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Home My WebLink AboutCertificate of Compliance - 51 WELLINGTON WAY 11/9/2016 i PUBLIC HEALTH DEPARTMENT Town of North Andover Community and Economic Development Division CERTIFICATE OF COMPLIANCE As of: 11/9/16 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Construction of an On-Site Sewage Disposal System By: Dave Maynard At: 51 WelfinLyton Wa Ma p 1050 Lot 87 North Andover, MA 01845 The Issuanee of this per "flue shall not be construed as a guarantee that the system will function satisfactorily. Bra n Larasse Public Health Director 120 Main St.,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.9542 Web www.northandoverma.gov NOV RECEIVED 4 .016 10W%OF NOKTH ANDOVER W&V TM NT PUBLIC HEALTH DEPARTMENT Community Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System�4 constructed; ( )repaired; By: All (/A/PF(.0 ("()V1 S'i 2 0 ,, r(Print Name) Located at: � VV C CL I h,l G;f 7:)h/ W,4" (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan, originally dated /1 '/Tole' and last revised on 6 . 2- 6 ,with a design flow of 1y4'.1 0 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 1.5.000,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. Bottom of Bed Inspection Date: Engineer Representative(Signature) And—Print Name _� .._.....�, Final Construction Inspection Date:_. ng er Representative(Signature) And—Print Name Installs (Signature) Date: /() .. zz f � And—Print Name Engines ignature) Date: And- Print Name 1600 Osgood Street, Forth Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web littp://www.northatidovermu.gov i 1, �- J i North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 51 Wellington Way (lot 4) MAP: 105C LOT: 87 INSTALLER: Dave Maynard DESIGNER: Christiansen & Sergi PLAN DATE: 1/8/16, Rev. 6/8/16 BOH APPROVAL DATE ON PLAN: 6/22/16 INSPECTIONS TANK INSPECTION: 9/9/16 (6" base only inspection) DATE OF BED BOTTOM INSPECTION: 9/9/16 (B.LaGrasse) DATE OF FINAL CONSTRUCTION INSPE TI N: 9/15116 DATE OF FINAL GRADE INSPECTION: I SITE CONDITIONS ® Contractor reports any changes to design plan N/A Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: Moved building sewer outlet pipe to rear corner of the house closer to the septic tank (IR) SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base See note® Cleanouts per plan X Bottom of tank hole has 6" stone base ❑ Weep hole plugged X 1500 gallon tank has been installed H-10 loading X Monolithic tank construction ❑ Watertightness of tank has been achieved by visual testing ❑ Inlet tee installed, centered under access port ❑ Outlet tee installed, centered under access port (gas baffle/effluent filter) ❑ inch cover to within 6" of finish grade installed over one access port ❑ Hydraulic cement around inlet & outlet Comments: located 33'6" off corner of house, building sewer moved outlet to northwest corner of foundation (B.L.) Cleanout located on inside of house, bend about 6 feet from foundation (IR) DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box NIA Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution NIA 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 ® Title 5 sand installed, if specified on plan NIA 40 Mil HDPE barrier installed NIA 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 1 concrete I timber/ block) ❑ Final cover as per plan Comments: field measured approximately 93' off corner of house, bed is 60x20 FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer 1 As-Built Plan I i I i I i BM = 128.05 HR = 4.62 HI = 132.67 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 0.77 131.55 131.55 Septic Tank IN 1.60 130.72 130.76 Septic Tank OUT 1.79 130.53 130.51 Distribution Box IN 9.05 123.27 123.23 Distribution Box OUT 9.22 123.10 123.06 Lateral 1 TOP 9.271 9.52 Lateral 1 INVERT 123.051 122.80 123.051 122.80 Lateral 2 TOP 9.27 / 9.52 Lateral 2 INVERT 123.051 122.80 123.05 / 122.80 Top of Chamber Bottom of Bed/Chamber 120.80 120.80 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 1 Coastal Bank3 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 ® Reservoirs 400 400 ® Drains(wat. supply/trio.) 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