HomeMy WebLinkAboutSeptic Pumping Slip - 303 BERRY STREET 1/4/2016 i
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CEIR-TIFICATE OF
COMPLIANCE
As of: 12/3/13
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete r of an
On-Site Sewage Disposal System
By: William Sawyer
At:
303 Berry Street
Map 108C Lot
North Andover, MA 0
The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily.
n
Thomas Trowbridge, DDS, MD
BOH Chairman
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthan dove r.corn
Nov 13 13 01:50p Jack Sullivan 978-352-7871 p,2
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PUBLIC HEALTH DEPARTMENT
Community DevelopmenI Divisioe T C xoNPI Ul. G�at.,,u°�e ,i�V,�u'w JG":ri°°
TOWN OF NORTH ANDOVER
SEPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
The undersigned hereby certify that the Sewage Disposal System constructed;( )repaired;
(print NW.Cr
Located at: 3A J
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
'7..Z7® 111, and last revised on ®1 !�.Y ,with a design flow of
yy_0 —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.AIAvork is accurately represented on
the As-built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date:
'*' 1jjV PC Eng r Re esentati ignature)
And–Print Name
Final Construction Inspection Date:
IVo Engine epre ignature)
And–Print Name
Installer: (Signature)
And–Print Name
Gnginer: (Signature) Dater
AV 'A001 4V
or+r fat
And–Print Name
1600 Osgood Street, North Andover, Niassothusetts 01845
Phone 978.688.9540 fax 978.688.8476 Web hitp://www.townofnorthandover.com
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North Andover Health Department
Community Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
LOCATION INFORMATION
ADDRESS: 303 Berry St. MAP: 108.0 LOT: 0063
INSTALLER: William Sawyer
DESIGNER: Sullivan Engineering
PLAN DATE: 7/22/13
BOH APPROVAL DATE ON PLAN: 8/14/13
INSPECTIONS
TANK INSPECTION: 10/30/13
DATE OF BED BOTTOM INSPECTION:
DATE OF FINAL CONSTRUCTION INSPECTION: 11/4/13
DATE OF FINAL GRADE INSPECTION: WM
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: (2) building sewer lines — existing building sewer line and new
building sewer line from addition per plan addendum.
SEPTIC TANK
® Building sewer in continuous grade, on
compacted firm base
N/A Cleanouts per plan
X Bottom of tank hole has 6" stone base
X Weep hole plugged
® 1500 gallon tank has been installed
H-20 loading
X Monolithic tank construction
® Water tightness of tank has been achieved by
visual testing
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® Inlet tee installed, centered under access port
® Outlet tee installed, centered under access port
(gas baffle)
® 24" inch cover to within 6" of finish grade
installed over inlet and outlet
N/A Hydraulic cement around inlet & outlet
Comments: House to tank 11'6" —tank has changed, neoprene boots in tank
Comments:
DISTRIBUTION-BOX
® Installed on stable stone base
® H-20 D-Box
N/A Inlet tee (if pumped or >0.08'/foot)
® Hydraulic cement around inlet & outlets
® Observed even distribution
® Speed levelers provided (not required)
Comments:
SOIL ABSORPTION SYSTEM (General)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
® Size of SAS excavated as per plan
X 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
❑ Retaining wall (boulder/ concrete /timber/ block)
❑ Final cover as per plan
Comments: left stakes 27'.9"L x 8.6"W right stakes 27 .6"x8'.4" depth 5 ft. 1 inch
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers Low Profile
® Number of chambers per row: 7
® Number of rows (trenches): 6
Comments: Total Chambers = 42
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FINAL GRADE
Loamed
rySeeded
Cover per plan
Comments:
DOCUMENTS NEEDED
Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer
As-Built Plan
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BM = 100.00
HR = 2.18
HI = 102.1$
SYSTEM ELEVATIONS f
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark 2.18 100.00
Building Sewer OUT New 3.82 98.01 97.96
Septic Tank IN 4.70 97.13 97.16
Septic Tank OUT 4.97 96.86 96.91
Distribution Box IN 6.29 95.54 95.53
Distribution Box OUT 6.43 95.40 95.36
Lateral 1 TOP 6.63
Lateral 1 INVERT 95.20 95.21
Lateral 2 TOP 6.63
Lateral 2 INVERT 95.20 95.21
Lateral 3 TOP 6.63
Lateral 3 INVERT 95.20 95.21
Lateral 4 TOP 6.61
Lateral 4 INVERT 95.22 95.21
Lateral 5 TOP 6.62
Lateral 5 INVERT 95.21 95.21
Lateral 6 TOP 6.61
Lateral 6 INVERT 95.22 95.21
Top of Chamber 95.6
Bottom of Bed/Chamber 7.28 94.90 94.93
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CRITICAL SETBACK DISTANCES
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Mark those distances checked in the field against the design plan and regulatory
setback
Tank SAS Sewer
® Property line 10 10 --
® Cellar wall 10 20 --
® Inground pool 10 20 --
® Slab foundation 10 10 --
® Deck, on footings, etc 5 10 --
® Waterline 10 10 101
® Private drinking well 75 1001 50
® Irrigation well 75 100
® Surface Water 25 50
® Bordering Vegetated Wetland ,
Salt Marsh,Inland/Coastal Bank3 75 100
® Wetlands bordering surface
water supply or trib. (in Watershed) 150 150
® Trib. to surface water supply 325 325
® Public well 400 400
® Interim Wellhead.Prot. Area
® Reservoirs 400 400
® Drains (wat. supply/trib.) 50 100
® Drains (intercept g.w.) 25 50
® Drains (Other)Foundation 10(5) 20(10)
® Drywells 20 25
Suction line 222(2)
z 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02).
s 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
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Sullivan Engineering Group, LLC"
Civil Engineers&Land Development Consultants I
November 12, 2013 RECEIVED ,..
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Town of North Andover Health Dept. � t.i''I
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c/o Susan Sawyer
.., f i m k' 'i .ii „ e 1600 Osgood Street, Suite 2035 m�,�
2,
North Andover, MA 01845
• -B
Re. Septic As-Built Plan u
303 Berry Street, North Andover
Ms. Sawyer;
Enclosed are two (2) copies of the Septic As-Built plan for the above referenced property.
The homeowner will be providing you a copy of the recorded Deed Notice for the infiltrator units per Title 5
requirements.
If you should have any questions or comments please feel free to contact me.
Very Tiul , ourK.0
Ja Su an, PE
22 Mount Vernon Road — Boxford,Massachusetts 01.921 — (978)352-7871-Phone r.. 978 352-7871 -Fax