HomeMy WebLinkAboutSoil Testing Results - 143 LACY STREET 4/30/2014 Office of"COMMUNI i° '
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APPLICATION FOR SOIL TESTS
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DATE: � _ MAP&PARCEL:
LOCATION OF SOIL TESTS; ,,.
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OWNER: .... —Contact#:
APPLICANT: ` l Contact
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ADDRESS:
ENGINEER: Nb ,7 . �1 — Contact#:
CERTIFIED SOIL EVALUATOR:1°r w ( f'4'e ) '
Intended Use of Land: Resider l Subdivision SCgle am ily I-lome� Commercial
Is This: Repair Testing: Undeveloped Lot Testing+:----Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes_ No_ %j
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
> Proof of land ownership(Tax bill,or letter from owner permitting test)
> 8.5"x]]"Plot plan&Location of Tesling i2lease indicate test L;it sites on flee elan)
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
h Only Certified Soil.Evaluators may perform deep hale 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.
A 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).
Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
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N.A. Conservation Cornrnission Approval Date.
Sigrrate�r-e of Conservation Agent: r l' .. l..w., �� r .._ f _�I ' t,/I
Date back to health Deparinaent: tar rp in):
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Commonwealth of Massachusetts
City/Town Of „
Percolation Test
Farm 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
When filling Informa�ti®n
When filling out A.
forms p the -& _— � I K - --
computer,use _...-.._ �� _� _7 � PdL!io�'
only the tab key Owner Name -
to move your 1 L•% &A,_ f
cursor-do not Street Add ess or Lot#
use the
return
key. "
City/Town State Zip Code
.. .I - -- - "r Contact Person(if different from Owner) Telepha e
B. Te t uIts
Date Time Date Time
Observation Hole#
, f
Depth of Perc t _
Start Pre-Soak - - --- -_ �
U
End Pre-Soak --� -
Time at 12" � ➢
Time at 9"
Time at 6" — -
Time (9"-6") -- -
Rate (Min./Inch) —
Test Passed: ❑ Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
Test Performed By:
—
Witnessed By:
------ — — - — - —
,
Comments: 4e
t5form12.doc°06/03 Perc Test°Page 1 of 1
Sawyer, Susan
From: Isaac Rowe <irowe @millriverconsulting.com>
Sent: Tuesday, May 20, 2014 2:45 PM
To: Blackburn, Lisa; Sawyer, Susan
Cc: 'Pam Lally'; 'Isaac Rowe'
Subject: RE: 143 Lacy
Attachments: 143 Lacy Street - Soil testing results 5-20-14.PDF
Susan/Lisa,
Attached are the soil testing results for the above referenced property.
System was installed about 1995 so there is a lot of what appears to be "Title 5" sand above the natural soil. Bill took a
sample for textural analysis. I took a sample too, let me know if you want us to send this out to confirm it meets T5
specs.
Bill also took a soil sample of the natural soil since it was wet and 7"
below grade. It was a fine-medium sand.
Let me know about the sand sample and if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Project Manager
Mill River Consulting
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
Fax: 978-282-1318
irowe a millriv_erconsultir7 .com
www.millriverconsulting corn
-----Original Message-----
From: Blackburn, Lisa [mailto:LBlacl<burn townofnorthandover.corn]
Sent:Thursday, May 01, 2014 1:16 PM
To: Dan Ottenheimer; Isaac Rowe; Pam Lally
Subject: 143 Lacy
Please contact Bill Dufresne to set up soil testing.Thank you.
-----Original Message-----
From: pore ll townofnorthandover.com [maiIto:nore I townofnorthandover.com]
Sent:Thursday, May 01, 2014 1:21 PM
To: Blackburn, Lisa
Subject: Message from "ComDev-Health-Ricoh"
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