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HomeMy WebLinkAboutCertificate of Compliance - 461 SUMMER STREET 12/8/2008 %AORTH q O �i4 c �6r NO OL O y^ bya T Cot newKx �' 4A J1 'S �u5���y 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 rJ Vey IY c✓C✓/rd „ ii ,�,/ 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. ✓} / ° v ... 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 e_ifl + Engineer ���� ;' •' 11(,�;wi 28ture, Date: ��'� 4 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 u i F-o l ti°.win tM 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 tAORTH 0 .40 C U 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 Leo 0, 0 0 is 00 L^K6 cocol( �K. SS US 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 tAORT,N L 06 6 0 0 10 0 At 0 'INV SAC NUS 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 V%ORTiN 0 0 00 4 coc.K. Arai SSACHU 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 ORTIF1 0 It D $6" - 0 Z. 0 0 C-44M.. CHLIS 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