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HomeMy WebLinkAboutCertificate of Compliance - 45 SHANNON LANE 6/30/2010 � ...._,. I @- 7J MOM fl PUBLIC HEALTH DEPARTMENT Community Development Division CERTI(FICATE As 0 . 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 o On-Site Sewage Disposa[System y:e Todd(Bateson B 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 T 1600 OSOOOD STREET; Building 2-36 NORTI3 ANDOVER, MASS CNUSETTS 01845 qs tlnnrro nrn�t` $acrusE 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: , k 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