HomeMy WebLinkAboutDWC Permit - Dbox & Pipe - Permits - 10 TUCKER FARM ROAD 11/12/2020 Septic Disposal System Construction Applicant Location
Permit
Todd Bateson 10 TUCKER FARM ROAD
56272 9788152703 NORTH ANDOVER, MA 01845
bei 111 a@comcast.net
Submitted On:Oct 08,2020
General Information
Application is hereby made for a permit to: What component?
Repair or replace an existing system component Replace D-Box and Pipe to Tank
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:
George Colangeli 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:
978-815-2703
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
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.
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.
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.
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