HomeMy WebLinkAboutAs-Built Plan / Installation Certificate Form - 594 BOXFORD STREET 7/16/2018 (3)PUBLIC HEALTH DEPARTMENT
Community & Economic Development
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM — INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System ( ) constructed; ( ) repaired;
By:
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(Print Name)
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(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan, originally dated
and last revised on 6 b Z‘m
, 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, anu tie Mal gratin% agrees suustainiany WW1 ine appluveu pUiti. /All V1/01K i i.uia1eiy p
the As -built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date: q27/2,te,
And Print Name
Final Construction Inspection Date: z 0
And — Print Name
Installer:
Engineer:
gnature)
(Signature)
Engineer Representative (Signatu
Engineer Representative (Signature)
Date: —2 /L:51/
And — Print Name
Date:74,EAF)
OCIIM
And — Print Name
120 Main Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.9542 Web http://www.northandoverma.gov
North Andover Health Department
Community and Economic Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 594 Boxford Street MAP: 105.0 LOT: 79
INSTALLER: David Chandler — Sewer Works
DESIGNER: Richard Williams — William & Sparages, LLC
PLAN DATE: May 21, 2018 revised 6/1/2018
BOH APPROVAL DATE ON PLAN: 6/19/2018
TRENCH
INSPECTIONS
TANK INSPECTION: 6/25/2018
DATE OF BED BOTTOM INSPECTION:6/26/2018
DATE OF FINAL CONSTRUCTION INSPECTION: 7/3/18 & 7/5/18
DATE OF FINAL GRADE INSPECTION:
DISTRIBUTION -BOX
z
ofrA
Installed on stable stone base
H-20 D -Box
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: 7/3/18 — Distribution box constructed well and flow evenly distributed
but hydraulic cement absent from pipe penetrations. 7/5/18 — Hydraulic cement
provided around pipe penetrations
SOIL ABSORPTION SYSTEM (General)
Bottom of SAS excavated down to C soil layer,
as provided on planSize of SAS
excavated as per plan
Z Title 5 sand installed, if specified on plan
40 Mil HDPE barrier installed
N< 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
9
Comments: 7/3/18 — Construction of single leach trench examined. Peastone
that was placed on top of the leach stone and pipe was not clean. Required it to
be removed.
7/5/18 — Confirmed peastone removed and replaced with filter fabric
FINAL GRADE
Loamed
Seeded
Cover per plan
Comments:
DOCUMENTS NEEDED
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Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
n As -Built Plan
7/9/2018 Town af North AndoverMail - 594 Boxford Street Landscaping
Nom ANDOVER
MassaclitiOtts
594 Boxford Street Landscaping
1 message
Scott Bh|ey<ohh|nygmWmnnkne.org>
To: Michele Grant <mgrant@northandoverma.gov>
Michele Grant «mngnunt@northmnduvmnmm.guv>
Fri, Jul 6, 2018 at 5:49 AM
Hi Michele, Melmark has contracted with JP Landscaping Inc. to complete the landscaping work in the area that was
excavated for the septic system upgrades. Our landscapers will begin this work the week of July 16, 2018.
Let me know if you have any questions. Thank you.
Cordially,
Scott Briley
Director of Facilities
Melmark New England
978 654-4374
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New Fng|and
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