HomeMy WebLinkAboutMiscellaneous - Stonecleave & Duncan DriveF1
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DelleChiaie, Pamela
From: Marianne Peters[mpeters@millriverconsulting.com]
Sent: Friday, April 27, 2007 3:33 PM
To: Dan Ottenheimer; 'Lisa Kozel LeVasseur'; Marianne; Grant, Michele; DelleChiaie, Pamela; Sawyer,
Susan
Subject: Soil Results - Lots on Duncan Drive & Stonecleave
Attached please find the soil results for the lots done on April 23rd at Duncan & Stonecleave.
Please call if you have any questions,
Marianne Peters
Mill River Consulting
2 Blackburn Center
Gloucester, MA 01930
978-282-0014 ph
978-282-0012 N
www.millriverco.n.sultin_g.com
4/27/2007
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North Andover Health Department
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA 01845
978.688.9540 - Phone
978.688.8476 — Fax
healthdept(&-townofnorthandover.com - E-mail
www.townofnorthandover.com - Website
Letter of Transmittal
Page % of
Tfj
T0: DANIEL OTTENHEIMER
DATE:L/ .11e
COMPANY: MILL RIVER CONSULTING
FROM: Pamela DelleChiaie, Health Department Assistant
Phone: 1.800.377.3044 or 978.282.0014
Re:
Fax: 978.282.0012
We are sending you: �oflkstApp/ication
These are transmitted as checked below:
0 A Required 0 A Requested
O Plans for IPeview O Other
REMARKS:
COPY TO: Homeowner
Fax #
Or
Mailed
COPY TO:
Fax #
Or
Mailed
Fax #
CO T0:
Or
Mailed
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES 2
:HEALTH DEPARTMENT
1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 'oa;
NORTH ANDOVER, MASSACHUSETTS 01845 �'ssCHU
Susan Y. Sawyer, REHS, RS 978.688.9540 — Phone
Public Health Director 978.688.8476 — FAX
bcalthdept@townofnorthandover.com
www.townofnorthandover.com
APPLICATION FOR SOIL TESTS
DATE: APEUL 3. 2CO7 MAP & PARCEL:
LOCATION OF SOIL TESTS: S"t'ON8G1.Ef�V�E wJp-V t DVtVCA44 LJr.1Ve
OWNER: _%LQA•1 F— A%0"AS Contact#: 31b, 686.2438
APPLICANT: a� W V.F— % •.& Contact #: 518 , b'S 6 . 24 3Z
ADDRESS: I Ie� SALEM Sr.I�I01Q`"([ j b -.y-4 a q a %L . AN
ENGINEER: CtAtmo-a-1-bei 1 S i . IK)LContact #: 9?8 .3?3. 0'3 %o
CERTIFIED SOIL EVALUATOR: "r*'11 C b. -PA+ CN 1 e -U I
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
No
➢ Proof of land ownership (Tax bill, or letter from owner permitting test)
➢ &511 x 11 "Plat Plan_A Location _ooffudng In_lease indicate test Pit sites on the Plan
➢ Fee of $425.00 per lot for new construction. This covers the 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: �� 1 RECEIVED
Signature of Conservation Agent: &9L18 2007
Date back to Health Department: (stamp in):
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SCALE: 1 "=200'
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Town of North Andover
•,,,,o..°� HEALTH DEPARTMENT
x"34 Us°t
CHECK DATE:
LOCATION:.. �,V/y ex%�e
H/O NAM
CONTRACTOR NAME:
Type of Permit or License: (Check box,)
❑ Animal $
❑
Body Art Establishment
$
❑
Body Art Practitioner
$
❑
Dumpster
$
❑
Food Service - Type:
$
❑
Funeral Directors
$
❑
Massage Establishment
$
❑
Massage Practice
$
❑
Offal (Septic) Hauler
$
❑
Recreational Camp
$
❑
Sun tanning
$
❑
Swimming Pool
$
❑
Tobacco
$
❑
Trash/Solid Waste Hauler
$
❑
Well Construction
$
SEPTIC Sustems:
0,,.o 5eptic - Soil Testing $�,
❑
Septic - Design Approval
$
❑
Septic Disposal Works Construction (DWC)
$
❑
Septic Disposal Works Installers (DWI)
$
❑
Title 5 Inspector
$
❑
Title 5 Report
$
❑ Other: (Indicate) $
2373
Health Agent Initials
White - Applicant Yellow - Health Pink - Treasurer
J)(J,N(-l+-),j- )b Z\\,, --E
TRANSMISSION VERIFICATION REPORT
TIME
04/0612007 13:35
NAME
HEALTH
FAX
9786888476
TEL
9786888476
SER.#
000B4J120960
DATE DIME
04106 13:33
FAX NO./NAME
819782820012
DURATION
00:01:24
PAGE{S}
06
RESULT
OK
MODE
STANDARD
ECM
North Andover Health De artment
1600 Osgood Street
Building 20, Suite 2.36
North Andover, MA 01845
978.688.9540 , Phone
978.688,8476 —Fox
bealtbdepl@townofoorthandover.com - E-mail
www.toweofnorthand- Website
Lotter of Transmittal
Page ... t of
04 4
TO: DANIEL OTTENHEIMER
DATE: 1�
7A/C7Q
COMPANY: MILL RIVER CONSULTING
FROM: Pameila De#ieC lois, Health Department AWstant
14
Phone: 1.800.377.3044 or 978.282.0014
Re:
Fax: 978,282.0012
We are seadinyou: 47, �blfrest Application
These are transmitted as checked below -
0 As
elow:
❑As Required
Homeowner
❑ As Requested
Or
Q Plans for Review 0 Other
i
North Andover Health Department
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA 01845
978.688.9540 - Phone
978.688.8476 — Fax
healthdept(yitownofnorthandover.com - E-mail
www.townofnorthandover.com - Website
Letter of Transmittal
Page % of
tAORTfi q
Q ,I.fuzo 16y
y_ cxwwwewww , �•
T0: DANIEL OTTENHEIMER
DATE: L/
/./ le 7
COMPANY: MILL RIVER CONSULTING
FROM: Pamela DelleChiaie, Health Department Assistant
Phone: 1.800.377.3044 or 978.282.0014
Re:
Fax: 978.282.0012
We are sendingyou.- oil Test Application
Y PP
These are transmitted as checked below:
0 A Required []As Requested
O Plans for Review O Other
REMARKS:
COPY TO: Homeowner
Fax #
Or
Mailed
COPY TO:
Fax #
Or
Mailed
Fax #
COPY TO:
Or
Mailed
TOWN OF NORTH ANDOVER
Office of COMMUNITY DEVELOPMENT AND SERVICES
a°RTH
HEALTH DEPARTMENT
F
` .. p
1600 OSGOOD STREET; BUILDING 20; SUITE 2-36
"� =
NORTH ANDOVER, MASSACHUSETTS 01845
�4 SACHUS
Susan Y. Sawyer, RENS, RS 978.688.9540 - Phone
Public Health Director 978.688.8476 - FAX
healthdept@townofhorthandover.com
www.townofnorthandover.com
APPLICATION FOR SOIL TESTS
DATE: AQQ1 L Zob% MAP &PARCEL: I O X13 / :3`J. 4� 14
LOCATION OF SOIL TESTS: S'fONtEGLEPk-V� RCO!6.0 E j)ut-4(.A-tA r—)YaVE
OWNER: BLP-. E A C*4As Contact #: 5115, 61BG . 24 3 b
APPLICANT: Buux 1E Contact #: 518 .x,5(c,. 24 3Z
ADDRESS: 16M ►.iogmA is l4=x a y- 4N
ENGINEER: CVAUtsri"4-bFn-1 1 5 � . Ik)Lcontact #: 976 .3?3. 0310
CERTIFIED SOIL EVALUATOR: 1by—iY (y e..F�a• GN I ��
Intended Use of Land: Residential Su division -j Single Family Home 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 M"Plot plan & Location of Testinz (please indicate test nit sites on the plan)
➢ Fee of $425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of3$ 60.00 per lot for repairs or uverades.
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:
Signature of Conservation Agent.
Date back to Health Department: (stamp in):
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T -Z
OQQ22
Y
f
i
1
i 1
O 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
' 1
PROPOSED `
TEST AREA
(TYP.) O
1
1 L
1
1
J
1
1
t
1
1
1
SCALE: 1 "=200'