HomeMy WebLinkAboutSoil Testing Results - 42 OLYMPIC LANE 8/4/2005 BOARD OF HEALTH
NORTH ANDOVER,MASS. 01845
978-688-9540
0
APPLICATION FOR SOIL TESTS AUG 2005
DATE: ' MAP&PARCEL: (7C� C3 �° 1 -i� `✓f,;
LOCATION OF SOIL TESTS: OF Duo-
OWNER: )O WIL A-K a (0 LL-l fa S TES,.NO.: 9 7`�- �°82 - 3�'7�
ADDRESS: 4
F.NGINEER:� 1) �"A(VCt1C�.�-lN.C7 TEL.NO.: �7e) (o(bCo- t70S(�j
CERTIFIED SOIL EVALUATOR: >EiV T3 A4-1&l
Intended use of land: Residential Subdivision Single Family Home Commercial
Is This:
:Repair testing X Undeveloped lot testing Upgrade for addition T
In the Lake Cochichewick Watershed? Yes No X
THE FOLLOWING MUST BE INCLUDED WTTH THIS FORM:
1. Proof of land ownership(Tax bill,deed,or letter from owner permitting tests)
2. Plot plan
3. Fee of 4S 25.00 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
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 YVfffe Below liisLine
N.A.Conservation Commission Approval:
Date Received: Check Amount: Check pate:
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DelleChiaie, Pamela
From: Lisa LeVasseur[lisal @millriverconsulting.com]
Sent: Tuesday, August 30, 2005 11:02 AM
To: Sawyer, Susan; amcbrearty @millriverconsulting.com; DelleChiaie, Pamela;
dano @millriverconsulting.com
Subject: 42 Olympic Lane
Lisa LeVasseur
Mill River Consulting
Your Complete Source for Onslte Wasteivater Management
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
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9/2/2005
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