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Home My WebLink AboutCertificate of Compliance - 976 TURNPIKE STREET 9/17/2015 PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 9/17/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an On-Site Sewage Disposal System By: Robert Amor At: 976 Turnpike Street Ma p 1070 Lot 44 North Andover, MA 01845 The Issuance of this ce ifxcat shall not be construed as a guarantee that the system will function satisfactorily. iichele Grantw.�.�.. Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688,9540 Fax 978.688.8476 Web www.townofnorthandover.com S RECEIVED I _ ,ti(1 6 @ H a NOW RIALTH DEPARTMENT TOWN OF NORTH ANDOVER SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION The undersi i d h reby certify th the Sewage isposal Systern1 constructed;( )repaired; By: (Print ame) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan, originally dated r and last revised on with a design flow of U119 1` 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's accurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: ,-.��IU 1 Engseer I pr sentat Signature) JI/ `f a' And—Print Name Final Construction Inspection Date: — En inR fes dative Si nature And—Print Naive Installer:, �A"' (Signature) Dater And—Print Name Engineer. (Signature) Date: t" F And—Print Name 1600 Osgood Street, North Andower, Massachusetts 01845 Phone . . 54 Foy 978.688.8476 Web httP://www,townofi,iorthandover.coi�n i Town of ort Andover ® Septic System ® AS-BUILT CHECKLIST 1) l changes to the design plan have been reflected and noted on the as-built �. 2) As-built plan has a suitable scale; (1 inch=40 feet or fewer for plot ris� 3) /LcLtunes et Address,Assessor's Map and Lot Number 0 4) and Location of Dwellings served by the system ' `/ 5) Locations,Elevations and Dimensions of As-built system components,including reserve (if el applic 6) Ties to all tank openings, d-box,and leach area from dwelling or Permanent Structure 7 Setback distances,are shown n - �, o o the as build plan from.system components to: ubsurface,interceptor&foundation drains ICatch basins � operty lines Dwellings or other structures Private water supply or irrigation wells Watercourses or wetlands Locations of Wells,Dra' etland Resource Areas ithin 150 feet of system V If 9) nAQLocation of water,gas, electric lines,cable,control panel(if applicable) 10) ZLocation of Structures within 6 Inches of Finished Grade 11) Original Stamp&Signature ✓ 12 Location and holder of any easements which could impact the system 13) I ervious Areas;Driveways,etc 14)__ -1orth Arrow 15) , Location&Elevation of Benchmark used 16) STATEMENT NA ON PLAN 5.3 ,. ( ) a. "I certifij the locations,elevations, ties, cover material;exposed component covers etc., shown on this as-built substantially agree vith the approved plan and have deterinined that the break out elevations, if applicab , Have n met." Signatur of Designer Date b. "If a STUCTURAL WALL IS PRESENT(NA 4.9)a Letter or statement on the as-built indicating the wall-was or was not constructed in accordance with the intended design and ariy manufacturer's s ececifi'cations." r Signature of Designer Date AU, 2" Sch. 40 PVC Force Main 89x23 90x45 ®- , _ 91x1 ' x 9x94 O O 74 0 0 91x Ln 92, 9 • 1 -�-2 ECK 10.5' 60.4' D 93 33 �'--- 1x09 x3 Pier (TyP� CAR on c. P l � A 0 90x1 GARAGE Plumbing internally connected/ 000 958 --96-- -- below slab 95x6�- Gar. Slab / TOP OF FOUNDATION = 98,40' Grassed . 49 9 x31 Elev=97.35'Concrete BASEMENT FLOOR=91.4'.± - 31 ,, 96x3 1 112 STORY WOOD '1 x ..N ` FRAME STRUCTURE FFE=99.60' 0 x s l-x58\\, Bit. Conc. Driveway 19.x78 I ! Fq,Rit. lCan a ' North Andover Health Department Community and Economic Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: 976 Turnpike St MAP: 107C LOT: 44 INSTALLER: Bob Amor DESIGNER: Jack Sullivan PLAN DATE: 6/22/15 BOH APPROVAL DATE ON PLAN: INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: io DATE OF FINAL CONSTRUCTION INSPECTION: 8/17/15 DATE OF FINAL GRADE INSPECTION: ( 4 � SITE CONDITIONS ® Contractor reports any changes to design plan ® Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base N/A Cleanouts per plan ® Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction ® Water tightness of tank has been achieved by visual testing ® Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (effluent filter) ® 24" inch cover to finish grade installed over one access port ® Neoprene boots around inlet & outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6" stone base ® Weep hole plugged ® 1000 gallon Pump Chamber installed ® H-10 loading ® Monolithic tank construction ® Inlet tee installed, centered under access port ® Pump(s) installed on stable base ® Alarm float working ® Pump On/Off floats working ® Separate on/off floats ® Drain hole in pressure line ® 24" cover at final grade installed over pump access port ® Water tightness of tank has been achieved by Visual testing ® Neoprene boots around inlet & outlet Comments: CONTROL PANEL ® Alarm & Pump are on separate circuits ® Alarm sounds when float is tripped ® Location of control panel: basement ® Alarm signal located inside: basement Comments: DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ® Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe Comments: I SOIL ABSORPTION SYSTEM (General) ❑ Bottom of SAS excavated down to C soil layer, as provided on plan ® Size of SAS excavated as per plan ® Title 5 sand installed, if specified on plan ® 40 Mil HDPE barrier installed ® Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan N/A Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) ® Brand and Model of Chamber: Low Profile Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 7 ® Number of rows (trenches): 6 Comments: Total Chambers = 42 FINAL GRADE ❑ Loamed [� Seeded Cover per plan Comments: DOCUMENTS NEEDED Certification of Installation Form submitted By engineer signed, and dated by d` Engineer a ' installer As-Built Plan J t: BM = 97.35 HR = 3.18 HI = 100.53 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT *Elevations taken 88.22 89.5 Septic Tank IN with designer 88.14 89.30 Septic Tank OUT 87.89 89.05 Pump Chamber IN 87.87 ----- Pump Chamber OUT 87.60 ----- (2") Distribution Box IN 0.99 99.37 99.34 (4") Distribution Box OUT 1.00 99.18 99.17 Lateral 1 TOP 1.10 Lateral 1 INVERT 99.08 99.08 1 Lateral 2 TOP 1.10 Lateral 2 INVERT 99.08 99.08 Lateral 3 TOP 1.10 Lateral 3 INVERT 99.08 99.08 Lateral 4 TOP 1.10 Lateral 4 INVERT 99.08 99.08 Lateral 5 TOP 1.10 Lateral 5 INVERT 99.08 99.08 Lateral 6 TOP 1.10 Lateral 6 INVERT 99.08 99.08 Top of Chamber 2.05 98.48 Bottom of Bed/Chamber 98.81 98.83 ii CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer M Property line 10 10 -- M Cellar wall 10 20 -- M Inground pool 10 20 -- M Slab foundation 10 10 -- M Deck, on footings, etc 5 10 -- ® Waterline 10 10 101 M Private drinking well 75 1002 50 M Irrigation well 75 100 M Surface Water 25 50 M Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banks 75 100 M Wetlands bordering surface water supply or trib. (in Watershed) 150 150 M Trib. to surface water supply 325 325 M Public well 400 400 M Interim Wellhead Prot. Area M Reservoirs 400 400 M Drains (wat. supply/trib.) 50 100 M Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) M Drywells 20 25 1 Suction line 222(2) a 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