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HomeMy WebLinkAbout- - As-Built Plan / Installation Certificate Form - 90 SPRING HILL ROAD 7/2/2026 Town of North Andover JUL 13 2026 Health Department PUBLIC WEALTH DEPARTMENT fommunily&Econonik Developiieni TOWN OF NORTH ANDO VER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System )constructed;( )repaired; By: e py t-`10 --- �y (Print Name) Located at: � �) (Installation Address) )Was installed in conformance with the North Andover Board of Health approved plan,originally dated and last revised on ( �� 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,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 Bed Inspection Date: Engineer Representative(Signature) And—Print Name Final Construction Inspection Date: v .. Engineer Representative(Signature) And—Print Nark Installer: ,LA (Signature) Date: And—Print Name Engineer: 1 -, Signature) Date: ...' And—Print Name 120 Main Street, North Andover, Massachusetts 01045 Phone 978.688.9540 Fax 978.600.9542 Web btti)://www.tiortliandovernan.gov SUMMARY 4F INVERTS BUILDING TIES _ SEWER © FDTN. PRE—EXIST BLDG. CORNER A B C D NOTE; THIS PLAN & CERTIFICATION IS NOT SEPTIC TANK IN 74.81 SEPTIC TANK OUT147.337.9 24.9 15.1 — — A WARRANTY OF THE SUBSURFACE DISPOSAL SEPTIC TANK OUT 74.66 PUMP TANK OUT 36.1 21.4 — — SYSTEM. IT IS A RECORD OF THE LOCATION PUMP TANK IN 74.64 DIST. BOX - - AND ELEVATION OF THE EXISTING SYSTEM DIST. BOX IN 77.22 COMPONENTS. DIST. BOX OUT 77.01 LEACH LINE BEG 76.89 "1 HEREBY CERTIFY THE LOCATIONS, ELEVATIONS, TIES, COVER MATERIAL; LEACH LINE END 76.59 EXPOSED COMPONENT COVERS ETC., SHOWN ON THIS AS—BUILT SUBSTANTIALLY AGREE WITH THE APPROVED PLAN AND HAVE DETERMINED THAT THE BREAK Town of North Andover OUT ELEVATIONS, IF APPLICABLE, HAVE BEEN MET." JUL 13 2026 ,����0� 7�z SIGNATURE OF DESIGNER DATE `aalth Department LOT 237 \ \ \ (AREA=75,550 S.F.) \ No\ BAFFLE a\ a DIST. BOX \ \ \ INSP. PORT PRE-EXIST. \ 2 46 / PUMP TANK \yZ 7� \ PRE-EXIST. SEPTIC TANK - � �y�\ 7,� VENT ' ' �v�✓ `�� ��\ o_ SIDING LEACH FIELD *Ba:oo� p,�E��NG �\ \ (920 S.F.) • i� \� pR'VE 1� •6� 64.18' ROAD G Q� S AS BUILT PLAN cQ OF I SUBSURFACE DISPOSAL SYSTEM LOCATED IN NORTH ANDOVER, MASS./90 SPRINGHILL ROAD AS PREPARED FOR OF JOHN GARIPAY ��HsS TM: 107A x DATE: 7-2-26 VLADIMIR SCALE: 1"=40' zi NEMCH�EN�OpK TL: 237 0 20 40 80 o N�98 �FG,S MERRIMACK ENGINEERING SERVICES �SS��NAL E '\� 66 PARK STREET 0 ANDOVER, MASSACHUSETTS 01810