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Home My WebLink AboutSoil Testing Results - 427 WINTER STREET 9/12/1997 „ORTk h ...... p ',.,.. • i � 146 MAIN STREET TEL. 688-9 540 ,SSgCHUS NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: LOCATION OF SOIL TESTS: ,;Z-1 Assessor's map & parcel number: 4c,V L TEL. NO.: ADDRESS: t1d 7 W? 4 �v4 ENGINEER: TEL. NO.: CERTIFIED SOIL EVALUATOR: 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. Plot plan 3. Fee of $175.00 per lot for new construction. This covers the two deep holes and two percolation tests required for each lot. 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. 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. DATE: LOCATION: ENGINEER: BOH WITNESS: Q,,,u�t4 PERCOLATION TEST# BOTTOM DEPTH OF PERC TEST: TIME OF SOAK: t j 7 e (At least 15 minutes long) TIME AT 12" TIME AT 9" / l L to a TIME AT 6" OVERNIGHT SOAK TIME STARTED NEXT DAY SOAK: (At least 15 minutes) TIME AT 12" TIME AT 9" TIME AT 6" Y G J G J F ix,1't G r bf 'Gr h4Ff 1171111l111111RWI111 �1l1�11111 ,; �& IIIII�IC ,►1�►�1�1111111 � � $� 111111111! 1 � � , , lY Illllllllllliilllllflllilllllllllll �t IIIIICIillll , : � px , 1111'I�jlll►�111111111111 ;� x,� x�� 11111111111111111111(i�1111111111111 �� ` � J •j, 3a°Jf�tl 7 " 11l111711111�L�II�EIIIIIIIIIIIIIIII � �� : zJ 111111111111�111111111111111111111 ' `°�J `F 1 t , 1®1lIII111►11111111111111I�1111111 ��z�� 111111111111111111111111111111 �� 1117eir1!©Ill�i,ll%��Illllilllellllll �� ,tJ�� 111' 1�1��1 �JmlIIIIIIIIIIIIIIIIIQIII � ��' '%',; IF�11��1111'1/�l11�11l�l.1�1111111111111 �� * fi ,i,JJj ;k 111®111111111111111111111111111111 � yy��,� err�; 4,, 111�1�11JIIIL�II�Jf�111�l111111.�!1�l1111 J� �`� �r� � 11111111111Gr111111111111!11111111 �� ` xr� f F`��r Yfjf f'ri ufi;. ��►IIIIG��IIIIIIIIIIIIIII�illll111 �� G� Illllllllllllllllllmll�!!��!111�111 �� fr�� cill��Ilellll�'l�Illlllllellli��Jllll � J��,� � 1111111111111111111111111111�1111 �� r , 111®111111111111l111�!©111 `/ � rf�'= 11111111111111111111111101111�111 � ��yG,� 111111lIIIIIIISIIIIIIIIIIIl�111111 � ��yt IIIIIIIIIIIIIIIIIilllliilllllllli �� 111 1�111111111111111 11!]Illllllr 11�1�1�111111111�1111�111111�!hJ�ll � 'ax ::,y � �',h � �.�`r"' r' `rr� � r �' 3 !J f ✓� c"'yr r a ry f r q�t� ,r✓d�sr J� hs 4m r r °s Nt��* �a r & � Jr r ,!�� ''��'�� a�r'�'y� � 2: ��'�,-x� i J9k r ✓ !s r J t ., 7" � �'��'J��r J�w J''� � ��s 5 s�. �i,'"`� s sr,��. r I„ v rirl r r t � n r fir'" r � r 1 r --MEN-----------�---_-_- ----------------�_-�--- MINIMIMIME SE �----_--�_�- - _�- --_- NEIMEMM ENIMEM ---MM----_--MW------� ----------------� INNIMEN MIMMMMMMMNEIIMM MEMINIMEM ME IMME IMMOMMIM Immom _�------_ ------------- -----�__--MM-_�-_� - -�- -�-_--_ENIME _---� limm ME NEME MEN Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH C�-c�`EO O c APPLICATION FOR SITE TESTING/INSPECTION CHUB�� Applicant 61ANE U OADDRESS TELEPHONE Site Location S-11-- Engineer �'Y'� 'L� NAME /, ADDRESS) TELEPHONE Test/I nspection Date and Time CHAIRMAN,BOARD OF HEA TH Fee 1`S Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.