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HomeMy WebLinkAboutCertificate of Compliance - 759 DALE STREET 10/29/2015 PUBLIC HEALTH DEPARTMENT Town of North Andover Coimnunity Development Division CERTIFICATE OF COMPLIANCE As o£ 10/29/15 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Repair of D-Box By: John DiVincenzo 759 Dale Street Map 104.0 Lot 0162 r hndover,MA 01845 The I ance of this certific e- not be conshved as a guarantee that the system will function satisfacto ily. < r C Michete Grant Public Health Agent I 1600 Osgood Street,North Andover,Massachusetts 81845 Phone 978.688.9540 Fax 978.688.8476 Web www.lownofnofthandover.coni North Andover Health Department Community Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS.!- �- 4)u )r�.�✓'l MAP: LOT: INSTALLER: I-Ar\ DESIGNER: PLAN DATE: BOH APPROVAL DATE ON PLAN: hh INSPECTIONS TANK INSPECTION: DATE OF BED BOTTOM INSPECTION: DATE OF FINAL CONSTRUCTION INSPECTION: DATE OF FINAL GRADE INSPECTION: 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 ❑ 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 (gas baffle/effluent filter) ❑ inch cover to within 6"of finish grade installed over one access port ❑ Hydraulic cement around inlet&outlet Comments: PUMP CHAMBER ❑ Bottom of tank hole has 6"stone base ❑ Weep hole plugged ❑ 1500 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 ❑ cover at final grade installed over pump access port ❑ Water tightness of tank has been achieved by testing ❑ Hydraulic cement 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) Comments: