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Home My WebLink AboutCertificate of Compliance - 45 BEECHWOOD DRIVE 10/27/2016 • PUBLIC HEALTH DEPARTMENT Town of North Andover Community and Economic Development Division CERTIFICATE OF COMPLIANCE As of: 10/27/16 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Replacement of an On-Site Sewage Disposal System By: Rob Daigle At: 45 Beechwood Drive Ma p 034.0 Lot 0051 -, North Andover, MA 01845 The Tuance of phis certif catJsJlNnot be construed as a guarantee that the system will function satisfactorily. Michele Grant _ Public Health Agent 120 Main St.,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.9542 Web www.northandoverma.gov • PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CER'%IFICATION The undersigned hereby certify th t the Sewage Disposal System(4, constructed; ( )repaired; By: e'1dVZj_ (Pri t Name) Located at: l� H IR/c'1G"J(� �j f2/V,� (Installation Address) Was installed in conformance with the North Andover Board oil'Health approved plan, originally dated and last revised on — c with a design flaw 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. RECEIVED Bottom of Bed Inspection Date: r° NJ 0 1(1 Engineer Representative(Signatu 190n4 OF NORI ll 0,0 VU A)1 �V )_ it l 111 EPP RT E]vff And—Print Name Final Construction Inspection Date: Engineer Representative(Signature) And—Print Name Installer: (Signature) Date:, _ And—Print Name Engineer:--2 (Signature) Date: And—Print Naive 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web littp://www.northandoverma.gov 45Y Town of North Andover — Sep tic $ stern - AS-BUILT CHECKLIST 1) 11 changes to the design plan have been reflected and noted on the as-built plan 2) As-built plan has a suitable scale; (1 inch = 40 feet or fewer for plot plans) 3) Street Address,Assessor's Map and Lot Number 4) _zLot Lines and Location of Dwellings served by the system i 5) Locations,Elevations and Dimensions of As-built system components,including reserve (if applicable) t 6) Ties to all tank openings,d-box,and leach area from dwelling or Permanent Structure /Setback distances are shown on the as--built plan from system components to: Subsurface,interceptor&foundation drains Catch basins Property lines Dwellings or other structures Private water supply or irrigation wells Watercourses or wetlands 8) /Locations of Wells,Drains,Wetland Resource Areas within 154 feet of system 9) Location of water,gas,electric lines,cable,control panel (if applicable) 10) Location of Structures within 6 Inches of Finished Grade 11) Original Stamp &Signature 12) Location and holder of any casements which could impact the system 13) 71inpervious Areas;Driveways,etc 14) /North Arrow 15) Location &Elevation of Benchmark used 16) ✓ STATEMENT ON PLAN (NA 5.3) a. 'T certify the locations, elevations, ties, cover material;exposed component covers etc., shown on this as-built substantially agree with the approved plan and have determined that the breakout elevations,if applicable,have been nz of. " Signature of Designer Date b. "If a S TUC TURAL WALL IS PRESENT" NA 4.9 a Letter or statement on the as-built indicating the wall- was or was not constructed in accordance with the intended des1 and an manufacturer's specifications." A E Signature of Designer Date Revised 3/17/15 • North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 45 Beechwood Dr. MAP: 034.0 LOT: 0051 INSTALLER: Rob Daigle DESIGNER: Phil Christiansen PLAN DATE: 4/12/16, 4/28/16 BOH APPROVAL DATE ON PLAN: 5/9/16 INSPECTIONS TANK INSPECTION: using original tank DATE OF BED BOTTOM INSPECTION: 7/18/16 DATE OF FINAL CONSTRUCTION INSPECTION: 8/9/16 DATE OF FINAL GRADE INSPECTION: 16�*a b I (/ SITE CONDITIONS N/A Contractor reports any changes to design plan ® Existing septic tank re-used ® Topography not appreciably altered Comments: replacement of the leach field only DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan M Title 5 sand installed, if specified on plan N/A 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 N/A Retaining wall (boulder/ concrete / timber/ block) ❑ Final cover as per plan Comments: peastone has been replace with geoteck fabric, engineer approval (B.L.), 65x32 bottom of bed FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED X Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer X As-Built Plan BM = 94.12 HR = 5.56 HI = 99,68 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Exist D-Box OUT 4.29 95.04 95.09 Distribution Box IN 5.20 94.13 94.12 Distribution Box OUT 5.39 93.94 93.95 Lateral 1 TOP 5.4415.86 Lateral INVERT 93.89 93.47 93.82 93.50 Lateral 2 TOP 5.4515.86 Lateral 2 INVERT 93.88 93.47 93.82 93.50 Lateral 3 TOP 5,4415.86 Lateral 3 INVERT 93.89 93.47 93.82 193.50 Lateral 4 TOP 5.4415.86 Lateral 4 INVERT 93.89 93.47 93.82 93.50 Lateral 5 TOP 5.4415.86 Lateral 5 INVERT 93.89 93.47 93.82 93.50 Lateral 6 TOP 5.4415.86 Lateral 6 INVERT 93.89 93.47 93,82 93.50 I CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 ® Slab foundation 10 10 ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland I Coastal Bank3 75 100 ® Wetlands bordering surface water supply or trio. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot. Area ® Reservoirs 400 400 ® Drains (wat, supplyltrib.) 50 100 ❑ Drains(intercept g.w.) 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). 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