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HomeMy WebLinkAboutMiscellaneous - 303 BERRY STREET 1/4/2016 (4) i TOWN OF l'""�iOR '11 ANDOVIAt Office(if C" 1 t lC l"".1„' t:if,t 1+61_,111 C 11';l '1" C'ill 1+;1 "lf;ES HEALT If DE it` MEE'a't" )TalMQ';rT,ryTTT:TI STREET; SUITE' 2W35 NORTH . NDOVFJ� , MA", ACI I LIS E,TTS ONst 978'.6M95 40 ...Phone S isaaaa Y. Sawyer,RE11S l'IS 979,6 88.8476--l 476- MAX r Public iia~aalth DiaNc^ator L-MAH,: healthd P Grndover;com , !N !)cx),1,] BwtP.l�://w��wva.le,rw[ttrdiltbt°e&t�raa6arve�.ctaar�r SEPTIC PLAN SUBMITTAL FORM Date of Submission: July 24, 2013 Site Location: 303 Berry Street Engineer: Jack Sullivan New Plans? Yes X $225/Plan Check# (includes I"submiss' review only) RECEIVED Revised Plans?Yes $75/Plan Check# �T 5 j [,w 2 '10 13 Site Evaluation Forms Included? Yes X No I' (,)F'NOR°rH ANDOVER Local Upgrade Form Included? Yes No X Telephone#:078-352-7871 Fax#:978-352-7871 E-mail:jacksu1153@comcast.net Homeowner Name:Tom Perry (Phone M 617)839-4710 OFFICE USE ONLY When the subipission is complete(including check): ➢ V Date stamp plans and letter ➢ Complete and attach Receipt ➢ °" Copy File;Forward to Consultant ➢ /Enter on Log Sheet and Database I I ^'i muuimnnwsuwwwllNmmmaruwotiwmsmwi. � p f Lu'l ° r Z Z c o E U.1 rw _ ❑ ❑ m O �. w a O t!i o v fl.� as a s :c C5.,r _ a �- ) m + C O i a3 O Q) N C as O m w O + V N O to 0 E 0 O O .—r, •��- cu N � j O o O ao U CL C) U p N ` Q o O G r-V O C�N •— a) Z Z W ° m a) > E tCf � e c N a� S M L j o >, CD CL J a) m ro N O U U m a N g a) U >, El M co ? 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Po O L LL w 0. ou co m O \ U) � o \ c� Z � 2 E I- i ¢alp 01 t9 ®y y m r uy cG c, ° V U +M 4 SK h. CL, •r�a. / o A ,Wp A [IISi a tl --- Commonwealth of y9m/�h etts � W� City/Town o / ) 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 |oom| Boards of Health. Other forms may be used, but the information must be substantially the same ao that provided here. Before using this form, check with the |000} Board of Health bo determine the form they use. Important: A. ��~�� UU��«��00���^��0� VVhan0Ungout ^°^ `�"�= Information = � forms onthe computer,use Tom Perry � only the tab key Owner Name � iu move your 303 Berry Street cursor do not Street Address or Lot# use the return key. North Andover MA 01845 Qty/Town State Zip Code 817-839-4710 ----' Contact Person(if different from Owner) Telephone Number B. Test Results June 18. 10lD0 ool 2013 Time Dote Time {Jbsen/mUonHo|e# PT-1 | Depth ofPero 4811-88" ( 95O S�dPm'Soak '� 0S EndPna'SVeh 1O�� Time at 12^ 10:05 Time cd8, 10:32 Time at 6" 11:18 4G Time (9"-6") Rote (Min./Inch) 15 yWP1 Test Passed: Test Passed: Test Failed: E] Test Failed: E] John D. Sullivan 111, P.E. Test Performed By: Issac Rowe, Consultant for Town of North � Witnessed By: | Comments: / � t5fonn12.don 06/03 PemTos `Page 1of1 RECEIVED TOWN OF NORTH ANDOVER o . Tj _ 34 Ylc ---- --------( c� i f a APPLICATION FOR SOIL TESTS June 6, 2013 MAP&PARCEL: Tax Map 108C Lot 63 LOCATION OF SOIL`I'LS'I's: 303 Berry Street - OWNER, Tam Ferry Contact p: 617-839-4710 AI'1'I.1(`ANT:Same as Owner Contact#: ADI)RI�SS: I:;NClN1�l�R: Jahn (Jack) Sullivan Contact#: 978-352-7871 CI;RTI IFID still, EVALUATOR: Jahn (Jack) Sullivan, SE#2378 Intended Use of L.and: Residential Subdivision 5inglc 1'arni y iome Commercial Is'This: Repair Testing:X Undeveloped Lot Testing:m, Upgrade for Addition: In the Lake Cochichewiek Watershed'? Yes No X THE FOLLOWING MUST BE INCLUDED WITH "PHIS FORM r Proof of land ownership(Tax bill,or letter fi-om owner permitting test) 8.5"x l l"Plot plan&Locntiorr of 7(!stint,(please irr(lrc rite,Ir st nit sites orr the plan) Fee ol'$425.00 per lot for new construction. This covers the tninimum two deep holes and two percolation tests required for each disposal area. Fee ol'$360.00 per lot for repairs or upgrades. ades. GENERAL INFORMA'T'ION Only Certitied Soil Fvaluators may perform deep hole inspections. Only Mass.Registered Sa nitarians and Professional Engineers can desibn septic plans. r At least two deep holes and two percolation tests arc required for each septic system disposal area. - Repairs require at least two deep holes and at least one percolation lest,at the discretion of'the B01-1 representative. Full payment will be required liar all additional tests within tvwo weeks of testing. Within 45 day's of testing a Scaled plan(no smaller than I"-100')shall be submitted to th a uu showing the location ol'all tests(including aborted tests). ED Within 60 days of testing soil evaluation forms sitall he submitted. ED Please. Do Not Write Below This Line a'i 1 TH ANDOVER TOWK OF NORTH ANDOVER / )l�'lf`f"'Ti III iAFtTt N.A. Conservation Commission Approval Dote: (t , ''`- Sr ru e o rrnt Conservation Agent: +._.... 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R Valle Ptann Go mssion.{t,4VPr using data rovdedb the lowol Mt7 Yh Y g r rt A Y Fa ttet m'""��"" O� ° �� NradlrA d p' Aid1 Id 1aP Nd dby 11 F I OIl Ir1VP(^ und^nry '� �p Euv r til Arf R7a G.S.Ttartt t r.el led V -n>is P.uru' r /– Gv I I d I wtwEe n dg,It msy ut ha adequate I r I qal brmxiary d delintonormgulatoy�lnpretation IHt'IQWNQFNORIIt ANDOVLR MAUS NO WARRANTIES,EXPRESSED OR IMPLIED CONCERNING THE ArCURACY,COMPLETENESS,REL ABILITY,OR SUITABILITY Of IIlr Sl_DAIA ltll_IOWNOI NORIHANDOV1RDOt_SNOI V ASSIIe1F ANY 1 IA8'.I JTY ASSOCIATFD WITH THE USE OR M.StRSF OF THIS INFORMATION ,r SSACNUS�