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Home My WebLink AboutMiscellaneous - 1451 OSGOOD STREET 4/30/2018 1451 OSGOOD STREET / _ 210/034.0-0009-0000.0 Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH APPLICATION FOR SITE TESTING/INSPECTION -7TED�v �SSACHUS��h Applicant NAME ADDRESS TELEPHONE Site Location Engineer ' NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. -D.W.C. No. C.C. Date Plbg. Permit No. BILL DATE: 04/04/2000 MAKE PAYMENTS TO TOWN OF NORTH ANDOVER 19378 ,. .. BILL NUMBER TOWN OF NORTH ANDOVER 2000 WATER/SEWER BILL CYCLE #32 P.O. BOX 124 Account: 2120128 NO. ANDOVER MA 01845 Meter: 2120128 Service: 1451 OSGOOD ST KERRY A. 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NO.: 2 .. ADDRESS: e S Gd o r� ENGINEER: � S cora!�Z -.7-04/oA TEL.NO.: / 8 - 3/ 6 3 CERTIFIED SOIL EVALUATOR: �,� Intended Use of Land: Residential Subdivision Single Family Home Commercial 1 not iJS7 rY n� Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 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$75.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan(no smaller than 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approv VOL) i Date Received: Check Amount: Check Date: BOARD OF HEALTH NORTH ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS DATE: 1�3d p MAP &PARCEL: �� K6 LOCATION OF SOIL TESTS: 0 OWNER: rr_ C-c— d 6 fe-,-, TEL.NO.: 6 F,2 ^ 2 /? ,a y ADDRESS: —7 7 0 es 6o oe� ENGINEER: &`7 6-) ,S a10co W -.7—Ov-1olL TEL. NO.: A 9 ? — 3/ 63 CERTIFIED SOIL EVALUATOR: �r t d$ Intended Use of Land: Residential Subdivision Single Family Home Commercial g Y Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No L/ THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 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 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 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 evaluation forms shall be submitted. 0* Please Do Not Write Below This Line +1+� +Y N.A. Conservation Commission Approval: Date Received: Check Amount: Check Date: TON"1\ OF SYSTEM PUMPING RECORD ° DATE: SYSTEM OWNER& ADDRESS SYSTEM LOCATION (example:left front of house) DATE OF PUMPING: QUANTITY PUMPED : GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAII4) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED To: G.L.S.D Lowell Waste _ .. Z t ^rr — �'� � /; Z - ( v ' V�'QI , O - 'moi' " LT� '� � 59 Ztc-w O 01 00( iex_x j I I�� $,: I I ✓ i I �� 11' i I '—.—. L �I .r,✓ Z� .. j— %tr J -z2 yi N C I I I I ! S i I I ; I __ —S ,� S`r a? X71 Z � I j I � r �. --------------- ' Q1i3Mf, ( t I �� i I I I i � I � _. .� .. �.. ...___. i � "7 7�� -G 4.'� �' ✓ i � --•--�— ' ' I j ,.. ' I �f,J(�/�/ 'i I/ "%.-" ' ��' v1'� ��ib—c—F 5��j' On Iwo w 17 1•,ib�r`,✓��S d EO-9/.•/� `I� �fi(tC;jrD '/�'�i/ O N Nov-17-00 11 :30A Paul D. Turbide, PE/PLS 978-465-0313 P.01 Facsimile Cover Sheet To: SANDRA STARR Company: NORTH ANDOVER BOH Phone: 978-688-9540 Fax: 978-688-9542 From: Paul D. Turbide Company: Port Engineering Associates, Inc. Phone: (978) 465-8594 Fax: (978) 465-0313 Date November 16, 2000 Pages Including This Cover Page: 2 Comments: Sandy, Attached are field book notes for the soil evaluation at: 1451 Osgood Street amour deep hole observations and two perc tests were completed on November 16,2000 ORT Thanks, ENGIN�EflING Paul Turbide Civil Engineers& Land Surveyors One Harris Street Newburyport,MA 01950 (978)465-8594 Address (:�),6 c o o o Title of File Page of Date File Open: Date file closed:__ Doc Document/Action Title Date of defer to other Purpose of Document/Action and notes. T action Document{ document/ Num. Action Department Board of Appeals — Board of Health — Planning Board — Conservation Commission — Building Department