HomeMy WebLinkAbout- Soil Testing Results - 2051 SALEM STREET 12/20/2018 (3) r' l1AOENTOW, OrNot.11 ANDV
C'ournnunity
FIE?U'1.,,rH DEPARTMENT
120 ,Malnn Street
NOR'11-1 ANDOVE�R, MASSM11-1USf 1"I'S 01845
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APPLICATION FOR SOIL TESTS
DATE: 12-01-2018 MAP&PARCEL: 108.A-0001
LOCATION OF SOIL TESTS: 2051 Salem Street
OWNER: Ruth T. Richards Revocable Trust Contact#:
APPLICANT:Cleon Richards contact#:978-685-3872
ADDRESS:-1253 Salem Street, North Andover, MA 01845
ENGINEER: Ben Osgood, Jr. Contact#: 978-435-1324
CERTIFIED SOIL EVALUATOR: Benjamin C. Osgood, Jr.
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing: Undeveloped Lot Testing:X Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No X
121tin2 is for a new lot to be created from the 11 acre parcel
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
Proof of land ownership (Tax bill,or letter fi-orn owner permitting test)
8.5"x 11"Plot 121an&Location offesting(Please in(ficate test it suites on the plan)
Fee of$585.00 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 rep airs_2LIjpgrades.
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 B014
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.
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Date back to Health Department: (.tarn ita):
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Town of North Andover
HEALTH EPA T ENT
H/0 NAME ,m ._ 4
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CONTRACTOR NAME:
Type of Permit or License: (Check box)
❑ Animal $
i
❑ wady Art Establishwnent $
❑ Body Art Practitioner $
❑ ZDumpster $
❑ Food Service -Type. $
❑ Funeral Directors $
❑ .Massage Establishment $_
❑ Massage Practice $
❑ Offal(Septic)Hauler $ n
❑ Recreational Camp $
❑ Sun tanning $
❑ Swimming Pool $
❑ Tobacco $
f
❑ Trash/Solid Waste Hauler $�
❑ Well Construction
SEPTIC Systems:
� Septic-Soil Testing
❑ Septic-Design Approval $
❑ Septic Disposal Works Construction(DWQ $
r
❑ Septic Disposal Works Installers(D VI) $
❑ Title 5 Inspector $
❑ Title 5 Report $
❑ Other:(Indicate) $
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He flvAgent Initials;
White-Applicant Yellow-Health Pink- Treasurer
12/4120 a Town vf North Andover Mail-o8s1Salem
N--'Mass hu Savannah KAu|nva|a <srneinvale@nodhmndovennu.gov>
---------------------
2051 Salem
2messagaa
Savannah K8c|nva|e <smcinvo|e@nohhandovemoa.gVv> Tuo. Dec 4. 2O18et9:S1AM
Tb: bmagood@nangen*ng.onm
Hi8mn.
I visited the site at 2051 Salem today to check the soil test pit locations. While they are far enough from the resource
area, they are located in MESA priority habitat. How much clearing do you anticipate will be needed for these pits?There
is an exemption for testing as long as clearing is limited to only what is absolutely necessary.
Thanks,
Savannah
_
Conservation Field Inspector
Town of North Andover
12U Main St. North Andover, MA
978-688-8530
boaQomd@mnnQemmnQ.conm <boeQomd@nangereng.00m> Tue' Dec 4' 2O18ut1O:O3AyW
To: Savannah K4o|nva}m <amuinvu|e@nodhanduvermo.gov>
Hi Savannah,
We will do as little clearing as possible. I don't anticipate removing any large trees,just whatever small saplings we need
to remove to get the backhnein.
Bon
From: Savannah Mr|nva|m <emcinmale@northandovenna.Auw>
Sent: Tuesday, December 4' 2018Q:51 AM
To: bomgaod@rongereng.00m
Subiect2O51 Salem
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