HomeMy WebLinkAboutSoil Testing Results - 700 MIDDLETON STREET 5/11/2015 _.., TOWN OFN01011 ANDOVER
HEAL'I'll DEPARTMENT
1600 t1St'i(.)(.)D ST'RE e'T; 5111°I"f; 20,35
N01I 1 1 ANl)OV1R, MA.SSACTI1w1SI,°.I"I'S 01845
Susan Y', Sawyer, RE11-IS, RS 978,6888 9540 .Phmw
Public klealth Director 978. S8, ,476 - FAX
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APPLICATION FOR SOIL TESTS
i.OM l Of: WN u1 A NDOV ER
DATE: .j' �1 �-y(,�,� MAP&PARCEL:
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LOCATION OF SOIL TESTS: '700
OWNER: \tA,(L V S C..--kn-t r Contact#: d30
APPLICANT: ~�d y �/�01-LA A,, Contact#: �7 s I � �Gt �+ )4'1 (p
ADDRESS: a A—(° Q-Q w I tj IM y`
ENGINEER: Contact#:
CERTIFIED SOIL EVALUATOR: aka 11 < Vu.VLL
Intended Use of Land: Residential Subdivision n le Family Home) Commercial
Is This: Repair Testing: V Undeveloped Lot Testing: Upgrade to/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 11"Plot plan&Location of Testing(please in(icate test Pit sites oil the Plarr)
➢ 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.
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 Corrrnriss,lorr Approval Aate:_
Signature of Conservation Agent. f ( t N r
Date bcrcic to Health Department: (stamp irr).•
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North Andover MIMAP May 11, 2015
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--SR Horizontal Datum:MA Stateplane Coordinate System,Datum NAD69,
Roads Meters Data Sources:The data for this map was produced by Merrimack
�pRTw Valley Planning Commission(MVPC)using data provided by the Town of
t..a Easements QQ' ,,go 'q� North Andover.Additional data provided by the Executive Office of
.I MVPC Boundary 1a �4S r �p 'gyp Environmental Affairs/MassGIS. The Information depicted on this map Is
Parcels •�' G for planning purposes only. It may not be adequate for legal boundary
d -•• dafirtifion or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Y - >; THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
0 G ..< �' At ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
Mw�q°pnno °°,„�a� THIS INFORMATION
"VS AC W US's''
1"= 105 ftE
Blackburn, Lisp
From: Pam Lally <plally @millriverconsulting.com>
Sent: Thursday, May 14, 2015 9;59 AM
To: Blackburn, Lisa; 'Dan Ottenheimer'; 'Isaac Rowe'
Cc: Grant, Michele
Subject: RE: 700 Middleton St.
Hi Lisa,
We've set up this soil testing with Jim Morin for Thursday, 5/21 in the afternoon. Isaac will arrive around fpm.
Pam
-----Original Message-----
From: Blackburn, Lisa [ma i Ito:LBlackbu.rn @townof northandover.corn]
Sent: Monday, May 11, 2015 3:25 PM
To: Dan Ottenheimer; Isaac Rowe; Pam Lally
Cc: Grant, Michele
Subject: 700 Middleton St.
Good Afternoon,
Soil testing application for 700 Middleton St.
-----Original Message-----
From: nore l towriofnorthandover.com [rnai Ito:nore l townofnorthandover.com]
Sent: Monday, May 11, 2015 3:38 PM
To: Blackburn, Lisa
Subject: Message from "ComDev-Health-Ricoh"
This E-mail was sent from "ComDev-Health-Ricoh" (Aficio MP C3002).
Scan Date: 05.11.2015 15:37:46 (-0400)
Queries to;jjgLeply@toanL
Q.ofnorthandover.corn
All email messages and attached content sent from and to this email account are public records unless qualified as an
exemption under the Massachusetts Public Records Law.
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Commonwealth of Massachusetts
City/Town of North Andover
Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important:When A. Site Information
filling out forms
on the computer,
use only the tab Martin Fisher -------------- ------------
key to move your Owner Name
cursor-do not 700 Middleton Road
use the return
key. Street Address or Lot#
North Andover MA 01854
City/Town State Zip Code
James Morin 774-696-2246
Contact Person(if different from Owner) Telephone Number
B. Test Results
5/21/2015 1:30
Date Time Date Time
Observation Hole# Pi ------ --------
Depth of Perc 70" ...... ---------------
Start Pre-Soak 1:44 --------
End Pre-Soak 1:59
Time at 12" 1:59 --------
Time at 9" 2:02 --------------
Time at 6" 2:05 ----------
Time (9"-6") 3MIN
Rate (Min./Inch) <2MPl ------- --------
Test Passed: Test Passed: ❑
Test Failed: ❑ Test Failed: ❑
James J. Morin
Test Performed By:
Issac Rowe
Board of Health Witness
Comments:
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