The URL can be used to link to this page

Home My WebLink AboutCertificate of Compliance - 196 SUMMER STREET 12/20/2011 r PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division erti irate of C® fiance As of 1Decem6er 20, 2011 This is to certify that a SATISFWTO1RT IM1PECTIOX Was completed for the: pair/1�eplacemen t of an Existing On-Site Wastewater 1DisposalSystem By: Todd Bateson at: 196SummerStreet rce 7 ArortfiAndover 90 01845 The Issuance of this certificate shaffnot be construed as a guarantee that the On Site Sewage 1DisposafSystem.wifffunction satisfactorily. Sit san 2'SawyerRZffS/1�S PubficYlealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com .ACT PUBUC ItEl 10H DEPARMENT Ua yirrba iffy 1 evnlopairmij p)avi:iran TOWN OF NOR' i"9 ANDOVLR TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System( )constructed;( repaired; (Print Name) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated _. � and last revised on „j a"'T�".� ( ,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. r r Bottom of Bed Inspection Date: ;If Engineer Represe tative(Signature) And—Print Name Final Construction Inspection Date; 0 Engineer Representative(Signature) And—Print Name Installer: , m (Signature) Date: And—print Name Enginer: ' ' 1/ t, ✓ (Signature) Date: And—Print Name 1600 Osgood Street, INorth Andover, Massachusetts 01845 Phone 78. .9540 Fox 978,688.8476 Web httli://www.tomrnofnorthaandovadr..mini North Andover Health Department Community Development Division QNSITE WASTEWATER SYSTEM T TI LOCATION INFORMATION ADDRESS: 196 Summer St MAP: 33 LOT: 170 INSTALLER: Bateson Enterprises DESIGNER: Merrimack E'I'IAN:PLAN DATE: 6-23-11 BOH APPROVAL DAT 10-6-11 INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 10-31-11 DATE OF FINAL GRADE INSPECTION: SITE CONDITION ® 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 N/A ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by Visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ❑ inch cover to within 6" of final grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) N/A ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to 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 LP ® Number of chambers per row: 5 ® Number of rows (trenches): 8 Comments: Total Chambers = 40 SYSTEM ELEVATIONS AS-BLT INVERT DESIGN INVERT ELEV ELEV Building Sewer OUT 96.55 96.35 Septic Tank IN 95.92 95.95 Septic Tank OUT 95.72 95.70 Distribution Box IN 95.31 95.30 Distribution Box OUT 95.15 95.13 Lateral 1 INVERT 95.08 95.08 Lateral 2 INVERT 95.09 95.08 Lateral 3 INVERT 95.09 95.08 Lateral 4 INVERT 95.08 95.08 Lateral 5 INVERT 95.10 95.08 A -BUILT CHECKLIST All changes to the design plan have been reflected on the as-built c Is of suitable scale; (one inch=40 feet or fewer for plot plans and one inch=20 or fewer for details of system components) Lot number, Street Name,Assessors Map and Parcel Number ...,.- Lot Lines and Location of Dwellings served by the system Locations&Dimensions of system,in6ludinj reserve(if applicable) �..-- Ties to dwelling or Permanent Structure&Wells a.From Septic Tank b. From Leach Area Ties to Lot Lines from leach area Locations of Deep Holes&Peres a._.."..".- Elevations of Disposal System Top of Foundation Elevation Locations of Wells,Drains,Watercourses within 150 feet of system Location of water,gas,electric lines,cable Distances from Carvers of House to Center of Tank&D-Box Location of Structures within 6 Inches of Finished Grade Original.Stamp&Signature Location and holder of any easements which could impact the system Impervious Areas;Driveways, etc tom, North Arrow ' Location&Elevations of Benchmark used STATEMENT ON PLAN(NA 5.3) "I certify the locations, elevations, ties, cover material, exposed component covers etc. shown on this as-built substantially agree with the approved plan and have determined that the break out elevations, if applicable, have been met." Signature of Designer Date or, if a STUCTURAL WALL IS PRESENT(NA 4.9)Letter or statement on the as-built indicating the wall was, or was not,, constructed in accordance with the intended design and any manufacturer's specifications Signature of Designer Date As of:Wednesday,April 27,2011 elleChlale, Pamela Prom: Randy Burley [rburley "7a millriverconsulting.com] Seat: Wednesday, November 02, 2011 8:43 AM To: 'Daniel Ottenheimer'; Grant, Michele; 'Isaac Rowe'; 'Marianne Peters'; DelleChiaie, Pamela; Sawyer, Susan Subject: 196 Summer St final inspection Attachments: Construction Inspection Form 11-1-11.doc All was well; Todd Bateson did a fine job. Randy Burley Project Alanager Mill River C nsulfin,,: 6 Sargent Street Gloucester, MA 01.930 Ph 978-282-0014 Fx 978-282-1.318 w yww.iiiill.rivercotistaltr�rlg,_c cost t tai °le .c-a llriv fc�c>nstlltllMggiYl Please note the Massachusetts Secretary of State's office has determined that rrost ornails to and from municipal offices and officials are pLiblic records.F or more information pierse refer to:f!p:/Poa v .sec.:suit;t-rra�,s f?rc^dgao'eldx.htm. Pleaso consider the environment taefore printing this email. 1