HomeMy WebLinkAboutSoil Testing Results - 545 JOHNSON STREET 7/12/2010 'rOW N OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES �Y ��
EA�.,"�H D E1PA : 'I'1��E1�T 1�
1600 OSGOOD STREET; BUHANNG 20; SUITE 2-36
NORTH ANDOVER, NIASSACI-IUSE"T'J'S 01845
Susan V.Sawyer,RENS,RS 978.688.9540-Phone
Paiblic Ilealth Director 978.688.8476-FAX
healthde�t(iowiioffr)orthandover.coiu
www.townofnorthan(lovel..com
APPLICATI®N FOR SOIL TENS
DATE: 1 C; MAP&PARCEL: M (1.6 l
LOCATION OF SOIL TESTS: j ;,G H Q t.._l C
OWNER: 'F cw Vi Q1,,r\1,1 I A PL 1--1,)`!)C) Contact#: _
APPLICANT: 5AN\C, Contact#:
ADDRESS: ,4r-,
ENGINEER: ` c Contact#: cw t :i 3440
CERTIFIED SOIL EVALUATOR: M C
Intended Use of Land: Residential Subdivision Single Family Horne; Commercial
Is This: Repair Testing: ✓ Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No V
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership(Tax'bill,or letter fi-orn owner permitting test)
8.5"x 11"Plot Man&Location of Testi!g(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
> 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 Date: (���'
Signature of Conservation Agent. ^+ l
Date back to Health Deptn7ment: (stamp in):
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on overdue payments from the due date until --- Cane ACT
payment is made. THE COMMONWEALTH'OF MASSACHUSETTS
Town of North Andover Make Checks Payable To:
Fiscal Year 2010 4th Quarter Town of North Andover
Actual Real Estate Tax Bill Collector of Taxes
P.O. Box 184
Office of Collector of Taxes Medford, MA 02155-0002
Jennifer Yarid, Treasurer/Collector
c /
Office Hours:
M-F 8:30am - 4:30pm
PELUSO, FRANK J TAX COLLECTOR: 978-688-9550
VIRGINIA M PELUSO ASSESSOR: 978-688-9566
545 JOHNSON STREET
NORTH ANDOVER, MA APR 0 ��ID Please use the enclosed lockbox envelope to
NOR
NOR expedite your payment.This will assist us in
NORTHANDOVER processing your payments more efficiently. The Tax
TREASURER-COLLECTOR Collector's Office is located at 120 Main Street.
Z06413-000001
Based on assessments as of January 1,2009, Town of North Andover 4th Quarter Receipt
your Real Estate Tax for the fiscal year
beginning July 1,2009 and ending June 30, Fiscal Year 2010 4th Quarter Keep This Portion For Your Receipt
on the parcel of real estate described
belo w is as follows: Actual Real Estate Tax Bill Bill No. 1 5110
below
PROPERTY DESCRIPTION Jennifer Yarid,Collector of Taxes Real Estate Tax $4,344.79
545 JOHNSON STREET SPECIAL ASSESSMENTS CPA $91.50
Class Code 101 Special Assessments $0.00
Land Area 1.02 Exempt/Abatement $0.00
Map-Lot-Plot 210-098.A-0013-0000.0 Subtotal $4,433.29
Book/Page 6050/192 Land $225,800 -
Building $115,000 Payments Made ($3,274.79)
Tax Rate Per$1 Total Value $340,800 Past Due $0.00
1 Res. 2 OpenSp 3 Comm 4 Indust *418782004*
$12.74 $D.oO $17.69 $17.69 11111111111111111111111111111 il���i�l����� 4th Quarter Tax $1,158.50
Assessed owner as of January 1,2009:
PELUSO, FRANK J Interest at the rate of 14%per annum will
VIRGINIA M PELUSO accrue on overdue payments from the due Amount Due $1,158.50
0
545 JOHNSON STREET date until payment is made. 5/3/2010
NORTH ANDOVER, MA
01845
041,8782004201,000000000(000000000000001000051,10000000115850049
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