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HomeMy WebLinkAbout2006.08.21 SOIL TESTING TOWN OF NORTH ANDOVER Tf, , Office of COMMUNITY DEVELOPMENT AND SERVICES F}``�� ``7', HEALTH DEPARTMENT 400 OSGOOD STREET NORTH ANDOVER,MASSACHUSETTS 01845 qs SACHU`+� Susan Y.Sawyer,REHS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX healthdept @townofnorthandover.com www.townofnorthandover.com APPLICATION FOR SOIL TESTS DATE:_ � ci�ad c'� MAP&PARCEL: PIA 6 ') V gas.-- LOCATION OF SOIL TESTS: whek C1 aeo b i(. ki, V1doye l OWNER: a°-0vt tA- -P!i'l u e l 6 Contact APPLICANT; /`/ (/ 1..- Contact#: ADDRESS: O 1 o /f"O' ENGINEER: 1-p,�i kffn D 0 Contact#; o � "/ � CERTIFIED SOIL EVALUATOR: 6 6saad J l Intended Use of Land: Residential Subdivision Ingle Family Hame Commercial Is This: Repair Testing: Undeveloped Lot Testing: li Upgrade for Addition: In the Lake'Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM > Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x M"Plot elan&Location of Testing(please indicate test nit sites an the plan) > Fee of$42$.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 or upgrades. GENERAL INFORMATION > Only Certified Soil Evaluators may perform deep hole inspections. > Only Mass.Registered Sanitarian and Professional Engineers can design septic plans. > At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. 1� 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 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). 9 Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department: (stamp in): �f N E w m ................ ..._...... ......... ... EN(�I�ANID HV( NII,,El� VG SERVICES, I NC .. ..._ ,_ 1600 Osgood street _..._ Building 20 Suite 2-64 North Andover, MA 01845 Tel: (978) 686-17613 ® Fax: (97 3) 327-613£3 Benjamin C. Osgood, Jr., P.E. President September 12, 2006 Susan Sawyer North Andover Board of Health 1600 Osgood Street North Andover, MA 01845 Tie: Wintergreen Drive,North.Andover Sail Testing Tear Susan: Enclosed is an application for soil testing for the above referenced property. As you can probably see from the site plan which is enclosed we can not access the site with a. machine to do soil testing without crossing a major wetland. What I propose is to excavate 4 test pits by hand to a depth of 6 feet. This depth should give us the required 4 feet of naturally occurring pervious material. I would then expect a condition of the approval of the plan to be that 4 additional pits will be done with a backhoe once the access is permitted and constructed. 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DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use Frank DiNuccio only the tab key Owner Name to move your Lot 11 Wintergreen Drive cursor-do not use the return Street Address or Lot# key. No. Andover MA 01845 City/Town State Zip Code � raS Contact Person(if different from Owner) Telephone Number B. Test Results 1/3/07 9:17 1/1/07 9:17 Date Time Date Time Observation Hole# PT1 PT2 Depth of Perc 26'717" 30"/15" Start Pre-Soak 9:17 9:33 End Pre-Soak 9:32 9:48 Time at 12" 9:32 9:48 Time at 9" 10:11 10:17 Time at 6" 11:09 11:06 Time (9"-6") 58 min 45 min Rate (Min./Inch) 20 min/inch 16 min/inch Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Benjamin C. Osgood Jr. P..E Test Performed By: Randy Burley, Mill River Consultanting Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 Commonwealth of Massachusetts City/Town of do . ndov Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: When filling out A. Site Information forms on the computer, use Frank DiNuccio only the tab key Owner Name to move your Lot 11 Wintergreen Drive cursor-do not Street Address or Lot# use the return key. No. Andover MA 01845 City/Town State Zip Code 1 � Contact Person(if different from Owner) Telephone Number ienan ,�r } B. Test Results 1/3/07 9:17 Date Time Date Time Observation Hole# PT3 Depth of Perc 10"/12" Start Pre-Soak 10:26 End Pre-Soak 10:41 Time at 12" 10:41 Time at 9" 10:52 Time at 6" 11:12 Time (9"-6") 22 min. Rate (Min./Inch) 7 min/inch Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Benjamin C. Osgood Jr., PE Test Performed By: Randy Burley Mill River Consultants Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 ////r////if�'�����Gr�✓ ��f�/��/� ��,��� ,,r///,l�ll��i��lf 1�� �„ ���ii/%%1� f �,>� i%s;' i i 4 . I r, �... ., t e .v Pa I; r -w. w. e r-� } a ... I l� a � 1, � � 0*��„^+:�/� N W... �” S ��ry.,�,_.�..5 w. '~• 7 ��"war'"Y�.C..ac'w.�TM�r 7 r'' 3..mow'."�'1 ell C°: ` 017 Page 1 of 1. DelleChiaie, Pamela From: Marianne Peters [mpeters @millriverconsulting.cam] Sent: Friday, October 06, 2006 10:55 AM To: Dan Ottenheimer, 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil �Eval: 0 Wintergreen scd for Oct 16th @ 9:00 a.m. Soil Evaluation for 0 Wintergreen with Ben Osgood has been scheduled for Monday, October 16th a(_7 9:00 a.m. This is the 3rd of 3 that were postponed by Ben Osgood due to inclement weather on the original date of 9/29; all three that were postponed are now scheduled, as well as the one we received yesterday. All requests have been scheduled....please call if you have any questions. Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.miliriverconsultirig.com 10/10/2006