HomeMy WebLinkAboutSoil Testing Results - 456 SUMMER STREET 7/16/2007 TOWN OF NORTH ANDOVER woaT
Of ,4dP Id^ti
Office of COMMUNITY DEVELOPMENT AND SERVICES ?
HEALTH DEPARTMENT
°
1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 "�° •_x,, • �''
NORTH ANDOVER, MASSACHUSETTS 01845 `SS��HUSs�
Susan Y.Sawyer,REHS,RS 978.688.9540—Phone
Public Health Director 978.688.8476—FAX
healthdept@townofnorthaiidover.com
www.townoffiorthandover.com
ArP ICATION FOR SOI TESTS
DA V6 MAP&PARCEL: L07,
/
'- -r LOCATION OF SOIL TESTS: V66 14 i r
OWNER: p -f of1� Contact#: � , 2,3
APPLICANT: Contact#: �')w-—
�111q' -1
ADDRESS: ` y
ENGINEER: l �i / /C H C COfd l') Contact#: jr t y U�f
CERTIFIED SOIL EVALUATOR: ec. l
Intended Use of Land: Residential Subdivision Single Family Ham 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 Il"Plot elan&Location of Testinz(please indicate test pit sites on the plan)
Fee of$425 00 the er lot for new construction. This covers t• —_
p 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
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.
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. Conservation Commission Approval Date., 4
Signature of Conservation Agent:
Date back to Health Department: (stamp in): - �
Commonwealth of Massachusetts
1 = U .
t r
Subsurface Sewage Disposal System FoIr - bot
for Voluntary AsseSSITients Title i l InspeG tion
` tIP`
456 S1.1111 per St. North Andover _.....__
Property Address
Otis
Ownel Ownec's Name
rnformec7c� for is N. Andover MA 018�45 5/8/0'
ruiredfor _ . . - .. _ _...._..- ..... __ _....._ .._.__ _ ---...
(-,very page. Cltytf own State Zip Cade Date of Inspection
- —_ ------.,-_, ._._ ___._-_.,-._,.,__._
D. System Information ((song.)
Sketch Of Sewage, Disposal System: Provide a sketch of the sewage disposal system incl ding ties
to at least two permanent: reference landmarks or benchmarks. Locate all wells within 100 eet.
Locate where public water supply enters the building.
t�
l l'
k fl
r..
`7
c; '
Q.11 0
Ithe comptAu tcnni doe-0810C1 'title`"'. ,I Inspxu.liPn...r,aen� Suk�surface,Sewage Disposal S'yslerrt-Pape 1<1 of 15
1'01.12007 09: 54 9786949155 ,JM A:_OCIATE FADE 0213'
Office / {�� T+rtO7NqV�pN7+�O i`�l O`IR'�p'�/:—��71y�g�DO y�s ER y [�! y
of Rv�l.?!F1}ti'1�,1i I l i� DE ELVrlr-CI;�N1 h1NI) ERVICES
� p
HEALTH Tl TaP1.1.R.T:WNT
1644 OSGOOD STREET; AUILDING 20; SUITE 2-36
�EC?R_T>l ANDOVER, M .( 1 l
S i 1 .TTS fl14 �3�
Susan Y.Sawyer,REIN..RS 978.688.9540- Plione
Niibiic I1e:41111 Director 978.6".8476 FAX
Ilea[-_.�th��tn�vnt�f,�arth;7siclover.coni
�vww.t{}�vitc�fs�ar[liandovcr.orrirt
APPLICATION FOP.SOIL TESTS
LATE:
X10, lnday�r'
LU(;A'E'lan ur1•SOIL TE �
OWNER. ��7P-t' Dir
APPLICANT, f'� � t��bs e ill contact#: 071? --
ADDPtS8. 1. �ro �5�.�-� 1 N1 e h 0-cm , H
CERTII~IED SOIL EVALUATOR, Q
intetlded Use of Lend: Residential Subdivision Single Family Hans Commercial
is uftis: Repair Testing: V Undev0LVprd Lot Timthig; Upgrade for Addldons_
In the Lake Cochiohewick Watershed? Yes- .---..._., No V/
TH.E FOLLOWING MUST BE fNCLUDED WITH THIS FORM
> Proof of laud ownership(Tax bill,or letter from owner permitting test)
.S11 gLan r indkok faf.yudigy I
> Fvr wt SilLoo por m for ga ccrostmetion. Thia ouvom the ininimu n'two dftT holom and
two Wcolation tests squired for each dismal area. Fee of LMO.0 per Eat fax r0��ar,HpMe�•
GENERAL INFORMATION
> Only Certifier{Soil Evaluators may pertonn deep lisle inspections.
> Only Mass.registered Sesiitarians slid Professional Engiive-ers can design septic plans.
> At least t"deep holes and two percolation tests are required for each mastic system disposal area_
if Repairs require at least two,deep holes and at least one percolation test,a the discretion of tiro 801
reprantative.
D Full pctymwt will he rNuimd for all additional tests within two weeks of teswig,
r> Within 45 clays of testing,a scaled plan(no smaller tho 1"-100')shall be submitted to the S4wd of Health
showing the location of all tests(ilicluding aborted tests).
> Within 60 days of testing$oil evsiltFstif)u forms shnil be,,QnhYnitted.
Please N Not Write Below This Line
N.A. Conservation Cotrusdsslon Approval Dater—• � �
Si'gmare of omsmwfion A dgp4
Date back to Health Lepart men t: (stamp ire):
vu
fops AWfl. l� s,�s�m KIDA 0 NA
Page 1 of 1
DelleChiaie, Pamela
From: Marianne Peters [mpeters @millriverconsulting.com]
Sent: Thursday, June 28, 2007 4:40 PM
To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer,
Susan
Subject: Soil results for 456 Summer Street
Soil results for 456 Summer Street, done today, June 28, are attached.
Please call if questions.
Marianne Peters
Mill River Consulting
2 Blackburn Center
Gloucester, MA 01930
978-282-0014 ph
978-282-0012 fx
www._mil Iriverconsulting.com
i
7/16/2007
k
�~ Nly ` r
9 f
th
i
/ 3
x
Nl-
CAL IS L PL
5 ♦.J
-f°
.. 7:: _. - - -"A41,
Commonwealth of Massachusetts
Fitts 5 Official Inspection For
Subsurface Sewage Disposal System Fowm Not for Voluntary Assessments
456 SLIMMer St, North Andover
Property Address
Otis
_.......____-.--.---_._..__.._.._.......__..___..._.__.--- _.._...._.___.....__...__..---------.----_._.__
Owner Owner's fVame
r"- uir
information is Andover MA 01845 51$107
eyuired for _... .
every page. City/Town State Zip Code Date of Inspection
D. System Information (cunt.)
Sketch Of Sewage Disposal System: Provide a sketch of the sewage disposal system incl ding ties
to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 eet.
Locate where public water supply enters the building.
r
J —
� s
•yd[�- ..,�` ,-.,:_,,._._ --. -'T;may
`K�
LU:f
Tp!!t.6 rnrnpWer lofrn dnr !78lOfi 'Title.5 ��cm. ubsurrace Sewage Disposal System•Page 14 or i5
FISCAL 'S'�AR. 2007 REAL ESTATE
T�1X X311,1 BILL 1VlItlfl�itRi 18156
iOWNO N0IZRIANDOVER
I':G:130X 124 TI f E(:'0M M0N WT>AJ A T I OF M ASSACI€1 TSE fT:S
NORTH ANDOVER.,MA 01845 TOWN 01,NORTH ANDOVT)2
M-17 8:30-4:31€ nl7nsna€s
TAX OXF-4550/ASSR 688-9566
K'ax Unpaid message
Tax Map No-210-107.A-0076-0000.0 I ml 1m:1allnte111- $0.00 €'loam-use the cnrlclsed€ockhox envelope to expedite your
I.e3satinn: 456 SUMMER STREEIT 2nd €nsWllrncnt: X3€).00 payment. This will assist us in proemsingyour payment more
Deed/l.el;al : Dook 3123 Page 344 3rd€ns€tillrncnt :130.00 efficiently.
Land Area: 1.03 Acres 41h Installment $1,22133 The office ol'lhc Tax Collector is located at 120 Main Strcct,
1s:.;• �l i
4TH PAVMFNI'RECEIPT VOUCHER
OTIS,11 CLARK
h5 Paymetlt due by May 01,2007
ELEANOR M OTIS I- '' A1170(ll7t Now Due: $ 1°,221.33
456 SUMMER S'1'RE]fa'1
NORTH A.NDONTElk,ASIA
. -.,•II'-}+I�'.}, 13:isrd upon asw;csnicnie n,.r,l San.Oi.7.;taG ym:r Rcal fasSair,lax fm'the fiscal year
01845 rxmm mrs�ry;luiy ill,2001,a cuJiug na limo 30,2(1(17 np the desc:ihc,€propCTly kx;lnw is
iSl4:r1
,.41MH3,:lfv/471. - 0 41.705❑X1852❑07❑U000 UUOO OL1❑DO❑❑DO❑❑0 1000181�r56 000000122133049