HomeMy WebLinkAboutSoil Testing Results - 851 FOREST STREET 11/20/2017 6'
RECEIVED TOWN OF NORTH ANDOVER
et r€t trt ' &Economic Development
HEALTH DEPARTMENT
120 Mainn Street t
TOWN CSE NORTH ANDOVER NORTH ANDOVER, MASSACHUSE"l."I"S 01845 �
HEALTH DEpAR,TMENT
978.688.9540-- Plnone
978.688.9542--FAX
hcaitlndept�ir},northasrdov€�-rntr.,vov -
C� n o .'iv �NivNv.nortliandoves-ina.gov
APPLIC'ATION FOR SOIL TESTS
OA"t'F: November 1, 2017 MAP&PARCEL: 105/162
LOCA'T'ION OF SOIL TESTS. east side of pr°ke�y
OVkNER: L. De Oliveira Contact 11:
AI�f LICA 11`t`: Contact#:
ADDRESS: 851 Forest Street
ENGINEER: James Kavanaugh _ Contact 4: 978-375-9781
CERTIFIED SOIL EVA UATOR: James Kavanaugh No.13253 W � csW'c�.✓�;���� r �� � � �,,
intended Use of Land: R€sid€nti:al Subdivision Single Family Hoene Commercial
Is This: Repair Testing; yes Undeveloped Lot Testing: Upgrade for Addition:
In the€Lake Cochichewick Watershed? Yes No x
`I'I-II+,FOLLOWING MUST BE INCLUDED WITH THIS FORM
1, Proof of land ownership(Tax'bill,or letter fi•om.owner permitting test)
> E.s"x<1"Plot pl€err J;Location of Testing(tjtease iaerficale test test situs oil 11te laan),
Fee ofs585.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each.disposal area.'Fee of$440.00 per lot for repairs or upgr2des.
GENERAL INFORMATION
Only Certified Soil Evaluators may perform deep hale inspections.
> Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
x 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,atthe discretion of the BOH
representative.
Full payment will be required for all additional tests within two weeks of testing.
> 1hlithin Els days of testing,a scaled plan(no smaller than t"-100')shall be submitted to erne'Board of Health
showing the location of all tests(including aborted tests).
>f Within 60 days of te,stlrng soil evaluation forms dealt be submitted.
Ptease Do Not`'rite Below This Line
X.A. �.:onseruatfon Commission Approval Date
Signature of Corrset-VaiiojrAgerrt: � �� `ate
Date 5aek to Health D&parhnerrt: (stamp in):
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09,86
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