HomeMy WebLinkAboutApplication - 858 JOHNSON STREET 5/2/2013 TOWN OF NORTH ANDOVER.
Office of COMMIJNrrY DEVELOPMENT AND SERVICES
HEALTH DEPARTMENT
1600 OSGOOD STREET; SIJITE 20
NOR-111 ANDOVER, M;ISSACRU5ETTS 01845
978.E 88.0540–Phone
Susan Y.Sawyer,E EI-IS/l S 978.688.8476--FAX
Public Dlealth Director E-MAIL: Iiealtli(tept,(iiltowtiofi ortliatidover.eoin
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SEPTIC PLAN SUBMITTAL, FORM
m dry,
Date of Submission: " -6/4,,
TOWN OF NOR`11+1 AINII')OVER
Site Location:858 Johnson Street 1li1 d 7m1 C) PAlRTIM a"IT
Engineer:Christiansen & Sergi, Inc, Philip Christiansen
New Plans? Yes XX $225/Plan Check# (includes I" submission and one re-
review only)
Revised Plans?Yes $75/Plan Check#
Site Evaluation Farms Included? Yes XX No
Local Upgrade Form Included? Yes No
Telephone#: 978-373-0310 Fax#:978-372-3960
E-mail: phil @csi-engr.com
Homeowner
Name:Alice Holt
-"O7
OFFICE USE ONLY
When the submission is complete (including check):
Date stamp plans and letter
Complete and attach Receipt
Copy File; Forward to Consultant
i Enter on Log Sheet and Database
Commonwealth of Massachusetts ��w,
,R V ,°
iffy/Town of
Percolation f �
f; Farm 12 u 0 tiN'(A011 ANt'X) a�
u�wn�A c 11�:���PA a fief apt
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 rte Information
filling out forms °
on the computer,
use only the tab _ - —— ------.._..
key to move your Owner Name
cursor-do not 858 Johnson Street
use the return - ..._ .. .... ... .........--
key.
Street Address or Lot#
No. Andover Ma 01845
ray City/Town State Zip Code
Phil Christiansen 978-373-0310
.......--- - —- - - —
Contact Person(if different from Owner) Telephone Number
B. Test exults
4-17-13 9:55 4-17-113
Date Time Date Time
Observation Hale# 1 3
56" 48"
Depth of Perc _—
Start Pre-Soak 9:55 10:35
End Pre-Soak 10:10 10:50
Time at 12" 10"10 10;50
Time at 9" 10:25 11:05
Time at 6" 10:42 11:26
Time (9"-6") 17 MINUTES 21 minutes
Rate (Min./Inch) 6 MIN/INCH 7 min/inch
Test Passed: ® Test Passed:
Test Failed: ❑ Test Failed: ❑
F.Paul Cardone/Septic Compliance,lnc
-- ....... ------ -
Test Performed By:
Mill River Engineering
Witnessed By:
Comments:
t5form12.doc°06/03 Perc Test° Page 1 of 1
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