HomeMy WebLinkAboutCertificate of Compliance - 461 SUMMER STREET 12/8/2008 %AORTH q
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PUBLIC HEALTH DEPARTMENT
Community Development Division
C�RTTFICA(rF of Co�44-4-T-'l.AME
As of:
1Decem6er 8, 2008
This is to certify that the individua(su6surface disposaf system received a
S TISTW` ORTINSTEMOJVof the:
Fuf(S.ystem Repair of the
Subsurface Sewaae DisposaCSvstem
By.,
James Keffett
461 SummerStreet
Wap 10T.A; Parcef 85
North Andover, 9YA 01845
The Issuance of this certi sate shaC not 6e construed as a guarantee that the system wdf
function satisfactorify.
Susan Y Sawyer
Pu6CicWeath Director
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.4540 Fax 418.668.8476 Web www.townofnarthandaver.com
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PUBLIC HEALTH DEPARTMENT
(ommnnity Development Division
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System(r'e'constructed;( )repaired;
(Print Name)
Located at: Ll I
__ (installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
� � TIC' and last revised on ?A� 51'" ,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. ✓}
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Bottom of Bed Inspection Date: �- �° •�-~�"
Engineer Representative(Signature)
And-Print Name
Final Construction.Inspection Date:,I I
4 Engineer Representative(Signature)
And--Print Name
Installer: ' ;rl +: (Signature) Date:
And- Print Name
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Engineer ���� ;' •' 11(,�;wi 28ture, Date: ��'�
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And-Print Name
1600 sgood Street, North Andover, Massachusetts 01845
Phone 978.68 .9540 Fox 978.688.8476 Web http:/ � owunhiorthartdoverAo
RECEIVED
DEC' 0 5 2008
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DelleChiaie, Pamela
From: Marianne Peters [mpeters@millriverconsulting.com]
Sent: Monday, December 01, 2008 9:13 AM
To: 'Daniel Ottenheimer'; 'Isaac Rowe'; Grant, Michele; DelleChiaie, Pamela; 'Randy Burley';
Sawyer, Susan
Subject: 461 Summer Inspect Report attached
Attachments: 461 Summer- Final Construction Inspection.doc
Please find attached the Construction Inspection Report for 461 Summer Street.
Marianne Peters
Office Manager
ph 800-377-3044
ph 978-282-0014
fx 978-282-0012
web:�Lv-WW.mi1WLv
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PUBLIC HEALTH DEPARTMENT
Community Development Division
QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 461 Summer Street MAP: 107A LOT: 85
INSTALLER: Jim Kellett
DESIGNER: Clay Morin
PLAN DATE: 7/19/08
BOH APPROVAL DATE ON PLAN: 10/29/08
INSPECTIONS
TANK INSPECTION:
DATE OF BED BOTTOM INSPECTION: 1 }�f ��
DATE OF FINAL CONSTRUCTION INSPECT TI N: 1/20/08
DATE OF FINAL GRADE INSPECTION:
SITE CONDITIONS
Z Contractor reports any changes to design plan
Z Existing septic tank properly abandoned
Z Internal plumbing all to one building sewer
Z Topography not appreciably altered
Comments:
SEPTIC TANK
Z Building sewer in continuous grade, on compacted
firm base and sleeved with ADS pipe
❑ Cleanouts per plan
F-1 Bottom of tank hole has 6" stone base
F-1 Weep hole plugged
Z 1500 gallon tank has been installed
H-10 loading, monolithic construction
Z Watertightness of tank has been achieved by
visual testing
Z Inlet tee installed, centered under access port
1600 Osgood Street,North Andover,Mosso(busetts 01845
Phone 978.688.9540 fax 978.688.8476 Web Awmawno L Erthandover.com
Inspection Form June 2008
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PUBLIC HEALTH DEPARTMENT
Community Development Division
Outlet tee installed, centered under access port
Z 20" cover to final grade installed over outlet of tank
M Hydraulic cement around inlet & outlet
PUMP CHAMBER
F-1 Bottom of tank hole has 6" stone base
Weep hole plugged
❑ Combo Tank installed. Size:
1000 gallon Pump Chamber installed
H-10 loading monolithic 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
24" cover at final grade installed over pump access
port
Water tightness of tank has been achieved by
visual testing
Hydraulic cement around inlet & outlet
Comments: Alarm and pump on separate circuits
CONTROL PANEL
Alarm & Pump are on separate circuits
Alarm sounds when float is tripped
Location of control panel: Basement
F-1 Rated for exterior if placed outside
Alarm signal located inside
Comments:
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web wwtown0northandove cqrn
Inspection Form June 2009
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PUBLIC HEALTH DEPARTMENT
Community Development Division
DISTRIBUTION-BOX
Z 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: Speed levelers required to achieve even distribution. Installer will cut out
larger hole in speed levelers to allow effluent from pump chamber to drain properly.
SOIL ABSORPTION SYSTEM (General)
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
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: Block retaining wall not installed at time of final inspection.
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
❑ Brand and Model of Chamber: Infiltrator Chambers
❑ Number of chambers per row: 9
❑ Number of rows (trenches): 4
Comments:
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web Aw_w.iownofnorthu0d_over,=
Inspection Form June 2068
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PUBLIC HEALTH DEPARTMENT
Community Development Division
BM = 80.00
HR = 7.93
HI = 87.93
SYSTEM ELEVATIONS
ROD ELEVATION AS-BUILT INVERT DESIGN INVERT
ELEV. ELEV.
Benchmark
Building Sewer OUT 906 78.52 78.12
Septic Tank IN 925 78.33 77.80
Septic Tank OUT 954 78.04 77.55
Pump Chamber IN 957 78.01 77.50
Pump Chamber OUT 936 78.22 77.75
Distribution Box IN 356 84.02 83.93
Distribution Box OUT 375 83.83 83.76
Lateral 1 TOP 391
Lateral 1 INVERT 83.67 83.67
Lateral 2 TOP 391
Lateral 2 INVERT 83.67 83.67
Lateral 3 TOP 391
Lateral 3 INVERT 83.67 83.67
Lateral 4 TOP 391
Lateral 4 INVERT 83.67 83.67
Bed Bottom Elevation 394 82.99 83.00
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofoorlho ndover,coin
Inspection Form June 2808
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PUBLIC HEALTH DEPARTMENT
Community Development Division
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
Tank SAS Sewer
Z Property line 10 10
❑ Cellar wall 11.5 22
❑ Inground pool 10 20
❑ Slab foundation 10 10
❑ Deck, on footings, etc 5 10
Z Waterline to 10 10' (PER PLAN)
F-1 Private drinking well 75 1002 50
❑ Irrigation well 75 100
Z Surface Water 25 50
❑ Bordering Vegetated Wetland
Salt Marsh, Inland/Coastal Bank 75 100
Wetlands bordering surface
water supply or trib. (in Watershed) 150 150
Z Trib. to surface water supply 325 325
Z Public well 400 400
Z Interim Wellhead Prot. Area
0 Reservoirs 400 400
ED Drains (wat. supply/trib.) 50 100
• Drains (intercept gw.) 25 50
• Drains(Other)Foundation 10(5) 20(10)
• Drywells 20 25
1 Suction line 222(2)
2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
-1 As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland
bylaws
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978,688.9540 Fox 978.688.8476 Web www,townofnortliag,dovgr.com
Inspection Form June 2008