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HomeMy WebLinkAboutSoil Testing Results - 15 LONG PASTURE ROAD 4/29/1996 Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH O m U DRATED pPa.c5 APPLICATION FOR SITE TESTING/INSPECTION CH Applicant NAME ADDRESS TELEPHONE Site Location_� � l� c% Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee /' Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. LAW OFFICES OF RALPH R. JOYCE RALPH R. JOYCE 95 MAIN STREET C5087 6814555 NORTH ANDOVER, MA 01845 FAX 6851148 April 24 , 1996 Board or Health SANDRA STARR 120 Main Street r' North Andover , MA 01845 RE . LONG PASTURE SUBDIVISION Dear Ms . Starr Enclosed please find a check in the amount. of $1 , 200 . 00 for 8 sleep hole and percolation tests on the above--cited subdivision. Please contact rely office with a date for these tests . Thank you for your attention to this matter . Very tr lv V Urs , R4!I i v RRj :m j j �- � 1-7) FORM 11 - SOIL EVALUATOR g e lORM Date: (0 Z� No. Commonwealth of Massachusetts f , Massachusetts t Soil S uitabili Assessment or ®n-site Sewa e DLs osa ` Date: 5123�9(c........ ........... D.14th.li t�.....Q.0-°_-v" . .................. .......... Performed By: .......... . .............. . . Witnessed By: .....S. .N.QR 1�...ST!aa-f..N.01z 11...p N`7uv ....." .1 .....o ...l t. .c4.. . . . pwrcr's Name. LO,,�) pjj ST—up fZ. locauon Address a C oT -7 �A/C, Pig $1 Litz E Address,and La M U r i f:;y(ZF_Sr S 1"2efi1 TelcPlarc I �,Q, 'J V h `f rt orZ..1�1 w A.�u u�, 13 c��RDa43 , ..M Cl Z I ew construction 7 Repair ❑ Office Review 2 Yes H� Published Soil Survey Available: No t' Year Published )11.`d.!....... Publication Scale /" Soil Map Unit .... .............. ... Drainage Class £x CFSS 1 ....... Soil Soil Limitations . . .. ow,niAJ>� Yes ❑ Surficial Geologic Report Available: No Year Published Publication Scale Unit .................................................................................................... Geologic Material (Map ) X141iJ .......................... Landform Q. .T!-' I�...C?..................... Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes _ Within 500 year flood boundary No El Yes ❑ Within 10 year ear flood boundary No []Yes. ❑ Wetland Area: maunit ....✓v�............... ........................................ .. National Wetland Inventory Map (map ) Map (map unit) ..,%�1............................................ .... ...... . ... Wetlands Conservancy Program Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Belc­/ Normal ❑ Other References Reviewed: DEP APPROVED FORM- 12107195 FORM 11 - SOIL E'VALUAT'OR FORM Page 2 of 3 Location Address or Lot loo. On-site Review 5�L3'9� Time:. f': ZS Weather Pl�lM t C-�`��y 7S° Deep Mole Number Date:.:.:.. :..... ... ::..... ....... .. .. Location (identify on site plan) Land Use Slope (%) v' 3 Surface Stones NO Ok1ti':: Mft.p�L , P(f C-H . Pr/urL Vegetation Landform .. _ .......... Position on-landscape (sketch on the back) Distances from: feet Open Water Body feet Drainage way Possible Wet Area -f-feet Property Line feat Drinking Water Well feet Other DEEP OBSERVATION HOLE :OG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, 0'j c'31 Z MfiSStu , �rc��r�c�z F's L (U`IYL�rI�' NcffsSfuC ��iHkS�([ —).SNr sag vi:rti11, s y 6l 3 stir S-/¢ - Lo 14(tS h Z G 17��vH c.t�" lU Sl�/i>i (,I;./9/�✓�+-`�, s�NaS t3 L-OL ) (iQU.I U u G Z LS to 3 ""eZ5,Y V" G7L✓vfSH DepthtoBedrock: 7 I U C Parent Material (geologic) u Weeping from Pit Face: � 1 Depth to Groundwater: Standing Water in the Hole: ` Estimated Seasonal High Ground Water: DEP APPROVED FORM- 12/07/95 FORM 11 _ SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. L '27 1 t On7site Review Time: Z Weather Deep Hole Number Date:..:.. :. Location (identify on site plan) """`'.o."... . 3 Surface Stones Land Use Lj.UUy'S Slope ( /o) D ` < 0141✓ 46PL-C �� Vegetation t--�K(�- plNw..t_... � l _ vu.Tc.. SV( :,K�U4.IN ......._ Landform ... , Position on-landscape (sketch on the back) Distances from: feet Open Water Body feet Drainage way Possible Wet Area 1S>✓ 4' feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE :.OG* Soil Other Depth from Soil Horizon Soil Texture Munsell°U Mottling (Structure, Stones, Boulders, Consistency, Surface (Inches) L .104 r.31 Z 0--) A 1° (U u l 6 /bv ni i CIL, s �vt�I N�Gh (�oa � T� G �'I-3 51,�/C>ilc. _ � r�W nsrL G Z b s vc �wr ter ;;rr7r� w rvr� c 5 "'� 3rctrol�J � rz-e�oi3 iD 36 G L -F S 5 3 n�rrsS(��c,F� Is c f, (� DepthtoBadrock: y eu6 Parent Material (geologic) u Weeping from Pit Face: Depth to Groundwater: Standing Water in the Hole: Estimated Seasonal High Ground Water: ' DEP APPROVED FORM- 12/07/95 FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address or Lot No. t Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole................ inches ❑ Depth weeping from side of observation hole _......... ... inches Depth to soil mottles j �` 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 areas observed throughout the area proposed for the soil absorption system? YQ If not, what is the depth of naturally occurring pervious material? Certification I certify that on I v (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 Ze DEP APPROVED FORM- 12/07195