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HomeMy WebLinkAboutMiscellaneous - 59 ROCKY BROOK ROAD 4/30/2018 (36) 3to .;s y - " BOARD .OF gIfk EALTH t, 'a i.. F NORTH ANDOVER, MASS. 01-§45 .. -. 978-688-9540 T O2� t 2 t APPLICATION FOR -SOIL TE S .. DATE . MAP&PARCEL: 11-1 !10A J r-LOCATIONOF SOIL.'TESTS �� l `i 4 -_ OWNER CSO tP i' t =�Ct�e.n9 i\i� 1 [tel EL.L TEL NOS 1d �trh ' 4r 5 4 L5{t A n 7 s` t x '� a 'Lh � s��}}tty��/c'1as�r��r,,.n s • -c syn }}� �-+r� k t t siv,P. d t l¢ � ,y ,ADDRESS ('y#`G/+ GG r r s a a r�zsS`'"l'�. 4`5 ! .k .. 4 ,^ti "• ��, Y ;M. 4�, •+ �s vs �+�r�1 4 z ,`", `'4 'tx a, c hkr �x'Rx'� S `' x a k.t t b > d xe ciL:a �� t�l� y4 7CI}� � � CERA D SOILS - rIntended�use of;and., Kestdenrial�Sulitivi�ion=` r.�� r�'• ' �` `� ��� ��`��� �'��� ��� ,, y � � m le:Fanu1 ,Home��a Commercral� r ��� _< � .. ,',{ •::4� �' fir.,i'$` ti `. 1'" ' � s w - 1z ,,•� " - y1et.S�' M� � �-,; ,y. ,: a° Repaitr testig f, >�Undeuelopecl lot teshrig� "} iJpgrad ftiaddttion �r, s� v , z ¢ sy"c ,,,, `� ..,Ps., ,.�. i .tir�'. ii - s �"'st i e a _ In theLake CochichewiclC,Wdtershed� �.r. esk �, � xF# z t� r h ti vy L-2w y .x -: .s•4 t'!'`t�4x 9.i^` , ,, `4 i J w s,e_tF ik t x 5' t. 3ea a r qa� THE FOLLOWIN G.IVIUST BE INCLUDED WITH THIS FORM r,.fi Proof of land ownership(Tax bill,deed,.or letter from owner pernuttm tests) 2 Plot plan g 1 3. Fee 4W5.00-per"1'ot for:new construction. This covers the minimum two deep holes and two percolation tests reguired'for each disposal area. Fee of$360,.6 per.lot for repairs or up``grades. GENERAL INFORNATION qA y ., .. ,. t, I Only Cerh�e�d Soil'1✓vp ua. g may perform deep hole mspecrions ia' �'��i` 'k�'R'�gym, z I'�,�":'1"`k 2 .� 4�, '�`t�f tom.x x �iS,.�,4 f,..- 2 On1y�Mass a st red 5anitananSandtProfesasional E3tgmeers can design septic'=plans L� R '&.(?:v �iv$ `"X• Ms+•-^`kf' 3 T .k u , 'z TMj2,�5 #�, r. ta �„ "Y'ry c d k3 At leastwo deep holes�and�two pe�rcola nests are�requ fed for ea�cl��'septicsystem dts bosal a_rea >r T1 ' ,_+a M,i.: :y. r dry' ., a � x p.. �,a p. -,kyY s t t t 4 Repaugs regmre�at least tvs,vb dee,,holes and at least one erc lahon t stgli theedi cr;do �ofet ,e: ©H.;re resentat(ve. -: dud".,,vmY1" �'. w..3*` 3+�.x4a?K. Cp GTe fir:' ��, �`jna!r� $ iF £-xtT ' th 1a. 5 Full payment Il be required for all additional tests within two weeks of�testmgy x' ;x � > R �6 �T✓ithm 45 days of test(ng a scaled plan(no smaller than;l" 100')fshall be subrtutted`.to.the'Board ofcHeal` sem., ;3;x, X d: '' x+ zs_ r tx a. ::&'3 '' LuNnowingprtlle,. lacat(on offal utesW(including aborted tests) W a 3r as Ottr a js e: Rry # }..;7 W. t `f> '' Z-` `�, `+ -; .,�y ` i -�:-;� ythm�o0 days4oftesung;soii evaluat(oniforms shall besubrrutted:" '� .%4 Wa,. + .;.wy 3' `w.�w wr''s- ..' r,•,,," £ ": ; dams , 2 �,,:r '� xwx 011 �w k ..a:PleaSe`DO'1\Ot"iWnte Below ThisIn fF�+�' s_i. L�`i�� • r '� 3NLd1a, • ACot�iservat�on}Comnussion3Approval § y, ,,DatepReceived. Check)mount: Check Date:` } Ta't�3 / NOV 6 2003 y c _ i� - ,. a 2. �y� a .,�_�a t•��~, 4 u:`-a � f �rY -„� {