HomeMy WebLinkAboutSoil Testing Results - 45 FOREST STREET 6/19/2006 TOWN OF NORTH ANDOVER �NURTH q
Office of COMMUNITY DEVELOPMENT AND SERVICES 3?O 4i+tao R
F A
HEALTH DEPARTMENT
400 OSGOOD STREET
NORTH ANDOVER,MASSACHUSETTS 01845 �'snc"Nos``�
Susan Y.Sawyer,REHS,RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
healthdept @_townofnorthandover.com
www.townofnorthandover.com
APPLICATION FOR S®IL TESTS
DATE: Cp MAP&PARCEL:
((�1 ®®��
LOCATION OF SOIL TESTS: �` foe, OL Na4
OWNER: /� Contact#:
APPLICANT: -Contact#:
ADDRESS:
ENGINEER: 2PA 016"-
Contact 4:
CERTIFIED SOIL EVALUATOR:
Intended Use of Land: Residential Subdivision W3 gle Family Home Commercial
Is This: Repair Testing:_Undeveloped Lot Testing: Upgrade for Addition:
In the Lake'Cochichewick Watershed? Yes No �y
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
Proof of land ownership(Tax bill,or letter from owner permitting test)
8.5"x 11"Plot plan&Location of Testing(please indicate test pit sites on the plan).
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$360.00 per lot for repairs or upgrades.
GENERAL INFORMATION
Only Certified Soil Evaluators may perform deep hole inspections.
Only Mass.Registered Sanitarians and Professional Engineers 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.
9 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 Health
showing the location of all tests(including aborted tests).
Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approv ate:
Signature of Conservation Agent:
Date back to Health Department: (starnp in): �)� a���s el) X � G
'-(`VWV\' (V 0%Y0 flp 9PC0j--
NEW ENGLAND RI
6:60BEECHWOOD IVE-NORTH ANDOVER,MA 01845
(978)686-1768-(888)359-7645-Fax(978)685-1099 JOB NUMBER
-----
DATE
INSPECTOR
PROJECT NAME_ .-__-_.-_-
SITE INSPECTION RECORD PROJECT LOCATION
-- ------ -- 456 A—--
-- — ----- 7 Gl
------ sT eel TOWN OF I 1
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SIGNED
Page I of I
DelleChiaie, Pamela
From: Marianne Peters [mpeters@millriverconsulting.com]
Sent: Friday, July 07, 2006 10:42 AM
To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer,
Susan
Subject: 45 Forest-Soil Eval-July 24th @9:00
Soil Eval for 45 Forest Street has been scheduled for Monday, July 24th @ 9:00 with Ben Osgood.
Marianne Peters
Mill River Consulting
2 Blackburn Center
Gloucester, MA 01930
978-282-0014 ph
978-282-0012 fx
7/7/2006
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