HomeMy WebLinkAboutSoil Testing Results - 135 RALEIGH TAVERN LANE 7/27/1999 BOARD F HEALTH TEL. 688-9540
NORTH V tl 01845
APPLICATION IL TESTS
DATE: 2_1 — C
LOCATION OF SOIL TESTS: P,
Assessor's map & parcel number: t e"7 A
OWNER:,IOAv%vi t ��IL,> `AOTEL. NO.:
ADDRESS: 1 r -1 _ , 1L'
ENGINEER: ° ` TEL. NO.: 411
CERTIFIED SOIL EVALUATOR:
Inten land: idential subdivision, single family home, commercial
R air stir Undeveloped lot testing
N. A. Conservation Commission Approval:
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$275.00 per lot for new construction. This covers the minimum two deep holes
and two percolation tests required for each disposal area. Fee of$75.00 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 SOH 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 evaluat;or, forms shall be submitted.
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DATE:
LOCAT1ON:
EN G I N E EF,
FE;,COL�T 1004 TEST
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T iME OF ECA.K: _ Q less, 15 m irwes Icrc`
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Town of North Andover, Massachusetts Form No. 1
01 NORTH BOARD OF HEALTH
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APPLICATION FOR SITE TESTING/INSPECTION
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Applicant
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NAME ADDRESS- TELEPHONE
Site Location
Engineer �TELEPHINE NAME ADDRE
Test/Inspection Date and Time j-'�%ct3
CHAIRMAN, BOARD OF HEALTH
Fee - Test No.
S.S. Permit No. , D.W.C. No. C.C. Date Plbg. Permit No.