HomeMy WebLinkAboutSoil Testing Results - 32 HOLLOW TREE LANE 7/8/2003 Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
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S APPLICATION FOR SITE TESTING/INSPECTION
SsACHUSe _
Applicant cox �° ��
NAME ADDRE S TELEPHONE
Site Location
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Engineer �—� —eel
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
Fee �' Test No. //C
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
BOARD OF HEAla'I'II
NORTH ANDOVE R, MA 01845
978-688-9540
APPLICATION FOR SOIL '.TES'T'S
DATE• i MAP &PARCEL: / a y -7 .,.
LOCATION OF SOIL TESTS: �((�
OWNER: "Fir 2 j2 TEL. NO.: G
ADDRESS: 32- 143 L L.O r rze c
ENGINEER: ��,.. k, q .,ear r� w, TEL. NO.: �9� i'- C> 6 -/7'a 9,
CERTIFIED SOIL EVALUATOR: C/ Vic:.',
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: ��_
Repair Testing: Undeveloped lot testing:
In the Lake Cochichewick Watershed? Yes No ,
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
1. Proof of land ownership (Tax bill, or letter from owner permitting test)
2. Plot plan chi Location of Testing
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$200.00 per lot for repairs or
upgrades. (If time is not critical, fee for repairs is $75.00)
GENERAL INFORMATION
1. Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarian 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 Not Write Below This Line
Commission A roval: � ,, .�,
N.A. Conservation pp � � �a
Date Received:
Check Amount; , � ��;°�� oz, Check Date:
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Page 1 of 1
Pamela DelleCiie
From: "Dan Ottenheimer"<info@millriverconsulfing.com>
To: <blagrasse @townofnorthandover,com>; <pdellechiaie @townofnorthandover.com>
Sent: Friday,August 22,2003 11:16 AM
Attach: Hollow Tree#32, Soils.pdf
Subject: 32 Hollow Tree Lane .
Brian and Pam,
Attached please find field notes for soil testing at 32 Hollow Tree Lane.
I will be scheduling 191 Granville Lane, 70 Oakes Drive and 91 Boston Street shortly. We are scheduled
for 162 Gray Street(2 lots, percolation tests only for new construction) on Wednesday 8/27, and two
lots at Peters Street& Turnpike Street on Thursday 8/28.
Dan
Mill River Consulting
5 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014
info@millriverconsulting.com
8/22/2003
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FORM 12 - PERCOLATION TEST
Location Address or Lot No. I�Ia►aL��� j 2LG �„��
COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test*
Dote: zoo-?. Time:.
Observation Hole #
PT ' i
Depth of Perc 't
Start-Pre-soak
mil " 3�
End Pre-soak
Time at 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate Min./Inch
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Q Site Failed ❑
..............................................................................................:.......................................__.................
Performed By: gc'g i c=t
Witnessed BY: 1-1 1i k C 1-AA1 to
Comments: .::,.::.._
DEP APPROVED FORM.12107/95