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Home My WebLink AboutCertificate of Compliance - 50 SHERWOOD DRIVE 12/6/2005 Town of North Andover f „®RTw , Office of the Health Department ®a®�� aao0 Community Development and Services Division 400 OSGOOD STREET North Andover,Massachusetts 01845 �cau5�4�g Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax WWEICATE As of: Tvcemfier 6, ,5 This is to certify that the individuafsu6surface Avposaf system was a Septic Component ® Leach Trench by Yames Ke lett .fit: 50 She ®® five 9Vorth Andover, WA 01845 9fas been instaffed in accordance with the provisions of Titre v of the State Sanitary Code and with the North Andover 0oard of 9fealth regufations. The Issuance of this certiftate shaff not 6e construed as a guarantee that the system wiff function satisfactorify. 7 I „Zc fe E. (J'rant ' Pu6fic Yfeafth Inspector `m BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 FIEALTH 688-9540 PLANNING 688-9535 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( •'epaired_ located at 14 0 0-00P 0 al V ` was installed in conformance with the North Andover Board of Health approved plan, System Design Permit # , dated with an approved design flow of 2.5p 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. Bed inspection date: Engineer Representative Final inspection date: I t � Engineer Representative Installer: Lic.#: Date: Be-si . r: Date: ��. DielleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, November 29, 2005 9:58 AM To: Dufresne Bill (E-mail); Dufresne Bill (E-mail 2) Subject: 50 Sherwood Drive Importance: High Hi Bill, Please forward the Final As-Built and Certification Form and let Jim Kellett know so that he can come in to sign, or have him pick it up from you and bring it in. Jim also owes us an extra$50 for a 2nd BB inspection. Please let him know that if you see him. Thanks. agf Rogmeds, e�ea�aLr�1laGtGaG� iafa Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnoi-thandover.com healthdept@townofnorthandover.com townofnorthandover.com 1 'ro VV'N OF J'%OR d q a' NAPO V E y#CIWI'M Office of C:ONClVll1NITV DEVELOPINIENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOID STREET NORTH ANDOVER, i1INSSACHUSETTS 018E-45 "�� s �CNUSV SLIsan Y. Sawyer. REHS,'RS 978.E 88.95 40 —Phone PLIhlic I lealth Director 978.688.9542 FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: ... A P:rw , A LOT: INSTALLER: � ... . , �.,. — DESIGNER: PLAN DATE: BOH DATE OF BED BOTTOM INSPECTION: " DATE OF FINAL CONSTRUCTION INSPECTION: � ��w DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER = LOADING OF PUMP CHAMBER TYPE OF SAS DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS ® Existing septic tank ® Internal plumbing all ® Topography not apps Comments: Page 1 of 4 TOWN OF NORTH ANDOVER' F NORTH Office of CONIMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 0 p 400 OSGOOD STREET , m NORTH ANDOVER, MASSACHUSETTS 01845 9SSACHU58• Susan Y. Sawyer, REHS,'RS 978.688.9540—Phone Public Health Director 978.68895.12—FAX SEPTIC TANK ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged El gallon tank has been installed (H-10 or H-20) (monolithic or 2 piece) ❑ Watertightness of tank has been achieved (Visual or Vacuum Test or Water held for 24hrs) ❑ Inlet tee installed, under access port ❑ Outlet tee (gas baffle or effluent filter) installed, under access port ❑ 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: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ❑ Weep hole plugged ❑ gallon Pump Chamber installed (H-10 or H-20) (monolithic or 2 piece) ❑ Inlet tee installed, under access port ❑ Pump(s) installed on stable base ❑ Alarm float working ❑ Pump On/Off float working ❑ Drain hole in pressure line ❑ inch cover to within 6" of final grade installed over one access port ❑ Water tightness of tank has been achieved Visual or Vacuum Test or Water held for 24 hrs Comments: El Hydraulic cement around inlet & outlet Page 2 of 4 TOWN OF NORTH ANDOVER F NORTH Office of CONFIVIUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT p b p. 400 OSGOOD STREET �^4 NORTH ANDOVER, MASSACHUSETTS 01845 Sys+,T.oT"sae SACHUSk Susan Y. Sawyer. REHSiRS 978.688.9540—Phone Public Health Director 978.688.9542—FAX D-BOX ❑ Installed on stable stone base ❑ Inlet tee (if pumped or >0.08'/foot) ❑ Hydraulic cement around inlet & outlets ❑ Observed even distribution El levelers provided (not required) Comments: SOIL ABSORPTION SYSTEM EV Bottom of SAS excavated down toe,soil layer, as rovided on plan Size of SAS excavated as per plan ❑ Title 5 sand installed, if specified on plan ❑ 3/4-1 %2" double washed stone installed ❑ 1/8-1/2" (peastone) double washed stone installed ❑ laterals installed and ends connected to header (and vented if impervious material above) ❑ Orifices @ 5 & 7 o'clock positions ❑ Gravelless disposal systems: type, number and location as per plan ❑ Elevations of laterals installed as on approved plan ❑ 40 Mil HDPE barrier installed ❑ Retaining wall (boulder/ concrete / timber/ block) ❑ Final cover as per plan Comments: f PRESSURE DISTRIBUTION DISTRIBUTION ❑ inch manifold ❑ laterals installed with end sweeps size: material: ❑ Squirt test ft in height ❑ Equal distribution to all laterals El size inch as per plan Comments: Page 3 of 4 TOWN OF NORTH ANDOVER f NORT1{ Office ®f CONINIUNITY DEVELOPMENT AND SERVICES 3�0`,; .o " HEALTH DEPARTMENT A 400 OSGOOD STREET �cq NORTH ANDOVER, MASSACHUSETTS 01845 s^CHUSe Susan Y. Sawyer, REHS-RS 978.688.9540—Phone Public Health Director 978.688.9542—FAX CONTROL PANEL ❑ Alarm & Pump are on separate circuits ❑ Alarm sounds when float is tripped ❑ Location of control panel E3 Rated for exterior if placed outside Comments: SYSTEM ELEVATIONS Benchmark: Rod at Benchmark: Height of Instrument: INVERT ON DESIGN PLAN ELEV TOP OF PIPE INVERT ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Lateral 4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW Page 4 of 4