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Home My WebLink AboutMiscellaneous - 230 GRAY STREET 1/6/2016 Town of NoAh .r[ do-ver Office of the Health Department Community Development and Services Division d 400 OSOOOD STREE'r North Andov r, Massachusetts 01845 Susan Y. Sawyer, REHS/RS 978.688.9510- Phone Public Health Director 978.688.84176- Fax %_, X-P FIC./� . O F COJ�I�. -0A / J- 2 As of: November 22, 2005 This is to certify that the individuafsu6surface disposaCsystem was Fully Constructed by Charles Todd At .Got 5, aka, 230 Gray Street North Andover, W,4 01845 alas been installed in accordance with the provisions of Title v of the State Sanitary Code and with the North Andover(Board of ifealth regulations. The Issuance of this certificate shall not be construed as a guarantee that the system wiCC function satisfactorily. �VicheCe E. Grant Tu6Cic Yfeafth Inspector !110AR1)(W.APPI:AI`" 11 1 31 3N 1:S RV.AI'UN 0 (li S"I1 GR&Uj-10 N.AN41Nl,h\3-Oj>� TOWN OF NORTH O Office of(., MMI.JN' ITY DEVELOPMENT ANDOVER AND SERVICES HEALTH DEPARTMENT 400 OSGOOD ST'REET NORIIJ ANDOVER, MASSAC11(JSE'F'FS 01845 CHU Susan Y. Sawyer, REIIS/RS 978.688.9540 Phone Public flealth Director 978.688.8476 FAX SEPTIC SYSTEM CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: Lot 5 Gray Street MAP: LOT: INSTALLER: Charlie Todd DESIGNER: 'Joe Serwatka PLAN DATE: Last Revised 8/1/05, Received on 9/21/05 BOH APPROVAL DATE ON PLAN: 10/6/05 INSPECTIONS DATE OF BED BOTTOM INSPECTION: 11/4/05—Michele Grant DATE OF FINAL CONSTRUCTION INSPECTION: 11/17/05 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE 1. GRAVITY DISTRIBUTION...❑ 2. PRESSURE DISTRIBUTION...❑ 3. PRESSURE DOSING...rx-1 4. HOLDING TANK...❑ 5. ADVANCED TREATMENT...❑ 6. OTHER...7 PUMP SYSTEM COMPONENT SUMMARY FROM PLAN 1. GALLON TANK= 2500 2. LOADING OF SEPTIC TANK = H-20 3. GALLON PUMP CHAMBER = 2500 4. LOADING OF PUMP CHAMBER = 5. TYPE OF SAS = Standard Infiltrator Chambers 6. DIMENSIONS AND DETAILS OF SAS: 47.5 x 43.5 Comments: There is a new benchmark. I marked it on the Plan. I asked the Installer to call the engineer regarding the new benchmark. Installer stated benchmark confirmed,but I did not verify- arm Page 1 of 4 TOWN OF NORTH ANDOVER T it Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OS(A'00D STREET NOR'141 AN DOVE I�, MASSACHUSEI"I'S 01145 ewUS Susan Y. Saxyei°, REHS/RS 978.688.9540-Phone Ptiblic Health Director 978.688.8476-FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...❑ 2. Internal plumbing all to one building sewer...21 3. Topography not appreciably altered...IK SEPTIC TANK 1. Bottom of tank hole has 6" stone base...0 2. Weep hole plugged...❑ 3. Tank has been installed (H-20) Tank Size: 2,500 Monolithic ...Ej 4. Water tightness of tank has been achieved (Visual)...Ll 5. Inlet tee installed, under access port...FX-1 6. Outlet tee (gas baffle or effluent filter) installed, under access port... 7. Cover to within 6" of final grade installed over one access port,must be over outlet of tank if effluent filter is present- Inches of Tank...❑ 8. Hydraulic cement around inlet& outlet...El Comments: There are new benchmarks. I asked the installer to make sure he removes larger rock out of the bed bottom. Polylok effluent filter installed. PUMP CHAMBER 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Pump Chamber Installed Gallons; (H-10 or H-20) (Monolithic or 2 piece) (circle) 4. Inlet tee installed,under access port...Ex 5. Pump(s) installed on stable base...Z 6. Alarm Float Working...IK 7. Pump On/Off Float Working...END 8. Total # of Floats... 3 9. Drain hole in pressure line...L1 10. Cover to within 6" of final grade installed over one access port...❑ 11. Water tightness of tank has been achieved-Visual or Vacuum Test or Water held for 24 hours (circle) 12. Hydraulic cement around inlet&outlet...EX-1 Comments: Combo septic tank/pump chamber. No weep hole in line. Confirm at final grade. Page 2 of 4 'roWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMEN'r AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREEI' NOR'I'H ANDOVER, MASSACII U SE'rrs 01 45 S C Susan Y. Sawyer, RE HS/RS 978.688.9540 Phoiw Public I lealth Director 978.688.8476 FAX D-BOX 1. Installed on stable stone base...[H] 2. Inlet tee (if pumped or >0.08'/foot)... 0 3. Hydraulic cement around inlet&outlets...❑ 4. Observed even distribution...[H] 5. Speed levelers provided (not required)...❑ Comments: SOIL ABSORPTION SYSTEM 1. Bottom of SAS excavated down to C Soil Layer, as provided on plan...21 2. Size of SAS excavated as per plan...21 3. Tide 5 sand installed,if specified on plan...El 4. Gravel-less disposal systems: type,number and location as per plan...ME 5. Elevations of laterals installed as on approved plan...El 6. 40 Mil HDPE barriers installed...❑ 7. Retaining wall (boulder / concrete / timber block) ...J S. Final cover as per plan ...❑ Comments: . PRESSURE DISTRIBUTION 1. # of Inches in Manifold 2. Laterals installed with end sweeps; Size: Material: 3. Squirt Test: Feet in height 4. Equal distribution to all laterals 5. Orifice size inch as per plan Comments: CONTROL PANEL 1. Alarm&Pump are on separate circuits...J 2. Alarm sounds when float is tripped...El 3. Location of control panel: 4. Rated for exterior if placed outside...❑ Comments: NOTE: ALARM & PUMP ON SAME CIRCUIT. VERIFY AT FINAL Page 3 of 4 TOWN OF NORTH ANDOVEIZ Office of COMMU NITY DEVELOPMENT AND SERVI(',,'E,,S 0 00* HEALTH DEPARTMENT 400 OSGOOD STREET NORT11 ANDOVER, MASSAUIUSET-1-S 01845 CH SLisan Y. Sawyei•, REFIS/RS 978.688.9540 Phone PUblic Health Director 978,688.8476 FAX SYSTEM ELEVATIONS 1. Benchmark: 200.19 2. Rod at Benchmark-: 3.20 3. Height of Instrument: 203.39 INVERT ON DESIGN INVERT PLAN ELEVATION Building Sewer OUT 199.96 199.65 Septic Tank IN 199.75 199.24 Septic Tank OUT 199.50 198.98 Distribution Box IN 208.95 D-Box OUT Manifold 208.73 Lateral I HIGH 208.80 209.16 Lateral 1 Inv 208.71 208.69 Lateral 2 HIGH 207.20 207.54 Lateral 2 Inv 207.11 207.09 Lateral 3 HIGH 205.60 205.99 Lateral 3 Inv 205.51 205.53 Page 4 of 4 Grant, Michele MOMOMMOM To: DelleChiaie, Pamela Subject: Lot 5 Gray st Hi Pam, I will go out to Lot 5 Gray street, tomorrow at about 10:30am to do a Final Grade. Thanks Michele Page 1 of 1 r DelleChiaie, Pamela From: Andy McBrearty [amcbrearty @millriverconsulting.com] Sent: Tuesday, November 22, 2005 10:19 AM ° P) To: DelleChiaie, Pamela ' Subject: Re: Lot 5, aka Gray Street Had two issues wit t "O-Gray Street- 1)pump wiring was wrong (only one breaker,pump & alarm on same circuit) and 2) no weep hole in pressure line... I believe you are aware of the wiring, and the Town electrician has been out there. Inspection report included. -andy DelleChiaie,Pamela wrote: Charlie Todd requesting a Final Grade. How did they do yesterday on the Final Const.?? AV.(R¢gards, Aa�¢G�a DaG�B¢G�lliai¢ Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax h�tl::��rnr�n�www t��r��zd"�no�•�1��:�d��v�.r.�.°��:�r� liealtlidept(u)towtiofnorthandover.com n f F y� fir' p4e �t: .,m a — M k' J v p �rn �uu �umwsmuvmv �r_ � u✓ I 11/22/2005 TOWN OF NOR'r[l ANDOVER RT#j Office of COMMtJNITY DEVELOPMENT AND SERVIC'ES 0 I-IEAL,rH DEPARTMENT 400 OSGOOD STREET NORT[i ANDOVER, MA`SAC,',IJLJSE-I-"I'S 01845 S US SLISall Y. SaNyyer, RFITIS/RS 978.688.9540 Phonic Nbfic Flealth Director SEPTIC SYSTEM 978.688.8476 FAX CONSTRUCTION NOTES LOCATION INFORMATION ADDRESS: Lot 5 Gray Street MAP: LOT: INSTALLER: Charlie Todd DESIGNER: 'Joe Sen-atka PLAN DATE: Last Revised 8/1/05, Received on 9/21/05 BOH APPROVAL DATE ON PLAN: 10/6/05 INSPECTIONS DATE OF BED BOTTOM INSPECTION: 11/4/05-Michele Grant DATE OF FINAL CONSTRUCTION INSPECTION: 11/17/05 DATE OF FINAL GRADE INSPECTION: SELECT SYSTEM TYPE 1. GRAVITY DISTRIBUTION...❑ 2. PRESSURE DISTRIBUTION...L) 3. PRESSURE DOSING...El 4. HOLDING TANK...❑ 5. ADVANCED TREATMENT...❑ 6. OTHER...El PUMP SYSTEM COMPONENT SUMMARY FROM PLAN 1. GALLON TANK= 2500 2. LOADING OF SEPTIC TANK = H-20 3. GALLON PUMP CHAMBER= 2500 4. LOADING OF PUMP CHAMBER = 5. TYPE OF SAS = Standard Infiltrator Chambers 6. DIMENSIONS AND DETAILS OF SAS: 47.5 x 43.5 Comments: There is a new benchmark. I marked it on the Plan. I asked the Installer to call the engineer regarding the new benchmark. Installer stated benchmark confirmed, but I did not verify- arm Page 1 of 4 64 TOWN OF I RTUI ANDOVER + Office of COMMUNITV DEVELOPM ENT AND SERVICES HEALTH DEPAR,rMENT 400 OSGOOD s,rREET NOR N TF1 ADOVER, MASSACF1LJSE'l7S 01845 Susan Y. Sawyer, REHS/RS 978.688.9540 Phone Public Health Director 978.688.8476- FAX SITE CONDITIONS 1. Existing septic tank properly abandoned...❑ 2. Internal plumbing all to one building sewer... 3. Topography not appreciably altered...EX-1 SEPTIC TANK 1. Bottom of tank hole has 6" stone base...[H] 2. Weep hole plugged...❑ 3. Tank has been installed (H-20) Tank Size: 2,500 Monolithic ...121 4. Water tightness of tank has been achieved (Visual)...❑ 5. Inlet tee installed, under access port...EX-1 6. Outlet tee (gas baffle or effluent filter) installed,under access port...RE 7. Cover to within 6" of final grade installed over one access port, must be over outlet of tank if effluent filter is present- Inches of Tank...❑ 8. Hydraulic cement around inlet& outlet...EX-1 Comments: There are new benchmarks. I asked the installer to make sure he removes larger rock out of the bed bottom. Polylok effluent filter installed. PUMP CHAMBER 1. Bottom of tank hole has 6" stone base...❑ 2. Weep hole plugged...❑ 3. Pump Chamber Installed Gallons; (H-10 or H-20) (Monolithic or 2 piece) (circle) 4. Inlet tee installed,under access port... 5. Pump(s) installed on stable base...0 6. Alarm Float Working...Ex 7. Pump On/Off Float Working...rx-1 8. Total # of Floats... 3 9. Drain hole in pressure line...❑ 10. Cover to within 6" of final grade installed over one access port...❑ 11. Water tightness of tank has been achieved—Visual or Vacuum Test or Water held for 24 hours (circle) 12, Hydraulic cement around inlet& outlet...MX Comments: Combo septic tank/pump chamber. No weep hole in line. Confirm at final grade. Page 2 of 4 o d1F 1IR." I A )YI I Ti, 1` �0 If1 .a o1OMM . ITY DEVELOPMENT AND SERVICE'S „ HEALTH TH EPA ,I.,. ENT W 400 OSGOO D STREET NOR'l"1-1 ANDOVER, MASSA(:;HLJSE1"l'S 01845 ��aCHUS Susan Y. Sawyer, PEHS/RS 978.688.9540 Phorte Public Health Director 978.688.8476 FAX i D-BOX 1. Installed on stable stone base...D 2. Inlet tee (if pumped or >0.08'/foot)... 3. Hydraulic cement around inlet& outlets... 4. Observed even distribution...D 5. Speed levelers provided (not required)...❑ Comments: SOIL ABSORPTION SYSTEM 1. Bottom of SAS excavated down to C Soil Layer, as provided on plan...rx-1 2. Size of SAS excavated as per plan...rx-1 * 3. Title 5 sand installed,if specified on plan...FX_1 4. Gravel-less disposal systems: type,number and location as per plan...D 5. Elevations of laterals installed as on approved plan...MX 6. 40 Mil HDPE barriers installed...❑ 7. Retaining wall (boulder / concrete / timber / block) ...❑ S. Final cover as per plan ...❑ Comments: . PRESSURE DISTRIBUTION 1. # of Inches in Manifold 2. Laterals installed with end sweeps; Size: Material: 3. Squirt Test: Feet in height 4. Equal distribution to all laterals 5. Orifice size inch as per plan Comments: CONTROL PANEL 1. Alarm&Pump are on separate circuits...❑ 2. Alarm sounds when float is tripped...O 3. Location of control panel: 4. Rated for exterior if placed outside...❑ Comments: NOTE: ALARM & PUMP ON SAME CIRCUIT. VERIFY AT FINAL Page 3 of 4 'roWN OF NORTH ANDOVEIZ Office of COMWNITYI)EVELOPMEN 0 T"TAND SERVIclus HEALTH DEPARTMENT 0 400 0S('X00D STREET NORTI-1 ANDOVER, MASSAC4-11 SETTS 01845 CH Stisail Y. Sawyer, REFIS/RS 978.688.9540--Mime Public Health Director 978M8,8476 FAX SYSTEM ELEVATIONS 1. Benchmark: 200.19 2. Rod at Benchmark: 3.20 3. Height of Instrument: 203.39 INVERT ON DESIGN INVERT PLAN ELEVATION Building SeNver OUT 199.96 199.65 Septic Tank IN 199.75 199,24 Septic Tank OUT 199.50 198.98 Distribution Box IN 208.95 D-Box OUT Manifold 208.73 Lateral 1 HIGH 208.80 209.16 Lateral 1 Inv 208.71 208.69 Lateral 2 HIGH 207.20 207.54 Lateral 2 Inv 207.11 207.09 Lateral 3 HIGH 205.60 205.99 Lateral 3 Inv 205.51 205.53 Page 4 of 4 DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Monday, November 21, 2005 3:23 PM To: Grant, Michele Subject: Lot 5 Gray Street-Charlie Todd Michele, Please schedule a time to do a Final Grade at above. Charlie will be in tomorrow to sign-off on the certification forms. Once those two items are done, I can issue a COC. Thanks. 8as,(Ragards, Pa#1¢0,0 A9,004eG0441410 Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept @townofnorthandover.com 1 i DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Tuesday, November 15, 2005 2:54 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: FW: Lot 5 Gray Street- Bottom of Bed Inspection from 11/4/05 Importance: High Please schedule a final inspection: 508.962.0511 with Charlie Todd. Thanks. -----Original Message----- From: DelleChiaie, Pamela Sent: Wednesday, November 09, 2005 2:39 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: Lot 5 Gray Street-Bottom of Bed Inspection from 11/4/05 Importance: High Hi, Here it is. Will be ready for a Final sometime next week. Will let you know. _ CONSTR INSP.-Lot 5 Gray Stree... 910s 00-Ird8. pa/4,0 sir IIaGeeaadlaie Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept @townofnorthandover.com 1 ,deChiaie, Pamela From: DelleChiaie, Pamela I Sent: Wednesday, November 09, 2005 2:39 PM To: 'Daniel Ottenheimer(E-mail)'; 'Lisa LeVasseur(E-mail)'; 'McBrearty Andrew(E-mail)' Subject: Lot 5 Gray Street- Bottom of Bed Inspection from 11/4/05 Importance: High Hi, Here it is. Will be ready for a Final sometime next week. Will let you know. CONSTR INSP.-Lot 5 Gray Stree... 9ON/RBplAds, Pa1*061 DBL�L�aG�l6%A/B Health Department Assistant Town of North Andover 400 Osgood Street North Andover,MA o1845 978.688.9540-Phone 978.688.8476-Fax http://www.townofnorthandover.com healthdept @townofnorthandover.com 1