HomeMy WebLinkAboutEngineer Certification and As-Built Diagram ���^0�yn�),�� J.M. O�REILLY & ASSOCIATES� INC.
�Vn^�� PROFESSIONAL ENGINEERING�LAND SURVEYING �` ENVIRONMENTAL SERVICES
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Site Development• ProperTy Line•Subdivision•Sanitary• Land Court• Environmental Permitting
April 9, 2015 Job#7027
Mr. Bruce Murphy, Diredor ----- ------- -i
Yarmouth Board of Health , --- �
1146 ROUt2 28 � r�r� ,' � �� � i
Yarmouth, MA 02664 j i
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Re: 56 Route 6A -
Assessor's Map 121, Parcel 2
- Yarmouth, MA _
Matt Teague
Dear Mr. Murphy:
As per the requirement of the Massachusetts State Sanitary Code 310 CMR 15.021(3), J.M.
O'Reilly & Associates, Inc. has conducted on-site inspections of the newly installed sewage
disposal system at the above referenced property.
At the time of our inspections on 1/23/2015 and 4/3/2015, the system installation had been
completed with the exception of backfilling and final grading. Our observations were limited to
the manholes for the septic tank, pump chamber, and pre-existing distribution box. Based on
our observations, the sewage system was installed within substantial compliance with the
approved plan dated 11/14/2014 and revised on 11/21/2014,as filed in your office.
This letter represents J.M. 0'Reilly&Associates, Inc's inspection prior to backfill. No warranties
or guarantees are expressed or implied for the future operation of this system.
Please contact my office directly with any questions, comments or for any additional
information you may need.
VeryTr rs, �
1 ' ii( ciates, Inc.
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� `' Matthew Farrell,
Civil Engineer
cr. Client
John M.O'Reilly, P.E., P.L.S.
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1573 MniN SrxEET,P.O.Box �773�BREWSTER�MA oz63 i • PxorrE: (508) 8q6-66o� • F.vc: (508) Sgb-66oz
W W W.JMOREILLYASSOC.COM _
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TOWN OF�� '
Subsurface Sewage Disposal System AS-BUILT Card ';
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Street Number. � Street Name: �� � (-= �
Owner's Name: / �.A �" �? �
Date of Installa6on: `"� - �/ — /_� � Permit#: ( S — � � !
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Installer's Name: �;_ 6 , 't� i/ /t z�C � .,� (f�., � ��
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Address: i _;' ;: C o pQ q � l( ,'f� Town: �� ' h h i S
Installation of (Please CirCle): eptic Tank D-Box SAS ump Chamber J I
Other(please list):
Certification of Installation ;
As the Disposal Works Installer, I certify the system has been constructed in compliance with �
310 CMR 15.000, the approved design plans, all local requirements and the following: '
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Y ✓ N NA_ 1.The sep6c system has been installed at the elevations shown on the approved design plan.
Y�N_NA_ 2.The septic system was installed in the location shown on the approved design plan.
Y_N_NA"�3.All unsuitable material was removed and excavated five(5)feet laterally in all directions '
beyond'the outer perimeter of the soil absorpflon system to the depth of naturally occurring i
pervious material and replaced with clean filL
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Y�N NA_ 4.The septic system has been connected to the building.
Y�N_NA_ 5.The septic tank inlet and outtet covers,distribution bog cover and leacLing facility cover(s) '
have been brought to within 6"of fmished grade. i
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Y ✓N_NA_ 6.The pre-existing septic system was pumped,filted or collapsed. i
; Y✓N_NA 7.Final grade over the septic system components does not exceed three(3)feet
Y_N_N A ✓ 8.T h e D e s i g n E n g i n e e r a n d H e a l t h D e p a rt m e n t w e r e n o t i t i e d o f c h a n g e s t o t h e a p p r o v e d p l a n. i
Y l N_NA_ 9.All other permits obtained and inspected as required(electrical,plumbin�. '
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Y_N_NA�0.All system components have been marked with magnetic tape. '
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Signed• �/1��I..v�i �r �l��--�---- Date• ��' -- J ` � S—
System Installer
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SEE DIA6IlAM ON REVEI�SE SIDE '
*P/ease show fuU foundation with front ofhouse and street/ocation/abe%d *
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