HomeMy WebLinkAboutCertificate of Compliance - 94 BOXFORD STREET 8/26/2005 Town of North Andover
Office of the Health Department
Community Development and Services Division a
400 OSGOOD STREET
North Andover,Massachusetts 01845
SACNUSe
Susan Y. Sawyer,REHS/RS 978.688.9540-Phone
Public Health Director 978.688.8476-Fax
ERT 'XTE Ur LOW-1-1,
As of:
.August 26, 2005
This is to certify that
the individual subsurface disposal system
Repair ( )fuff System
by
Jim Keflett
At
94 oTf®rd street
North Andover, W,4 01845
.71as been installed in accordance with the provisions of Titfe v of the State Sanitary Code and
with the North Andover(Board of Yfeafth regulations.
TFie Issuance of this certificate shall not be construed as a guarantee that the system will
function satisfactorily.
�!u e
Michefe E. Grant ,
Public Yfeafth inspector
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
-TOWN-10F.-NORTH ANDOVER SEWAGE DISPOSAL,SVSTE -_
STALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( )'constructed;
(X)repaired;
by K6 L..L
located at
was installed in conformance with the North Andover Board of Health approved plan.,
System Design Permit.# ,plan dated , 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.
Bed inspection date: 0 "C J J —
Engineer Representative
Final inspection date: _ / - c T
Engineer Representative
Installer:' Lic.#: Date:
Enginee` ¢ ►N � 3 s � J S
Date:
CEO �[91)1
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Page 1 of 1
DelleChiaie, Pamela
From: Andy McBrearty [amcbrearty @millriverconsulting.com]
Sent: Thursday, August 25, 2005 3:44 PM
To: DelleChiaie, Pamela
Cc: Daniel Ottenheimer(E-mail); Lisa LeVasseur(E-mail); Sawyer, Susan; Grant, Michele
Subject: 94 Boxford & 1132 Salem Street- Final Const. Inspection
Hi All,
Here is the final for 94 Boxford and 1132 Salem. Both look good. Kellett used a single on/off float in
the pump chamber. Need to check with NEES for their OK. Pressure dosing is probably not that critical
for use of this float, but pressure distribution should have separate floats for on/off.
-andy
8/25/2005
_w... ..,._ ....NEW ENGLANI) ENGINEERING SERVICES
�.o...... I J C
August 25, 2005
Susan Sawyer
North Andover Board of Health
400 Osgood Street
North Andover, MA O1845
Re: 94 Boxford Street, North Andover, MA
Septic System As-Built Plan Submittal
Dear Ms. Sawyer,
The following Septic As-Built plans for the above referenced property are being submitted for
approval.
Enclosed are the following:
1. (3) Copies of the Septic System As-wilt Plan.
2. Copy of Designer's/installer's Certification Form.
Please contact this office with any questions or concerns.
Sincerely,
Thomas Hector
Project Engineer
cc: Homeowner
60 aEE..CHWOOD DRIVE-NO T I i ANDOVER, MA 01845-(978)686-1768-(888)3594645- FAX(978)685-1099
TOWN OF NORTH ANDOVf,R ORTIJ
Office of COMMUNUrV IIDDE
HEALTH �
. LOP ENT AND
RVIC'E
400 O:GOOD STREET
NORTH ANDOVER,VER, MASSACHlulS TT 01845 CHU�
Susan Y. Sawyer,REHS/RS 978.6W9540 Phone
Public Health Director 978.688.9542 FAX
SEPTIC SYSTEM CONSTRUCTION NOTE
ADDRESS: 't MAP: LOT:
�
INSTALLER: `- i' —ry
DESIGNER: La o
PLAN DATE: E3"
BOH APPROVAL DATE ON PLAN:
DATE OF BED BOTTOM INSPECTION: (
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION: U
SELECT SYSTEM TYPE
GRAVITY DISTRIBUTION
PRESSURE DISTRIBUTION
PRESSURE DOSING
HOLDING TANK
ADVANCED TREATMENT
OTHER
COMPONENT SUMMARY FROM PLAN o°f
GALLON TANK
LOADING OF SEPTIC TANK
GALLON PUMP CHAMBER = --.w.._
LOADING OF PUMP CHAMBER =
TYPE OF SAS
DIMENSIONS AND DETAILS OF SAS:
,VIM
u
SITE CONDITIONS
❑ Existing septic tank properly abandoned
❑ Internal plumbing all to one building sewer
❑ Topography not appreciably altered
Comments:
Page 1 of 4
TOWN OF NORTH
Office of COMMUNITY DEVELOPMENT ANDOVER AND SERVICES
HEAL'TH DEPART'MENT'
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 8 CRUS
Susan Y, Sawyer, REI-IS/RS 978.688.9540 Phone
Public Health Director 978.688,9542 FAX
SEPTIC TANK
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
El gallon tank has been installed.___
(H-1 0 or H-20) 7,r piece)
El Watertightness 6-ftaink has been chieved
(Visual or Vacuum Test or Water held for 24hrs)
El Inlet tee installed, under access port
❑ Outlet tee (gas baffle or effluent filter) installed, under
access port
❑ 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:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ gallon Pump Chamber installed
(H-10 or H-20) (monolithic or 2 piece)
❑ Inlet tee installed, under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off float working
❑ Drain hole in pressure line
❑ inch cover to within 6" of final grade installed over
one access port
❑ Water tightness of tank has been achieved
Visual or Vacuum Test or Water held for 24 hrs
❑ Hydraulic cement around inlet & outlet
Comments:
Page 2 of 4
TOWN OF NOR T11 ANDOVER Til
Office of COMMUNITY DEVELOPMENT ANI) SER elf cr,,s
IJEALTH DEPARTMENT
#
400 OSGOOD STREET
NORTH ANDOVER, MASSACIJUSUTS 0 1845 CHU
Susan Y. Sawyer, RE IIS/RS 9M688,9540 Phone
Public Health Director 978.669542 FAX
D-BOX
❑ Installed on stable stone base
❑ Inlet tee (if pumped or >0.087foot)
❑ Hydraulic cement around inlet & outlets
❑ Observed even distribution
❑ Speed levelers provided (not required)
Comments:
SOIL ABSORPTION SYSTEM
❑ Bottom of SAS excavated down to soil layer, as
provided on plan
❑ Size of SAS excavated as per plan
❑ Title 5 sand installed, if specified on plan
❑ 3/4-1 Y2" double washed stone installed
❑ 1/8-1/2" (peastone) double washed stone installed
❑ laterals installed and ends connected to header (and
vented if impervious material above)
❑ Orifices @ 5 & 7 o'clock positions
❑ Gravelless disposal systems: type, number and
location as per plan
❑ Elevations of laterals installed as on approved plan
❑ 40 Mil HDPE barrier installed
❑ Retaining wall (boulder/ concrete/timber/ block)
❑ Final cover as per plan
Comments:
PRESSURE DISTRIBUTION
❑ inch manifold
❑ laterals installed with end sweeps
size:
material:
❑ Squirt test ft in height
❑ Equal distribution to all laterals
❑ orifice size inch as per plan
Comments:
Page 3 of 4
T()WN OF NOR"M ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
HEA1,TH DEPARTMENT
400 OSGOOD smEET
NORT'Fl ANDOVER, MASSACHUSETTS 01845
S CRU
Susan Y. Sawyer, REIIIS/RS 978M8.9540 Phone
Public [Jealth Director 978.688.9542 FAX
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel:
❑ Rated for exterior if placed outside
Comments:
SYSTEM ELEVATIONS
Benchmark:
Rod at Benchmark:
Height of Instrument:
INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION
Building Sewer OUT
Septic Tank IN
Septic Tank OUT
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN
D-Box OUT Manifold
Lateral 1 HIGH
Lateral 1 LOW
Lateral 2 HIGH
Lateral 2 LOW
Lateral 3 HIGH
Lateral 3 LOW
Lateral 4 HIGH
Lateral 4 LOW
Lateral 5 HIGH
Lateral 5 LOW
Page 4 of 4