HomeMy WebLinkAboutCertificate of Compliance - 1525 FOREST STREET EXT 3/16/2005 Town of forth Andover t&ORTM
Office of the Health Department
Community Development and Services Division �
400 OSGOOD STREET
North Andover, Massachusetts 01845 ��"SAC US��a�
Susan Y. Sawyer, REHS/RS 978.688,9540-Phone
Public Health Director 978.688.9542-Fax
CEIWEI"ql� 0"T'" COMPLIANCE
As of:
arch 1 , 2005
This is to certify that
the individuafsu6surface dzsposa(system
rep airedm(,A) ® Tuff System
by
o6„4mor
at
1.525 (Lot > forest Street �.
,4VorthAndover, W,4 01845
has been installed in accordance with the provisions of Title v of the State Sanitary Code and
with the Yorth Andover 0oard of Yfealth regulations.
'The Issuance of this certiftate shall not 6e construed as a guarantee that the system will
function satisfactorily.
,,"Suiln T Sawyer
Pu6f'c Ifealth Director
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM
INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( )constructed;
( )repaired;
by
located at
was installed in conformance with the North d ver oard 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: A v )e 06 JQ
Engineer Representative
//
Final inspection date: � G 1 C.l r ) 41 S OCA QI_U� .
Engineer Representative
Installer:
Date:
Engineer: Date:
V�
.............1' 71'
#10413
March 8, 2005
North Andover Health Department
27 Charles Street k/�4�,
North Andover, MA 01845
HE'Al
Attn: Susan Sawyer
Re: As-built Certificate of Compliance
Lot 3 Forest Street
Gear Ms. Sawyer:
I hereby certify that the sewage disposal system installed by Bob Amor on Lot 3,
Forest Street(Tax Map 1055, Portion of Lots 1 & 2) was installed as shown on
the enclosed as-built plan. The approved design flow is 550 gallons per day.
Enclosed are two copies of the as-built plan for your use. Please note that
portion the reserve area is located under the driveway. In no way were the in situ
receiving soils disturbed during construction, the driveway will be relocated on
top of the existing leach field if the field has to be replaced.
This letter is submitted as a substitute to fulfill the requirements of Certificate of
Compliance signature on ®EP approved form 1255, Rev 5/96. Please note that
the issuance of a Certificate of Compliance shall not be construed as a
guarantee that the system will function as designed. Should you have any
questions, please call me.
Very truly yours,
H O K E INEE G ASSOCIATES
r:
Vac av V. alas
PrincipalmtPfl: „
Enclosure
flr, ,
cc: Mike Finocchio
Bob Amor
I�'7ANVI ?S Off I(T: BOL ION OFFI(E:
1,131) Cenlie Street, De nver.s, AAA 01923 626 Main Street, Bolton, MA 01710
Phone: (978) 7"//.-1,01)0 Fax: (9/8) 774-7816 f''Yror're: (978) 779-6/67 Fax: (97£3) 7792228
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Page I of I
Dellechiaie, Pamela
From: Dan Ottenheimer[info@millriverconsulting.com]
Sent: Monday, August 23, 2004 1:25 PM
To: Susan Sawyer; amcbrearty@millriverconsulting.com; 'Pamela Dellechiaie'
Subject: Forest Street
Sue and Pam,
Attached please find the inspection report for the septic system constructed at Lot 3 Forest Street, now known
as 1525 Forest Street. Aside from the situation with the ledge in the SAS which you addressed, no problems
or issues were identified.
Dan
11 Wx v e r
C0115 UIti (IO
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
wwNv.riiillrivet'coi'iSLilting.nor
ii
info( nAlriVeIVOrISUfting.C(.)nI
8/23/2004
TOWN OF Noiatl ANDOVER
Office of COMMUNITY DEVE1,OPMENTAND SERVICES
11-1EA1,111 DEPART'IWEN'11'
'T
27 C�I A R LES STR E'T
NORTH ANDOVER, MASSACHUJS TT S 01 4
Susan Y Sawyer, REFIS/RS 978.688.9540 Phone
PUblic Health Director 978M8.9542 FAX
ADDRESS: Lot 3 Forest St also known as 1525 Forest Street MAP: LOT:
INSTALLER: Robert Amor
DESIGNER: Hancock Associates
PLAN DATE:4/2/2004
BOH APPROVAL DATE ON PLAN: 4/7/2004
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 8/19/2004
DATE OF FINAL GRADE INSPECTION:
SELECT SYSTEM TYPE Gravity Distribution
COMPONENT SUMMARY FROM PLAN
GALLON TANK = 1500
LOADING OF SEPTIC TANK = fl-10
TYPE OF SAS = Field
DIMENSIONS AND DETAILS OF SAS: 24' x 39'
SITE CONDITIONS
❑Existing septic tank properly abandoned
Zinternal plumbing all to one building sewer
ZTopography not appreciably altered
Comments:
Contractor is aware reserve area is under driveway and spoke with owner about not
excavating this soil.
SEPTIC TANK
Z Bottom of tank hole has 6" stone base
Z Weep hole plugged
Z 1500 gallon tank has been installed
H-10 loading Monolithic construction
F-1 Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
Z Inlet tee installed, centered under access port
Outlet tee gas baffle and effluent filter installed,
centered under access port
Page 1 of 1
TOWN OF NORTH ANDOVER
Ofl ce of COMMUNITY DEVELOPMENTAND SERVICES
flEAL711-1 DE PARJ'ME1N'F
27 (11ARLES STREF-l'
NORTH ANDOVER, MASSACHIJSETTS 01845 C 041
Susan Y. Sawyer, REHS/RS 978,688.9540 Phone
Public Health Director 978.6M9542 - FAX
Z 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
Z Hydraulic cement around inlet & outlet
Comments:
No water in take but monolithic tank and looked in good shape.
D-BOX
Z Installed on stable stone base
❑ Inlet tee (if pumped or >0.08'/foot)
❑ Hydraulic cement around inlet & outlets
Z Observed even distribution
Z Speed levelers provided (not required)
Comments:
Hydraulic cement To Be Done
SOIL ABSORPTION SYSTEM
F-1 Bottom of SAS excavated down to soil layer, as
provided on plan
Z Size of SAS excavated as per plan
Z Title 5 sand installed, if specified on plan
Z 3/4-1 1/2" double washed stone installed
Z 1/8-1/2" (peastone) double washed stone installed
Z laterals installed and ends connected to header (and
vented if impervious material above)
Z Orifices ❑ 5 & 7 o'clock positions
F-1 Gravelless, disposal systems: type, number and
location as per plan
❑ Elevations of laterals installed as on approved plan
Z 40 Mil HDPE barrier installed
F-1 Retaining wall (boulder / concrete /timber/ block)
F-1 Final cover as per plan
Comments:
Moved part of SAS due to ledge - 18' between farthest lateral
SYSTEM ELEVATIONS
Benchmark: 100.00 (Set by contractor, verified against spike at oak tree BM 93.42)
Rod at Benchmark: 8.76
Page 2 of 2
TOWN OP' NORTH ANDOVER
Office 4,
of COMMUNITV DEVE11,0111MENTAND SERVIC'E"S
11EA1,14f DEPARTMENT 40"00
27 CHARLE.S s,rREF.T
NORT'11 ANDOVER, MASSACIII.JSE"'I"I'S 01845
Susan Y. Sawyer, RFAS/RS 97 ,68 .9540 Phone
Public Health Director 978.6M9542 FAX
Height of Instrument: 108.76
INVERT ON DESIGN PLAN INVERT ELEVATION
Building Sewer OUT 104.25
Septic Tank IN 104.05 105.02
Septic Tank OUT 103.80 104.78
Access Box IN 103.28 103.50
Access Box OUT 103.28 103.50
Distribution Box IN 102.82 102.95
Distribution Box OUT 102.65 102.80
Lateral HIGH 102.60 102.63
Lateral 1 LOW 102.40 102.42
Lateral 2 HIGH 102.60 102.63
Lateral 2 LOW 102.40 102.42
Lateral 3 HIGH 102.60 102.63
Lateral 3 LOW 102.40 102.42
Lateral 4 HIGH 102.60 102.63
Lateral 4 LOW 102.40 102.42
Page 3 of 3