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Home My WebLink AboutSoil Testing Results - 211 BOXFORD STREET 3/21/2001 BOARD OF HEALTH NORTH ANDOVER, MA 01845 978®688-9540 APPLICATION FOR SOIL TESTS DATE: � t MAP & PARCEL: I LOCATION OF SOIL TESTS: l OWNER: TEL. NO. � . C «5 a.' z ADDRESS: ��.. 11 �,�: r :: c 'aW ._ a r ENGINEER: :; ` 4 c �� r t�. .. w' c, :M�r ,�.� a� TEL. NO.: C 1:.t,., 1..._. � ..w CERTIFIED SOIL EVALUATOR: ....-._g ...,.-.w...�.� Intended Use of Land: Residential Subdivision Sin le Family Home.Wu«. Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No y THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3 Fee wa percolation tests required for dispasalharea.�Feetof t75m00 Tym two deep hales anc� ... .. P u des„ er lot for re�-airs up r�a 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 hales 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 1"-100') shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing sail evaluation farms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval: _ Date Received: Check Amount: Check Date: -DETACH HERE- - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE- SEE REVERSE SIDE FOR IMPORTANT INFORMATION Interest at the rate of 14X per annum will 1856 RE accrue on overdue payments from the due FISCAL YEAR 2002 REA1 ESTATE date until payment is made. 1st Half 2nd Half Prel m9 nary Tax 2 104 :1$ Taxes 1,052.09 1,052.09 Assmnts 0.00 0.00 15 t Aayment Due 1,052 09 AUGUST Ql 2001 CRONIN, MICHAEL J 2nd Payment Due 5,052 Q9 N' EMBER U1, 2001 Amount Now*-...Due:. .: 1X052. Q9 Loc: 211 BOXFORD STREET Parcel Id: 106.A 0254 0000.0 This form approved by the Commissioner of Revenue -DETACH HERE- - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE - - - - - DETACH HERE- 2002 QUARTERLY REAL ESTATE MAKE PAYMENTS T® BILL NUMBER THE COMMONWEALTH OF MASSACHUSETTS 1856 RE TOWN OF NORTH ANDOVER TOWN OF NORTH ANDOVER Loc: 211 BOXFORD STREET P. O. BOX 124 OFFICE OF THE COLLECTOR OF TAXES Map: 106.A NO. ANDOVER, MA 01845 Tax Amount Block: 0254 M-'F 8:30-4:30, 8/1 TO 7:30 PM 1st 1,052.09 Lot: 0000.0 TAX 688-9550/ASSR 688-9566 Deed/Legal : 5189 198 Land Area: 6.06 (ac) Your Preliminary Tax for the Fiscal Year 2002 beginning July 01,2001 and ending June 30, 2002 on the Real Estate described is as follows: CRONIN, MICHAEL J JULIE A CRONIN 211 BOXFORD STREET Amr�unt dui by AUGUST O1, 200 NORTH ANDOVER MA 01845 Prelym�najr Tax Due x;052 09 111111 IIIII IIIII IIIII illl 111111 11111 11111 11111 11111 llil 111111 llill illll illll 111 ll illll 111 l llllil 1111 ll ll .J;,_._ �.-'_. ___. _. _ -��- -sue,_ ._s.:_ �__� � , _ - — ��.. `,,, ' � # •.iL, �__._ . i! 1 FORM 11 - SOIL EVALUATOR FORM `Page 1 of 3 No. Date: 12- -7101 I L Commonwealth of Massachusetts (' or+k A,-ij , Massachusetts Soil Suitabilitv Assessment for On-site 'Sewaze Dj� osal , r Performed B Date: a WitnessedBy: ... . ...................................................... 2>/i tavtwn Address or � oa.Rrs H+M. f" ° iB'!/7.@-d (C P'or�,ej�'` • � nom; �� Yew Construction ❑ Repair Office Review Published Soil Survey Available: No ❑ Yes ❑ Year Published ............. . Publication Scale Soil Map Unit Drainage Class ................... Soil Limitations ..................................................................:.............. ..... ........ . ....__..... Surficial Geologic Report Available: No .Yes ❑ Year Published - Publication Scale Geologic Material (Map Unit) _............................................................... . Landform ....._................................................................................................................................................................... Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No 12/yes ❑ Within 100 year flood boundary No ZYes ❑ Wetland Area: National Wetland Inventory Map (map unit) ...............®®............................................................�----.�. Wetlands Conservancy Program Map(map unit) ....................................................._._...... ...._�.... Cun-ent Water Resource Conditions(USGS): Month o Range :Above Normal ❑Normal ❑Below Normal U Other References Reviewed: uQ AWRov>m troaM-UM/" i i FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. (( On-site Review g t° (fly Deep Hole Number Date Time: Weather Location (identify on site plan) Land Use :...:.::J .vu.�`...._.. . .. Slope M 1 Surface Stones . ...... Vegetation :::..:....:.....49t,' Sz .... . _ .:... ,.::.:..:::.. ... Landform Position on landscape (sketch on the back) . Distances from: Open Water Body`a feet Drainage way �_ feet Possible Wet Area i > feet Property Line i feet Drinking Water Well``71,=C> feet Other DEEP OBSERVATION HOLE LOG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, % Gravel) ,iw}, ICJ`t Liw Pwwvt Meterial(oeo+ogic) Dealt"Bedrock: Depth to Gtcu ndwstw: Stand m Water in the Hole: Weeping from Pit Face: Estirtntrd Seasonal High Ground Water: I i� Sl- ua AFMOVED FORM-11MM dra.. i . ,. r r. '. — _ .. � ( x-- r_ � .. ''t.•" r a FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 t Location Address -or Lot No. Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole.................. inches ❑ Depth weeping from side of observation hole........... .... inches epth to soil mottles 9 inches Ground water adjustment ............... . feet Index Well Number ................ Reading Date .... Index well level I! Adjustment factor .................. Adjusted ground water level ......... ....._... ....... . .......... Death of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required,training, expertise and experience described in 310 CMR 15.017. i Signature. Date • i DQ AFMVm]FORM.1]MM FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 , Location Address or Lot No. ( t , Ji On-site Review Deep Hole Number ►.`47i Date:�/ Time: Weather Location (identify on site plan) :..:., Land Use ....:.:.. Slope (%) - Surface Stones Vegetation ... ............ Landform ..:.:.:..: _.. . . .. ' Position on landscape (sketch on the back) Distances from: Open Water Body 7. feet Drainage way '�,Z-15, feet Possible Wet Area 7 feet Property Line >/c, feet Drinking Water Well :i feet Other DEEP OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, % Gravel) 7 °7 Z, WZ VpbL 1�` Panne Material 196064c) Dapd%oBedrock: Depth to Groundwater: Standup Water in tt»Hole: Weepft from Pit Fad: m Estimated Seasonal High Ground Water: `1 Z,V Di7 APMVED FORM•UMM FORM 11 - SOIL EVALT ATOR FORM Page 3 of 3 Location Address pr Lot No. 6/ �� - �' Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole.................. inches ❑ Depth weeping from side of observation hole........... ... inches epth to soil mottles i )' inches ❑ Ground water adjustment ................ . feet Index Well Number ................. Reading Date ..... ..... Index well level . Adjustment factor .................. Adjusted ground water level ......_ .......... Depth of Naturally Occurring_Pervious Material Does at least four feet of naturally occurring pervious material exist in all ar as observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on (date) I have passed the soil evaluator examination approved by the Depirtment of Environmental Protection and that the above analysis was performed by me consistent with the required*training, expertise and experience described in 310 CMR 15.017. (mil Signature Date IZ- 701. nv Arraovm FOM-was FORM 12 - PERCOLATION TEST _ 9 Location Address or Lot No. i l COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test` Date: �I ��J Time: 12D; Observation Hole # Depth of Perc u Start Pre-soak End Pre-soak Time at 12 Time at 9 Time at 6" �, ) Time (9"-6") Rate Min./Inch nn * Minimum of 1 percolation test must be performed in both the primary area AND reserve ar Site Passed Site Failed ❑ ....................................................................................................................................................... aofl't) jok(Anvl?_"_\Performed By: Witnessed By: r�� Comments: DEP APPROVED FORM• 12/17/43 _ I =.--:COL-,i ION G-i Oil J i CIr i i NI c A TI J f TIME S I IIVi� i I !I ... T; .^..i E I , i i , t E��G�=G�C��C f F i j MEN moo= =======M M� � I�� $ 01MIMMINIMM M M mm�� momMIM IMIll mm��o� EM==MEMO mmmm mm molIMMIll�M��=_=====ME M �=_mom==� MMINIMiMM10ME r y h f