HomeMy WebLinkAboutSoil Testing Results - 268 REA STREET 10/5/2009 TOWN OF NORTH ANDOVER
Office Of COIvIR�ILINI I 'DE o� "I.`"
Vr,,LOI MENT AND SERVICES �"I 4-;140.4.4.
HEALTH DEPARTMENT a
1600®SCOOj)STREET; BUILDING 20; SUITE 2-36
tdORTI-1 ANDOVER MASS
ACHUSETTS 01845 Nut
Susan Y.Sawyer,REIIS,RS
Public licalth Director � w 9 8.688.9540—Phone
�.:.._ ._
9 .6$8.8476—FAX
he Ithde t townofnort 'andovdr.com
w w.townofnorthandov r.com
� ER APPLICATION FOR S E -VNA i( TT �i i
DATE: � 1...701 MAP&PARCEL: 2j
_1 �_?--
LOCATION OF SOIL TESTS:
OWNER:
Contact#: �--
APPLICANT: ,, ,
Contact#:
ADDRESS: Z
ENGINEER; ��.�,dv
Contact#:
CERTIFIED SOIL EVALUATOR:
Intended Use of Land: Residential Subdivision
g y H Commercial
Sin le FamilJ Horn
Is This: .Repair T estiug: z Undeveiaped Lot Testin
g: Upgrade for Addition:
In the Lake Cochichewick Watershed? "Yes
No 1/
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
> Proof of land ownership(Tax bill,or letter from owner permitting test)
> 8.S"x 11"Plot lan&Location o Testin leas indicate test it sites oft tTxe lan
> Fee of$42500 per lot for new construction, This covers the minimum two deep holes and
two percolation tests required far each disposal area, Fee af$360.00 per lot for repairs or unsrades,
➢ Only Certified Sail Evaluators ma GENERAL INFORMATION
S' Only Mass.Registered Sanitarians and Prafessional En
gmeers 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 1'_100')shall be submitted to the Board of Heal
showing the location of all tests(including aborted tests). th
D Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Ap roval Date: Q
� ..
Signature of Conservation Agent: --
.
Date back to Health Department: (s pin),
ct
of
129.56'
i
LOT 6
AREA=25,214 S.F. (PLAN)
AREA=24,806 S.F. (CALC)
=0.5695 AC.
aj A 2
w
DECK
1 1/2 STORY
W.F.D.
#268
Li
2�
co
co
133.63'
REA STREET
"I HEREBY CERTIFY TO MERRIMACK VALLEY FEDERAL PLOT PLAN
CREDIT UNION THAT THE DWELLING IS LOCATED ON THE
LOT AS SHOWN AND THAT IT DOES CONFORM WITH IN
THE TOWN OF NORTH ANDOVER ZONING REGULATION
REGARDING SETBACKS FROM STREETS & LOT LINES." NORTH ANDOVER, MA
I FURTHER CERTIFY THAT THIS DWELLING IS NOT
LOCATED IN THE FEDERAL FLOOD HAZARD AREA SHOWN
ON FEMA COMM #250098 0006 C DRAWN FOR
JUNE 2, 1993 + "
LISA MALSKY
01126109 .
SCALE: 1"=40' JANUARY 26, 2009
STEM R.L.S. DATE
THIS PLARI .GE PURPOSES—NOT FOR MERRIMACK ENGINEERING SERVICES
BOUNDARY D1` ATION. BOUNDARY INFORMATION 66 PARK STREET
TAKEN FROM EXISTING RECORDS. M20679 11ANDOVER, MASSACHVSE
TTS 01810
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