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Home My WebLink AboutCertificate of Compliance - 1500 FOREST STREET EXT 9/21/2005 . ➢ ` n of Nortli Andover aaant Office of the Healt1i 13epartment CominLinity 'l'..")evelopi,rierit and Services Division North Andover, MassaCJILJSC4[S 01845 Susan Y, Sawyer, REHS/RS 978.68&9540- Phone Public Health Direct-Or 97&688.8476-Fax CERTIq7jCAq,tE OE C0914TUANCE As o September 1, 2005 This is to certify that the individuaCfsu6surface dzsposalsystem Repaired®(Xf� 6y John Soucy At 1500 'Forest ,street NorthAndover, ,4 01845 Yfas been installed in accordance with the provisions of Title v of the State Sanitary Code and with the North Andover 0oard of Yfealth regulations. The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. us n �Y a � ..� JEWS �S "S , S wyer, , `6Cc.Ifealth (Director Ire ARD O AN'I ALS 6 9-954 1 1x8116-D NG 688-95"r5 CONSIwR VATIC)N 6,M9530 HFAL`FH 688-9540 k'L NNIN i 088-9535 TOWN OF NORTH ANDOVER A,,l.BP y6 a Office of C®MMUNITV DEVELOPMENT AND SERVICES to HEALTH DEPARTMENT ~ ' 400 OSGOOD STREET "Y pPN+IriP NORTH NDOpaJl , /I ` S1fsiHUETTS 01845 � sncwus�K 978.688.9540—Phone Susan V. Sawyer, REHS/RS 978.688.8476—FAX Public Health Director "�' � �q��' EMAIL: healthdept @townofnorthandover.com W BSITE: http://www.townofiiorthandovet-.com TOWN OF NORTH ANDOVER" SEPTIC DISPOSAL SYSTEM o INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System.( ) constructed; (yj repaired; by (Prin ame) located (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated '4 e_> 15> and last Revised on '7- ' , 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: Engineer Representati (Signature) _ w+^'°4 �°'� And- rint Name Final inspection date: I.;# (- a 2 Engineer Represen ative(Signature) A.ra.s , ) And pmt Name �^ (Signature) Installer: Date: And-Pri Name or Engineer: (Signature) Date: 4-b gym. 0 00 ,1V , r And-Pri t Name 4rU�1 Slow v, _.. September 15, 2005 r Piiyj Susan Sawyer North Andovcr Board of 1 lealth ° ��'F��'`M "� 4-00 Osgood Street North Andover, MA 01845 Ike: 1.500 Forest Street Extension, North Andover, MA Septic Systew Gds.-Built Plan Submittal Dear IAs. S"ClWycr The follov"rng SCI-Air A, -Built plans for the above referenced property arc being submitted for approval. Enclosed fire` the 10110vving: ('opic;s of the, ;S.cptie System As-Built Plan. Cop Certification Form, Please conti<ict mis office with any questions m concerns, `.Mccrcly, 7-11 t,pw Q— "Thomas IIeknor Project En;v,,inecr cc: Honlcown.r 60 BEEC-9WWOOD DRIVE-NORTH ANDOVER, MA 01845..(978)686-1766-(888)359-7645- FAX(9"78)685..'1099 Page 1 of 1 DelleChiaie, Pamela From: Andy McBrearty [amcbrearty @millriverconsulting.com] Sent: Wednesday, August 31, 2005 5:22 PM To: Sawyer, Susan; Grant, Michele; DelleChiaie, Pamela Cc: Daniel Ottenheimer(info @millriverconsulting.com); Lisa Kozel LeVasseur Subject: 1500 Forest St Ext Const Inspection Here is construction inspection from Wed at 1500 Forest st. No problems. Soucy did have to replace the 1500 tank and 1000 gal pump chamber with a single 2500 combo tank because of the amount of ledge encountered.Not a problem with that. Could not access house as owners were away. Was not able to check on electric and plumbing, so need you to do that at final grade inspection, if possible... thanks, -andy 9/2/2005 TOWN OF NORT"11 ANDOVER OfliecofCOMMt.,JNI'Y'VI)F,VEI.,,OIIIMEN'FANI) SEI Vl(," �E,,S 14EAL,111 DEPARTMEN'1' 400 OSGO(A) STREET NORTH ANDOVE"R, MASSAC.11(J S ETTS 0 1845 Susan Y. Saw yer, R.I'IfS/RS 978M8,9540 Phone Public Health Director 97 .68 .9542 FAX ADDRESS: 1500 Forest St Ext. MAP: LOT: INSTALLER: Soucy Septic DESIGNER: NEE$ PLAN DATE: 9/116S BOH APPROVAL DATE ON PLAN: 9111 n DATE OF BED BOTTOM INSPECTION: 8106�) DATE OF FINAL CONSTRUCTION INSPECTION, 8/ 9/05 DATE OF FINAL GRADE INSPECTION: J J6--, SITE CONDITIONS IHI Existing septic tank properly abandoned 0 Internal plumbing all to one building sewer 0 Topography not appreciably altered Comments: SEPTIC TANK • Bottom of tank hole has 6" stone base • Weep hole plugged 0 1500/1000 gallon combo tank has been installed H-10 loading Monolithic construction 0 Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) 191 Inlet tee installed, centered under access port 121 Outlet tee (gas baffle or effluent filter) installed, centered under access port 191 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 El Hydraulic cement around inlet & outlet Comments: Due to ledge encountered on site, Installer replaced Septic tank and pump chamber with a 2500 gallon combo tank (1500/1000). Page 1 of 3 4 .-RT TOMIN OF NORTH ANDOVER ot!;7, a - " Office of COMMUNITY DEVE1,OPM ENT AND SERVICES Z 11EA1..J'1-1 I)EPAR'"I'MENT' 4 400 OSGOOD SIRFIET N(KH I ANDOVI`I , MASSA(A IUSETT'S 0 1845 Susan Y. Sawyer, RI-A-IS/16 97&688.9540— Phone Public Health Director 978.688.9542 -- FAX PUMP CHAMBER • Bottom of tank hole has 6" stone base • Weep hole plugged El 1500/1000 gallon Combo tank installed H-10 loading 2 piece construction) IK Inlet tee installed, centered under access port El Pump(s) installed on stable base IK Alarm float working Z Pump OhlOff float working 121 Drain hole in pressure line El 24" inch cover to within 6" of final grade installed over pump access port 0 Water tightness of tank has been achieved (Visual testing El Hydraulic cement around inlet & outlet Comments: Combo tank (see Septic notes) D-BOX 21 Installed on stable stone base 121 Inlet tee (if pumped or >0.08'/foot) El Hydraulic cement around inlet & outlets El Observed even distribution Comments: SOIL ABSORPTION SYSTEM 0 Bottom of SAS excavated down to soil layer, as provided on plan El Size of SAS excavated as per plan IK Title 5 sand installed, if specified on plan El laterals installed and ends connected to header (and vented if impervious material above) El Gravelless disposal systems: type, number and location as per plan El Elevations of laterals installed as on approved plan [E] 40 Mil HDPE barrier installed 0 Final cover as per plan Comments: Page 2 of 3 TOWN ¢t NOR'"I'll ANDOVER v. Office of('-'OM MUN11"I'Y' EVELOPIM ENT AND SERVICES 1--1EAt,'F11 DEPARTMEW 400 OSGOOD STREF�'T N0RI'll ANDOVH, MASSM-7FI1.M-l"I'S 01845 w .2 Susan Y. Sawyer,, RL]IS/RS 97&68k 9540 Phone Public Ile alth Director 978.688.9542 FAX CONTROLPANEL. El Alarm & Pump are on separate circuits Fx-1 Alarm sounds when float is tripped Z Location of control panel: Basement 0 Rated for exterior if placed outside Comments: Could not access Basement-Try to enter at final grade inspection SETBACK DISTANCES Tank SAS Sewer rXI Property line 10 10 [H] Cellar wall 10 20 SYSTEM ELEVATIONS Benchmark: 100.89 Rod at Benchmark: 3.79 Height of Instrument: 104.68 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 99.35 98.50 Septic Tank IN 98.83 97.08 Septic Tank OUT 98.58 *see note Pump Chamber IN ---- *see note Pump Chamber OUT --- 98.00 Distribution Box IN 100.39 100.48 Distribution Box OUT 100.22 100.32 Lateral 1 HIGH 100.58 100.68 Lateral 1 LOW 100.58 100.70 Lateral 2 HIGH 100.58 100.69 Lateral 2 LOW 100.58 100.70 Lateral 3 HIGH 100.58 100.70 Lateral 3 LOW 100.58 100.70 Lateral 4 HIGH 100.58 100.69 Lateral 4 LOW 100.58 100.70 Lateral 5 HIGH 100.58 100.69 Lateral 5 LOW 100.58 100.70 Page 3 of 3