HomeMy WebLinkAboutSoil Testing Results - 107 GRAY STREET 4/1/2003 BOARD OF HEALTH
NORTH ANDOVER, MASS. 01845
978-688-9540
APPLICATION FOR SOIL TESTS �,r � � p � �
�.
M ,
DATE^ ��� � ....��"�� 'r�z MAP d'c PARCEL:
�-4Ar " .. _
LOCATION OF SOIL TESTS: �
OWNER. t ,��� a 44 P%. C;k –- TEL.NO.:`'
ENGINEER: — ,` �:;:,5 TEL.NO.:
CF,RTIFIED SOIL EVALUATOR:� r� ( � �" ��w,,w"s �" �� �° -•�'
Intended use of land: Residential Subdivision 5mle Famil y H Commercial
Is This:
Repair testing _ Undeveloped lot testing
"p I
In the Lake Cochichewick Watershed? Yes _ No_
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM:
1 . Proof of land ownership (Tax bill,deed, or letter from owner permitting tests)
2. Plot plan
3. Fee of 425,00 per lot for new construction. 'Phis covers the minimum two deep holes and two percolation tests
required for each disposal area. Fee of$200.00 per lot for repairs or upgrades.
GENERAL INFORMATION
1 . Only Certified Soil Evaluators may perform deep hole inspections.
2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans.
3. At least two deep holes and two percolation tests are required for each septic system disposal area.
4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative.
5. Full payment will be required for all additional tests within two weeks of testing.
6. Within 45 days of testing,a scaled plan (no smaller than I"-100')shall be submitted to the Board of Health showing the
location of all tests(including aborted tests).
7. Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval:A
Date Received: Check Amount: Check Date:
FORM 11 —SOIL EVALUATOR FORM
Location Address or Lot No. 107 Gray Street_ North Andover.MA
On-Site Review
Deep Hole Number 1 Date: 4/08/03 Time:__10 AM Weather: Snow
Location(identify on site plan): see site plan
Land Use- Existing Lot Slope(')/o) 3 Surface Stones None
Vegetation- Cleared woods
Landform
Position on Landscape(sketch on back) see plan
Distances from:
Open Water Bode feet Drainage way- feet
Possible Wet Area 130 feet Property Line- 60 feet
Drinking Water Well _feet Other-
DEEP OBSERVATI®N HOLE L®G*
TEST HOLE# 1
Depth Soil Soil Texture Soil Color Soil Other
from Horizon (USDA) (Munsell) Mottling (Structure,Stones, Boulders.
Surface Consistency, %Gravel)
(Inches)
0-12" A FSL 7.5YR3/2
12"-22" B FSL 7.5YR4/6
22"-106" C LS 2.5Y5/6 (0,40" Some boulders. massive, friable,
5 YR5/6 1%boulders, 5%cobbles,,
10YR6/2 10%gravel
`MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material (geologic) Outwash Depth to Bedrock: none
Depth to Ground Water: Water in the Hole A)71" Weeping from Pit Face: W,)71"
Estimated Seasonal High Ground Water: (d)40"
DEP APPRO\-ED FORM- 12/07/95
FORM I I —SOIL EVALUATOR FORM
Location Address or Lot No. 107 Grav Street,North Andover,MA
On-Site Review
Deep Hole Number 2 Date: 4/06/03 Time: 10 A.M Weather: Snow
Location (identify on site plan): see site plan
Land Use- Existing Lot Slope(%) 3 Surface Stones None
Vegetation- Cleared woods _
Landform
Position on Landscape(sketch on back) see plan
Distances from:
Open Water Bode feet Drainage way- feet
Possible Wet Area 95 feet Property Line- 55 feet
Drinking Water Well feet Other-
DEEP OBSERVATION HOLE LOG*
TEST ROLE #2
Depth Soil Soil Texture Soil Color Soil Other
from Horizon (USDA) (Munsell) Mottling (Stricture, Stones.Boulders,
Surface Consistence. %Gravel)
(Inches)
0-10" A FSL 7.5YR3/2
10"-20" B FSL 7.SYR4/6
20"-108" C LS 2.5Y5/6 X39" Some boulders, massive, friable.
5 YR5/6 I%boulders. 5%cobbles,
IOYR6/2 10%gravel
'kMINIIVIUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic) Outwash Depth to Bedrock: none
Depth to Ground Water: Water in the Hole ru473" Weeping from Pit Face:
Estimated Seasonal High Ground Water. 0,)39"
DBP APPROVED FORNI- 12/07;9;
FORM 12— PERCOLATION
Location Address or Lot No. 107 Gray Street, North Andover, MA
COMMONWEALTH OF MASSACHUSETTS
North Andover, Massachusetts
Percolation Test*
Date: April 8, 2003 Time: Morning
Observation Hole # P-1 P-2
Depth of Pere 40" 39"
Start Pre-Soak 10:35 10:40
End Pre-Soak 10:50 10:55
Time at 12" 10:50 10:55
Time at 9" 11:10 11:15
Time at 6" 11:45 11:40
Time (9"-6") 35 25
Rate min</Inch 12 MPI 10 MPI
* Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ✓ Site Failed
Performed By: Alberto M. Gala, Certified Soil Evaluator
Witnessed By Steve Eriksen, N.A.B.H.
Continents:
DbP APPROVED FORIM-12!07€9i 1101 1087
Town of North Andover, Massachusetts Form No. 1
p1ORTH BOARD OF HEALTH j a
ED
L
��ssgCES APPLICATION FOR SITE TESTING/INSPECTION
HUSe
Applicant /Z
NAME ADDRESS TELEPHONE
Site Location 1�1117' �/,54L �
Engineer—Az
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
CHAIRMAN,BOARD OF HEALTH
J.
Fee � Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
