HomeMy WebLinkAbout1055 SALEM (formerly 1053 Salem) SOIL TESTING TOWN OFNORTH ANDOVER
Office ofCOMMUNITY DF; '' e;LOPME "I"AND E 2 ICE
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'1600 t.l�"ul OOD STREET';El T'; „ 1J1"ii'E 2035
101011 "aNDOVVI R, MASSACI It.N 1.,.1"S 018,45
Susan Y.Sawyer,ItElls, RS 9783)88.9540 Phone � r
Public Health Director 978 688+.8476 FAX ,
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AP'P'LICATION FOR SOIL TESTS �
DATE: 7.a. "m MAP&PARCEL: o(A r„) 67C y
LOCATION OF SOIL TESTS: !—
OWNER: (A �( �
���.�. i�=`�L, ".1,. —Contact#:
APPLICANT: Contact#:
ADDRESS:
%ENGINEER: _ b q) 11 iontact#: ~
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CERTIFIED SOIL EVALUATOR: Iw,
Intended Use of Land: Residential Subdivision n le FainjJ 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
J Proof of land ownership(Tax bill,or letter from owner permitting test)
8.5"x 11"Plot plan&Location of Testint,([Tease 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 Maass.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 BON
representative.
S� 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 Appr•otpal Date:
Signatrrre of Conservation Agent:
Date bath to Health Department: (stamp in): .w
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152-37 182.5 71
PROPOSED GRAVITY ~2
QJ J , '� SANITARY SEWER SERVICE 74
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PROPOSED SILT FENCE
AND HAYBALES
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BRIAN E. AND LAURIE
° 5 AREA=24,390 S.F.
=0.5599 AC. to Wo 00
PROPOSED
1511M 1 1.�' 1 o'x2o' DECK
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Y _. 3 30' REAR YARD SETBACK
19A ARD SETBACK r PROPOSED VERSA LOK
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Blackburn, Lisa
From: Blackburn, Lisa
Sent: Wednesday, August O7, 2Ol32:O9PK1
To: Dan Ottenheimer;Isaac Rowe; Pam Lally
Subject: l0S3 Salem St.
Attachments: 201308071401.pdf
Good Afternoon, �
Attached is the paperwork for soil testing at 1053 Salem St. Please schedule soil testing with the engineer.Thank you.
-----Original Message-----
From:
Sent: Wednesday,August O7, 2O13ZO1PM
To: Blackburn, Lisa
Subject: Message from "ComDev'Heabh'Rlooh" |
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Scan Date: O8.O7.ZO1314:O1:21 ('O4O0) |
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