The URL can be used to link to this page

Home My WebLink AboutCertificate of Compliance - 386 SHARPNERS POND ROAD 7/28/2006 NORTfi O A O 1. COCMIC�WICM 1' "V 710 �9SSAC PUBLIC HEALTH DEPARTMENT Community Development Division CE RRI FICA 2V 01F C0914,"Dr IA.YCF As of: ,duly 28, 2006 This is to certify that the indiviiduaCsudsurface disposal system was: Repaired- Septic Tank 6� D-Box Replacement 6y• James Xellett ./fit: .386 Sliarpners Pond (Xoad Arorth Andover, 9113 01845 The issuance of this certiftate shall not be construed as a guarantee that the system will function satisfactorily. Susan T Sawyer, REASAU T u6lic Yfealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN OF NORTH ANDOVER a� ,eo�arw � Office of COMMUNITY DEVELOPMENT AND SERVICES � ` ,"Y'�a �0 HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 C14U 978.688.9540—Phone Susan Y.Sawyer, REHS/RS 978.688.8476—FAX Public Health Director E-MAIL: healthdept ntownofnorthandover.com WEBSITE:http://www.townofnorthandover.com TOXIN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( repaired; by (Print Name) located at (Installation Address) was installed in conformance with the North Andover Board of Health approved plan, originally dated !® 1,0 and last Revised on , 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 it i the PIN approved plan. All work is accurately represented on the As-built which ubtt , the Board of Health. 13r,NJAN1If� t)SGOOD,�Jll Bed inspection date: l � �<° IVII. ` ty.46lJ0t Engird r Representative n turel� 3"1��9�, �� 1 C ery7.��✓ cat AV r> � � , 7/plev&- 7 -r&W,140, 00 Cy. And-Print Name Final inspection date: Engineer Representative(Signature) And-Print Name Installer: (Signature) Date: ° 71" And-Print Name Engineer: l _ (Signature) Date: � � , And-Print amN� e '�° TOWN OF NORTH APqDOVER Office of COMMUNITY DEVIL OPMENTAIND SERVICES 1-1EALT'li DEPARTMENT 400 OS(A)01) STREET NOR'll-I ANN-WER, MASSACHUSI:1'11'S 01845 Susaii Y. Sawyer, Rl',"HYRS 978A&9540- Plime PUblic I lealth Director 9'7&688.8476 FAX SEPTIC SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 386 Sharpners Pond Road MAP: LOT: INSTALLER: James Kellett 1-781-953-746 DESIGNER: Ben Osgood PLAN DATE: 11/29/2005 BOH APPROVAL DATE ON PLAN: 12/06/2005 INSPECTIONS D-Box&Tank Inspection: 1/6/06 - Friday DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE 1. GRAVITY DISTRIBUTION,..Ll 2. PRESSURE DISTRIBUTION...Ll 3. PRESSURE DOSING...Ll 4. HOLDING TANK....J 5. ADVANCED TREATMENT...Ll 6. OTHER..,Ll FAST" SYSTEM COMPONENT SUMMARY FROM PLAN 1. GALLON TANK = 1500 2. LOADING OF SEPTIC TANK 3. GALLON PUMP CHAMBER 4. LOADING OF PUMP CHAMBER 5, TYPE OF SAS = 6. DIMENSIONS AND DETAILS OF SAS: Comments: Page 1 of 4 TOWN OF NORT14 ANDOVER Office of"COMMUNITY 1.)EVELOPMENTAM) SERVICE'S HEAL141 DEPARTMEN11' 400 OS(A)(H) STREET A, NOR11 I ANDOVER, MASSA01USE]"I'S 01845 C( o SLisaii Y. SaNvyer, REHS/RS 978.688.9540 Mime P�bfic I leafth Director 978,688.84'76 FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...EJ 2. Internal plumbing all to one building sewer...Ll 3. Topography not appreciably altered...LJ SEPTIC TANK 1. Bottom of tank hole has 6" stone base... 2. Weep hole plugged...LJ 3. Tank has been installed (H10) Tank Size: 1500 - MONOLITHIC...❑ 4. Water tightness of tank has been achieved (V istial)... El 5. Inlet tee installed, under access port...El 6. Outlet tee (gas baffle or effluent filter) installed,tinder access port. 7. Cover to within 6" of final grade installed over one access port,must be over outlet of tank if effluent filter is present- Inches of Tank...LJ 8. Hydraulic cement around inlet& outlet...❑ ****Comments: **** PUMP CHAMBER®n/a 1. Bottom of tank hole has 6" stone base... 2. Weep hole plugged...LJ 3. Pump Chamber Installed_Combo tank Gallons; (H-20) (Monolithic) 4. Inlet tee installed,under access port... 5. Pump(s) installed on stable base...EJ 6. Alarm Float Working...Ll 7. Pump On/Off Float Working...LJ 8. Total # of Floats... 9. Drain hole in pressure line...J 10. Cover to within 6" of final grade installed over one access port...L) 11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24 hours (circle) 12. Hydraulic cement around inlet & outlet...❑ Comments: Page 2 of 4 TOWN OF' NOR,ril ANDOVER Office of COMMUNITY DEVELOPM ENT AND SE'RVI(.1ES 1HEA1.14-1 DEPARTMEN"I" 400 OSGOOD STREET 1 0R]"11 ANDOW1Z, MASSA(._,',Hust,,'rrs 018'45 Susati Y. Savvyer, REHS/RS 978,688,9540 Ph(�iie Public Health Direcwt• 978.688,8476 FAX D-BOX 1. Installed on stable stone base... 2. Inlet tee (if pumped or >0.08'/foot)... El 3. Hydraulic cement around inlet& outlets...Z 4. Observed even distribution...IE 5. Speed levelers provided (not required)... Comments: PIPE NEEDS TO BE BEDDED PROPERLY SOIL ABSORPTION SYSTEM 1. Bottom of SAS excavated down to Soil Layer, as provided on plan... 2. Size of SAS excavated as per plan...LJ 3. Title 5 sand installed, if specified on plan...Ll 4. '/4-1 1/2" double washed stone installed...LJ 5. 1/8-1/2" (peastone) double washed stone installed 6. Laterals installed and ends connected to header (and vented if impervious material above) 7. Gravel-less disposal systems: type, number and location as per plan.........Ll 8. Elevations of laterals installed as on approved plan...J 9. 40 Mil HDPE barriers installed...Ll 10. Retaining wall (boulder / concrete / timber / block) ...J 11. Final cover as per plan ...J *****Comments• CONTROL PANEL 1. Alarm &Pump are on separate circuits...D 2. Alarm sounds when float is tripped......Ll 3. Location of control panel: 4. Rated for exterior if placed outside...LJ Comments: Page 3 of 4 TOWN OF N(,)R'I'tl ANDOVER, 0, Office of COMMUNITY DEVELOPMENT SFIRVICJ-�>s HEAL I'l'l DEPARTMENT 400 OS(�,001) STREET N(:)R'I'l I AND(WER, N4ASSAC1-R.JSE'1-'1'S 0184°r C"ki Susan Y. Sawyer, RE"HS/RS 978,688 9540 Phom Nbk Health Director 9'78.688,8476 FAX SYSTEM ELEVATIONS 1. Benchmark: 2. Rod at Benchmark: 3. Height of Instrument: INVERT" ON DESIGN INVERT PLAN ELEVATION Building Sewer OUT Sep tic Tank IN Septic Tank OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 Inv Lateral 2 HIGH Lateral 2 Inv Lateral 3 HIGH Lateral 3 Inv Page 4 of 4