HomeMy WebLinkAboutSoil Testing Results - 44 CRICKET LANE 8/2/2006 TOWN OF NORTH ANDOVER ORT
Office of COMMUNITY DEVELOPMf,NT AND SERNICES
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER, MASSACHUSETTS 01845 Ac
o
Susan Y.Sawyer,REHS,RS
978,688.9540 Phone
Public Health Director
978.688.8476–FAX
lieattlidept@toNvnoftiorthatidovei-.Coro
www-towooftiorthandovencom
APPLICATION FOR Sl
DATE: MAP&PARCEL: 0_1A_.Z 'z--i 4
LOCATION OF SOIL TESTS: c;L.Er
OWNER:AJ ,A_ i, J'drJ Al�:jU, Contact#:
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APPLICANT: 11I AL) Contact#:— A',
ADDRESS:
ENGINEER: Contact#:
CERTIFIED SOIL EVALUATOR:
Intended Use of Land: Residential Subdivision Single Family Ho Commercial
Is This: Repair Testing: Undeveloped Lot Testing:_ Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
> Proof of land ownership(Tax bill,or letter fi-om owner permitting test)
8.5"x H"Plot plan&Location of Eating(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 l"-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.
Date back to Health Department: (stamp ii):
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Deep Observation Role Logs
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Date �_Q)(A percolation Tests
t Observation Hole#
Depth of Pert
Start Pre-soil; ' .
Time at 121t e)
Time at 9”' •
Time at 6" �,- ,
Time(9"-6'�� .
-Rate Min/hich
Performed 13�^ Witnessed Br_r_