HomeMy WebLinkAboutSoil Testing Results - 326 FOREST STREET 5/20/2014 "]II'flo" 'N OiQ Poilf 111 l' Iaal.1VEJ
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APPL.,ICAT'ION FOR SOIL, T'EST'S dC d fl'4()u m�K)FMMNh)O ER
W IEN Tl l PAR B Cvlt:h d7
DATE: t.° "7 I � � MAP&PARCEL: P,) a `�
LOCATION OF SOIL TOTS:
OWNER: I�1 Aw- V J t —contact#:C f`l rv) �� � "��-O 1 �7Z,r-
APPLICANT: � f[ _Contact#:
ADDRESS: ✓`
ENGINEER: Contact#: I
CERTIFIED SOIL EVALUATOR: `''j' f f� lrx"? >`%' —` l'-o(c�
Intended Use of Land: Residential Subdivision Single Family F Commercial
Is This: Repair Testing: Undeveloped Lot Testing: r Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
Proof of land ownership(Tax bill,or letter from owner permitting test)
8.5"x 1.1"Plot plan& Locatio�t of Testerr (please i�rdecate test pet 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 renaii°s or upgrades.
GENERAL INFORMATION
;�o Only Certified Soil Evaluators may perform deep hole inspections.
5> 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.
> 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 Cominesseorr Approval Dad :
Signature of Conservation Agent: � �....�. �t. .o-„I'd
Date back to health Department: (stamp in):
Dann LMA& 1M 1Mfi38907 i
PLAN OF LAUD IN NORTH ANDOVER
Brasseur Associates, Surveyors
July 1964
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Copy of ppart of plan
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Scale of?his Alen 8o fat to an inch
e�ul .C.Al,Anderson,Engineer ror Caurt✓.ti
Blackburn, Lisa
From: Blackburn, Lisa
Sent: Tuesday, May 27, 2014 5:49 PM
To: Dan Ottenheimer;Isaac Rowe; Pam Lally
Cc: Bill Dufresne
Subject: 326 Forest Street
Attachments: 201405271754.pdf
Good Afternoon,
Attached is an application for soil testing at 326 Forest Street. Please contact Bill Dufresne to set up a date. Thank you.
-----Original Message-----
From: noreply townofnorthandover.com [mailto:noreply town ofnorthan dove r.com]
Sent: Tuesday, May 27, 2014 5:55 PM
To: Blackburn, Lisa
Subject: Message from "ComDev-Health-Ricoh"
This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002).
Scan Date: 05.27.2014 17:54:58(-0400)
Queries to: nore I townofnorthandover.com
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