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HomeMy WebLinkAboutSoil Testing Results - 858 JOHNSON STREET 3/18/2013 b- TOWN OF NORTH ANDOVER Office of C;OMNIUNE'I, ICE VEI.,OPA4ENT ANCE SERVICTS a HEALTH EPA T MENT 600 OSGOOD S'E'RI I?T; SUITE 2035 N'(;11iTH ANDOVER, MASSACHU5ET'1'S 01845 Susan )'.Sawyer,REIIS,RS 978.688.9540 Phone Public Health Director 978.688.8476 -FAX healtl�clept(r)t4:rwn�:7fn4�Ntlr��,r�e www.townofnorthan(lover.c m RECEIVED APPLICATION FOR SOIL TESTS k`° hi? 21 ?01 DATE: 3/18/2013 MAP& PARCEL: 107A/ 45 - NO KM l m rE LOCATION OF SOIL TESTS: 858 JOHNSON T i � °III EPAR ` ENT OWNER: ALICE HOLT Contact#: APPLICANT:S. FRANCIOSA Contact#:978-361-7078 ADDRESS: 8 NEWELL FAR ®R, W NEWBURY, MA 01985 ENGINEER: P CHRISTIANSEN Contact#: 978-373-0310 CERTIFIED SOIL EVALUATOR: PAUL- CAR®ONE Intended Use of Land: Residential Subdivision Shng n... le Fam ily Home , Commercial Is This: Repair Testing: Undeveloped Lot Testing:XX Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No x 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 Testinu(please indicate test vit sites on the elan) Y 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$360.00 per lot for repairs or upgrades. GENERAL INFORMATION Only Certified Soil Evaluators may perform deep hole inspections. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. Y At least two deep holes and two percolation tests are required for each septic system disposal area. Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. Full payment will be required lot-all additional tests within two weeks of testing. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line pp N.A. Conservatiorr !Canemissian A roval Date Signature o Conservation Agent. ' µ aP J g ak.��.�ai ^0..�� "�"N.�a�aA+r��s ,.fo��r" a::.k? ��" ..TM�.,.&' �,���a�,�,. � Date hack to Health Department: (stamp in). A � C �e'.)d k wi g„�. tl +"b( ”.4 ,- r � 6 11'N ON— p V .. { y tlgy'p fyM1, ,,ypp[ Wm� N. Ik u 4 f. r? ... m a t�. PPP � M1 p ^ V'wIAa�'r co ri, �t 4 { A III Iv t 06 t „ k � y N Yu p N w�Ov �. " a g„ 5 � �,.0111 t r ^ .W r f r r N 0 � � NN Cl) (Cf U) tf7 CO U U co N CL J O a LO m (1) N m Q$ U lQr)4)N CI tq (LY R' Q LO d a ° Q dCu�: > cv co Cr 0 0 CD o (1) (1) us 0- w o?Cl) �2i O Q W co N Je >- � CL ® NN N p� (oho F- LL 1- Z ;0Ei n0 c: c d W WOO 0 0 a a d h Q) V -) tJ� l1 � � w � ON U o P F m Z 00 � � an � N w � � rs)ao _ m w 0 wcoco 00 -1 0) 0) „� P w �700 co 00 < a Z (J do 2 � rnrnrn mm � tJ o Cy <C " 4,,, Z °y or 00 2 U)d F- ra o car �, � 0 CIO 00 Go o� Z aCD00 rnrn ", ;; � (� LO J, dy 4 4 O CPi 6i ,� ! Z U) O m 0 O O Cl)m k U U) �G N E I'� (� J �� �w� 0 U LL1 U 0) 0 U (� N m co — - .. .. OD co © Gy m m 0 `o S,7 HLLCC c 0 of W =U)U)U a) O o cy o o Z r r. o e 5 R c LLCth> °}- r 000 ®c0 a Q U)U)u)-Fa r)(D � Q v � N <V 0 J fB m ro 0)cu fH O N Q E(J d4j} O}} o Ln P U E m E z m U)U 6 LL CO P LL M [C f!U Q Q"< Y U o rrt rn O vct J Z od M f�D6 L r1 fr CO O tD< C m a 0004 r s�-- �LL U. d ULLJ UE <m O O groj f0 f6 N LL Z �LLLL CLL co ca -UU O rr m M 0 r`0 ,0 d 'm no "' mmc " C9 00 uj ��Q�Fa- W �C7U�o Cl) Z ro U. W toNa- 4F-F° Q co co F• (l� N U- L o Q LO w iri iri x U U) ` a m a m It m �' e0 �= E EL LL �-E N f�6U) 0 eI 1 O O p N is c�D C1 O U(D 47 a ® F a Of 2 m m co O UJ °a W d N c0 x cd= x cn rn L7 mILSWmYW mmQ F o w U)W O U ® Z < N $ U Z E <z C1 _II Q Z= m h o Cl ai q > S cv W ', JurorO� = mom �> �m F- Ct c4 � �C7 cu �a'S � iv c u W m 2: "0wZ ° d X ro Y 0 ¢ cn cn ry 3: LL =u u ii ad w a RECEIVED 7 2013 HEATH DUAF ld f r tot �► r I ( ii Z 3