HomeMy WebLinkAboutSoil Testing Results - 39 PADDOCK LANE 4/2/2002 Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
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ATEEw,°° APPLICATION FOR SITE TESTING/INSPECTION
SACHU5E��y
Applica � ' �� �. tc�; � c� gr
NAME ADDRESS
TELEPH E
Site Location
Enginee plu--) 4
NAME ()'\D DRESS --TELEPHONE
Test/Inspection Date and Time
CHAIRMAN, BOARD OF HEALTH
Fee`—nom. Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
BOARD OF HEAL'T'.
NORTH ANDOVER, MA 01845
978-68$®9540
AP'P'LICATION FOR SOIL TES'T'S
DATE: ���: < � MAP &PARCEL: 11AI (o7 1) - PA(Ce1 106
LOCATION OF SOIL TESTS: j i-':l Scoc� tz, ,<: t"I
OWNER: . , ; TEL. NO.;
ADDRESS:
-� 6
ENGINEER: p _
I��1�';�.�_�� ��;:��r fi�t�/�1r�.f,") ���; U"�.i a!�.e� TEL. NO.:
CERTIFIED SOIL EVALUATOR:P.,(ka,)ar) C:, 'i<::.„n.,,r,
Intended Use of Land: Residential Subdivision Single Family Home ,g 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 & 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 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.
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 ThIl ine
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N.A. Conservation Commission Approval-,"
Date Received: Check Amount: Check � ,m
----- — mount Chk Date':— --- --
VLUT PLAN
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APR 15 1994
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Solt, PROFILE & PERCOLATION 'I'ES'I' DATA
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Trd- No.
4- 4-
L Owner oc./Subd:iv.,.
invest
SOIL PROFILES-DATE
2
tl eve_ Elev. 3. Elev.-- --E I ev.—
o 0 0 0
Ties to Test Pits
2 2 2 2
3 3 3 3
4 4 4 4
5 5 5
6 6 6 6
q
pl
7 7 7 1",0,I)v
8 8' 8 8
0
9 9 9 9
to 10 10 10
Benchmark Location
Elevation--_—
Percolation Tests-Date
Date----- --
Pit Number 2 3 4 5
Start Saturation
Soak-Mins.
Start Test-Time
Dro of 311-Time
Drop of 6'#-Time
Tin s. 1st 3"Drop
Mins . 2nd 31'Dro p
Percolation Rate
Notes & Sketches on Back
SOIL PR FI IZ PERCOLATION TEST DATA
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North Andover, Mass. Street Nom Z � � �� �;� � 110 t No
Loc/Subdiv. �Pland Owner
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Investigator tigator ,211(11 .. � Observer e` ra '�'o fo
SOIL PROFILE DATES
1„; lev 2.Elev 3.Elev 4.Elev
Q 0 q 0
Tins P ,s eat
2 � m 2 , 2 2
3 3 3
4 4 4 4
m
5 5 "mN
6 6 6 6
8 �,.`,. 8 8 8
t'
X”
9 9 9
Ym�N i
� „w� ": ��R.,,_
r
Bencbnark
L,o cation
Elevation Datum
PERC(1 TIpN 'PESTS
DATES Pit Number 1 2 3 4
Start Saturation
Soak-Minutes
ar e
Drop of 31"-»Time
Drop of 6”-Time
M ns-lst 311 drop
Mins.2nd 311 Drop
Percolation