HomeMy WebLinkAboutApplication - 89 MARIAN DRIVE 11/23/2005 Town of North Andover
HEALTH DEPARTMENT
27 Charles Street b
North Andover, MA 01845
97$.68&9540 " Ja) 21,K"w
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SEPTIC PLAN SUBMITTAL FORM
1,
DATE OF SUBMISSION:
SITE LOCATION: LL�t�.
ENGINEER:
R PLAN YES ^� 225.00/PI n �' Check#:
Includes �� and one Re-Review Only)
REVISED PLANS: YES S 75°00/Plan Cheek#:
SITE, EVALUATION FORMS INCLUDED: S, NO
LOCAL UPGRADE FORM INCLUDEDI��_r YES NO
Telephone ft- Fa.#:
OFFICE ZISE ONLI'
When the submission is complete(including check):
ffi
L, " Oate stamp plans
2. Complete and attach Receipt
3. Copy File,Forward to Consultant
4 _� Rater on Log Shed and Database
I.cscntion: l M A A 9 Owner's NntoC: !:t2
MaplParcel:_ (o Address: F'( 12l n►Z
Installer. TeI#:
r 3 X76 NG1'P1501____.__Repalr ✓
Date: Wetlands_ -a1Zone IIL_Soll Symbol�_Sott
Deep Observation Hole Logs
Eleti,Rtlon Depth SoQ HpmOn Son Te=re Soil Color Solt Mottling. % Gravel,Stones,etc.
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1oY w`i!� • N ivtG F ►.t
-122 G
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Parent Materiel. "L LL Depth to m�`stsgdia�Water h,the
� Holt — P 1R!ftm aP Faee i
ESBGtYs
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fiyJ�F7l f L. t�Yl�`t/6 — IV��Fils��l
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Parent M,9"t2l :1"t 1.-V Depth to J14r0A Shadia=Waterin the Hote;=_,Wee
P�!tsvas Pit Face ESHGWe�_
Date -0!.;e 'Percolation Tests
Observation Holed
Depth of Perc
Start Preqozl; ILL LUIL_
Time at 121p
Time at 9" 1 06-7
TIme at 6" ; ,7
Time(9"-Wj_ 8
-Rate Mln&ch
Performed B� j, i7 U YL �, 'Witnessed B%- G