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HomeMy WebLinkAboutFile - DWC - Miscellaneous - 101 CRICKET LANE 10/28/2019 � - ...r - _.. ,_ .. - �_.,_ -y i ��� �� ' �. �.� i \ _ _ `.n � j ... p .,_. Y ��� _ _ _ _ _ _ � __ - 1 /, .. _. �� _� :. _�_m ;Wc- 37 TOWN OF NORTH ANDOVER E µORTM Office of COMMUNITY DEVELOPMENT AND SERVICES 's� HEALTH DEPARTMENT p 400 OSGOOD STREET ; . . :. • NORTH ANDOVER, MASSACHUSETTS 01845 +S CHU t SACMUS� Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SEPTIC SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 101 Cricket Lane MAP: LOT:_ INSTALLER: Buddy Watson DESIGNER: Norse Env. PLAN DATE: 12/16/03 BOH APPROVAL DATE ON PLAN: 11/24/03 INSPECTIONS DATE OF BED BOTTOM INSPECTION: 10/31/05 - Michele Grant DATE OF FINAL CONSTRUCTION INSPECTION: —1511.0 4- DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE 1. GRAVITY DISTRIBUTION...❑ 2. PRESSURE DISTRIBUTION...❑ 3. PRESSURE DOSING...❑ 4. HOLDING TANK...❑ 5. ADVANCED TREATMENT...❑ 6. OTHER... COMPONENT SUMMARY FROM PLAN 1. GALLON TANK = 1000 2. LOADING OF SEPTIC TANK= 1500 3. GALLON PUMP CHAMBER = 4. LOADING OF PUMP CHAMBER = 5. TYPE OF SAS = 6. DIMENSIONS AND DETAILS OF SAS: Comments: Cut off at end of trench and add onto the other end of trench #2. Hole was 11 plus 5' over total length with 16.8. Page 1 of 4 TOWN OF NORTH ANDOVER NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET ' NORTH ANDOVER, MASSACHUSETTS 01845 �'S S�CHU' `y HU Se Susan Y.Sawyer, REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...❑ 2. Internal plumbing all to one building sewer...❑ 3. Topography not appreciably altered...❑ SEPTIC TANK 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Tank has been installed(1-1-10 or H-20)Tank Size: 1,000; 1,500; Other Monolithic or 2 piece (circle)...❑ 4. Water tightness of tank has been achieved (Visual)...❑ 5. Inlet tee installed,under access port...❑ 6. Outlet tee (gas baffle or effluent filter) installed,under access port...❑ 7. Cover to within 6" of final grade installed over one access port,must be over outlet of tank if effluent filter is present- Inches of Tank...❑ 8. Hydraulic cement around inlet&outlet...❑ Comments: PUMP CHAMBER 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Pump Chamber Installed Gallons; (H-10 or H-20) (Monolithic or 2 piece) (circle) 4. Inlet tee installed,under access port...❑ 5. Pump(s) installed on stable base...❑ 6. Alarm Float Working...❑ 7. Pump On/Off Float Working...❑ 8. Total # of Floats... 9. Drain hole in pressure line...❑ 10. Cover to within 6" of final grade installed over one access port...❑ 11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24 hours (circle) 12. Hydraulic cement around inlet&outlet...❑ Comments: Page 2 of 4 TOWN OF NORTH ANDOVER NORTH OE41�.o 7.y Office of COMMUNITY DEVELOPMENT AND SERVICES F= ',e I- HEALTH DEPARTMENT Y 400 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 swcMust Susan Y.Sawyer, REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX D-BOX 1. Installed on stable stone base...❑ 2. Inlet tee (if pumped or >0.08'/foot)...❑ 3. Hydraulic cement around inlet&outlets...❑ 4. Observed even distribution...❑ 5. Speed levelers provided(not required)...❑ Comments: SOIL ABSORPTION SYSTEM 1. Bottom of SAS excavated down to C Soil Layer,as provided on plan...❑x 2. Size of SAS excavated as per plan...0 * 3. Title 5 sand installed,if specified on plan...❑x 4. 3/4-1/2" double washed stone installed...❑ 5. 1/8—'/a" (pea stone) double washed stone installed...❑ 6. Laterals installed and ends connected to header(and vented if impervious material above) ...❑ 7. Orifices @ 5 & 7 o'clock positions...❑ 8. Gravel-less disposal systems: type,number and location as per plan...❑ 9. Elevations of laterals installed as on approved plan...❑ 10. 40 Mil HDPE barriers installed...❑ 11. Retaining wall (boulder/ concrete / timber / block) ...❑ 12. Final cover as per plan ...❑ Comments: PRESSURE DISTRIBUTION 1. #of Inches in Manifold 2. Laterals installed with end sweeps; Size: Material: 3. Squirt Test: Feet in height 4. Equal distribution to all laterals 5. Orifice size inch as per plan Comments: CONTROL PANEL 1. Alarm&Pump are on separate circuits...❑ 2. Alarm sounds when float is tripped...❑ 3. Location of control panel: 4. Rated for exterior if placed outside...❑ Comments: Page 3 of 4 TOWN OF NORTH ANDOVER - ,►oRTM Office of COMMUNITY DEVELOPMENT AND SERVICES oP HEALTH DEPARTMENT 'A 400 OSGOOD STREET �•"� F•� NORTH ANDOVER, MASSACHUSETTS 01845 ITS;CN,;; Susan Y.Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SYSTEM ELEVATIONS 1. Benchmark: 2. Rod at Benchmark: 3. Height of Instrument: INVERT ON DESIGN INVERT PLAN ELEVATION Building Sewer OUT Septic Tank IN Septic Tank OUT Distribution Box IN D-Box OUT Manifold Lateral 1 HIGH Lateral 1 Inv Lateral 2 HIGH Lateral 2 LOW Lateral 3 HIGH Lateral 3 LOW Page 4 of 4 MORTw Commonwealth of Massachusetts Map-Block-Lot f o.•". hoo 107.A-0286- Board of Health Permit No North Andover BHP-2005-0578 � ---- --------- _. .-- P.I. FEE F.I. $125.00 Disposal Works Construction Permit Permission is hereby granted JOSEPH R. WATSON to(Repair)an Individual Sewage Disposal System. at No 101 CRICKET LANE --- -------- ---- - -- ----- as shown on the application for Disposal Works Construction Permit No. BHP-2005-057 Dated October 19,2005 ------------- - ------- --- - ---------- Issued On: Oct-19-2005 Board of Health ............................................................................................................................................................................... Commonwealth of Massachusetts Map-Block-Lot Board of Health ----- -- ----- North Andover 4— • . �s••'� ' �� Certificate of Compliance $4CMUSt THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair) by JOSEPH R. WATSON Installer at No 101 CRICKET LANE has been installed in accor a with the provisions of TITLE 5 of the State Environmental Code as described in the application for Di5w orks Construction Permit No. BHP-2005-057 Dated October 19,2005 Printed On:Oct-19-2005 Board of Health _.. ................ .................................................................................................................................... N°RTC Application for Septic Disposal System /0x8' o: ��°`t, ,o. •,�O°� TODArS DATE =Construction Permit — TOWN OF �;�• 41' , $ 250.00—Full Repair NORTH ANDOVER MA 01845 $125.00 -Component Important: Application is hereby made for a permit to: When filling out ❑ Construct a new on-site sewage disposal system* forms on the computer,use ❑ Repair or replace an existing on-site sewage disposal system* only the tab key to move your ❑ Repair or replace an existing system component cursor-do not key the return A. Facility Info mation Y J ILA Address or Lot# ITV city/Town 2.- *TYPE OF SEPTIC SYSTEM*: ❑ Pump ❑ Gravity (choose one) ***If pump system, attach copy of electrical permit to application*** ❑ Conventional System (pipe and stone system) ❑ Infiltrator or Biodiffuser(Gravel-Less) (Attach a copy of your certification to install this type of system. ❑ Pressure Distribution S.A.S. (No D-Box) (Attach Draft Maintenance Agreement) ❑ Pressure Dosed (D-Box Present) S.A.S. 2. Owner Information Name Addres (ifX ent fro ove) City/Town State Zip Code 1�Db � /7 �Jp2. �/l Telephone Number 3. Installer Information j ok. 1,4,�,02&1 mil/Oi� S'C7 Lt �Y, 1EI/iCi Named C2 Name of Company Address Al City own State Zip Code 9 fig' � s- j2"/- ?— Telephone Number(Cell Phone#if possible please) 4. Designer Information Name Name of Company Address City/Town State Zip Code Telephone Number(Best#to Reach) Application for Disposal System Construction Permit•Page 1 of 2 pf NORTN 4 Application for Septic Disposal System le--- > 5 -n.,f_� _ 3:°�'... �•� �°�=Construction Permit - TOWN OF TODAY'S DATE t s MA 01845 $250.00-Full Repair NORTH ANDOVER ;��°"••'•'' � , $125.00-Component PAGE 2OF2 A. Facility Information continued.... 5. Type of Building:e&Residential Dwelling or❑Commercial B. Agreement The undersigned agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover,and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Names Date Applicaf Approved By: oard of Health Representative) N e Date �— Application Disapproved for the following reasons: For Office Use Only: Y 1. Fee Attached? Yes No p lip ° 2. Project Manager Obligation Form Attached. Yes No J. Pump System? If so,Attach copy of Electrical Permit Yes No 4. Foundation As-Built. (new construction ronly): Yes No (same scale as approved plan) 5. Floor Plans?(new construction only): Yes No Application for Disposal System Construction Permit-Page 2 of 2 OCT 20,2005 12:40 J W WATSr.* : JR. INC. 978-475-0413 Ate•. Page 2 10/t 9/2005 14:53 979GR88476 HFAI_TH PAf;E 02/002 INSTAUER PROJECT MANAGEMENT OBLIGATIONS As the North Andover li censcd.installer for the construction'of the septic system for the property at I �j L r relative to the application off dated - o for p lan s by a' and dated ( vs with revisions dated^. T understand the following obligations for management of this project- 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to performing any work on a site. T must have the approved plans and the permit on site when any work is being done. 2. As the installer T must call for any and all inspections. If homeowner, contractor, project manger,or any other person not associated with my company schedules an inspection and the system is not ready theft item three shall be applicable_ 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of.'the items in accordance with Tile 5 and the Board of Health Regulations may result in a$50.00 tine being levied against itty company. a) Bottom of Bed- generally first inspection wiless there is n retaining wall which should he done first, Installer most raqupsr the inspection but does not have to be present, b) Pinal inspection— Engineer must first do their inspection fur elevations, ties, etc. As-built or verbal. OK from engineer roust be submitted to Boar{ of Health, after which installer calls for inspection.time. Tnstaller must be present for this inspection. With pomp system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade—lnstall©r must request inspection when all grading is complete. Does not have to be on site, 4, As the installer i understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. T further understand that work by others unlicensed to install septic systems in North Andover can ennctitute reasons for denial of the system, and/or revocation or suspension of my license to operatic in the Town of North Andover; significant fines to ail persons involved are also possible. S. As the Installer I understand that I must be on site during the performance of the following constn.lction steps: a) Determination that the proper elevation of the excavation has been rearhPd b) Tnspection of the sand and stone to he used. c) Final inspection by Board of Health staff.or eonsultant, d) TnstallFition of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and ocher Components. 0 6, As the installer I understand that T am solely responsible for the installation of the system as per the;approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Unders gncd Licensed Septic installcr 0' !0� hate: le, ,0 V-5 November 7, 2005 Susan Y. Sawyer, REHS/RS Health Director North Andover Health Department 400 Osgood Street North Andover,Massachusetts 01845 RE: Septic System Repair Inspection, 101 Cricket Lane, Map 107A, Lot 286 Dear Ms. Sawyer, Mill River Consulting performed a final construction inspection for the repair to the soil absorption system at 101 Cricket Lane on November 1, 2005. Construction was performed by Joseph R. (Buddy)Watson. The plan date was 11/24/2003, and the BOH approval date on the plan was 12/16/2003. During our inspection,we verified that the length of the trench addition was per plan,that appropriate stone was used in the trench,and that the pipe elevations of the addition provide proper fall from the existing distribution box to the tie-in to the existing leaching line. The following elevations were recorded at the site: Distribution box outlet 198.01 (Used as base elevation) Start of lateral 197.79 End of Addition 197.71 End of Lateral 197.47 Please feel free to contact me should any questions arise. Sincerely, Andrew McBrearty Project Manager awe- LETTER OF TRANSMITTAL NORTH North Andover Health Department O� IL ,6,9�'- 400 Osgood Street 3�' d `• 6 0� North Andover, MA 01845 0 = - 978.688.9540 - Phone m ., 978.688.8476 - Fax T COC LA a. K Na y1 healthdept(a).townofnorthandover.com - E-mail .4 a "P w�w.townofnorthandover.com - Website Page of 6 SaCHus TO: DATE: COMPANY: FROM:Pamela DelleChiaie,Health Department Assistant Phone: Fax: We are sending you: OCopy of Letter OPlans OOther ill in below) These are transmitted as checked below: ➢ OAppmwdasNoted ➢ OForRev"vandeonvneW ➢ OSubmd eopiesfor ➢ O%RequesMd ➢ OFor Your Use disc ➢ O%Required ➢ OResubmit copiesfor ➢ OForApproval Approval REMARKS: COPY TO: COPY TO: COPY TO: SIGNED: , 04/28/2006 09:33 978688847c HEALTH PAGE 02/03 Asak TOWN OF NORTH ANDOVER office of COMMUNITY DEVELOPMENT AND SERVICES 2, HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540 Phone Susan V.Sawyer,REVISIRS 978.688.9476—FAX Public Health Director E-MAIL health d -corn /w".townofhortkydnver.cam TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM - INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System constructed; repaired; (Print Name) located at /401/ 6 (Installation Address) was insWled in conformance with the North Andover Board of Health approved plan,originally dated and last Revised on I t L2-q /03 ,with a design flow of ,41� 2 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 CUR 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. 13"Inspection date- 1,0 En*Weer Representative(Signature) -7Dck,4'tA-S C- And-Prim Name .Final inspection date. Engineer Represent ve(signature) And-Print Name installer . (signature) Date `!7 f, 7'= rh And-PrinrNmue Enf,in (Signature) Date: ... ice.., Land Engineering &Environmental Services, LLC _ CONSULTING CIVIL ENGINEERS&LAND PLANNERS 130 MIDDLESEX ROAD,SUITE 15 °�" G�- 2� C o• No� 3 TYNGSBORO,MA 01879 ♦1 TIN T1ON TELEPHONE(978)649-4642/FAX(978)649-0981 na TO lylan; �A,�oY� �0,92v �r A�WcTN REC ! APR 2 TO`h _ WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the items: ❑ Shop drawings O Prints O Plans O Samples ❑ Specifications O Copy of letter ❑ Change order ❑ COPIES_ DATE No. DESCRIPTION l '� Zv � � �G s osB� S' - ,,vST��G/f-77ai1/ �'t 77 /Cf�1-7�!✓ THESE ARE TRANSMITTED as checked below: O For approval ❑ Approved as submitted O Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested O Returned for corrections O Return Corrected prints ❑ For review and comment O 0 FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: OCT 20,2005 12:40 J W WATSPI"- JR. INC. 978-475-0413 Page 22 2a'd W 10/tq/2005 14:53 9796208476 HFALTH P4F,E 02/02 INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the Noah Andover licensed installer for the construction of the septic system for the property at _ r relative to the application of � �t dated o- for plans by �'Z e— and dated ( '` with revisions dated i understand the following obligations for management of this project: 1. As the installer I am obligated to obtain all permits and Board of Health approved plans prior to perfrxming any work on a site. T must have the approved plans and the permit on site when any work is being done. 2. As the installer I must call for any and all inspections. 1f homeowner, contractor, project manger,or any other person not associated with my company schedules an inspection and Lbc system is not ready theft item three shall be applicable_ 3. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance H4th Tile$and the Board of Health Regulations may result in a$50.00 fine being levied against my company. a) Bottom of Bed-generally first inspection wiless there is a retaining walt which should he done first. Installer most raquest the inspection but does not have to be present, b) Final inspection- Engineer must first do their inspection for elevations, ties, etc. As-built or verbal OK from engineer must be submitted to Board of Healft after which installer calls for inspection,time. Tnstalkx must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade-Installer must request inspection when all grading is complete. Does not have to be on site. 4. As the installer i understand that only I may perform the work(other than simple excavation) required to complete the installation of the system identified in the attached application for installation. T further understand that work by others unlittAsed to install septic systems in North Andover can constitute reasons for denial of the systein, and/or. revocation or suspension of my license to operate in the Town of North Andover, significant fines to all persons involved are also possible. 5, As the Installer I understand that J must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached. b) inspection of the sand and stone to be used. c) Final inspection by Board of Health staff or consultant, d) installation of tank, D-box, pipes, stone, vent, pump chamber, retaining wall and other tompOnentS, o 6. As the installer I understand that T am solely responsible for the installation of the system as per the approved plans. No insttuction.s by the homeowner,general contractor,or any other persons shall absolve me of this obligation. Unders sued Licensed Septic Installer 1. / Date: -e' ,e' a1 _ Willis & Rubina Hendley e MA 01844-2669 Health Director Town of North Andover 400 Osgood St North Andover, MA 01845 INSPECTION CHECKLIST FOR SEPTIC SYSTEMS Yes NO Initials A. Bottom of Bed x� 1. Excavation to proper depth 2. With trenches,sides of excavation are beneath B horizon 3. Edge of excavation specified distance from foundation,etc. Comments: B. Retaining Wall 1. Wall height and width as specified 2. Waterproofed 3. Wall minimum 10'to leaching facility 4. Wall meets specifications of plan Comments: C. Building Sewer 1. Pipe diameter minimum 4" 2. Schedule 40 pipe 3. Watertight joints 4. Inlet to tank cemented 5. Slope minimum 0.01 or 1/8"per foot minimum 6. Pipe properly set on compact firm base 7. Pipe laid on continuous grade in straight line 8. Cleanouts precede all change in alignment and grade 9. Manholes at any 90'change 10. 10' minimum offset to water line Comments: D. Septic Tank 1. Level 2. 1,500 gal minimum 3. Gas baffle present on outlet 4. Manhole to grade 5. Manholes over center and each tee 6. 3-20"manholes 7. Inlet tee minimum 12"under invert 8. Outlet tee minimum 14"under invert 9. Outlet line cemented 10. Air space 3"above tees 11. 2"-3"drop from inlet to outlet 12. Pipe set 13. Compact base with 6"of/<"crushed stone under tank 14. Tank is watertight Comments: Yes NO E. Pump Chamber 1. If separate from tank,compact base with 6"of/4"stone underneath 2. Minimum 2"pipe to d-box if gravity system 3. 20"access manhole 4. Tank level 5. Watertight 6. Tank size agrees with plan specification 7. Manhole to grade 8. Check valve and bleeder hole present 9. Alarm in building on separate circuit 10. Alarm functions 11. Manual operating switch _ 12. Pump delivers liquid to d-box Comments: F. Distribution Box 1. D-box level 2. Minimum 0.1T'(2")drop from inlet to outlet 3. Minimum 6"sump 1i 4. Outlet pipes show equal distribution \L 5. Compact base with 6"of stone beneath box 6. Box is watertight v 7. All lines cemented with hydraulic cement v 8. Schedule 40 pipe v Comments: G. Soil Absorption system 1. All stone double-washed-'/4"- 1 ''/z" L; -pea stone Bucket test done? 2. Minimum 2"of pea stone above distribution lines 3. Minimum 6"stone beneath pipe 4. Distribution lines capped or connected together 5. Grading meets 3:1 slope 6. Minimum of 9"of fill graded over system 7. Toe of slope stops minimum 5' from edge of property; if not,then swale. Comments: H. Leach Trenches 1. Minimum 2 trenches 2. Length of trenches agree with plan. (Max. length 100') 3. Width of trenches agree with plan-Minimum 2%maximum-4'. 77 4. Vent present if<50 feet or specified 5. Distance between trenches minimum 4' and maximum of 6' 6. Minimum distance between trenches 10' -T- 7. Pipe slope minimum 0.005 or 6"per 100' 8. Depth of trenches below outlet invert minimum of 6". ':..- Yes NO 9. Pipes set on stable base. Comments: I. Leach Field 1. Maximum length of field 100' 2, Pipe slope minimum 0.005 or 6"per 100' 3. Separation between pipe 6'maximum 4. Pipes connected at end 5. Separation between adjacent fields 10'minimum 6. Pipes set on stable base 7. Maximum 4' separation from edge of field to first line 8. Minimum two distribution lines 9. Maximum perc rate 20 mpi Comments: I Leaching Pits 1. Minimum inlet pipe 4" 2. Pits of concrete 3. Sidewall between 12"and 48"wide 4. Access manholes on each pit 5. Pipes cemented with hydraulic cement Comments: K. Final Grade 1. Slope over soil absorption system minimum 0.02 2. All system components covered by at least 9"soil 3. Cover soil free of stones larger than 6" 4. Grading slopes away from dwelling 5. No areas over system that may pond .•. ... DelleChiaie, Pamela 10 From: Sawyer, Susan Sent: Monday, October 31, 2005 10:49 AM To: DelleChiaie, Pamela Buddy Watson called. He is at 101 Cricket Lane. I scheduled a BOB, for the trench, at @ 1:00 today for Michele or myself. Susan Sawyer, R.S. Public Health Director office 978 688-9540 fax 978 688-8476 1 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, November 01, 2005 2:39 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: 101 Cricket Lane- Final Inspection Can you do this one also when you are here for Foster Street? Thank you. Buddy Watson is the installer: 508.932.3204 $a8f R00101041 PAW&&A10"06711iw10 Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA 01845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept@townofnorthandover.com i TOWN OF NORTH ANDOVER of NORTH Office of COMMUNITY DEVELOPMENT AND SERVICES F •`"�� "°A HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER, MASSAC14USETTS 01845 E<� ACHU`� Susan Y. Sawyer,REHS/RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...❑ 2. Internal plumbing all to one building sewer...❑ 3. Topography not appreciably altered...❑ SEPTIC TANK 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Tank has been installed (1-1-10 or H-20)Tank Size: 1,000; 1,500;Other Monolithic or 2 piece (circle)...❑ 4. Water tightness of tank has been achieved (Visual)...❑ 5. Inlet tee installed,under access port...❑ 6. Outlet tee (gas baffle or effluent filter)installed,under access port...❑ 7. Cover to within 6" of final grade installed over one access port,must be over outlet of tank if effluent filter is present- Inches of Tank...❑ 8. Hydraulic cement around inlet&outlet...❑ Comments: PUMP CHAMBER 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Pump Chamber Installed Gallons; (H-10 or H-20) (Monolithic or 2 piece) (circle) 4. Inlet tee installed,under access port...❑ 5. Pump(s)installed on stable base...❑ 6. Alarm Float Working...❑ 7. Pump On/Off Float Working...❑ 8. Total# of Floats... 9. Drain hole in pressure line...❑ 10. Cover to within 6"of final grade installed over one access port...❑ 11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24 hours (circle) 12. Hydraulic cement around inlet&outlet...❑ Comments: Page 2 of 4 TOWN OF NORTH ANDOVER - .Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 4 , - 400 OSGOOD STREET NORTH ANDOVER, MASSAC14USETTS 01845 Susan Y.Sawyer,REHSIRS 978.688.9540—Phone Public Health Director 978.688.8476—FAX D-BOX 1. Installed on stable stone base...❑ 2. Inlet tee (if pumped or>0.08'/foot)...❑ 3. Hydraulic cement around inlet&outlets...❑ 4. Observed even distribution...❑ 5. Speed levelers provided(not required)...❑ Comments: SOIL ABSORPTION SYSTEM 1. Bottom of SAS excavated down to C Soil Layer,as provided on plan...91 2. Size of SAS excavated as per plan...❑x * 3. Title 5 sand installed,if specified on plan...El 4. 3/4-1/2"double washed stone installed...❑ 5. 1/8-1/2" (pea stone) double washed stone installed...❑ 6. Laterals installed and ends connected to header(and vented if impervious material above) ...❑ 7. Orifices @ 5&7 o'clock positions...❑ 8. Gravel-less disposal systems: type,number and location as per plan...❑ 9. Elevations of laterals installed as on approved plan...❑ 10. 40 Mil HDPE barriers installed...❑ 11. Retaining wall(boulder/ concrete/ timber / block) ...❑ 12. Final cover as per plan ...❑ Comments: PRESSURE DISTRIBUTION 1. #of Inches in Manifold 2. Laterals installed with end sweeps;Size: Material: 3. Squirt Test: Feet in height 4. Equal distribution to all laterals 5. Orifice size inch as per plan Comments: CONTROL PANEL 1. Alarm&Pump are on separate circuits...❑ 2. Alarm sounds when float is tripped...❑ 3. Location of control panel: 4. Rated for exterior if placed outside...❑ Comments: Page 3 of 4 Land Engineering I UEUTEM &Environmental Services, LLC CONSULTING CIVIL ENGINEERS&LAND PLANNERS DATE "0 130 MIDDLESEX ROAD,SUITE 15 Uc3t TYNGSBORO,MA 01879 .arc«no« TELEPHONE(978)649-4642/FAX(978)649-0981 To IJo4174 foo cuff. &,,T74 bev,Tf4e-ti r- As- gvjq Str`1P n e- hwU oo OsOoo13 snzm- to) e.ttcre- Cfi-m e AJOI—T}E fivtot,aeI k A d+ y5 WE ARE SENDING YOU ❑ Attached O Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans O Samples O Specifications ❑ Copy of letter ❑ Change order ❑ CODES DATE No. DESCRIPTION 2— t t 3-0 0 ,ate -6C-S IG oll G LS 0-00-n F I A ri 0,U Rr TOWN OF HEALTH DEPARTMENT F- 1 T THESE ARE TRANSMITTED as checked below: PFor approval ❑ Approved as submitted O Resubmit copies for approval ❑ For your use O Approved as noted O Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 190 PRINTS RETURNED AFTER LOAN TO US REMARKS s .'i V J iTLO Cz IUC � f� u q COPY TO .�A 0 Lev nn SIGNED: �LiQ.C�t�;. � . (YZE.Qt RECEIVLL) • Land Engineering DEC 0 6 2005 130 Middlesex Road &Environmental Services, LLC Tyngsboro, MA 01879 CIVIL ENGINEERING&LAND PLANNING HEALTH DEPART (978)649-4642/FAX(978)649-0981 CERTIFICATION OF SUBSURFACE SEWAGE DISPOSAL SYSTEM INSTALLATION I, Douglas Lees, a Registered Engineer duly licensed by the Commonwealth of Massachusetts, License No. 40930, and working as an employee for Land Engineering and Environmental Services, LLC certify that we have performed the required inspections of the subsurface sewage disposal system at the referenced location in accordance with 310CMR15.021. To the best of my knowledge and belief all work shown on the accompanying As-Built Plan has been completed in general compliance with the original design plans as approved by the local Board of Health. Furthermore, the work as shown on the As-Built Plan appears to comply with the provisions of Title 5 of the Massachusetts Environmental Code (310CMR15.000) and all applicable local requirements. This certification shall not be construed as a guarantee that the disposal system will function as required. STREET ADDRESS: 101 Cricket Lane TOWN: North Andover, MA DATE: November 30, 2005 OF MAss' o� DOUGLAS E, yo 7 LEES A 7 V CIVIL No.40930 `" SIGNATURE: SEAL: ,., Town of North Andover f 14CR*1N Office of the Health Department 0: Community Development and Services Division 400 OSGOOD STREET " North Andover,Massachusetts 01845 Susan Y. Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-Fax C'EWEI"rl E Off' C09W tT-GI•A9VCE As of: May 1, 2006 This is to certify that the individual subsurface disposal system was Fully 1W paired by: Joseph R. (Ouddy) Watson At: 101 Cricket .cane North Andover, m q 01845 Yfas been installed in accordance with the provisions of Title v of the State Sanitary Code and with the North Andover 0oard of Yfealth regulations. The Issuance of this certifi*cate shall not be construed as a guarantee that the system will function satisfactorily. Curt(Bellavance Community Development Director BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 t,ORTH a1 to D 0 p04ATRo SAC US Town of North Andover BUILDING DEPARTMENT June 9, 2006 Willis&Rubina Hendley 105 Rolling Ridge Lane Methuen, MA 01844 Re: 1.01 Cricket Lane Dear Mr. & Mrs. Hendley, Our records indicate that your property may need a final inspection. Please be advised that in order to permit occupancy for the property at 101 Cricket Lane a final inspection by the Building Department is in order. Please call the office to set up an appointment for the final inspection. A Certificate of Occupancy can be issued once the final inspection is documented. Thank you for your attention in this matter Sincerely, Gerald A. Brown, Inspector of Buildings Cc: Curt Bellavance, Director CD&S (ouiinonity Oevelepn►ent Division, 1600 Osgood`itraot,Nor4h Andover,Massa(hasetts 01345 Vhono 978,638.9545 Fox 978.688.9542 'Noh a vww.tewnoinorthanrdover.rorn ,y Town of North Andover NOR:N Office of the Conservation Department Community Development and Services Division , Health Department "'•b--_��,. 27 Charles Street 'JS�cMus�` Sandra Starr North Andover, Massachusetts 01845 Telephone(978)688-9540 Health Director Fax(978)688-9542 MEMORANDUM TO: Mike McGuire,Building Inspector FROM: Brian J. LaGrasse,Health Inspector RE: 101 Cricket Lane DA T E: august 8,2002 I am sending you this memo in regards to the septic system located at the aforementioned address. The septic system does not have a Certificate of Compliance and the property should not be given an occupancy permit at this time. Feel free to contact me at any time if you have any questions or would like additional information. Since 1 ArfaW.LaGrasse Health Inspector cc: Sandra Starr,Health Director Board of Health File BOARD OF APPEALS 688-9341 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535