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HomeMy WebLinkAboutSoil Testing Results - 163 FARNUM STREET 5/18/2009 TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ENT 1600 OSGOOD STREET; BUILDING 20•f SUI'T'E 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 sSaCHUSk`` J Susan V. Sawyer,REIIS,RS 978.688.9540-Phone RECEIVED Public 11calth Director 978.688.8476-FAX heal thdept town fhoi-thanc over.com www.townofnorthandover.c m Y ,. 01 APPLICATION FOR SO TESTS TOWN OF NORTH"ANDOVER HEALTH DEPARTMENT DATE: - MAP&PARCEL: 1 07 ,A / -T LOCATION OF SOIL TESTS: �/ t'in"Ll P1 4/7TO O WNER:CAA-TrV r 17420a�f F,- AQ V�Jdomact#:(q 70 - `T-t�;e+ APPLICANT:A.-l`W, y,)A. A Contact#; ADDRESS: PO RCC 10 Pa-9 CO, HA, 12 t � ENGINEER; M� ACJ-G 10 W , Contact#: A1 or CERTIFIED SOIL EVALUATOR; 07j Li— anl--Ye ' fit? M 7P>, Intended Use of Land: Residential Subdivision aSinglmily Hom Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No ✓ THE FOLLOWING MUST BE INCLUDED WITH THIS FORM > Proof of land ownership(Tax bill,or letter from owner permitting test) 8.5"x 11"Plot plan&Location of Testing(please indicate test oil cites on the plan) A 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 Y Only Certified Soil Evaluators may perform deep hole inspections. > Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. Y Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. > Full payment will be required for all additional tests within two weeks of testing. > 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). > Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Copse... . _.... ...._,_ ....__ � rvation Commission Approval Date: r r . E Signature of Conservation Agent: �" "f V .r w Date back to Health Department: (stamp in): � / ✓ OWN OF a �:A egaM ,.:f t: 1 y r ?-44fr�sh(, f51tr.' }FlYr f.,'rsrn�` .hs tr�E`x t}7 t1y �,nr Jl^tirr'' aY '�Crfr x Y ( h t - - z t 1(• 7j prla S"St v t>� y ,1�,i�r`t` '{; ��rJ' 1 FR ,fit. k f S;(..Ur�.,z rr� nr...' au 15ia.: kt r rJ`r r tl`2 F.F° r S )s S, as,c a1:tl +7 y i Q t 4. >+} ,1't 1,­',d: \k G ! ',", '1 Li nfrso j qr ✓ji 1. �� i' ,+ I'jr vSv Sv;>-�+- 'S L ti �-,,.,.5'i elleChiaie, Pamela UUMINIM Frown: Marianne Peters [mpeters @miliriverconsulting.com] Sent: Thursday, June 04, 2009 10:39 AM To: DelleChiaie, Pamela; Sawyer, Susan; Grant, Michele Cc: 'Randy Burley'; 'Isaac Rowe'; dano @miliriverconsulting.com Subject: Soil Bval: 163 Farnum St scheduled for Thu/June 11th at 9:30 a.m. Soil Evaluation for 163 Farnum Street with Bill Dufresne has been scheduled for 6/11 at 9:30 a.m. (We were available sooner on the 9th and 10th, but Bill had commitments on those dates). Please call if you have questions. t t � m�t- cLLolluultirti Marianne Peters Office Manager Mill River Consulting, Inc. 2 Blackburn Center Gloucester, MA 01930-2268 ph: 978-282-0014 or 1-800-377-3044 fax: 978-282-0012 www.millriverconsultin .com meters millriverconsultin� com i elleChiaie, Pamela From: Isaac Rowe [irowe @millriverconsulting.com] Sent: Friday, June 12, 2009 8:12 AM To: 'Daniel Ottenheimer'; Grant, Michele; irowe @millriverconsulting.com; 'Marianne Peters'; DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan Subject: 163 Farnum Street Attachments: Soil Testing Results 163 Farnum Street 6-11-09.pdf Susan, Please find attached soil testing results for the above referenced property. Upgrade of an existing failed system. Please let me know if you have any questions. Thank you, Isaac Isaac A Rowe,R.S. Project Manager Mill ivei- Consulting 2 Blackburn Center 1 t t � O -14 zo �.L ; i016 ~l 4 M f- 7 CZ Z,sY-la F 74- 12, t. 16:47- 1 y