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HomeMy WebLinkAboutSoil Testing Results - 795 JOHNSON STREET 7/25/2005 BOARD OF HEALTH . NORTH ANDOVER, MASS. 01845 978-688-9540 JUL 5 2005 APPLICATION FOR SOIL TESTS T ©ovr�r �Fiv�r�a n-Z DATE: S �� MAP&.PARCEL: LOCATION OF SOIL TEST(z: /fAly ` '-/A) OWNER:. MAVA►e e �JY�l J,�J(rH-Arvl TES,.NO.: 9- Ze 36' ADDRESS: ENGINEER: N�iwiuGZrfi�In� N�iC/IJ�c(� TEL.NO.: CERTIFIED SOIL EVALUATOR: 0A-cttw C_ D SCTOO p R I17D M�fJ �. I�ECTd Intended use of land: Residential Subdivision Single Family Ho Commercial Is This: ,1 Repair testing ___L_ _ 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 425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of 3S 60.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass.Registered Sanitarlans 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 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 N This Line -�--- ---- ---r - N.A.Conservation Commission Approva V �!lg�sJ Date Received: Check Amount: Check pate: 0)1 �'�' 1 JUL 2 6 2005 T�> ---pp, l R e r�s tai>'T 15 ,-j�D oo-J c7 12 e0 1 Commonwealth of Massachusetts City/Town of /N®t4h 4doi - Percolation Test Form 12 M 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. Important: A. Site Information When filling out forms on the computer,use Maurice Cunningham only the tab key Owner Name to move your 28068 Cavendish Ct., Unit 2302 cursor-do not Street Address or Lot# use the return key. Bonita Springs FL 34135 City/Town State Zip Code Same (239)498-9633 Contact Person(if different from Owner) Telephone Number B. Test Results 8/10/05 10:45 8/10/05 11:39 Date Time Date Time Observation Hole# PT1 PT2 Depth of Perc 55"714" 23715 Start Pre-Soak 10:45 11:39 End Pre-Soak Time at 12" Level Level Time at 9" Dropped Dropped Time at 6" 1/2 per inch 1/2 per inch Time(9"-6") in 1 hour in 1 hour Rate(Min./Inch) 1" in 27 Min 1" in 27 Min Test Passed: ❑ Test Passed: ❑ Test Failed: ® Test Failed: Benjamin C. Osgood Jr., P.E. Test Performed By: Randy Burley, Mill River Consulting Witnessed By: Comments: t5fonn12.doc•06/03 Pere Test•Page 1 of 1 Commonwealth of Massachusetts City/Town of Alo),14-h And o wnt, - Percolation Test Form 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. Important: A. Site Information When filling out forms on the computer,use Maurice Cunningham only the tab key Owner Name to move your 28068 Cavendish Ct., Unit 2302 cursor-do not Street Address or Lot# use the return key. Bonita Springs FL 34135 City/Town State Zip Code Same (239)498-9633 Contact Person(if different from Owner) Telephone Number B. Test Results 8/25105 9:50 Date Time Date Time Observation Hole# PT3 Depth of Perc 38"/15" Start Pre-Soak 9:52 End Pre-Soak 10:07 Time at 12" 10:07 Time at 9" 10:13 Time at 6" 10:24 Time(9"-6") 11 min Rate(Min./Inch) 4 min per inch Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Benjamin C. Osgood Jr., P.E. Test Performed By: Randy Burley, Mill River Consulting Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 Page 1 of 1. DelleChiale, Pamela From: Lisa LeVasseur[lisal @millriverconsulting.com] Sent: Wednesday, July 27, 2005 12:52 PM To: Sawyer, Susan; amcbrearty @millriverconsulting.cam; DelleChiaie, Pamela; dano @millriverconsulting.com Subject: soil tests 183 Forest Street is set for 8/2 at 8:30 497 Foster Street is set for 8/10 at 8:30 795 Johnson Stree set for 8/10 at 1:00 (or immediately following 497 Foster) .,Thanks, Lisa Lisa LeVasseur Mill River Consulting Your Complete Source for Onsite Wastewater Management 2 Blackburn Center Gloucester, MA 01930-2259 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 wNvw.in i I I ri verconsulting,coin 7/27/2005 � I p r a A V-3 p 11 C- KI 1,7 4 pi +, p l 41� « m« w v k n i