HomeMy WebLinkAboutSoil Testing Results - 15 NORTH CROSS ROAD 6/25/2003 BOARD OF HEALTH
NORTH ANDOVE R, MA 01845
978®688-9540
APPLICATION FOR COIL TESTS
DATE: MAP & PARCEL: P11 '? L
LOCATION OF SOIL TESTS:' V� C`) "f � . , ya
7
OWNER: 1�9 V, TEL. NO.: (1-70) oz-
ADDRESS:
ENGINEER: ifi G 1` »✓DUI EL. NO.: ,� `
CERTIFIED SOIL EVALUATOR:
............
Intended Use.of Land: Residential Subdivision Sin a y Ho 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 Sanitarian 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 This Line
N.A. Conservation Commission Approval:
Pp , s
OW ATH
OF Hr
Date Received: Check Amount: _ Check Date:
11
r
as
y `
Cl
1\
9
\
u I G s.F.
4AI,
a La
W,
p.
OF
�EV�SCr�,j
locNK
a'.-. JOHN B. �\ _ W
d•- PAULSON
No 31725 ^ ��o
:. F 1 °`'%`�o,�� 1 V o T�T
��fT � ••1
PLAN OF LAND ATL ANT/C ENGINEERING '9 r
I N SURVEY CONSULTANTS INC.
N �hnc�vc MASS, 33 WEST MAIN STREET
7 T"': gJ3oIBG GEORGETOWN, MASS.
SCALE I°=40 DATE 6/13/86
'Rtv IoJz4J86
TOWN OIL NORTH ANDOVER
HEALTH DEPARTMENT p
27 CHARLES STREET .
NORTH ANDOVER, MASSACHUSETTS 01815
Heidi Griffin Telephone(978) 688-9540
Community Development Director FAX(978)688-9542
Acting Health Director
FAX
Daniel Oftenheimer From: Pamela
To:
Mill River Consulting
Fax:
978.282.0012 Pages:
1.800.377.3044 or Date:
Phone:
978.282.0014
Request for Soil Testing or CC:
Re:
Septic Plan Review
❑ Urgent x For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
e Comments:
Septic Plan Review Soil Test OTHER
Note: For plan reviews, this is notification only. Plans will be mailed or arrangements made to pick
them up as requested.
Address:
Alff.
Please call 978-688-951fdr—a sistance with an questions. Thank
you.
ou.Y
Cc: File-Address
4i 4 - -
��
!FE. �
y
_ I � a=
---- i -
4
Nil
WIN
N(I
-
I I�
Page 1 of 1
Pamela DelleChiaie
From: "Dan Oftenheimer"<info @millriverconsulting.com>
To: "Heidi Griffin"<hgriffin @townofnorthandover.com>; <blagrasse @townofnorthandover.com>;
<pdellechiaie @townofnorthandover.com>
Sent: Monday, September 22,2003 2:56 PM
Subject: 15 North Gross Road
Heidi, Brian and F cirn
We are workirig on the plan review for, 15 Nor1h Cross Road. Wonciering If you could
end over Sandy's field book nof s forTl Ih t site hicl-i were r cor-.tee on Italy 29,
003? .Tryhg to fk ure sornething r• u� whic h k not eve dent on thie pk:An and hope It was
noted in the fig k-J.
Thanks,
Dan
Mill River osu ffiri
Septic Syst ern Managernenf Services
978-282-0014 or 1-800-377-3044
Ir fo@ r"i,,)ilIrivercoriso,j[twris:; mc orµ -i'z
9/23/2003
✓, c
it
All
TeUs
C'' > 5
no KIM i NJ I
i
, r
A� s �-
Al ns
MIT
151114 Not",
3 — � a
rz
Mtn sl,
ON
got
Kilo
ANr
1 ,
1 do ,
SKY
nmwaa r
C ,
a
..................
Too
r �
a
C
A
/ w✓ /Idyll
PAY! ly
��� .,;,,,',� ;%, ,,`; ,.�„��� ° y,rs Ft°�i�r� ✓'f �'�'F...+wj 5;r�y�;r v,a�r's�rf .�y�r t✓,'7N _rTx�,f�,�r��t:';4 u�{rrl�,y�� � ,f; r �..
x.
v,
Town of North Andover, Massachusetts Form No. 1
F NORTH q BOARD OF HEALTH
3�O��t`EO ib 16�OL
�O F, A
......� APPLICATION FOR SITE TESTING/INSPECTION
PPp �y
�SSACHUS��
Applicant.°.
RAM E ADDRESS TELEPHONE
Site Location
Engineer sf
L.NAME r� ADD ESS p TELEPHONE
Test/Inspection Date and Time
9
CHAIRMAN,BOARD OF HEALTH
Fee Test,No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.