HomeMy WebLinkAboutSOIL TESTING TOWN OF NORTH AN OVER $q MoIVra, �
Office of COMMUNITY DEVELOPMENT AND SERVICES `•�;►.,"°��
HEALTH DEPARTMENT
1600 OSGnODnSq TTY E1' BIJTi D NG 20; SUITE 2®36 "�, V4. ,
NORTI AN ACH SETTS 01845 ""•'"•°« �,
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Susan Y. Sawyer,REHS,RS 978.688.9540—Phone
Public Health Director DEC 0 2009 978.688.8476—FAX
healthdept@townoffiorthandover.com
1'(JWIV t�UR. I1 ANCJC7VER www.townofnorthandover,com
--HEALTH DEPARTMENT"
APPLICATION FOR S®IL TESTS
DATE: MAP &PARCEL: V012 1 A Llc)k Io
LOCATION OF SOIL TESTS:
OWNER: M f1 i"I �1� �r�_Contact#; q2 1247
APPLICANT: Mind rLmh aWAJ j6- Contact#:ADDRESS:-
ENGINEER: h 61'm/ Contact#: I
CERTIFIED SOIL EVALUATOR: CI &r r\/ �7 _462_ -7a00 (6W)
Intended Use of Land: Residential Subdivision Single Family H 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 11"Plot plan&Location o�Testing(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 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.
A 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, ` - r .
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Date back to Health Department: st inp in): �`�� �", � � °w� �� L ��,"��•.
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DelleChiaie, Pamela
From: Isaac Rowe[irowe @miliriverconsulting.com]
Sent: Tuesday, January 05, 2010 3:19 PM
To: 'Daniel Ottenheimer; Grant, Michele; irowe @millriverconsulting.com; 'Marianne Peters';
DelleChiaie, Pamela; 'Randy Burley'; Sawyer, Susan
Subject: 470 Lacy Street
Attachments: 470 Lacy Street-Soil Testing Results 1-5-10.pdf
Susan,
Please find attached the soil testing results for the above referenced property. The testing was for the existing farm house
on the property. It is a horse farm (Wlndrush Farm). As you will see the perc rate was a little slow due to the compacted
glacial till
Please let me know if you have any questions.
Thank you,
Isaac M. Rowe,R.S.
Project Manager
Mill River Consulting
6 Sargent Street
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