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Home My WebLink AboutCertificate of Compliance - 163 FARNUM STREET 5/25/2010 tAORTF; O �'j'E D X 6 9 + OL O �n !- 70 .e ORA cot«iC NiwK«`y�' 7,9 °R�reo C "SAC HUSH PUBLIC HEALTH DEPARTMENT Community Development Division CAE1��IFICA�IIW ®F C®qq�GIONCE As of: May 251 2010 This is to certify that the individual subsurface dzsposafsystem received a SA7ISEAC7ORTINSPECTIOWof the: &pair1 ft&cement of an On Site Sewage Disposal System Bye- john 2: Shaw, III At: 163 Famum Street 911 ap-10T.A; Parcel-37 North Andover, WA 01845 7Fie Issuance of this certfCwate shaff not be construed as a guarantee that the system wii•L function satisfactorify. S n T Sawyy 1� Public Ylealth lDirector 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com EAU u i ' a Ofr',f�yF av Nr'� i �r {{ pQry PUBLIC E l.fd DEPAR` t0t C1HjEAL`rH ('nrrrrnuctity[Buvc;0j)f11er11 Division lEPA 6' TOWN OF NORTH ANDOVER. SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed;( )repaired; By: M 0 PI p (Prpint Name) Located at: 9 Cam' FA VA j 2 CIE' (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated -69 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 with the approved plan.All work is accurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: 77C-/0 Engineer Representative(Signature) And-Print Name Final Construction Inspection Date: Engineer Representative(Signature) -.(A, And-Print.Name Installer; se (Signature) Date: to y And-Print Name Enginer: VZd011111,1 (Signature) Date: 5- - And-Print Name 1600 Osgood Street, North Andover, Mussachuse-tis 01845 Phone 978.688.9540 Door 978.68&8476 Weh lit 1p://www,towno north a ndoveiracom ellehiaie, Pamela From: Dan Ottenheimer[info @millriverconsulting.com] Sent: Wednesday, May 26, 2010 10:20 AM To: Sawyer, Susan; DelleChiaie, Pamela Cc: 'Isaac Rowe'; 'Randy Burley'; 'Marianne Peters' Subject: Construction Inspection, 163 Farnum Street Attachments: Construction Inspection Form 163 Farnum Street.doc Construction inspection form attached. I had sent an e-mail last week with the issues found during construction that needed attention at the final grade inspection. Dan consulting Daniel Ottenhei er, President Mill River Consulting,Inc. 6 Sargent Street Gloucester, MA 01930-2719 978-282-0014 fax: 978-282-1318 w Nv.wreiiiltw verrccotzstilti .c()rlI qp )g1iillrivercLnsultin cwom. Member: Yankee Onsite Wastewater Association, Massachusetts Environmental Health Association, Cape Ann Chamber of Commerce, Gloucester Rotary Club, New England Water Environment Association, Cape Ann Referral Group 1 tk F� e 'C% s 4C us PUBLIC ALTH DEPARTMENT fommunity Development Division QNSITE WASTEWATER SYSTEM T TI NOTES LOCATION INFORMATION ADDRESS: 163 Farnum Street MAP: 107A LOT: 37 INSTALLER: John Shaw DESIGNER: Merrimac Engineering PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTION TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: 41bobo DATE OF FINAL CONSTRUCTION INSPECTION: May 12, 2010 DATE OF FINAL GRADE INSPECTION: 11-) if D 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 ® 1500 gallon tank has been installed h-10 loading 2-part construction ® Water tightness of tank has been achieved by visual testing 1600 Osgood street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web wwrww.tovinolnorthondover.com Inspection Form June 2008 t4ORYPI v�+ " A US PUBLIC HEALTH DEPARTMENT (ommunity Development Division ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access pork (gas baffle/effluent filter) ® 16" inch cover to within 6" of final grade installed over one access pork ® Hydraulic cement around inlet & outlet Comments: lank had two risers, both had 16" diameter covers. Instructed contractor to replace with 20" covers PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 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 ® 20" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by visual testing ® Hydraulic cement around inlet & outlet Comments: recommended extension handle on effluent filter to ease access for maintenance CONTROL PAN L ❑ Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: garage ® Alarm signal located inside: garage 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web w.w,wµtownotrior,thondov,eram Inspection Form June 2008 ikon 14 Of sjt.2 V. SS US N , PUBLIC HEALTH DEPARTMENT Community Development Division Comments: DISTRIBUTION-BOX ❑ Installed on stable stone base ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: Inlet pipe to d-box was 2" sweep which did not have an elbow. Contractor asked to repair this SOIL ABSORPTION YSTE (General) Bottom of SAS excavated down to 6 in into C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 5 Comments: Total Chambers ® 50 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web WWW.toswnofnortho-n"dove,r.cam Inspection Form June 2008 @� rtro¢+wiciaa�«xcw h' wss4c US PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS ROD ELEVATION AS-BLT INVERT ELEV DESIGN INVERT ELEV Benchmark 93.0 Building Sewer OUT Septic Tank IN 3.96 90.41 90.50 Septic Tank OUT 4.21 90.16 90.25 Pump Chamber IN 4.20 90.15 90.20 Pump Chamber OUT Distribution Box IN 2.43 92.10 91.97 Distribution Box OUT 2.49 91.88 91.80 Lateral 1 TOP 2.60 92.10 92.10 Lateral 1 INVERT 2.62 91.75 Lateral 2 TOP 2.63 92.13 92.10 Lateral 2 INVERT 2.60 91.77 Lateral 3 TOP Lateral 3 INVERT 2.60 91.77 Lateral 4 TOP Lateral 4 INVERT 2.59 91.78 Lateral 5 TOP 2.60 92.10 92.10 Lateral 5 INVERT 2.63 91.80 Lateral 6 TOP Lateral 6 INVERT Top of Chamber Bottom of Bed/Chamber CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer M Property line 10 10 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 918.688.9540 Fax 918.688.8416 Web wwwa.I.ownofnorthc!ndov,9r.com Inspection Form June 2008 t q v..%D C� SSA C:fit) PUBLIC HEALTH DEPARTMENT Community Development Division ® Cellar wall 10 20 -- ❑ Inground pool 10 20 -- ❑ Slab foundation 10 10 -- ❑ Deck, on footings, etc 5 10 ❑ Waterline 10 10 101 ❑ Private drinking well 75 1002 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 ❑ Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Bank-3 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib, to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area ❑ Reservoirs 400 400 ❑ Drains (wat. supply/trib.) 50 100 ❑ Drains (intercept g.w.) 25 50 ❑ Drains (Other) Foundation 10(5) 20(10) ❑ Drywells 20 25 t Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). 3 As defined in 310 CMR 10.55, 10.32, 10.54, and 1.0.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.towndnort_licandover.corn Inspection Farm June 2008