HomeMy WebLinkAbout- As-Built Plan / Installation Certificate Form - 181 JOHNNY CAKE STREET 5/26/2021 molvINOR
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SYSTEM COMPONENTS ARE MARKED SEPTIC TANK HAS OUTLE-
WITH MAGNETIC LOCATING TAPE ON TEE BELOW CENTER N
FOR FUTURE LOCATING CLEAN WHEN TANK IS PU
SCHEDULE OF ELE VA TIONS
LOCATION ASBUILT ELEVATION _.._..__..........._.... --- -COMPONENT LOCA'
BENCHMARK-CRNR TOP STEP 177.43 _ ..wwww_w
_. ._...e.._______-._................................_w.._............______......._..._ LOCATION/DESCRIPTION
INVERT OUT HOUSE 173.30
_w...W-..._ .. ...__.........___w w _ww.�.,_,.,... - SEPTIC TANK MH-INVERT IN
SEPTIC TANK 4" INVERT IN 173.15 SEPTIC TANK MH-MIDDLE MH
...........ww.......w......, -M ___._._ -------
SEPTIC TANK 4" INVERT OUT 172.87 SEPTIC TANK MH-INVERT OUT -
._...._.........___..w..._.�._........ ..........__.._...,..........___........___ _, .. ..____.. _w...__. ._........,_...................
_._.....m_...
DISTRIBUTION BOX IN 172.65 CENTER . -
DISTRIBUTION
I S TR I B U TI 0 N BOX__.OUT
....w......__............._ ____._.. _. ____._______.LL._._..............__
172.48 BEGINNING_OF LINE #.._........................._..._.-------_.__
_____ _ ........ ........w.......„ .. _... _..._ _ ___._._ __ww............ BEGINNING OF LINE #`2 __ .,_w._
BEG OF LINES 1-4 172.41 _________ _____. _.._.................._.......
_._____....._.. BEGINNING OF LINE #3
END OF LINES 1-4 172.20 BEGINNING OF LINE #4
_........_.__._._ _ _---------
TOP OF FABRIC 172.58 END OF LINE #1
END OF LINE 2
_._ ...._.................. ..........
END OF LINE #3
END OF LINE #4
I CERTIFY THAT THE WASTEWATER DISPOSAL SYSTEM AS SHOWN ON THIS PLAN ._._.__.__...................._,'_._.....®____.___________
WAS CONSTRUCTED IN ACCORDANCE WITH THE PROVISIONS OF 310 CMR 1&00 INSPECTION PORT #1
(THE STATE ENVIRONMENTAL CODE TITLE V), RULES AND REGULATIONS FOR
ON—SITE WASTEWATER DISPOSAL SYSTEMS IN NORTH ANDOVER, AND THE ORIGINAL PORT 2
PLAN THROUGH ALL OF ITS REVISIONS AS AMENDED BY THIS ASBUILT V. INSPECTION .-
I CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL, EXPOSED --- ...................... ___........ _.,_,,,,,_ ...............
COMPONENT COMPONENT COVERS, ETC, SHOWN HAVE
THIS ASBUILT AT THE BREAKOUT
AGREE SUBSURFACE
"I j BS UR A/Y]'I DISPOSAL
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WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAKOUT �7 (�J r (_.JJ J1,( ,�JxfJ y.� j 1
ELEVATIONS, IF APPLICABLE, HAVE BEEN MET.
LOCATED AT
OF Mgs 1� „w . .s��y� _ . CA Y.S)y
6 DEPREK (NORTH .ANDOVER, MA,
—w____
c.) FULLERTON
NO. 1243 PREPARED FOR
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,..� 5-19-21 SCALE: I'" 20" DATE: 5-1..1- 202i
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_.. ...� �CIIECKED BY. D
➢EREK FULLERTON, RS DATE -------------.__.._._w__.,,,.w._w,_.....__...___.._._._��---_ ._.-------------_...._..... __._......
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ASSESSORS MAP 10 A PARCEL 190 R(
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