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Home My WebLink AboutCertificate of Compliance - 168 SUMMER STREET 5/17/2005 To..n of North Andover pORTH Office of the Health Department 3? 4�"' O Community Development and Services Division i 400 OSGOOD STREET North Andover, Massachusetts 01845 s""" E�g swcHUS� Susan Y. Sawyer, REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax CEV FICAMF OT COI (DrI,A9VCE As of .May 17, 2005 This is to certify that the individua(subsurface disposal system repaired(-A/" — FuCCSystem by Stephen Iacozzi at 168 (Got 1) SummerStreet North Andover, WA 01845 has 6een installed in accordance with the provisions of Tit'e V of the State Sanitary Code and with the North Andover Board of Yfealth regulations. The Issuance of this certificate shall not 6e construed as a guarantee that the system will function satisfactorily. Susan `Y. Sawyer / N lTu6lic Yfealth Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 TOWN GE NORTH ANDOVER SEWAGE DISPOSAL SYSTEM IN,STALLAT'ION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; ( )repaired; bY � located at was installed in conformance with the North And ver Board of Health approved plan, System Design Permit# , plan datedw of "" ? , with a design flow gallons per day. The materials used wer in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title S 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. Bed inspection date: Engineer Representative Final inspection date: Engineer Representative Installer: Lic.#: Date: « , Date: PHILIP G. cI•IRISTIANSEN CIVIL No.20805 S'10NA L SAY 2 0 20(0 5 Iw�dVb,(Clff�tr .ir6� 1x141f1� TOWN OF NORT11 ANDOVER Office of COMMUNITY DEVE1--,0PM1-,N'f AND SERVICES t1EA1,141 MPARTMEN,r 27 CHARLES STREET NORTH ANDOV E,"R, MASSACHUSE—FTS 01845 Susan Y, Sawyer, REHS/RS 978.68&9540 Phone Public Health Director 978,688.9542 FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: Lot 1 Summer Street MAP:38 LOT: 42 INSTALLER: Stephen lacozzi DESIGNER: Christiansen & Sergi PLAN DATE: 11/19/04 BOH APPROVAL DATE ON PLAN: 12/6/04 DATE OF BED BOTTOM INSPECTION: 4/22/05 DATE OF FINAL CONSTRUCTION INSPECTIO : /5/5/05 DATE OF FINAL GRADE INSPECTION: SITE CONDITIONS El Existing septic tank properly abandoned 0 Internal plumbing all to one building sewer El Topography not appreciably altered Comments: No plumbing in house yet 5/5/05. SEPTIC TANK ❑ Bottom of tank hole has 6" stone base El Weep hole plugged 1500 gallon tank has been installed (H-10) (2 piece) ❑ Water tightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) Inlet tee installed, under access port Outlet tee (effluent filter) installed, 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 Comments: Observed stone in hole. No tank yet. 4/22/05. Page 1 of 3 TOWN OFNORTH ANDOVER o Office of'COMMUNITY DEVEIAWMENTAND SERVICE"IS flEAU11-1 DEPARTMEW 27 CHARLI"S S'FREET NORTH ANDOVER, MASSACHUSETTS 01845 SUS,'111 Y. Sawyer, REHS/RS 978.688.9540 Phone Public Health Director 97 .68 .9542- FAX Plan calls for a monolithic tank but the tank at the site is a 2 piece tank, This is acceptable per code and the installer reported he checked with the designer and it was acceptable to them. Watertightness test to be performed. Tank being filled to outlet and to be checked at a later date, 5/5/05 D- OX ❑ 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: SOIL ABSORPTION SYSTEM 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 El 3/4-1 Y2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed El laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions El Gravelless disposal systems: type, number and location as per plan 0 Elevations of laterals installed as on approved plan ❑ 40 Mil HIDPE barrier installed ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: Sand ok Page 2 of 3 TOWN ( taw NORTH ANDOVER Office of COMMUNI'TY DEVELOPMENTAND SERVICES 1--I'EAI,TH DEPAR'"I'MENT' $Ix 27 CHARIA."S STREET NORTH AM)OVER, MASSACTIUSLI-FTS 01845 Susan Y. Sawyer, REFIS/RS 978.6W9540 Phone PUbhc Health Director 978.688,9542 FAX SYSTEM ELEVATIONS Benchmark: 206.96 Rod at Benchmark: 10.22 Height of Instrument: 217.18 INVERT ON DESIGN PLAN INVERT ELEVATION Building Sewer OUT 213.37 213.53 Septic Tank IN 213.13 213.28 Septic Tank OUT 212.88 212.97 Distribution Box IN 212.59 212.45 D-Box OUT 212.42 212.28 Lateral 1 Invert 212.42 212.28 Lateral 1 Top of 212.83 212.76 Chamber Lateral 2 Invert 211.42 211.35 Lateral 2 Top of 211.83 211.70 Chamber Lateral 3 Invert 211.42 211.33 Lateral 3 Top of 211.83 211.83 Chamber Lateral 4 Invert 212.42 212.29 Lateral 4 Top of 212.83 212.78 Chamber Page 3 of 3 Page I of I Dellechiaie, Pamela From: Dan Ottenheimer[info@millriverconsulting.com] Sent: Thursday, May 12, 2005 12:06 PM To: amcbrearty@millriverconsulting.com; Lisa Kozel LeVasseur; 'Pamela Dellechiaie'; Susan Sawyer Subje tSummer Street L Lot 1 Summer Street in—sp6ion re art attached. Michelle saw this one too. Construction was generally adequate. Tank watertightness to be checked as they were going to fill the tank to the outlet and Michelle was going to go by sometime, Not sure if that was done. If you need us to tackle it just let me know. I may have had an oversight in allowing an effluent filter to be installed but not having an access manhole to grade over the filter. We should bring that up with the installer but the site may already be backfilled in which case we should probably let this one go. Dan Daniel Ottenheimer, President Mill River Consulting, Inc. Septic System A4anagelnenl Services 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.ti'iillrivercofISLIlting.coiii dano( ,4),tiiillrivereotiSLIltillg,CO[II 5/12/2005 Commonwealth ' ��K��,uo ; ��^ C.tyY ow[ of | � ��~��=��^� °�� ~�� `~ ~~ �~^~-~~~~~- ~�~ -�-�~~~m=~~�~~~~~~~ Form 3 | | DEP has provided this form for use by local Boards of Health. Other forms may be used, but the � information must be substantially the same as that provided here. Before using this form, check with ( the |nce| Board of Health to determine the form they use. This is to Certify that the following work on an [>n-Site Sewage Disposal System Important: When filling out Construction of new system forms nnthe Repair or replacement ofen existing system computer, use �l Repair ornap|aoernentofan existing mysterncomponent only the tab key ^� to move your cureor-dunot Has been done in accordance with Title 5 and the Disposal System Construction Permit(DSCP): use the return key. DSCP Number DSCP Date ,"°" � Street Address or Lot# MA 6 CityfTown State Zip Code Designer Information: Name of Company ign Date Name/ _- - -, Date Use of this system is conditioned on compliance with the provisions set forth below: The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. Approving Authority u/gnumna Date | t5fonn3.doc-0003 Certificate of Compliance^Page l of