Loading...
HomeMy WebLinkAboutDWC - Permit Application 54647 vp - Permits - 492 SALEM STREET 7/30/2020 Septic Disposal System Construction Applicant Location Permit A 492 SALEM STREET 54647 �Todd Bateson NORTH ANDOVER, MA 01845 ,,� 9788152703 Status:Complete @ bei111@comcast.net Submitted:Jul 16,2020 General Information Application is hereby made for a permit to: What component? Repair or replace an existing system component D-Box and Inlet Tee Type of building: Type of Septic System: Residential Dwelling Gravity Conventional System?(pipe and stone system) Infiltrator or Biodiffuser(Gravel-less)?*Must attach copy of Yes certification to install this type of system Pressure Distribution S.A.S. (No D-Box)? Pressure Dosed (D-Box Present)S.A.S.? Does the system require an effluent filter? Owner Information: Name: Email: Vincent Siwicki NA Is owner's address different from work site address?: No Installer Information Name: Company: Todd Bateson Bateson Enterprises, Inc. Street address: City/Town: 111 Argilla Road Andover State: Zip Code: Mass 01810 Contact number: 9788152703 Electronic Signature The applicant agrees to ensure the construction and maintenance of the afore-described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code,as well as the Local Subsurface Disposal Regulations for the Town of North Andover. I understand that until a final Certificate of Compliance has been issued by this Board of Health,the installed system is not approved. true Septic System Installer Project Management Obligations 1.As the installer, I am obliged to obtain all permits and Board I understand of Health approved plans prior to performing any work on a site. true I must have the approved plans and the permit on site when any work is being done. 2.As the installer, I must call for any and all inspections. If homeowner,contractor, project manager,or any other person not associated with my company schedules an inspection and the system is not ready,then item three shall be applied. I understand 3.As the installer, I am required to have the necessary work true completed prior to the applicable inspections as indicated below. I understand that requesting an inspection,without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a$50.00 fine being levied against me and/or my company, a. Bottom of Bed -Generally,this is the first(1st)inspection unless there is a retaining wall,which should be done first.The installer must request the inspection but does not have to be present. b. Final Construction Inspection -Engineer must first do their inspection for elevations,ties,etc.As-built of verbal OK(or e- mail to: healthdept@northandoverma.gov)from the engineer must be submitted to the Board of Health,after which installer calls for an inspection time. Installer must be present for this inspection.With a pump system,all electrical work must be ready and able to cause pump to work and alarm to function. c. Final Grade-Installer must request inspection when all grading is complete. Installer does not have to be on-site. I understand 4.As the installer, I understand that only I may perform the work true (other than simple excavation)and I am required to complete the installation of the system identified in the application for installation.I further understand that work done by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system and/or revocation or suspension of my license to operate in the Town of North Andover,significant fines to all persons involved are also possible. I understand true 5.As the installer, I understand that I must be on-site during the 1 understand performance of the following construction steps: true a.Determination that the proper elevation of the excavation has been reached. 6.As the installer,1 understand that 1 am solely responsible for b.Inspection of the sand and stone to be used. the installation of the system as per the approved plans.No instructions by the homeowner,_general contractor,or any other c.Final inspection by Board of Health staff or consultant persons shall absolve me of this obligation. d.Installation of tank,D-Box,pipes,stone,vent,pump chamber, retaining wall and other components. 1 understand true Staff Only Conditions/Restrictions/Comments(if applicable) Attachments (1) pdf 492 Salem Street-Inspection DWC repair VP#54647.pdf Ju129,2020 Timeline III Health Department Review Status:Completed July 17th 2020,8:44 am Assignee:Toni Wolfenden Permit Fee Status:Paid July 17th 2020, 11:09 am Toni Wolfenden July 17th 2020, 8:45:48 am Payment is now due. Please pay by credit card or mail a$175 check to: Town of North Andover,Attention Health Department, 120 Main Street North Andover, MA 01845-Have a nice weekend. III Health Department Approval Status:Completed July 17th 2020, 11:11 am Assignee:Stephen Casey IIISeptic Disposal System Construction Permit Status:Issued July 17th 2020, 11:11 am IIIComponent Inspection Status:Completed July 29th 2020,4:19 pm Assignee:Stephen Casey Stephen Casey July 29th 2020,4:19:54 pm Inspection completed 7.29.20 around 3:30pm. III Certificate of Compliance Status:Issued July 29th 2020,4:19 pm Toni Wolfenden July 30th 2020, 8:52:59 am Your certificate of compliance is ready! Have a nice day!