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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 r. S lit- V17 f 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