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Home My WebLink AboutSoil Testing Results - 98 MARIAN DRIVE 8/18/1999 Town of North Andover, Massachusetts Form 1 aF N°oTH No.q BOARD OF HEALTH 3 0 ATED APPLICATION FOR SITE TESTING/INSPECTION ��SSacHUSE��y Applicant < NAME ADDRESS Site Location— F, TELEPHONE Engineer/ NAME ADDRESS Test/Inspection Date and Time TELEPHONE Fee C IRMA ,BOAR HEALTH Test No. S.S. Permit NO.—D.W.C. NO. C.C. Date Plbg. Permit No. 1 BOARD OF HEALTH TEL. 663®9540 NORTH APPLICATION OIL TESTS DATE: LOCATION OF SOIL TESTS: qL' b'Ii Ajj' 04-W Assessor's map & parcel number: t Cq airy OWNER: aV—.r TEL. NO.: - 40o ADDRESS:_ qel ,ALIjjjj 1221 yf� ENGINEER: JA&WIpkc , EN 6q inn TEL. NO.: CERTIFIED SOIL EVALUATOR: 1�711, Y,24 fWe �Pe Intended use of land;/residential subdivision, single family home, commercial Repair testing ✓ Undeveloped lot testing N. A. Conservation Commission Approval: �� 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 275.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$75.00 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 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 soil evaluation forms shall be submitted. _ 9 1010 �v `t t 11 II 1® O -w \, b SEE P 1,1'las L01 Ac. �� 4Z ,., t.,yk. 90 °lt PAP 0� 2 s.... I tit I 5�.e `TUCKE•R � d `oa LAJ 40 LLI \ A CID� 1� P. e 6 � 1V tti 05Bk- y 9�c 9 �as o " / z1 � 19 A fl K• t � \d 5F5 22 2S t1p BIOS Y'1�5 � bet aG 1.45 ac. 58 � 6 I �ry 4't fee tt. L6. 9C,8°n SF 4i°FP if. 67 ( Df2ty� 0 i)G, �•< 5sj {F 67 441cet. v 6f G2 � 6b I 90 24 u yes to O ss.tm f.r S..wo ar. 48.5 s.F -JA Q 4 56 54 5'r , Ott V N IW-St. f°2 fl°' 1t .B4o zF. Q 7G L F�.r (� t 7b AS, 50 5t CD sf. 'At, S7 4b fzA �ti. e 8i81,33, 44.1 i[ u1oo SF. 4•'�� •Z 2SF, z etc yf. a '!7 bZ 25 FL W 4.14 AA IL a� VI h l,l A, 12.1 I,y'S 5c E - 20 F, IN _ -SEE PLAT P�![� g r r D-� LCC^,�ICN _ ENCIINE=. .. 5OH" \/"/i c_;=COAL-,T1CN T T = 1 TIME Cr SC .{.: _ l . y Alo CVEF:NIG"T -EDAK - TliviE .. I-�-.:=.T-� 1v E ,". E/ I T _. c FE C0L�.T101�i T=S c0 0Nl �" T Cr TIME Cr E-C K.. C NIGHT TINiE S ~.T NI - FoRm 11 - SOIL EVALUATOR Fonj page I D8th...... No. -.......................... commonwealth of S SaChusetts Massachusetts 0 a Ml suitaNn"Nsesam"r On SemaLMmid ................................. ............................ Witneswd By: ....................... ...................................................... .............:......................................................................................................................................... 7��:j 0WW A"M of tL,�a 114,AIIAI AA&M.60 7 7 New construction El Repair LAW Published Soll, Survey Available: No yes Year Published ..IV Publication Scale Soil Map Unit ....... Drainage Class ....... .... Soil Limitations ...... ......I................................................ Surficial Geologic Report Available: No yes El Year Published ................... Publication Scale -............... GeologicMaterial (Map Unit) ........................................................................................................................................................ Landform ..............---........................................................................................................................................................................................ Flood Insurance Rate Map: Above 500 year flood boundary No Yes 3/ Within 600 year flood boundary No yes El Within,100 year flood boundary No yes El Wetland Area: National Wetland Inventory Map (map unit) ..................I.-....................... ........................I....................... Wetlands Conservancy Program Map (map unit)............................................................................................... Current Water Resource Condition's (USGS): Month #14 Range Above Normal El Normal Below Normal Other References Reviewed: VORM 11 ® SOUL EVAWAXOR VK1ILM Pegs Z '� On-site l�fwi�w Deep Hole Number .T wL._ Oete:.... :._ �� -nma:jAk.4wc Weather Looetion (Identlfy on site plan) .�_w-� ��Lk'! w��_.��`` _�, ::... .....__ ...._."..�__ Land Use slope(%I 5.Y(o8urfeoe Stones .....Y!v? ':._...�.._.�� _.. Vepetadon~ ��_ ._ �_.� .__.............. ---- .. ...._.........._............... .�........�_ L"form �..� ��..(r __'LLB. �._��._ ._._.............................._.....................��..�...._.�__�w............__ position on landscape (sketch on the back) ---- =- 1 =� �� .��_��............� ........._� Distanoee from; Open Water Cody ?t �'feet Oralne0e way_2�� feet$ PokslWa Wet Area -Z.t. 1 feet Property Una , .. feat Drinking Water Web feet Other .................................. DRHP OB'SBRV&TION ROLE Cy prpth Irom 6uttaa Sop t{ort:on bop Ta�aua 6P6 GoWr Bop IAnt Uka gow hnata�l (USOA1 tMirrtsp) 18tnrott��6 So�Ap�n� rtr ve ey parent Material 1060100101 ..... ..•.............................. Depth to Cadrook: =Dp2jh t0 Q undwster: standing Water in the Hale: .. !' Weeping from Pit Face: . Estimated Seasonal High(around Water: .•• MRAI It - SOIL RVAIAMTOR Mam Page Z Deep Hole Number . .Z Date•..:-: Time: Weather Looatlon (idendfy on Alta Alen) ------- ....._.............................................'...�_..-___.__�__ Land Use `� 12 cl u. Slope 1461 <S'l,qurfaoa Stbnea ....�� ._.._.�� - __. .............. .�..� w _ ....... ...r��....._........._��...�..........�.�� ......__�..._��_�_..... LWWform ...... �. u :� J41 '....____� . ... ....._....__................_..........__................ ...__. .............. posidon on landscape (sketch on the back) Distanoes from: , Open Water body .Z.(C—O feet Drainege way-.7t feet, t Possible Wet Area :- ' feet Property Una feet Drinking Water Well-', . `feat Other .........•.••.•.............•... DEEP OBSERVKrIUN ]ROLE LOG papth from 6urf as Sol MOWN ltnatwel IUSDJI! ltA�xudp tawo ou, o($" 2 C�2°70 Parent Material(ge oglcl of �_ _.__�......._.._ ( ._...._........._............................. Depth to Bedrock: neeth t Qroundwgtar. Standing Water In the Hole: .0- –Weeping from Pit Face:�/1 1 Estimated Seasonal High Ground Water: • f vORM It - SOIL LrVALUATOR VORM Page, 3 & Depth observed standing In observation hole................... Inches Depth weeping from side of,observation hole................. Inches 14 r,-2 &Depth to soil mottles ... Inches .5 Ground water adjustment feet Index Well Number .................. Reading.Date Index well level Adjustment factor ............... Adjusted ground water level .......... Does at least four feet of naturally occurring pervious material exist In., ll areas observed throughout the area proposed for the soil absorption system? If not, at Is the depth of naturally occurring pervious material? I certify that on �t-lka (date) I have passed the 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 16.017. Signature FORM 1 - PERCOLATION T COMMONWEALTH 'OF MASSACHUSETTS Massachusetts Percolation Test Date: .. Titne: _...... .................................... Observation Hole # Depth of Pero Start Pre-soak End Pre-soak Time at 12" r Time at 9* Time a� 6" Time 19"-6"1 `-,0 Rate Min./Inch Site Passed ltd" Site Failed ❑ Performed By: Witnessed By: t'�_ It Lei Comments: ....................................................................................... SEPTIC U TAL FORM LOCATION: . NEW PLANS: $125.00/Plan < REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: S NO DATE: -7 DESIGN ENGINEER: �r�� - �� i r✓✓ s DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to snail plans to fort Engineering. When the submission is all in place, route to the Health Secretary. y � �stt 5 µ J 2Yr 5Y)e S Imp No sm- IS x � . . u s r2 j NEW AAr z rs t �i N!s 'r� j j I yew,( �. JS ( 6 / 37x1 j�J t'y }ppx J! C//J (� { 4 II nVIV IN h �� s Yri+ y' S�7'-��i I,`a n TkT•}e 'f�*�.''m.*�1" +rzyt.a. �.+" .,S' _';�� y.