HomeMy WebLinkAboutSoil Testing Results - 94 BOXFORD STREET 5/18/2005 BOARD OF HEALTH
NORTH ANDOVE R, MASS. 01845
978-688-9540
APPLICATION FOR SOIL TESTS
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LOCATION OF SOIL TESTS:
OWNER: .h l\5I 'r 4U l A Dt°l 1 TEL,NO.• 9 7e -t-8 3 " `�2 V y
ADDRESS: CN i1�,-oX Es" �t
ENGINEER: &W 1� wC� N iEr Lt � TEL.NO.: q .7 69 0&`
CERTIFIED SOIL EVALUATOR: w iWk I M t, 09 WO h. �re—
Intended use of land: Residential Subdivision Ingle Family Home, Commerciale
Is This:
Repair testing x Undeveloped lot testing Upgrade for addition
In the Lake Cochichewick Watershed? Yes No
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$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
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.
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N.A.Conservation Commission Approval, . m - ':
Date Received: Check Amount: Check Date:
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Page I of I
DelleChiaie, Pamela
From: Lisa LeVasseur[lisal@millriverconsulting.com]
Sent: Thursday, May 26, 2005 11:39 AM
To: Sawyer, Susan; amcbrearty@millriverconsulting.com; DelleChiaie, Pamela;
dano@miliriverconsulting.com
Subject: Many soil tests
Soil tests have been scheduled for the following places, dates, and times:
June 7: 43 Candlestick Road 9:00
June 8: 94 Boxford Street AND 1312 Salem Street Starting at 9:00
June 16: 1503 Osgood Street 9:00
June 21: Lot 14 Laconia Circle 9:00
Lisa LeVasseur
Mill River Consulting
Your Complete Source far Onsite Wastewater Management
2 Blackburn Center
Gloucester, MA 01930-2259
978-282-0014 or 1-800-377-3044
fax: 978-282-0012
WWNV I RI i I Iri verconsulting.coin
7/5/2005