HomeMy WebLinkAboutSoil Testing Results - 17 LACY STREET 5/8/2007 TOWN ()F@(]HTHANDOVEF�
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APPL|CAT|ON FOR SO| —\ �—
DATE
LOCATION OF SOIL I TESTS: ora '�fy-ect- Kio. A-1-dorn'—
OWNER: Contact
APPLICANT: Contact
ADDRESS. L�tivr-
R, Contact#
CERTIFIED SOIL EVALUATOR: W) [a C -
Intended Use of Land: Residential Subdivision .1 Commercial
|sTtks:. Repair Testing:_V-1` Undeveloped Lot TestinA:____ UpgradefnrAddition:____
|n the Lake CuohinhewiokWatershed? Yoe No
THE FOLLOWING MUST BE INCLUDED WITH TH|SFORK4
> Proof ofland ownership(Tam bill,ur letter from owner permittingtest)
> 8.5-x 11-Plot plan & Location of Testing(pj ease indicate test pit siteson thepLanj
> �
two percolation tests required for each disposal area. Feeof M.0 per lot for rgpairsor upgrades.
GENERAL |NFORMAT|ON
> Only Certified Soil Evaivatorsmey perform deep hole inspections.
> Only Mass. Registered SanitarismoamdProfessional Engineermoandesignaoptioplans. �
|
> 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 thediscretion of the BOH �
representative. |
> Full payment wiUbe required for all additional hsstevvithin two weeks oftesting. �
> Within 45 days of testing, o scaled Pan(no smaller than 1=1O0)shall be submitted to the Board ofHealth
showing the location uf all tests(imdmdiny aborted tests).
> Within OO days of testing soil eva|uation forms shall be submitted.
Please Do Not VVrita Below This Line '
-
N.A. Conservation Commission Approval Date
Signature of Conservation Agent:
Date back to Health Department: (starrip in):
Page 1 of 1
DelleChieie, Pamela
From: Marianne Peters [mpeters @millriverconsulting.com]
Sent: Friday, May 25, 2007 1:54 PM
To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer,
Susan
Subject: Soil Results-('17 Lacy Street-May 21, 2007
Good afternoon,
Attached are the results from the soil evaluation done on May 21St for 17 Lacy Street.
Please call if you have any questions.
Have a wonderful holiday weekend.
Marianne Peters
Mill River Consulting
2 Blackburn Center
Gloucester, MA 01930
978-282-0014 ph
978-282-0012 N
www.mill riv reon ulting.corn
5/25/2007
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