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APPLICATION FOR SOIL TESTS
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LOCATION OF SOIL TESTS: i J Sal h
OWNER: Contact#:
APPLICANT: Contact#:
ADDRESS:
ENGINEER: J:� " "' J Contact#: // v /U
CERTIFIED SOIL EVALUATOR:
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing: Undeveloped Lot Testing: 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 11"Plot Plan&Location of Testinje(please 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 or upgrades.
GENERAL INFORMATION
y 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.
➢ 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 1"-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
N.A. Conservation Commission Approval Dat . _.-A
Signature of Conservation Agent:
Date back to Health Department:(stamp in):
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MAR.IN.K LLC
Steven Turner
22 'temple Street
Boston, Massachusetts 02114
Board of Health February 1, 2006
North Andover, Massachusetts
As owner of 415 Salem Street, North Andover, I give Jack Sullivan permission to
conduct soil testing on the property, Please call me if you have any questions, cell 617-
797-3880.
Owner:
MARINK LLC
Manager,Steven Turner
415 Salem Street
North Andoveer
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S A L E M S T R E E T
Sullivan Engineering Group, LLB"
Civil Engineers& Land Development Consultantants
March 21, 2006
Susan Sawyer—Board of Health Agent IV,/ ;; 2 11 '/U 1 I'6
Town of North Andover
400 Osgood Street
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North Andover, MA 01845
Re: Soil Testing Locations
415 Salem Street,North Andover
Susan;
Attached is a site plan at 1"=40' depicting the soil testing locations conducted on February 8, 2006 at 415
Salem Street for your records.
I will be submitting soil evaluator forms to your office shortly.
Ve Truly ours,
ul ivn '.E.
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22 Mount Vernon Road — Boxford,Massachusetts 01.921 — (978)352-7871-Phone — 978352-7871 -Fax
IL TESTING LOCATIONS
415 SALEM STREET, NORTH
SCALE: P=40'
SOIL TESTING DATE.- 2/8/06
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S A L E M S T R E E T
Page 1 of 1
elleChiaie, Pamela
From: Lisa LeVasseur[Iisal@millriverconsulting.com]
Sent: Wednesday, July 12, 2006 1:40 PM
To: Sawyer, Susan; amcbrearty @millriverconsulting.com; DelleChiaie, Pamela;
dano @millriverconsulting.com
Subject: Soil results 415 Salem Street
Lisa LeVasseur
Mill River Consulting
Your Complete Source for Onsrte Wastewater Management
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
www.n,iilli°iv rc;orist,ilting,cojii
7/19/2006
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Page 1 of 1
DelleChiaie, Pamela
From: Lisa LeVasseur[lisal @millriverconsulting.com]
Sent: Thursday, February 02, 2006 11:56 AM
To: Sawyer, Susan; amcbrearty @millriverconsulting.com; DelleChiaie, Pamela;
dano @millriverconsulting.com
Subject: Soil Test; 415 Salem Street
The soil test for 415 Salem Street has been scheduled with Jack Sullivan for Thursday, Feb. 8th at 8:30 a.m.
Please call if you have any questions.
Marianne
Lisa LeVasseur
Mill River Consulting
Your Complete Source for Onsite Wastewater Afanagement
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
NVW"f.t lill�ivercoiist ltiti .cor
2/2/2006