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HomeMy WebLinkAboutSoil Testing Results - 851 JOHNSON STREET 10/20/2003 BOARD OF HEAL-t'H NORTH ANDOVER, MASS. 018 S 978-688-9540 APPLICATION FOR SOIL TESTS DATE: MAP&PARCEL: LOCATION OF SOIL TESTS: e-5—< ,, OWNER: d v1 n 5 TEL.NO.:_ ?' ADDRESS: �.> � ENGINEER: {�i.�.^ 4, �,n c< nc TEL.NO.: !7 r - ' 'i 7 C CERTIFIED SOIL EVALUATOR: Intended use of land: Residential Subdivision Ingle Family Hom 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: 1. Proof of land ownership(Tax bill, deed,or letter from owner permitting tests) 2. Plot plan 3. Fee of$425.0 0 per lot for new construction. This covers the minimum two deep holes and two percolation tes required for each disposal area. Fee of$360.0 0 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 disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representa 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 she 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 7 r � N.A.Conservation Commission Approval: Date Received: Check Amount: Check Date: n/ Y d ® 60 Olt x L "11 O � � o y wy � y � r Y . Jr S� N P�,e�`c o J ° Page 1 of 1 elleChiaie, Pamela From: Dan Ottenheimer[info@ millriverconsulting.com] Sent: Wednesday, November 12, 20013 9:18 AM To: Heid!'Griffin; Brian LaGrasse; Pamela Dellechiaie SU ect: 851 Johnson Street , 1 ;chcd please fir�,,d 1he eoil lea f rec Gl1s for fh rroperfy cif 851 Johnson Street. Dan Mill River Consulting Septic ,Systern Mar:r:ra er ent ac:,¢°vic s 5 kickburr,i Center Gloucester, IAA 01930-2 259 978--282-00 14 or 1.. 0-37I_ 044 fax: 578--282..0G0,1 11/12/2003 Y JI v I fa I _ " r , ILIT i m 1 i �Yr g i I I i i I I { i l � � r "`.l j I M1 I A��4 cue,.,n, ..'� � .,,,m.-��._ _,.. �:.,�; ..L-r%":�u'- �--• �.v..�.��W .,��._,�.mo.,,,z..�,u:a �...._.. _ FORM 12 - PERCOLATION TEST Location Address or Lot No. _S� JaHNS�� COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test` Date: ....,, v..:l�l 3a Time% Observation Hole # � i l Depth of Perc z �tl �s Start-Pre-soak End Pre-soak to Time at 12" q ; 10 Time at 9" `� Time at 6" 9 '1'1✓ Time (9"-6") G mIn Rate Min./Inch 5 m 1h fNcH Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site•Passed © Site Failed ❑ .........................................................................................................._........_......_ Performed By: Q s Gv 6 o Witnessed By: Pcc,i I LA Comments: .:...:::...:::::::.....,.,:.::�..k:.::: DES APPROVED FORM-12/07/95