HomeMy WebLinkAboutSoil Testing Results - 236 SUMMER STREET 8/14/1998 t40ffTh
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BOARD OF HEALTH
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1+6 MAN STREET TEL. 688-9 540
CHUS NORTH ANDOVER, MASS. 01845
APPLICATION FOR SOIL TESTS
DATE:
LOCATION OF SOIL TESTS:
Assessor's map & parcel number:
OWNER ' TEL. NO.:
W;�J-x
ADDRESS: )y oVie ,,svi
ENGINEER: TEL. NO.:
CERTIFIED SOIL EVALUATOR:
Inte!ndp!d use of land: residential subdivision, single family home, commercial
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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 $175.00 per lot for new construction. This covers rsthe two de' ep-holes
and two percolation tests required for each jot.11 lFee of $75.00 per lot for
repairs or upgrades. kf
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,
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 V-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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LOCATION:
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607-i OM DEPTH OF PERC TEST:
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