HomeMy WebLinkAboutCertificate of Compliance - 120 CARLTON LANE 8/9/2016 •
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As of: 8/8/16
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Repair of Tank, D-Box, tank to D-box
By. Todd Bateson
At:
120 Carlton Lane
Map 106.0 Lot 0097
rr ,o- -tb Andover, MA 01
T'he s'arise of"this cerCgt -to s al,l not be construed as a guarantee that the system will function satisfactorily.
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°
Mic ele Grant
Public Health. Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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North Andover Health department
(ommanity and Economic Development Division
®NSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 120 Carlton Lane MAP: 106.0 LOT: 0097
INSTALLER: Todd Bateson
DESIGNER:
PLAN DATE:
BOH APPROVAL DATE ON PLAN:
INSPECTIONS
Tank, D-Box, pipe from tank to D-box INSPECTION: 8/8/16
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION:
DATE OF FINAL GRADE INSPECTION:
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 j
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
0
Monolithic tank construction
❑ Watertightness of tank has been achieved by
visual testing
❑ Inlet tee installed, centered under access port
❑ Outlet tee installed, centered under access port
(gas baffle/effluent filter)
❑ inch cover to within 6" of finish grade
installed over one access port
❑ Hydraulic cement around inlet & outlet
C meat " I s . ..� �
PUMP CHAMBER .,..^.. � w ❑�M , . .., a g "❑, .. u,w ...
❑ Bottom of tank hole has 6 stone based
❑
Weep hole plugged , ,� .❑�� ....
❑ 1500 gallon Pump Chamber installed ( ` .� (, ..... ,
❑ H-10 loading
❑ Monolithic tank 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
❑ cover at final grade installed over pump
access port
❑
Watertightness of tank has been achieved by
testing
❑ Hydraulic cement around inlet & outlet
Comments:
CONTROL PANEL
❑ Alarm & Pump are on separate circuits
❑ Alarm sounds when float is tripped
❑ Location of control panel: basement
❑ Alarm signal located inside: basement
Comments:
DISTRIBUTION-BOX
❑ Installed on stable stone base
H-20 D-Box
Inlet tee (if pumped or >0.08'/foot)
Hydraulic cement around inlet & outlets
Observed even distribution
Speed levelers provided (not required)
0" Schedule 40 PVC Pipe
Comments: ._