HomeMy WebLinkAbout- Soil Testing Results - 2198 TURNPIKE STREET 9/6/2018 TOWN OF NORTH ANDOVERDry/I/, �/r ,,r`.
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HEALTH ]DEPARTMENT
,. � 1.20 Mainn Street
" NC1I2-rl-1 ANDOVER, MASSACHUSET'T'S 01845
978.688,9540 Phone
978.688.9542—FAX
Ilealtil(tept@noilliaiidovei-nia.gov
nortliandovea•nia.gov
www.tiotillandoverma.gov
APPLICATION FOR SOIL TESTS
DATE: May 23, 2017 MAP&PARCEL: Map 1080 Parcel 6
LOCATION OF SOIL TESTS: 2198 Turnpike St., (roar yard)
OWNER: Jorge Solano Contact#: 978-857-4313
APPLICANT: Same Contact#:
ADDRESS: 2198 Turnpike St., North Andover, Ma 01845
ENGINEER: JM Associates Contact#: 978-664-6668
CERTIFIED SOIL EVALUATOR: Thomas Hector/Jack McQuilkin, P.E.
Intended Use of Land: Residential Subdivision Commercial
Is This: RepairTesting: X Undeveloped Lot Testing: Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No X
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership(Tax bill,or letter from owner permitting test)
➢ 8,5"r:11"Plat Marr&Location of Testhre(please la(licate test Lilt sites on the Mart)
1� Fee of$565.00 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 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 130H
representative,
> Full payment will he 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. i
Please Do Not Write Below This Line
N.A. Conservation Canwrlssla' proval Date:
Signature of Conservation ager
Date back to Health Departmen (star in):
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PEMA Flood !
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IO&C-0006
Natural Resp
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HES
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Up dat4&M�r le L——————-j Tis of Use Report a map r
Commonwealth of Massachusetts
City/Townof N.,th Andover �."S
Percolation Test
Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but
the information must be substantially the same as that provided here. Before using this form, check with
the local Board of Health to determine the form they use.
Important:When
filling out forms A. Site Information
on the computer, Jorge Solano
use only the tab _--_- __._ __�
key
-----
key to move your Owner Name
cursor-do not 2198 Turnpike Street
use the return Street Address or Lot#
key. North Andover MA 01845
VQ -Cify—f-rown State Zip Code
-Co-n—tactPerson(if—different from Owr_e'_r_)"______ Te—lephone—Numb""e--r---------------"
B. Test Results
4/13/17 12:00 6/6/17 12:50
6_a_t� ____ -fim"_e--"— _Da't'e"_____- Time-_--
PT IPT2
Observation Hole#
30'718" 54'717"
Depth of Pero -
12:00 12:50
Start Pre-Soak
12:18 1:05
End Pre-Soak
12:18 1:05
Time at 12"
12:59 1:15
Time at 9" ..........
Time at 6" 1:57 2:10 —------
58 min. 55 min.
Time (9"-6")
19.33 mpi 18.33 mpi
Rate(Min./Inch)
Test Passed: ❑ Test Passed: El
Test Failed: Test Failed: F]
Thomas Hector
-Test—Performed By:
Issac Rowe, Mill River Consulting —--------
6o—ard of_Weaiiti_Witness
Comments:
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