The URL can be used to link to this page

Home My WebLink AboutCertificate of Compliance - 38 WELLINGTON WAY 11/9/2016 b- 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: 35 Wellington WaY Ma p 105C Lot 54 North Andover, VIA 01545 The Is§uance of this ce if cate shall not be construed as a guarantee that the system will function satisfactorily. 't ian adrasseLy Public Health Director 120 Main St.,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.9542 Web www.northandoverma.gov RECEIVED NOV 3 2016 TOWN P NORTH ANDOVER PUBLIC HEALTH DEPARTMENT HEALTH DEPARTMENT Conimunity Development Division TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTICICATION The undersigned hereby certify that the Sewage Disposal System onstructed; O repaired; B ,f1� 1,< � �' ' (Print Name) Located at: 3S - (Installation r�fy ,. t Was installed in conformance with the North Andover Board of Health approved plan, originally dated and last revised on M .(' ,with a design flow of q-`4 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. Bottom of Bed Inspection Date: Engineer Representative(Signature) And-print Name Final Construction Inspection Date: Engineer Representative(Signature) And-Print Name Installe (Signature) _ Date: ,./� ^,/f ry 16a r ... . . .,,. .. _ And-Print Name �n Enginee' (Signature) Date: And Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web littp://www.nortilancloverma.gov North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 38 Wellington Way MAP: 105C LOT: 84 INSTALLER: Dave Maynard DESIGNER: Phil Christiansen PLAN DATE: BOH APPROVAL DATE ON PLAN: INSPECTIONS II__ TANK INSPECTION: q�Aj U� DATE OF BED BOTTOM INSPECTION:gld-511 DATE OF FINAL CONSTRUCTION INSPECTION: 9/28/16 DATE OF FINAL GRADE INSPECTION: ' �C) SITE CONDITIONS ® Contractor reports any changes to design plan ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK Z Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle) ® 24" inch cover to within 6" of finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box NIA Inlet tee (if pumped or X0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ❑ Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) ® Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan NIA 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 NIA Retaining wall (boulder 1 concrete /timber/ block) ❑ Final cover as per plan Comments: FINAL GRADE ❑ Loamed ❑ Seeded ❑ Cover per plan Outlet tee installed, centered under access port (gas baffle) 24" inch cover to within 6" of finish grade installed over one access port Neoprene boots around inlet & outlet Comments: DISTRIBUTION-BOX Installed on stable stone base H-20 D-Box N/A Inlet tee (if pumped or >0.08'/foot) 0 Hydraulic cement around inlet & outlets Z Observed even distribution ❑ Speed levelers provided (not required) Schedule 40 PVC Pipe Comments: SOIL ABSORPTION SYSTEM (General) Bottom of SAS excavated down to C soil layer, as provided on plan Size of SAS excavated as per plan Title 5 sand installed, if specified on plan N/A 40 Mil HIDPE 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: I A C- L) Cb FINAL GRADE Loamed Seeded Cover per plan Comments: DOCUMENTS NEEDED [R/ Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer As-Built Plan BM = 136.76 HR = 5.94 HI = 142.70 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 5.52 136.83 136.72 Septic Tank IN 5.82 136.53 136.44 Septic Tank OUT 6.26 136.09 136.17 Distribution Box IN 6.44 135.91 135.89 Distribution Box OUT 6.59 135.76 135.72 Lateral 1 TOP 6.6916.87 Lateral 1 INVERT 135.661 135.48 135.681 135.50 Lateral 2 TOP 6.6916.87 Lateral 2 INVERT 135.66 135.48 '135.681135.50 Lateral 3 TOP 6.6916.87 Lateral 3 INVERT 135.66 1 135.48 135.681 135.50 Lateral 4 TOP 6.6916.87 Lateral 4 INVERT 135.661 135.48 135.681 135.50 Lateral 5 TOP 6.6916.87 Lateral 5 INVERT 135.661 135.48 135.681 135.50 Bottom of Bed/Chamber 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 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland I Coastal Banlc3 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/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® DrywelIs 20 25 Suction line 222(2) z 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