HomeMy WebLinkAboutSoil Testing Results - 1475 TURNPIKE STREET 10/13/2006 w.9
TOWN OF NORITI ANDOVER r(")wI't
Office of COMMUNITY DEVELOPMENT AND SE VI fu�f
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01£45
Susan V.Sawyer,REHS,RS 978.688.9540 Phone
Public Health Director 978.688.8176- FAX
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www.tow nofiu>rth all d over,com
APPLICATION FOR SOIL TESTS
DATE:_� .a ,- r( ----- MAP&PARCEL:
LOCATION OF SOIL TESTS: d". I '
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OWNER.: �.:e ��, .�,� ,. r . � �r 6� 8�n°� 'A� �--`���I�i��� W" `"
APPLICANT: Contact
ADDRESS:
Cln� C1' �' 1 t Contact#:
ENGINEER: �fd�� � ,*tr°,:4;„.�- ,� �,� �' �.�p—
CERTIFIED SOIL EVALUATOR:
Intended Use of Land: Residential Subdivision r5ingle Farmly,Hdmc Commercial
Is'This: Repair Testing: t ". Undeveloped Lot Testing Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
S Proof of land ownership(Tax bill,or letter from owner permitting test)
8.5"x 11Pl Ian&Location o" Testing Cease indicate test Pit sites on the Plan)
> Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs ar upgrades.
GENERAL INFORMATION
Only Certified Soil Evaluators may perform deep hole inspections.
> Only Mass,Registered Sanitarians and Professional Engineers can design septic plans.
At least two deep holes and two percolation tests are required for each septic system disposal area.
A Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH
representative.
> Full payment will be required for all additional tests within two weeks of testing.
Within 45 days of testing,a scaled plan(no smaller than I"-100')shall be submitted to the Board of Health
showing the location of all tests(including aborted tests).
> Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
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