HomeMy WebLinkAboutSoil Testing Results - 980 FOREST STREET 12/3/2007 [l N {}F N(}RT [yV
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NO�rH �ND�VER� k0�G�\CMU��T 0��
Pu�|ioHee|��D'ra�m S7�56�D 7� ��K DEC 0 3 2007
cT-OAIN F NORTH ANDOVER
HEALTH DEPARTMENT
APP APPL I CAT I ON FOR SO[L TESTS
DATE: MAP& PARCEL:
LOCAT|ONOF SOIL TESTS:
OWNER: Contact It
AFPLICANTi Contad
CERTIFIED SOIL EVALUATOR: YAW. P
Intended Use of Land: R 7 ial Subdivision SingleFamily Home Commercial
IsThis, Repair Testing: Undeveloped Lot Testing:_ Upgrade for Addition:
'n�ma������om�vv��m�' ,� No—
THE —
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Proof of land ownership(Tmx bill,or letter from owner permitting test)
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Fee of$&25l00 per lot for new construction, This covers the minimum two deep holes and
two percolation tests required for each disposal area. Feeof$360l0pev lot for repairs or upgrades.
GENERAL INFORMATION
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Only Certified Soil Evaluodoremay perform deep hole inspections.
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Only Mass.Registered 8anitariann and Professional Engineers can design seloftplans.
� 4J|east two deep hol es and two percol ati on tests are required for ea�septi c system disposal area
� Repai roroquireat least two deep hol es;and at|east one perou|etiontest,A the diooretionof the BOH
representative-
Full payment wiU bomqui red for al| additional tests vv|th|n two weeks ofhasting.
> Withi n 45 days of testi ng, a 93J ed 0 an(no smal I er than I�1 00-)shai I be submitted to the Board of Health
ahowing the|ooationof all tests(indudingaborted tests).
� VVi\hinSO days oftestingsoi| eva|uationfmmoahaUbeoubm|tted. |
Please no Not VVriie Below T his Lino |
N.A. Conservation Commission Approval-'Date:
vation Agent:
Date back to Health Depadn'&A: (stmmpin): »'
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PARKING 92.99'
SPACES r j .�- - N7D'28'1"f! 61r
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8Y CHRI&7/A115EN & SERGI ?ry
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