The URL can be used to link to this page

Home My WebLink AboutCertificate of Compliance - 55 LOST POND LANE 8/7/2012 i PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division f AS of This is to certify that a SAorsTACTORT INS rEcTza5V Was completed for the. nt and tion of an " c Tor an On-Site _.a (By: Toddoateson at: 55 Lost (PondLane Parcel ID : 210/104.B-0221-0000.0 XorthAndover WA 01845 The issuance of this certificate shall not be construed as a guarantee that the On-Site Sewage Disposal System willfunction satisfactorily. Susan Sa r 1nubfic Ylealth (Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 0 ° • North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T TI N NOTES LOCATION I � ' FORtI ION (,,._MAP: LOT: INSTALLER.� ,.. �� ;T! DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: ❑ . INSPECTIONS TANK INSPECTION: ❑ V ',p ❑f, �, 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 compacted firm base ❑ Cleanouts per plan ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ _ gallon tank has been installed loading ❑ Monolithic tank construction [❑ Water tightness of tank has been achieved by __ testing E] 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: PUMIR CHAM ER ❑ 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 pork ❑ 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: CON°TR L 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-Sox ❑, Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets 0' Observed even distribution D Speed levelers provided (not required) Comments: