row: ❑ Number of rows (trenches): Comments: Total Chambers .r r J P pp / r , BM = HR = HI = SYSTEM ELEVATIONS ROD AS-ELT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN Distribution Box OUT Lateral 1 TOP Lateral 1 INVERT Lateral 2 TOP Lateral 2 INVERT Lateral 3 TOP Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral INVERT Top of Chamber Bottom of Bed/Chamber 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 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh,Inland/Coastal Ban, 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 Grant, Michele To: plally@miliriverconsulting.com Subject: 555 Boston Road Hi Pam, Please be advise that 555 Boston Road is ready for final construction.Thank you Michele E. Grant Public Health Agent Town nf North Andover 16OO Osgood 6tI Suite 2D3s North Andover,mA 01845 Phone 978.688.9540 Fax 378.688.8476 Email Web | / � � 1 �