HomeMy WebLinkAboutSoil Testing Results - 149 MARIAN DRIVE 4/6/1998 Town of North Andover, Massachusetts Form No. 1
NORTH A� BOARD OF HEALTH
01'- D L' 16 qlY I {
3� 5� 6 OL 19
to t�
X95 RATEDWAP���S* APPLICATION FOR SITE TESTING/INSPECTION
SACHUSE
I
Applicant /":)E-��c'
NAME ADDRESS TELEPHONE
Site Location 141-01
Engineer
NAME
61 ADDRESS 6r TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH �?
Fee `�� L°° Test N l7
No.
j
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
3? °` BOARD OF MEAL,
h p
t i
,'SSq CHUSEt
30 SCHOOL STREET TEL. 688-9540
NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE: z!-
LOCATION OF SOIL TESTS:
Assessor's map & parcel number: to . 1
OWNER: Au 1 _A` t f TEL. NO.:
ADDRESS:
ENGINEER: _ TEL. NO.: 44; 71 V5
CERTIFIED SOIL EVALUATOR: j
Intended use of land: residential subdivision, single family home, commercial
" "
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1. Proof of land ownership (Tax bill, deed, or letter from owner permitting
tests)
2. Plat plan
3. Fee of $175.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of $75.00 per lot for
repairs or upgrades.
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic
plans.
3. At least two deep holes and two percolation tests are required for each septic system
disposal area.
4. Repairs require at least two deep holes and at least one percolation test, at the
discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. 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).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Location: I owner's Name: ESN i o ,4 1 5' ,
Map/Parcel:_ f 01& I�i�Cgi P Address: Mif,V AO \f 15
Installer. Tel":_ New(siso) ai
Date: ') Wetlands_L��Zone II Soil Symbol �` Soil lQame( �l f (� oil Class C
—'�" -
Deep Observation Hole Logs
Elevation Depth Soil Horizon Soil Tenure Soil Color Soil hlottling % Gravel,Stones,etc:
NO
Vt FKA
rwl A-&U�
r H ff
Parent hiaterial "1 1 U.- Depth to Bedrock °� Standing Water in the Hole: VV,Weepin;from Pit Face��_B,SHG%V:
AP rj�
el -ell ISH
u U
Parent Material Depth to Bedrock standing Water in the Hole:_ Weep[n;from Pit Face _ESHGtiY:
Date Percolation Tests
Observation Hole R
Depth of Perc "
Start Pre-soak ; yg
Time at 12"
Time at 9" sj
Time at 6"
Time(9"-611
Rate Min/Inch
Performed B. Witnessed BN:
,Y
t /
�{
/ f /✓ l s�xl;/ / / Y� � d 1�
�sx� r✓ ✓f✓r �w
q /r pfd/r�✓�l""ff9 �F � "/� .7 ✓ � 1�
/,� � r /ft'�lyd�1. e �rrd �//�•�'' :� /r z,/�F�'r� /r i � '` �� � JJ -5��.-
�./ � /r/ l�/�! f N/ if i' 1 s�{ � x!� �✓� �t � �
i� rf / �` � ✓r�✓fr"/ ✓r/�,��y" ✓ F �r%�7,rr/r�''.�� /F� !j
/ xt' t�'`�" ;�� �-",".✓'/:;�,�,/�'J r. rn��,�L2 / "fit-�`�./ F`jx. / /fir /y--' /tl�y�
f / xr ✓ / !1 avi�r
✓ �l �h�j��lr� � �� ✓� �/ t �-6 616. I
� �, //U I'�fl is l/i�/r r� f, "'1/ - �;'�"�✓x
/ ✓i�� N /! a r � �� p,as��� �
I /
. � >,,j+/it r � 7l//!�� 1 �Pf / 'r Jx !'i✓
c.-
/ r'✓ / ems/ f ��f' � r � n' � � ' C`
� f ✓ J FJ/ / 'l �•
'' / ' sr / d" Y����i�9 � :�" fG'f � ��� l*"�r i'7"� n y 1'"?R �.�Fa� _ ��,,� mac" ��✓�� � ,.is i
/�'- / !� �:fi 1"t/ � F<i F ;r�ar�:✓/„mow f r -,��° ��,y��3 ,rc ,,v'�y`� v�.,x` �' ?.
/ _ ,� �.� � / '� �t9'�� /x;` � �✓ a -:-r /z� �' s ;�y�r c������?A.� ' r`"-� �yx�r!�����r�
f r ( !
vi
;'f S /
x �
d
l
r
a e
/
✓ s
DATE: : �. 1
COCA T ION:
ENGINE
S ..,-
BOH ��VI � NE�S. vv W
FEP,C0LATION TEST m �_
EO i 0NI DEPTH OF PERC TEST.
TIME OF SOAK: _ � a ��5� (At least irutes Icrc)
! `
TIME AT 17
TIME AT c.. /
TIME ,^,T ..
C`,'E—�-NIGNT SOAK
TIME
PMEA i 9
TIME ,^,T 5