HomeMy WebLinkAboutApplication - 150 LACY STREET 10/18/2000 Town of North Andover, Massachusetts Form No. 1
NORTFq • BOARD OF HEALTH
1 LEO I6 6
x
A � °°°�<°E�°•,�^' APPLICATION- FOR SITE TESTING/INSPECTION
7 p�RATED PPP '�5
ASS' HUS��
Applicant
AME :T�SS RE TELEPHONE
Site Location
Engineer
c
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee . Test N o. 12
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
m m Town 01'"North Andover,
m Development Services, William Scott
27' Charles Street,
Director
North And v r, Massachuset t, 184 5 .
Fax 978-688-9542
Civil Environmental Consultants
Board of Fred Giesel, P.E.
Appeals
(978)688_9541 7 Winter Street
Ste. 3
ttuat Peabody,MA 01960
a�'t
Department
(978)688-9545 October 18, 2000
C ons ry tion
Department Dear Mr. Giesel,
(978)6889530
9530
This correspondence is in regards to your application for soil tests for 150 Lacy
Health Street, North Andover, The Health Director and the Health Secretary have both attempted
De.partment to contact you by phone over the past two weeks, regarding your application and its
(978)688-9540 deficiencies. Unfortunately, they were unsuccessful at resolving the issues. As your
company is not familiar with the Town of North Andover's procedures, I am sending you the
I'lublic fiealth following details to assist in your application. (Please see the attached submission).
Nurse
(978)68 8-9543
1) In the top section, please indicate with a(V) whether this is a request for repair testing
Plannitkq or undeveloped lot testing. This will assist us in determining which Health Dept,
Department personnel will be doing the soil evaluation observation and whether the proper fee
( 78)688-95,35 was submitted.
2) Under the heading, "The Following must be included with this form"you are
missing:
Item I --Please submit written proof of ownership that is needed to show the owners
approval for the intended excavation.
item#2 w please submit a plan with the approximate location for testing. Without
this information the Conservation Department will not sign off for approval for
testing.
Also,please note that North Andover does have local septic regulations, which I
suggest you familiarize yourselves with. In doing so, we will be able to better serve the
needs of the customer which you represent. One very important item is that our soil-testing
season will be closed as of November 17, 2000. Off-season testing is unlikely, unless the
Board identifies an immediate risk to public health. The season will again reopen on March
1, 2001. As schedules are tightening,testing times are becoming scarce, I hope that you
address the above deficiencies as soon as possible.
Thank you for your anticipated cooperation.
Sincer y,
Susan Ford,R.S.
Health Inspector
Cc: Sandra Starr,Health Director
John McLean,property owner
file
BOARD OF HEALTH
NORTH ANDOVER, MA 01845
978®6$8-9540
APPLICATI®N FOR SOIL TESTS
DATE: MAP & PARCEL: 1' AC55 '�'°i P r,- la T
LOCATION OF SOIL TESTS:
OWNER: �)I` 1j A, TEL. NO.: � f�- zl _ C ►
ADDRESS: L/k.� c ,.l_.1�
ENGINEER: Bfz_UCr" e iti lyij rle t?�-s TEL. NO.;
, 5 C
CERTIFIED SOIL EVALUATOR: 51e` F-'L
Intended Use of Land: Residential Subdivision Single.Family Home Commercial
Is This:
Repair Testing:
In the Lake Cochichewick Wate: `�f µ
rS
THE FOLLOWING MUST B
,m
1. Proof of land ownership (T
2. Plot plan & Location of Te ) _
3. Fee of$275.00 per lot for n( vo deep holes and
two percolation tests require of for re airs o u rade .
GENERAL INFORMATION
1. Only Certified Soil Evaluatc
2. Only Mass. Registered Sanh-_____.._ n 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.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval:
Date Received: Check Amount: Check Date:
gI
y ,
r
`G f \$
CA
10 elk
i
if
CJ 1.6-1 7r•T T rr,,ra? r•'? •10r r-c-o 1 on QJ G Y'11h1 =I•IrY.IJ H.1 �'11.1�lMH-I 1HRr H C=I.IHf vewY Lirl]Y J
October 23, 2000
Susan Ford
Health Inspector
27 Charles Street
North Andover,MA 01845
Re: 150 Lucy Street
Dear Ms.Ford,
This will serve to advise that CEC Land Surveyors has been authorized to do a percolation
test on my land at the above referenced address.
Very Truly Yours,
John G. McLean
3
i