HomeMy WebLinkAboutSoil Testing Results - 62 WINTERGREEN DRIVE 8/24/2015 TOWN r OF NORTH)i "t H A I° .IIII 1 `E.t
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APPLICATION FOR SOIL TESTS
August 24, 2015
DATE: g - -------- MAP&PARCEL:
LOCATION OF SOIL TEST'S:
62 Wintergreen Drive, North Andover, MA i8i�t� h'rCt.lV`7"`l.11
OWNER: Frederick J & Linda Doherty Contact#: (617) 839-3509
APPLICANT: Frederick J Doherty contact#:(617) 839-3509
ADDRESS: 38 Farrwood Drive, Bradford MA,01835
ENGINEER. Christiansen & Sergio Inc. Contact#: (978) 373 0310
CERTIFIED SOIL EVALUATOR: Steven Erikson, Norse Environmental Services, Inc.
Intended Use of Land: Residential•Subdivision Single Family Home Lommeruial
Is This: Repair Testing:X Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No X
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)
Y Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of 3$ 60.00 per lot for repairs or upgrades.
GENERAL INFORMATION
1 Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
Y 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
�._ Conservation Corn�rzissian
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Signature of Conservation Agent: q_u_d,_2
Date back to Health Deparlmenl: in):
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