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HomeMy WebLinkAboutCertificate of Compliance - 10 STILES STREET 8/10/2005 Town of North Andover E ti4RTH , �=oatQ , �,eNo Office of the Health Department Community Development and Services Division 440 OSGOOD STREET s ,,o^N"o•n ` r + North Andover,Massachusetts 01845 aCHtl6 Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax AS of-. .,august 10, Zoos This 1s to certify that the individuafsu.6surface disposafsystem was Tuffy Constructed by. e Ivevin Coyfe 10 Stiles Street Worth.4ndover, W,4 01845 The Issuance of this cent ate sfiaff not be construed as a guarantee that the system will function satisfactorily, Susan T Sawyer ft 6fic.fealth(Director p BOARD OF AP€FAL.S 688-9541 BUILDINQ 688-9545 CONSERVATION 688-9530 IIHALTH 688-9540 PLANNING 688-9535 H' TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System (c constructed; ( }repaired; located at lea , .c / was installed in conformance with the North Andover Bo d 9f Health approved plan, System Design Permit.# plan dated , with'a design flow of gallons per day. The materials used were in co ornzance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.040, Title S and Iocal 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: ' c � 1 e Repres'E ,tate Final inspection date. fi, Eti er Representative i Installer: I.ic.#:601 Date: �7 Z,. ., Engineer: - Date: j l RE(0 UL 2 2 C�'�'/Ai/r .. TOWN CO TOWN OF NORTH ANDOVER tko"141 Office of COMMUNITY DEVEI,OPMENT AND SERVICES HEALTH DEPARTMENT it 4 27 CHARLES STREET NORUI ANDOVER,MASSACHUSETTS 01.845 C US Susan Y. Sawyer,REHS/RS 978.6,89,.9540—Phone PUblic Health Director 97808,9542—FAX SEPTIC SYSTEM CONSTRUCTION NOTES ADDRESS: MAR/07,POT: t'"t 4AW INSTALLER: DESIGNER' Z 1, PLAN DATE: Ito"',;' I BOH APPROVAL DATE ON PLAN: ev A-; A.) Y, DATE OF BED BOTTOM INSPECTION: th 1AP ti-- DATE OF FINAL CONSTRUCTION INSPrETI N: ZI—13 6 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE GRAVITY DISTRIBUTION X PRESSURE DISTRIBUTION PRESSURE DOSING HOLDING TANK ADVANCED TREATMENT OTHER COMPONENT SUMMARY FROM PLAN GALLON TANK = —IL2-90 LOADING OF SEPTIC TANK = GALLON PUMP CHAMBER LOADING OF PUMP CHAMBER '77 TYPE OF SAS, DIMENSIONS AND DETAILS OF SAS: SITE CONDITIONS ❑ Existing septic tank properly abandoned Internal plumbing all to one building sewer 0 Topography not appreciably altered Comments: Page 1 of 2 TOWN OF NORTH ANDOVER ORTH Office of COM MUNITY DEVELOPMENT AND SERVICES V'ol 0 HEALTH DEPAWMENT 2i(,"HARLE,5- TREET 0 Aroo if NOWFI-1 ANDOVER, MASSACHUSETTS 01845 $ Susan Y. Sawyer,MIS/RS 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) flydraulic cement around inlet& outlets Observed even distribution 113"0 §pdedlevelets p'ro'v'id'ed'",(�no,t,�e,,,quired) Comments: 4(v SOIL ABSORPTION SYSTEM Bottom of iSAS excavated down to6 soil layer, as provided on plan Size of SAS excavated as per plan fw' Title 5 sand installed if specified on plan V 4 3/4-1 Y2" double washed stone Installed 171 $8,-mJJ2!1(p eastorie) double Washed stone installed laterals""i ❑ laterals"installe and ends-connected to header(and vented-if-irh`O rvioijs material above) El Orifices @ 5"& 7 o'clock positions ❑ Gravelless,dispos' al systems: type, number and location as per p1dri Elevatid' n/,s of laterals installed as on approved plan El 40 Mil HDPE barrier installed ❑ Retaining wall (boulder concrete timber/ block) Final bover as per plan,, Comments: PRESSURE DISTRIBUTION, i nch manifold El inch installed with en I d sweeps INC materi l: ,-*,Squirt test h4n, height ❑ Equal distribvtion 6, 11 laterals 'd 0 orifice size inch a',%S t plan Comments: ,,�) Page 3 of 3 I t w 1 TOWN OF NORTH ANDOVER F 0ORTN Office of COMMUNITY DEVELOPMENT AND SERVIC'ES' HEALTH DEPARTMENT 27 CHARLES STR 'ET NO1 'Il ANDOVER,R, MASSACII JSETTS 01845 Susan Y, Sawyer,:REHS/RS 978,688.9540,--Phone Public Health Director 9723.E llli.9542 FAX CONTROL PANEL © Alarm Pump are on separate circuits F1 Alarm so cts when float is tripped ❑ Location of contropa'nel; 1771 Fated for exterior if placed outside Comments; l SYSTEM ELEVATIONS Benchmark: Pod at Benchmark; Height of Instrument: i IIUV RTDN._DESIGN PLAN Q Q/ TOP OF P1F! INVERT EI EVATIQN Building;Sewer OUT Septic Tank IN Septic Tank OUT Pump Chamber IN Pump Chamber OUT Distribution Cox IN D-Box OUT Manifold Lateral 1 HIGH "Lateral 1 LOW Lateral 2 HIGH Lateral 2 LOW 1 Lateral 3 HIGH L dal 3 LOW Lpt ';aI,4 HIGH Lateral 4 LOW Lateral 5 HIGH Lateral 5 LOW i t l 1 t 'age 4'of 4 1 TOWN OF NORT14 , ANDOVER aQOffi ce of COMMUNITY EVE, l AND ✓ /RI/ N ryt HE TlV ME ry aG 7 CHARLES S,rRE T � w+ NC Wrfl:ANDOVER,M�SSA ;HUSMS 01$45 ���"^*°� �cwu� &Ilan Y. Sawyer;REFIS/16" 978.688.9540- Phone Public Health Director 978.6 8.9542= FAX ( SEPTIC TALK all Bottom of tank hole has 6" stone base Weer hole plugged � gallon tank has been installed t (H-10 or H-20) (monolithic or 2 piece) Water tightness of tank has been achieved 1 (Visual or Vacuum Test or Water held for 24hrs) ry Inlet tee installed, under access port l 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: i PUMP CHAMBER Bottom of tank hale s 6" stone base El ep hole plugVamber b installed (H-10 o14,-2 (monolithic i or 2 piece) i CJ Inlet tee i s' all d,' under access port I C Pump( '�nstalle stable base j El Alar , float working d P p On/Off float workln D rain hole in pressure line 0 inch cover to within 6" of fins rade installed over one access port k4 0 'Water tightness of tank has been achieved 1 J Visual or Vacuum Test or Water held for 24 hrs Hydraulic cement around inlet & outlet Comments: Page 2 of 2 l i