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Home My WebLink AboutCertificate of Compliance - 456 SUMMER STREET 12/4/2008 E t4OR7"H o`.%SLE0 '6" Q�. o ti TAO [o[ [N2 4ti. 7.4 p�A�TED 0'p¢,�'t� SSAGMU`V. PUBLIC HEALTH DEPARTMENT Community Development Division r(F TITIcATr o(F C0.14rr riXcE As of: IDecem6er 4, 2008 {This is to certify that the individuaCsu6surface disposasystem received a SX TIS FACTORT INSTEC17 05V of the: r TuCCSystem Repair of the Subsurface Selvage 1DisposaCSystem �By: James Xeffett ,fit: 456 SummerStreet Map 107..X; (Parcel 76 Xorth,gndover, W X 0 845 The Issuance of this certificate shat not 6e construed as a guarantee that the system wiCC function satisfactorily. Susan T Sawyer Pu6Cic Wealth Director 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www,townofnorthandover.com RECEIVED NOV 2108 PUBLIC HEALTH DEPARTMENT TOWN C31"µ.NO T}l ANDOVER Community Development Division tiAl_T14 13gat'6s4 �D�9P P " TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INS'T'ALLATION CERTIFICATION `Fhe undersigned hereby certify that the Sewage Disposal System ( )constructed;(4epaired; By: 1-1 A s S rA ra N U (Print Name) Located at: 41 S C_ ,S '_ M �_`r (= (j,, S -r. (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated -7 , 9 ° 6 7 and last revised on I , I T ° -----.r_ . ,with a design flow of 4f r/ C>_ _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 15.000,11tle 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, Bottom of Bed Inspection Date: Engineer Representative(Signature) And - Print Name Final Construction Inspection Date: C?, t J tq ngincer Itcpresentative(Signature) And--Print Name Installer^ _, (Signature) Date: And Print Nar ie EnE;inersLL_ °� _._.._._''� �'v"� (Signaturc) Date: ` �_6._._.__.--___ And- Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 i'ltone 978.688.9540 Fax 970. 1,8U076 WelD httia:f/www.townoftiorthutrtlover.r.om RECEIVED 'VLD NV 0 5 0 D�j AS-BUILT CHECKLIST O _() -R TOWN OF NORTH ANDOVER r HEALH T DEPME]NT AT LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES & LOCATION OF DWELLINGS LOCATIONS & DIMENSIONS OF SYSTEM, INCLUDING. .E ERVE TIES.-.TO LOT LINES & DWELLING, WELL a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES &P c, TESTS WELL ELEVATIONS OF DISPOSAL YSTEM TOP OFfDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES WITHIN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK &D-BOX ORIGINAL STAMP & SIGNATURE IMPERVIOUS AREAS -DRIVEWAYS, ETC. NORTH ARROW LOCATION &ELEVATIONS OF BENCHMARK USED tAORT,N D .I"6" - 0 0 ro # 44rgo e2 S C FIUS PUBLIC HEALTH DEPARTMENT Community Development Division QNSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 456 Summer Street MAP: 107A LOT: 76 INSTALLER: Kellett Excavation DESIGNER: JM Associates PLAN DATE: July 9, 2007 (revised through October 15, 2007) BOH APPROVAL DATE ON PLAN: October 31, 2007 INSPECTIONS TANK INSPECTION: QlIoM DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: 9/16/08 DATE OF FINAL GRADE INSPECTION: 0? 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 compacted firm base ❑ Cleanouts per plan — N/A Bottom of tank hole has 6" stone base Weep hole plugged 1500 gallon tank has been installed H-20 loading Mono construction Water tightness of tank has been achieved by Visual testing 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Inspection Form June 2008 TAORT11 lt A101 0 6 6 0 to 4K V , NAT SS US PUBLIC HEALTH DEPARTMENT Community Development Division Inlet tee installed, centered under access port Z Outlet tee installed, centered under access port (effluent filter) ❑ inch cover to within 6" of final grade installed over one access port, must be to grade and over outlet of tank if effluent filter is present Z Hydraulic cement around inlet & outlet Comments: PUMP CHAMBER Bottom of tank hole has 6" stone base ❑ Weep hole plugged Z Combo Tank installed. Size: Z 1000 -gallon Pump Chamber installed H-20 loading, Monolithic construction Z Inlet tee installed, centered under access port Z Pump(s) installed on stable base Z Alarm float working Z Pump On/Off floats working Z Separate on/off floats Z Drain hole in pressure line ❑ inch cover at final grade installed over pump access port VWaten tightness of tank has been achieved by testing Z Hydraulic cement around inlet & outlet Comments: DISTRIBUTION-BOX Installed on stable stone base Z Inlet tee (if pumped or >0.08'/foot) Z Hydraulic cement around inlet & outlets 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688,9540 Fax 978.688.8476 Web www.townofnorthundover,(om Inspection Form June 2008 %AORTH 0 0 00 14 PUBLIC HEALTH DEPARTMENT Community Development Division Observed even distribution F-1 Speed levelers provided (not required) Comments: 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 rubber barrier installed F-1 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: Retaining wall not constructed at time of inspection. SOIL ABSORPTION SYSTEM (Gravel-less Chambers) Brand and Model of Chamber: Quick 4 Number of chambers per row: 8 Number of rows (trenches): 4 Comments: CONTROL PANEL Alarm & Pump are on separate circuits Alarm sounds when float is tripped Location of control panel: in garage ❑ 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 Awtownoftiorthundoyer.om Inspection Form June 2008 0 0 0 C U PUBLIC HEALTH DEPARTMENT Community Development Division SYSTEM ELEVATIONS INVERT IN FIELD PLAN INVERT ELEV. Benchmark 101.25 Building Sewer OUT 97.93 Septic Tank IN 95.99 96.36 Septic Tank OUT 95.77 96.11 Pump Chamber'IN 95.71 96.01 Pump Chamber OUT 96.01 95.76 Distribution Box IN 100.06 99.94 Distribution Box OUT 99.86 99.77 Lateral 1 INVERT 99.67 99.67 Lateral 2 INVERT 99.68 99.67 Lateral 3 INVERT 99.68 99.67 Lateral 4 INVERT 99.67 99.67 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.(om Inspecilon Form June 7008 %40RTN LID 61 0 0 ('0 rg D CH 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 F-1 Property line 10 10 E] Cellar wall 10 20 El Inground pool 10 20 R Slab foundation 10 10 ❑ Deck, on footings, etc 5 10 E] Waterline 10 10 to, F-1 Private drinking well 75 too, 50 ❑ Irrigation well 75 100 ❑ Surface Water 25 50 1771 Bordering Vegetated Wetland 3 Salt Marsh, Inland/Coastal Bank 75 100 ❑ Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ❑ Trib. to surface water supply 325 325 ❑ Public well 400 400 ❑ Interim Wellhead Prot. Area F-1 Reservoirs 400 400 r-1 Drains (wat. supply/trib.) 50 too ❑ Drains(intercept g.w.) 25 50 F-1 Drains (Other) Foundation 10(5) 20(10) F-1 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). 3 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 Fax 978.688.8476 Web KWW.jjWnofnorthondover.corn Inspection Form June 2008