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HomeMy WebLinkAbout- As-Built Plan / Installation Certificate Form - 181 JOHNNY CAKE STREET 5/26/2021 (3) JOHANSON ASSESSORS MAP 10/ PARCEL 189 AREA=1 A INCAMPO FAY TRUST ASSESSORS MAP 107 A MCGINNIS ASSESSORS MAP 107 A PARCEL 190 PARCEL 191 AREA=l ACRE AREA=l ACRE BENCHMARK 1: TOP FOUNDA 77ON 11 ELEV=1770 #181 SINGLE FAMILY EXISTING DWELLING IBM BENCHMARK 2. TOP STEP CORNER ELEV=177.43 7 0 35 40PHE j 170-- Z" J GRAPHIC SCALE '20 o lo as ao w CA7CH 8 IN FEET) I inch- 20 ft. ,rOi5,r2V2Vr 6,Y4 SrRZZ-7 7 SYSTEM COMPONENTS ARE MARKED SEPTIC TANK HAS OUTLET FILTER WITH MAGNETIC LOCATING TAPE ON TEE BELOW CENTER MANHOLE FOR FUTURE LOCATING CLEAN WHEN TANK IS PUMPED SCHEDULE OF ELEVATIONS LOCATION I ASBUILT ELEVATION COMPONENT LOCATION TIES BENCHMARK-CRNR TOP STEP 177.43 LOCATIONIDESCRIPTION A B c INVERT OUT HOUSE 173.30 SEPTIC TANK MH—INVERT IN 17.3' j 48.1' SEPTIC TANK 4" INVERT IN 173.15 SEPTIC TANK MH—MIDDLE MH 18.9' 45.7' SEPTIC TANK MH—INVERT OUT 1 20.7' 1 42.7' 1 SEPTIC TANK 4" INVERT OUT 172.87 3 7.6' 60�7' DISTRIBUTION BOX IN 172.65 CENTER D—BOX DISTRIBUTION BOX OUT -- ( BEGINNING OF LINE #1 33.0' 54,4' 172.48 B BEGINNING OF LINE #2 38.0' 57.0 BEG OF LINES 1-4 172.41 I BEGINNING OF LINE #3 43' 60.5' END OF LINES 1-4 172.20 1 BEGINNING OF LINE #4 1 47.5' 64.0 TOP OF FABRIC 172.58 47-l' 316' END OF LINE #1 END OF LINE 50-7' j 38.2' END OF LINE_J3 54.8' 43.4' END OF LINE #4 58' 4&2 I CERTIFY THAT THE WASTEWATER DISPOSAL SYSTEM AS SHOWN ON THIS PLAN WAS CONSTRUCTED IN ACCORDANCE WITH THE PROVISIONS OF 310 C21R 1&00 INSPECTION PORT #1 46.4' 1 37,5'(THE STATE ENVIRONMENTAL CODE TITLE V), RULES AND REGULATIONS FOR ON—SITE WASTEWATER DISPOSAL SYSTEMS LN NORTH ANDOVER, AND THE ORIGINAL INSPECTION PORT #2 54.1' 1 46.5' PLAN THROUGH ALL OF ITS REVISIONS AS AMENDED BY THIS ASBUILT PLAN I CERTIFY THE LOCATIONS, ELEVATIONS TIES COVER MATERIAL EXPOSED COMPONENT COVERS, ETC, SHOWN ON THIS ASBUILT AT AGREE ISUBSURFACE DISPOSAL SYSTEM ASBUILTI WITH TIN APPROVED PLAN AND HAVE DETERMINED THAT THE BREAKOUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET LOCATED AT Joy OF I IVNI7 A 181 STREET I DEREK (NORTH ANDOVER, MA) P. c-3 FULLERTON Ln NO. 1243 PREPARED FOR tots Incam o Family Trust �p SNP T- T ! DRAWN BY. D.P.F DESIGN 5-19-21 !SCALE:1"= 20' 1 DATE: 5-11-2021 CHECKED BY: DEREK FULLERTON, RS DEREK FULLERTON, RS DATE ASSESSORS MAP 107A PARCEL 190 PROJECT No.�21-01 R-, TV