HomeMy WebLinkAboutCertificate of Compliance - 45 SHANNON LANE 6/30/2010 � ...._,. I
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PUBLIC HEALTH DEPARTMENT
Community Development Division
CERTI(FICATE
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June 0,
This is to certify that the individual subsurface dzsposafsystem received a
S,4T[SFAC`ZJ01RT IXST EC ,r07V of the.
Wsp&cement of a System Component: outfet Tee
Toran
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On-Site Sewage Disposa[System
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Todd(Bateson
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45 Shannon Lane
90' tthAndover, 911A 01845
The Issuance of this certiftate shaft not 6e construed as a guarantee that the system wiff
function satisfactorily.
i'
Z
usan T. Sawyer, �RIEOYS/
lzu6lic%ealth(Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
TOWN OF NORTH ANDOVER F ti0F T
Office of COMMUNITY DEVELOPMENT AND SERVICES o ";`<p n�"4
HEALTH DEPARTMENT
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1600 OSOOOD STREET; Building 2-36
NORTI3 ANDOVER, MASS CNUSETTS 01845 qs tlnnrro nrn�t`
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Susan Y. Sawyer,REHS/RS 978.688.9540—Phone
Public Health Director w � °�"
�'' ' `" � � "�� 978.688.8476—FAX
ON ITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATIION __ ... _ . ...
ADDRESS.ON INFORMAT '° MAP: LOT: ..w � � „
INSTALLER:'
DESIGNER:
.. .
m
PLAN DATE:
1p BOH APPROVAL DATE ON PLAN '
INSPECTIONS � .., . 1
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION:
DATE F FINAL CONSTRUCTION INSPE T ION:
DATE OF FINAL GRADE INSPECTION:
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SITE CONDITIONS - ... .... . . .. ......._._. m....
❑Existing septic tank properly abandoned
❑Internal plumbing all to one building sewer
Comments: ❑Topography not appreciably altered
SEPTIC TANK
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ 1500 gallon tank has been installed
Hm10 loading Monolithic construction
❑ Water tightness of tank has been achieved
(Visual or Vacuum Test or Water held for 24hrs)
❑ Inlet tee installed, centered under access port
❑ Outlet tee (gas baffle or effluent filter) installed,
centered under access port
❑ 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
❑ Hydraulic cement around inlet & outlet
Wastewater System Documentation—Feb 2006
Page I of 6
TOWN OF NORTH ANDOVER F µoRrk q
Office of COMMUNITY DEVELOPMENT AND SERVICES oro�A; eo
HEALTH DEPARTMENT A
1600 OSGOOD STREET•'Building 2-36 An P *
y'P qin rP .(cJ
NORTH ANDOVER,MASSACHUSETTS 01845 �SSgCHUS�t
Susan Y. Sawyer,REHS/RS 978.688.9540-Phone
Public Health Director 978.688.8476-FAX
Comments:
PUMP CHAMBER
❑ Bottom of tank hole has 6" stone base
❑ Weep hole plugged
❑ Combo Tank installed. Size:
❑ 1000 gallon Pump Chamber installed
H-10 loading
Monolithic construction)
❑ Inlet tee installed, centered under access port
❑ Pump(s) installed on stable base
❑ Alarm float working
❑ Pump On/Off floats working
❑ Separate on/off floats
❑ Drain hole in pressure line
❑ 24" inch cover to within 6" of final grade installed over
pump access port
❑ Water tightness, of tank has been achieved
Visual testing
❑ Hydraulic cement around inlet & outlet
Comments:
ADVANCED TREATMENT TECHNOLOGY
❑ Type of treatment device:
❑ Installed per manufacturers requirements
❑ All components working in accordance with
manufacturer's requirements
Comments:
Wastewater System Documentation—Feb 2006
Page 2 of 6