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HomeMy WebLinkAboutSoil Testing Results - 60 ROCKY BROOK ROAD 1/30/1996 Town of North Andover, Massachusetts Form No. 1 NORTH AA.. BOARD OF HEALTH 3�O1�s�eo � 5� v) -19 O APPLICATION FOR SITE TESTING/INSPECTION SSACHUS�� Applicant 9 NAME ADDRESS TELEPHONE Site Location M" T I At 41t,��r7 Engineers-C� NAME ADDRESS TELEPHONE Test/Inspection Date and Time L CHAIRMAN,BOARD OF HEALTH Fee. Test No. 190 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. FORM 11 - SOIL EV.-kLUATOR 11OR,%I Page 1 of 3 0. M Date: 1w ia, Commonwealth of 'Massachusetts t.,AOV-fl) W(A)W--e- , Massachusevs Sail Suitability Assessment for Ore-site Sewage Disoasal Performed By: -... Dace - Witnessed. By: Location Add==or O.-r'%Hire, Adds:.am .`C c 1l �l . \ li' �w i✓ New Consrrucrion C Regair ❑ I �-_�c .- (w, 1 - Office Review, Published Soil Survey Available: No ❑ Yes i Year Published `C ... Publication Scale 1 4 Soil Map Unit Drainage Class 1Ajft--LAX(N�"J Soil Limitations Surficial Geologic Report Available: No Yes ❑ Year Published Publication Scale ___........., Geologic Material (Map Unit) ..................--...............................................................................,............................ ........... ., Landform ! tl :..:......................................................................................................................................................... ........... �. Flood Insurance Rate Map: Above 500 year flood boundary No []Yes Within 500 year flood boundary No EKes ❑ Within 100 year flood boundary No ®'Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) .............. . .......... ........................................_- Wetlands Conservancy Program Map (map unit) ........................................................................................... Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal 19"9elcw Normal ❑ Other References Reviewed: kipEP APPROVED FORM• 11107/95 FORM 11 - SOIL EVALUATOR I+ORN1 Page 2 of 3 Location ,-address or Lot ivo. IN Val yc 7 -)2))A— v-C-0-0, On-site Review Deep Hole Number I Date:. �c Timer Weather f"-A-(tom- Location (identify on site plan) Land Use 1Q6,-,,rtt0(k-- Slope (%) 84� Surface Stones Vegetation Landform VA>ON ti' Position on landscape (sketch on the back) Distances from: �1 Open Water Body �' �/ feet Drainage way feet Possible Wet Area k2&/ feet Property Line feet Drinking Water Well Q)N feet Other i I DEEP OBSERVATION HOLE LOG' Depth from Soil Horizon Soil Texture Soil Color ! Soil Other Surface (Inches) I (USDA) (Munsell) I Mottling (Structure, Stones, Boulders, Consistency, % Gravel) i 94 ) ti UV.y ) I H tJ h CvLriy 11hu POSED L AREA Parent Material (geologic) '- Z>4 DepthtoBedrock- Depth to Groundwater: Standing Water in the Hale: Weeping from Pit Face: �Su Estimated Seasonal High Ground Water: >' t' DEP APPROVED FORM-12/07/95 I i FOR11 11 - SOIL LVALUATOR FOR J Page 3 of 3 Location Address or Lot No. Determination for Seasonal High Water Table Method Used: ZL-t�epth observed standing in observation hole .._. �.. inches ❑ Depth weeping from side of observation hole ...... . inches ❑ Depth to soil mottles inches ❑ Ground water adjustment .................. feet Index Well Number ....... ....... Reading Date ....... Index well level _ Adjustment factor _.._ ......... Adjusted ground water level .... . _ ...... .... ......... Depth of Naturallv Occurrina 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 f l y 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. Signature �� Date DEP APPROVED FOR.%t- 12/07195 03-21-1996 14:36 617 932 7616 CEP NORTHEAST REGICNAL P.02 FORM 12 - PERCOLATION TEST Location Address or Lot No. �� ���1G�' ' ev, COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test' Date'. `� � �' Time: Observation Hole K 1 Depth of Perc Start Pre-soak End Pre-soak '= \�y Time at 12" t Time at 9" ` Time at 6" G' Time (9"-6") Rats Min./Inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed 2"'� Site Failed ❑ Performed By: Witnessed By ` � Comments: �.. _... nv worm MRM•w07191 FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 t"— r k Date: No. Commonwealth of Massachusetts Na'"�A , Massachusetts Soil Suitability Assessment or On-site Sewaa e Disposal Performed Bv: �L-� J ��t ®. ....... Date: ... .. .... .. l Witnessed By: . ..... I.ocauon Address or `/ ,/Jrn 1y, address.Ina P '� �'V4-�f"'�" V71(_l'.x- Vio 1'� Telcporc/ New Construction EV Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes t >i �1� v�-Z'O Soil Ma Unit(f bC' Year Published ................ Publication Scale ...... ........ P YL^U1`�EO�'t�1r� .�. .17Y7��2 -•� ,- ..`�... A i,i �� Drainage Class WrY�I�S�e•• Soil Limitations Surficial Geologic Report Available: No l� Yes ❑ Year Published Publication Scale --- GeologicMaterial (Map Unit) ..............................................................................................................................._. ......... Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No [3///yes ❑ Within 100 year flood boundary No Ll Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) .............................. .............................................................. Wetlands Conservancy Program Map (map unit) ................... Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal elcw Normal ❑ Other References Reviewed: DEP APPROVED FOMM. 12107195 FOR.11 11 - SOIL EVALUATOR FORM Page 2 of 3 Location .address or Lot ,vo. On-site Review Deep Hole Number Date:. l�1 j Time: WeatherlA l YZ Location (identify on site plan) _�` Land Use °� zj( ���t Slope (%) g--i1 Surface Stones Vegetation �k/1j v6/'9 Landform rR Position on landscape (sketch on the back) Distances from: yy// Open Water Body )i01-7 feet Drainage way �—\(1 feet Possible Wet Area 10'>V°-feet Property Line l"2- -Y--feet Drinking Water Well P A feet Other DEEP OBSERVATION HOLE 'OG' Deoth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) I (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) MINIMUM OF 2 i { I I I HOLES R r 17 EVERY c AL Parent Material (geologic) �G � t W�}f � DepthtoSedrock: �Y Deoth to Groundwater: Standing Water in the Hole: 222 Weeping from Pit Face: i( Estimated Seasonal High Ground Water: DEP APPROVED FOFLM-12/07/95 FORM 11 - SOIL LVALUATOR FOR-NI Page 3 of 3 Location Address or Lot No. Gib ��1l1DUYL_ 8 � Determination for Seasonal High Water Table Method Used: lam" Depth observed standing n observation hole...��.�. 9 inches ❑ Depth weeping from side of observation hole ;.:.:. inches ❑ Depth to soil mottles inches ❑ Ground water adjustment .................. feet Index Well Number .... . ....... Reading Date ...... . Index well level Adjustment factor .... .......... Adjusted ground water level Deoth 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? \A- = 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 Depa tment 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. Signature ��' �'� _ Date DEP APPROVED FORUM- 12/07195 03-21-1996 14:36 6i7 932 7615 CEP NCRTHEAST REGICNaL P.02 FOR.N1 12 - PERCOLATION TEST Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test' Date: V2� Time: > Observation Hole # V VA Depth of Perc M :3t Start Pre-soak ` 1� End Pre-soak rZl Time at 12" ¢ Time at 9" 2 Time at 6" Time (9"-6") �( Rats Min./Inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed L! Site Failed ❑ Performed By: Witnessed By`. Comments: : _...... . ..... -.. _.... DIP Amoy=TDRM•U1p71!! FORM 11 - SOIL EV.-,,LUATOR FORM Page 1 of 3 Date: )o A 1c� Commonwealth of !Massachusetts Nb,10 P�NgL; Massachusetts Soil Suitability Assessment or On-site SewaZe Dis oral ` Performed Bv: v `� 19 .......... Date: � � U Witnessed By: ..�.. . ... ...........Qmr's 42M. t„pCi(tdfl Addiui« `/ y��/r�7` / y,✓ A6drui.im ,rte Lot ' 1� G,�1clL�Vl�6.�K--l`a�'JV ...ralrcnom onst ruction repair Office Review. _ Published Soil Survev Available: No ❑ Yes l✓ � 196 Soil Map Unit Cb� �..... Publication Scale Year Published �c'.� ... y�t� 2A-t � Limitations 1c� L:�1.J� ....�....C� '.. .......1 ........ Drainage Class wCA- Sxpk�►v Soil �—, / Surfcial Geologic Report Available: No L/ Yes ❑ Year Published - _.... Publication Scale - GeologicMaterial (Map Unit) .............................................................................................................................._. ............. .._ Landform ................................................................................................. Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No [91yes ❑ _ Within 100 year flood boundary No L9Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) .................................................................... Current Water Resource Conditions (U�SGS-S): Month Range :Above Normal ❑Normal —Belcw Normal ❑ Other References Reviewed: DEP APPROVED FORAM_ 11!07195 FOR 111 - SOIL EVALUATOR I+'ORN1 Page ? of 3 Locction ,address or Lot iqo. On-site Review Deep Hole Number Date:. 1 Time: PVC Weather Location (identify on site plan) l2 ?- Land Use --4":Stb6tQ,-1ClArC- Slope M 6-0;- Surface Stones Vegetation Landform �r?5rti� Position on landscape (sketch on the back) ��2C. q ( Distances from: Open Water Body feet Drainage way "A- feet Possible Wet Area 113+/--feet Property Line 35N—feet Drinking Water Well W A- feet Other DEEP OBSERVATION HOLE LOG* Oeoth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) I (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) i I I MINIMUM-7 HUL=S n cVERY PR DISPOSALAREA Parent Material (geologic) 6 K-0 (vl�- l t"�� OeptMoSedrock: Oeoth ro Groundwater: Standing Water in the Hole: >/�iy' Weeping from Pit Face: t r �l Estimated Seasonal High Ground Water: 21 DEP APPROVED FORM-12/07/95 i FORM 11 - SOIL LVALUATOR FORM Pae 3 of 3 Location Address or Lot No. Determination for Seasonal High Water Table Method Used: lam' Depth observed standing in observation hole .....J '. inches ❑ Depth weeping from side of observation hole ...... inches ❑ Depth to soil mottles inches ❑ Ground water adjustment .................. feet Index Well Number ....... ........ Reading Date .... .. Index well level Adjustment factor .................. Adjusted ground water level _. . ........... .... _....... Deoth of Naturally Occurrina Pervious Material Does at least four feet of naturally occurring pervious material exist in al areas observed throughout the area proposed for the soil absorption system? r If not, what is the depth of naturally occurring pervious material? Certification I certify y that on (date) I have passed the soil evaluator examination j approved by the Depar ment 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. Signature �% ry" Date DEP APPROVED FOR.11- 12/07/95 03-21-1996 14:36 617 932 7615 CEP NCRTHEAST REGICNAL P.02 FORA 12 - PERCOLATION TEST Location Address or Lot No. CO MONWEALTH OF MASSACHUSETT Massachusetts P colation Test' Date: Time: Observation Hole K Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rats Min./inch ` Minimum of percolation test must be performe\in th the primary area AND reserve are . Site Passed ❑ Site Failed ❑ Performed By: Witnessed By:\• Comments: :_ ..... . ...._ _... DLr XMOrm roRM•U/Vlnf