HomeMy WebLinkAboutCertificate of Compliance - 26 STANTON WAY 8/19/2014 o °
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As o : 8/19/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Construction Complete Repair and
On-Site
By: Matthew Manning
At:
26 Stanton W
Map 61 Lot 123
North Andover, MA 01845
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Th GIs �u �e of this�eei fr ate sh�ll not be construed as a guarantee that the system will function satisfactorily.
Michele Grant
Public Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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PUBLIC HEALTH DEPARTMENT
Community Development Division
TOWN OF NORTH ANDOVER Ir
SIJPTIC DISPOSAL SYSTEM—INSTALLATION CERTIFICATION
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The undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired,
By: y
(Print Name)
Located at: 7-l-) d:TV
(Installation Address)
Was installed in conformance with the North Andover Board of Health approved plan,originally dated
and last revised on �� �f 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. CIvIR 15.000,Title 5 and local
regulations,and the final grading agrees substantially with the approved plan. All work i ccurately represented on
the As-built which has been submitted to the Board of Health.
Bottom of Bed Inspection Date:
Engineer Repr ntative(Signature)
And—Print Name
Final Construction Inspection Date:
Engineer Representative(Signature)
And—Print Name
Installer:, (Signature) Date: C
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And—Print Name
Enginer:_ (Signature) Date: _
And—Print Name
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web http://www.townoftiorthandover.coni
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North Andover Health Department
Community Development Division
ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES
ADDRESS: 26 Stanton Way MAP: LOT: Lot 8
INSTALLER: Matthew Manning
DESIGNER: Christiansen & Sergi Inc.
PLAN DATE: 5/1/13 (revised 6/19/13)
BOH APPROVAL DATE ON PLAN: 7/1/13
INSPECTIONS
TANK INSPECTION: 7/15/14
DATE OF BED BOTTOM INSPECTION:7/20/14
DATE OF FINAL CONSTRUCTION INSP T N 7/31/14
DATE OF FINAL GRADE INSPECTION:
ADDITIONAL INSPECTIONS or SOIL CO LE C I NS:
Type: Date:
Type: Date:
Type: Date;
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
X Bottom of tank hole has 6" stone base
❑ Weep hole plugged
® 1500 gallon tank has been installed
H-10 loading
® Monolithic tank construction
X 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)
❑ inch cover to within 6" of finish grade
installed over one access port
Hydraulic cement around inlet & outlet
Comments: MRC -Tank has rubber boots not hydraulic cement which is ok; Inlet
tee not under tank opening, requested contractor to correct this. 8/19/14
observed baffle
PUMP CHAMBER
❑ Bettern of tank hula has 6" stone base-
E] Weep hele plugged
LF-Z--]i 1500 gallon Purnp Chamber iRstalled
LE
H 10- loading
MenelithiG tank Gc)nStFUGt'Gn
Inlet fleze in-s tolled, Gentered under aGGess port
Rurnp(s) installed on stable-base
A 1:4 rM
, .1a.... floa�Rg
LM �rnn nn/Off floats working
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LM A
we arate floats
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LM DrAw
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nnvizr final grade installed ever purnp
aGGess port.
In Water tightR866 of tank has been aGhieved-by
-testing
Hyd—li- r--e.rnent. around inlet & eutle t c
Gomrnents�
CONTROLPAINIEL
Alarm & Pump are on separate G*FG(AitS
Alarm sounds when float is tFopped
LOGation Gf Gen tFol panel: basernen
❑ Alarm signal IGGated 'nsode: basemeRt
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
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Comments:
SOIL ABSORPTION SYSTEM (General)
X Bottom of SAS excavated down to C soil layer,
as provided on plan
X 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:
SOIL ABSORPTION SYSTEM (Gravel-less Chambers)
® Brand and Model of Chamber: Standard Quick
4 Infiltrator Chambers
® Number of chambers per row: 10
® Number of rows (trenches): 2
Comments: Total Chambers = 20
FINAL GRADE
X Loamed
X Seeded
X Cover per plan
Comments:
DOCUMENTS NEEDED
X Certification of Installation Form submitted
By engineer and signed and dated by
Engineer and installer J
X As-Built Plan
BM = 133.38
HR = 8.62
HI = 142.00
SYSTEM ELEVATIONS
ROD AS-BLT INVERT DESIGN INVERT
ELEVATION ELEV ELEV
Benchmark
Building Sewer OUT 3.80 137.87 137.68
Septic Tank IN 4.07 137.60 137.48
Septic Tank OUT 4.34 137.33 137.23
Pump Chamber IN
Pump Chamber OUT
Distribution Box IN 4.62 137.05 137.03
Distribution Box OUT 4.78 136.89 136.86
Lateral 1 TOP
Lateral 1 INVERT 4.89 136.78 136.76
Lateral 2 TOP 4.89 137.11 137.13
Lateral 2 INVERT 4.90 136.77 136.76
Lateral 3 TOP 4.89 137.10 137.13
Lateral 3 INVERT
Lateral 4 TOP
Lateral 4 INVERT
Lateral 5 TOP
Lateral 5 INVERT
Lateral 6 TOP
Lateral 6 INVERT
Top of Chamber
Bottom of Bed/Chamberl 6.25 135.75
MRC-Benchmark was a stake located in vegetated area between lots 16-7 & 16-8.
Lateral 1 for purposes of chart above is located closest to dwelling
SKETCH PLAN
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CRITICAL SETBACK DISTANCES
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 1002 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
1 Suction line 222(2)
2 100 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
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