HomeMy WebLinkAbout- Miscellaneous - 1087 SALEM STREET 4/21/2021 Town of North Andover - Sofic Vstem - AS-BUI,LT CHECKLIST
1) All changes to the design plan have been reflected and noted on tile as-built plan
'bail 2) t plan has a suitable,�ale; (I inch 40 feet or fewer�for plot plans)
3) Z(Street Addres's,")Assessor's Map and Lot Number
4) Lot Lines and Location of Dwellings served by the system
5) Locations,Elevations and Dirnensions of As-built system components,including reserve (if applicable)
6) ---------77 rie,s 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&f6tindation drains
Catch basins
--Property limes
...—Dwellings or other structtires
Private water supply or irrigation wells
Watercourses or wetlands
8) Z—Locations of Wells,Drains,Wetland Resource Areas 150 feet of system
9) iz—Location of water,gas,electric lines,cable,control panel (if applicable)
47/"
10) '* Location of Structures within 6 Inches of finished Grade
11) "/--Original Sfanip&Signature
12) J, Location and holder of any easements which could impact the system
.13)
-Impervious.Areas; Driveways,etc
North Arrow
15) —Location &Elevation of Benchmark used
16) STATEMENT ON PLAN (NA 5.3)
"I cerlif K Me loc"a 6017,F, clevatio ns, ties, craven,matcrial;expos d component coi'anv etc
shown on this as-built substanfj jjjy agjee witil 11w q.PPTovc(JpIan and have determined that the
brow k cwt elevations, if heave been met.
..........
Signature of Designer Date
b. "If a STUCYURAL KrALL.15 ERE _J9 a Leffer or statement on the as-L7ail in
-ija-e-W7111- .1 "Xith theinklICIf(ICIes L_
_qD wa.js was notconstryeted in Si 77 dTICI 9TI
Signature of Designer Date
As of:Tuesday,March 17,2015
Letter of Transmittal
marchloonda DATE: 0,1/23/18 JOB
&Associates, L.P.
[ATTENTION: 1�diIhe e tant
7 Engineering and � Salem Stet
Planning Consultants RE 1087 Sale
TO: Board of Health
'120 Main Street
North Andover, MA 01845
WE ARE SENDING YOU Z ATTACHED E] UNDER SEPARATE VIA THE FOLLOWING ITEMS:
Fj SHOP DRAWINGS PRINTS Z PLANS SAMPLES Ej SPECIFICATIONS
COPY OF LETTER CHANGE ORDER
COPIES DATE NO. DESCRIPTION
3 1 Septic System As-Built Plan(1099 Salem St Lot 2
aka 1087 Salem St)
Address in title bllock changed to 11087 Salem St.
THESE ARE TRANSMITTED AS CHECKED BELOW:
FOR APPROVAL APPROVED AS SUBMITTED RESUBMIT COPIES FOR APPROVAL
Z FOR YOUR USE APPROVED AS NOTED ED SUBMIT COPIES FOR DNSTRIBUTION
F AS REQUESTED RETURNED FOR CORRECTIONS E] RETURN CORRECTED PRINTS
E] FOR REVIEW AND COMMENT PRINTS RETURNED AFTER LOAN TO US
[3 FOR BIDS DUE
REMARKS;
COPY TO: SIGNED:
Marchionda and Associates, L.P. T 781.438,6121
62 Montvale Avenue, Suite I F 781,438,9654
Stoneham, Massachusetts 02180 EM: ri,iail(`zmarchior)da.com www.marchlondaxorn
Letter, of Transmittal
a M
�marchionda L_DLT�- 01/10/18 O:B NO 900.01
&Associates, L.P.
[ATTENTION. Michele�Grant
Engineering and
Planning Consultants RE: 1087 SaIern Street
TO Board of HeaPth
120 Maun Street
North Andover, MA 01845
WE ARE SENDING YOU Z ATTACHED n UNDER SEPARATE VIA THE FOLLOWING ITEMS.
SHOP DRAWINGS ❑ PRINTS ZI PLANS SAMPLES E] SPECIFICATIONS
COPY OF LETTER CHANGE ORDER El
COPIES DATE NO. DESCRIPTION
3 1 Septic System As-Built P@an(1099 Salem St Lot 2
aka 1087 Salern St) ...........",
THESE ARE TRANSMITTED AS CHECKED,BELOW:
[:] FOR APPROVAL APPROVED AS SUBMITTED ❑ RESUBMIT COPIES FOR APPROVAL
Z FOR YOUR USE APPROVED AS NOTED ❑ SUBMIT COPIES FOR DISTRIBUTION
F AS REQUESTED RETURNED FORO CRRECTIONS ❑ RETURN CORRECTED PRINTS
FO REVIEW AND COMIVEN I- F] PRINTS RETURNED AFTER LOAN TO US
FORBIDS DUE
REMARKS:
COPY TO: SIGNED:
e.
Marchionda and Asso6ates,L,P. T 781A38.6121
62 Montvaie Avenue, Suite I F 781.438.9654
Stoneharn, Massachusetts O2180 EM: m ail(K,",bn-Iarch ionda.corn wwwmarchiondaxom
/F '
A
PUBLIC HEALTH H DEPARTMENT
Town of North Andover
Community and Economic Development Division
CERTIFICATE
COMPLIANCE
As f January 30, 20178
This is to certify that the individual subsurface disposal system received a
SATISFACTORY l.NSPECTION of the: 1
New Construction of the On-Site ► evwa e
Disposal System
[ y. .Ro er Innis
.t 7 Salem Street
Map 106.A :Lot 0049
North Andover, MA 01845
Th 1°suance of this certifi °to"shall not be construed as a guarantee that the system will function satisfactorily.
iehele E. Corn
l'"ublic Health Inspector
-- _ ... . ... __. .. _.._................_______.......
120 Main St.,North Andover,Massachusetts 01845
Phone 978,688,91540 Fax 9178.688.9542 Web swwrwr.northandoverma.gov
North Andover Wealth Department
tormmunity and Economic Development Division
t N, I1f EWASTEWATER SYSTEM CONSTRUCTION MOTES
* 1 ggg Salem, Street is the ;parent parcell.
1087 Salem Street - AKA 1599 Salem Street Lot 2
LOCATION INFORMATION
N
ADDRESS: 1087 Salem Street MAP:1065 A LOT: 49
INSTALLER- Robert Innis — LE C Builders
DE SIGNER: Craig Marchionda — Marchionda and Associates
PLAN' DATE:: 05/17/2017
BOO APPROVAL DATE ON PLAN: 7/26/2017
INSPECTIONS
TANK INSPECTION: 10/11 g/2t117
DATE OF BED BOTTOM INSPECTION: 11/1'/2017
DATE: OF FINAL CONSTRUCTION INSPECTION: 11/15/17
DATE OF FINAL GRADE INSPE=CTION:1/10/2018 see email
SITE CONDITIONS
NS
N/A Contractor reports any changes to design plan
N/A E iisting septic tank properly abandoned
Internal plumbing all to one building sewer
Z 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 5" stone base
Weep hole plugged
150O gallon tank has been installed
H-10 loading
Monolithic tank construction
Watertightness of tank has been achieved by
visual! testing
Inlet tee installed, centered under access port
Outlet tee installed, centered Linder access port
(gas baffle)
LEI 20" inch cover to within 6" of finish grade
installed over one access port
Neoprene boots around iinlet & outlet
Comments:
DISTRIBUTION-BOX
Installed on stable stone base
LA 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)
Z Schedule 40 PVC Pipe
Comments:
SOIL ABSORPTION SYSTEM (General)
Z Bottom of SAS excavated down to C soil layer,
as provided on plan
Z Size of SAS, excavated as per plan
Z Title 5 sand installed, if specified on plan
Z 40 Mil HDPE barrier installed
Z Laterals installed and ends connected to
header (and vented if impervious material
above)
Z Elevations of laterals and chambers installed as on
approved plan
Z Retaining wall (boulder)
El Final cover as per plan
Comments: Brian LaGrasse met engineer on site — 72' x 25', 22' off house
location per plan
FINAL GRADE
r
See Email from Robert Innis LRC Builders Inc.
❑ Loamed
❑ Seeded
❑ Cover per plan
Comments:
DOCUMENTS NEEDED
® Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
® As-Built Plan
BM = 165.98
HR = 5.42
HI = 171.40
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 3.5' off hse 3.60 167.45 166.82
Septic Tank IN 4.04 167.01 -----
Septic Tank OUT 4.44 166.61 166.56
Distribution Box IN 4.88 166.17 166.14
Distribution Box OUT 5.08 165.97 165.97
Lateral 1 TOP 5.11 / 5.47
Lateral 1 INVERT 165.94 / 165.58 165.93 / 165.64
Lateral 2 TOP 6.41 /6.72
Lateral 2 INVERT 164.64 /:164.33 164.59 1164.30
Bottom of Trench 7.85 / 9.04 163.551162.36 163.64 / 162.30
h
CRITICAL SETBACK DISTANCES
Mark those distances checked in the field against the design plan and regulatory
setback
Tank SAS Sewer
® Property Iine 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/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 40.0
Z 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)
® DryweIls 20 25
1 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
PUBLIC WALfin BINA,RTNII tI`
lvlrlrallity A frin olr Itlmlillprsllm
TOWN OF NORTH A ID OVER
'SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersiped hereby certify that the Sewage Disposal System 00 constructed, repaired;
By: ),I Ic
(PrintName)
Located at.1087 Salem Street.
(Installation Address)
Was installed in conformance with the North Andover Board of health approved plan,originally dated
and last revised on 07117120117 with a design flow of
440 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.C4 R l '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 fled Inspection Date 11/ 11 017
Engineer Representative(Signature)
Craig Marchionda,Ply
And—print None
Final Construction Inspection hate:I111f12J2(l1 d
Engineer Representative(Signature)
CraiR Mar hi rnda PP
And—Print Name
Installer M r (Signature) !ate:
�l And Print Name
ltn lneers - (Signature) prate:fM11fl=018
Craig archicrnda,P
And—Print Name
120,Main Street,North Antlorter,Mossolth usetts 01845
Phone 978.688.9540 Fox 9'78.6 8.9542 Wob httr://wwwawrthanidov*nm.gov
ov*nnmt.govw
Scanned by CamScanner
1/10)2018 Town of North Andover Main-1099 and 1087 Sa6em St
mo�'Saa usii l i a
r��yu,�,�� �� �__a____ Michele Grarui!<Innugrant@no�rthan dove ra. ov>
1€ 99 and 1087 Salem St ".
1 message -- w---.,...w .. ..........— ... ,
Robert...._.,
Tn�rs�� �a:�a3ira�ai �at�r.�za���-�"""" "f"Ue, Jan 9, 2018 at ta: 0 P'C~
Reply-To: Robert Innis <robertinnis@yahoa.com>
To: Mgrant@northain dove rnna„gov
To : North Andover Beard of Health-.
As both the owner and contractor of the above Oats, I certify they are properly graded and take responsibility for the finial
grades at and near the septic:systems of each lot.
Robert Innis
LRC Builders LLC,
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