HomeMy WebLinkAboutSoil Testing Results - 99 RALEIGH TAVERN LANE 7/14/2004 BOARD OF HEALTH
NORTH ANDOVER� MASS. 01845
978-688-9540
APPI,ICATTON FO SOIL TESTS
DATE: MAP &PARCEL: I C)
LOCATION OF SOIL TESTS:
OWNER: f Kt
TEL. NO.:
ADDRESS:
ENGINEER: i' l iA° ,' hk TEL.NO.:_ �i
CERTIFIED SOIL EVALUATOR:
Intended use of land: Residential Subdivision Single F a mily H.ome Commercial
Is This:
Repair testing —.X Undeveloped lot testing Upgrade for addition
In the Lake Cochichewick Watershed? Yes — No V I
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.
Please Do Nat Write Bel w This Line
N.A.Conservation Commission Approval:.
Date Received: Check Amount: Check Date:
f t . . BR119a
+ MA/1ACNU/aR/QUITCLA114 D110/NOM FOAM.(INDIVIDUALI not
V
! we, Robert F. Miller and Mary Kay Miller, husband and wife, both
203
Of North Andover, Essex County, usach
+
4 useu.
being XNnarried,for eontideracloo paid,and Lr fuu consideration of $51,500.00
I
grantsto R. Dennis Dionne and Mary Dionne, husband and wife, as /
Joint tenants
of 99 Raleigh Tavern Lane, said North Andover
with quitclaim rnucnpula
' t Sl'R>fOl'S�t19c
p (DeudpUoa and enevmbfmm,If mr1 t '
I( A certain parcel of land with the buildings thereon situated in North
�• Andover, Essex County, Massachun ta, being shown as Lot No. 28 on a I
plan of Land entitled; "Definitiet Plan 'Raleigh Tavern Estates' 1
North Andover, Massachusetts, Owner, Old North Andover Realty Trust,
1 i Engineer, Hayes Engineering, Inc.,, dated May 15, 1968 and recorded d
�I in North Essex Registry of Deeds as Plan No. 5913, said lot being
. more particularly bounded and described as followa:
tJi
NORTHEASTERLY by Raleigh Tavern Lane (North) in two courses,
4 One hundred twenty-two and 59/100. (122.59) feet and
twenty-seven and 41/100 (27.41) feet; j
! NORTHWESTERLY by Lot No. 29, two hundred ae.vanty-one and 58/100
(271.58) feet;
! SOUTHERLY in three vourses by land of Old North Andover Realty
Trust Lot No. 33 and Lot No. 34, one hundred fourteen
! and 05/100.(114.05) feet, ninety-eight and 66/100 _
j (98.66) feet and one hundred eighteen and 61/100
(118.51). feet; and
EASTERLY by Lot No. 27, two hundred twenty-five and 04/100
1 (225.04) feet.
All as appearing on said Plan and containing 57,294 square feet more
or less.
Thin conveyance is subject to any and all restrictions of record
1' insofar as the mama are now in force.and applicable. !
Being the same premises conveyed to us by deed of the said Robert
Fa Miller dated October 27, 1970 and recorded in North Essex Registry 1s
of Deeds in Book 1161 Page 581..
i Said premises are conveyed subject to taxes for the current year }
which the grantees assume and agree to pay.
i t T(luneoa..our..hand a and coals this.......16th.......day of •.....,.,May............. ..19.72.
! S ......................... .............r,.. .•./. .......,........................... II J
j 1111t(6autmouutralt4 of 0doond;unrtts 1'
Essex t1. May 16, 19 72
Then personally appeared the above named Robert F. Miller .
ad acknowledged the foreg
oing inlirumenr to be his free as and deed,bf(ore me � 1
_.._
Far nd A. 13ornerd'in�°
na
March 151....ii1i........ra'•75
1 �CYac
! My tnmmiidoa spina
Recorded May 18,1972 at 10:53AM #3786
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