HomeMy WebLinkAboutDWC - Full Repair - Permits #55212 vp - 218 LACY STREET 10/13/2020 Date:August 17,2020
Septic Disposal System Construction Permit
#55212
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COMMONWEALTH OF MASSACHUSETTS 0 0
TOWN OF NORTH ANDOVER X
BOARD OF HEALTH40
I �-
Todd Bateson
Bateson Enterprises, Inc.
is hereby granted a
Septic Disposal System Construction Permit
Repair or replace an existing on-site sewage disposal system
at this location
218 LACY STREET
105.C-0029
This permit is granted in conformity with the statutes and ordinances relating thereto,
and expires one year from date of issuance, unless sooner suspended or revoked.
BUSINESS PHONE#<:9788152703
CONDITIONS:
Expiration:August 17,2021 FRANCIS P.MACMILLAN,JR.,M.D.
BOARD OF HEALTH CHAIRMAN
Septic Disposal System Construction Applicant Location
Permit
218 LACY STREET
Todd Bateson NORTH ANDOVER, MA 01845
55212 9788152703
Status:Complete @ bei111@comcast.net
Submitted:Aug 13,2020
General Information
Application is hereby made for a permit to: Type of building:
Repair or replace an existing on-site sewage disposal system Residential Dwelling
Type of Septic System: Conventional System?(pipe and stone system)
Gravity Yes
Infiltrator or Biodiffuser(Gravel-less)?*Must attach copy of Pressure Distribution S.A.S.(No D-Box)?
certification to install this type of system
Pressure Dosed(D-Box Present)S.A.S.?
Does the system require an effluent filter?
Owner Information:
Name: Email:
Troy Moran 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:
MA 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 I understand
performance of the following construction steps: true
a. Determination that the proper elevation of the excavation has
been reached. 6.As the installer, I understand that I 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.
I understand
true
Staff nnly
Conditions/Restrictions/Comments(if applicable)
Attachments (1).
pdf 218 Lacy Installation Cert signed.pdf
Sep 24,2020
Timeline
❑ Health Department Review
Status:Completed August 14th 2020,8:41 am
Assignee:Toni Wolfenden
El Permit Fee
Status:Paid August 14th 2020, 11:15 am
Health Department Approval
Status:Completed August 17th 2020,3:21 pm
Assignee:Stephen Casey
Septic Disposal System Construction Permit
Status:Issued August 17th 2020,3:21 pm
Todd Bateson September 10th 2020, 1:22:03 pm
HI Toni!Is there a way to delete all these files off my account once I have printed them?Also, can the date be moved up a
line on these permits, It comes as a print 2 pages just for the date on the second page!! Thanks, Laurie
Bottom of Bed Inspection
Status:Completed September 9th 2020,2:00 pm
Assignee:Stephen Casey
Stephen Casey September 9th 2020, 2:00:07 pm
22x60'excavated. Down to c-layer across pit. Installer noted a boulder deposit removed from far side of bed.
❑ Title 5 Sand Inspection-Prior to use
Status:Completed September 9th 2020,2:00 pm
Assignee:Stephen Casey
Stephen Casey September 9th 2020, 2:00:35 pm
Sand good, checked 919 @ 12pm
❑ Tank Hole Inspection with Stone Installed
Status:Completed September 9th 2020, 2:00 pm
Assignee:Stephen Casey
❑ Title 5 Stone Inspection
Status:Completed September 9th 2020, 2:00 pm
Assignee:Stephen Casey
❑ Final Construction Inspection
Status:Completed September 16th 2020, 10:21 am
Assignee:Stephen Casey
Stephen Casey September 16th 2020, 10:21:45 am
Final Construction inspection completed. Awaiting as-builts from engineer.
❑ Final Grade Inspection
Status:Completed September 24th 2020, 6:38 pm
Assignee:Stephen Casey
Certificate of Compliance
Status:Issued September 24th 2020, 6:39 pm
Town of North Andover, MA
$361 .46 Paid
via Credit Card ending in 2007
Thanks for using the Online Service Center
Todd Bateson
Septic Disposal System Construction Permit
#55212
August 14, 2020
Full Repair or New Construction Fee $350.00
Processing Fee $11.46
Total Paid $361.46
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