HomeMy WebLinkAboutSoil Testing Results - 35 HOLLOW TREE LANE 2/3/2004 BOARD OF HEAL' - J
NORTH ANDOVER MASS. 01845
978-688-9540
APPLICATTnl\d FOR SOIL, T EST'S
DATE: MAP&PARCEL:
LOCATION OF SOIL TESTS: 3,5- } t �� �,
OWNER: 2' c V\. l\J
t TEL.NO.: I I.S tf -7 7 C j
ADDRESS:_ ,S 8
ENGINEER: N i k v� t,y r" 00A)Cam° TEL,NO.:_ ` 78 ca
CERTIFIED SOIL EVALUATOR: ,R fi-2
Intended use of land: Residential Subdivision
C�mi
5ngle Family Home 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 425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests
required for each disposal area, Fee of 1360.0 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 representative.
5. Full payment will be required for all additional tests within two weeks of testing,
C. Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing th,
location of all tests(including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Please Da Not Write Bel w This Line
N.A. Conservation Co-mission Approval:
„
Date Received: Check Amount:
Check Date:
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TOWN OF NORTH ANDOVER 14ORTH ANDOVER. BOARD OF HEALTH
REPORT OF PERC TEST —
ADDRESS OF SYSTEM a
DATE �
NAME OF PROFESSIONAL ENGINEER OR SANITARIAN CONDUCTING TESTS
-- _. H
NAME OF LOT OWNER ADDRESS
SHOW APPROXIMATE LOCATION OF PITS ON SKETCH ON REAR OF THIS SHEET
Soil Log: T"o soil Subsoil De the & Total
� -eS — Water Level Pit D th
a.
�,� Time to
Perc_Tests °/19tepth Sat Time to
Saturation Time Drop 12" - 9f' Drop 9" - 6"
Other Considerations: rz
Recormnendations:
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Signature
Page I of I
DelleChiaie, Pamela
From: Dan Ottenheimer[info@millriverconsulting.com]
Sent: Wednesday, March 17, 2004 1:28 PM
To: Susan Sawyer; Brian LaGrasse; 'Pamela Dellechiaie'
Subject: soil tests
Sue, Brian and Pam,
Attached please find the soil and percolation test result�from 35 Hollow Tree Lane ano)'545 Winter Street. Both
sites had a percolation test result which required an overnight"soak, Due to the snow, we could not perform it
today. We have scheduled both sites for Thursday April I beginning at 7:00 a.m.
Happy shoveling.
Dan
Daniel Ottenheimer, President
Mill River Consulting
Septic System Management Services
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
ill I I i I�ri v ercons,u i ti ngy.(;on-I
3/17/2004
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