HomeMy WebLinkAboutSoil Testing Results - 353 BOXFORD STREET 5/24/1999 Received Apr-29-99 13:52 f rom 508 688 9542 -> u page 1
Apr-29-99 01 : 30P North Andover Comm Dov , SOS 688 9542 P_ o1
BOARD OF HEALTH TEL, 688-9540
NORTH ANDOVER, „ 01845 W'ECO" ED
APPLICATION FOR SOIL TESTS
DATE: MAY 2 1
LOCATION OF SOIL TESTS. _ , / --), 30 r (� ✓
Assessor's map & parcel number: ✓�. A ..7717/77,44.
OINNER:_.1L-v^ c r�L %�,�..5<'� j/1f EL, NO.:
ADDRESS:.. 1�X, �Irl5l"
d•"risl�� �," TEL. NO.;
ENGINEER; ? _ L
4.iERTII'°(E® SOIL EVALUATOR: ce� 1/�..r ,r // 1..,-
Intended use of land; residential subdivisio milyy home;)commercial
Repair testing Und .veopedlot testing �C
N. A. Conservation Commission Approval;. () IN?.4 A.j'J (�wr.`�
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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 6275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of E5.00 per lot for
repairs or uo rg ales.
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 V-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.
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P aUl Driscoll
379 Boxford Street
North Andover MA 0184
North Andover Board of Health
Charles Street
(forth Andover MA 01 845
To wham it may concern,
The engineering firm of Christiansen and Sergi has been given permission to preform
any and all site work: associated with the design of a septic system at 379 Boxford
Street Lot #2.
Sincerely,
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Town of North Andover, Massachusetts Form No. 1'
ORTH BOARD OF HEALTH
y�t�EO ieq�OL
19?
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/APPLICATION FOR SITE TESTING/INSPECTION
Arm W��SSacHUW�I
Applicant
NAME ADDRESS TELEPHONE
Site Location
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
iFee Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
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