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Home My WebLink AboutSoil Testing Results - 280 GRAY STREET 2/15/2002 Town of North Andover, Massachusetts Form No. 1 NORTH • BOARD OF HEALTH 0 0 APPLICATION FOR SITE TESTING/INSPECTION OAATE SSACHUS� Applicant—Z JdX-`/"/. )/""(,j NAME ADDRESS TELEPHONE Site Location 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.— BOARD OF +ALT NOR'T'H ANDOVER, MA 01845 978-688-9540 APPLICATION FOR SOIL TESTS 1 DATE: . —tom-° MAP & PARCEL: I ! ' LOCATION OF SOIL TESTS:, OWNER: M r iLy Aj 15-r L C,,4 TEL. NO.: ° ADDRESS: 1C� ,� t ENGINEER: TEL. NO.: -- CERTIFIED SOIL EVALUATOR: Intended Use of Land: " esidentialry Subclvisio Single Family Home Commercial Is This: Repair Testing: Undeveloped lot testing: In the Lake Cochichewick.Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM I. Proof of land ownership (Tax bill, or letter from owner permitting test) 2. Plot plan & Location of Testing 3. Fee of$425.00 per lot for new construction. This 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. (If time is not critical, fee for repairs is $75.00) GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarian and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system disposal area. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. � � 6. Within 45 days oftesting, a scaled plan no smaller than 1"-100' shall be �u ieitL �I3oard. of Health showing the location of all tests (including aborted tests). ,, m 7. Within 60 days of testing soil evaluation forms shall be submitted. � ( . Please Do Not Write Below This Line N.A. Conservation Commission Approval: -- _-- — _-- Date Received: Check Amount: Check.Date: Town of North Andover NuRT Office of the Health.Department of�s��a ,`q4- Community Development and Services Division William J.Scott, Division Director * �' 27 Charles Street CHUS s� North Andover,Massachusetts 01845 Telephone Sandra Starr P (978) 688-9540 Health Director Fax (978) 688-9542 OUTSIDE CONSULTANT ESCROW AGREEMENT NORTH ANDOVER BOARD OF HEALTH Agreement is made this ZY QL/a� between the Town of North Andover and �= of J r Soil ests, Plaa Review KNOW ALL men by these present that the Applicant hereby provides the Town of North Andover with a check in the sum of$ to be deposited in an escrow account for the Town of North Andover and has deposited in an interest-bearing account as designated by the Town Treasurer to be expended by the North Andover Board of Health to insure payment to any outside consultant(s) for Soil Tests, Plan Review for the above referenced project. This agreement shall remain in full force and effect until the specified project has reached-completion. n a� � MAIWS•RE�r= - PEIGIBROi4E LAltil3-SURVEY _ sAEnn NEW- AMPSfl�RE -— - SAlEM,NEW HAMRSHIRE 03079 - - �4 7rsA�i�4 = �f1�3II0�= RAY OFiDEROF Town of-Norfh Andover 5;50 90 Five Thousand Nine Hundred Fifty and 00/100********* Town of North Andover MEMO 11'00178311' 1:0L1475L161: 221,19 SO3L260 FORM f SOIL EVALUATOR FORM Page 2 or 3 Location Address or Lot l-4o. i J0 On-site Review _ Deep Hole Number Dater_._ Time: Weather Location (identify on site plan) Land Use Slope (%) Surface Stones Vegetation Landform I Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feel Drinking Water Well - feet I DEEP OBSERVATION HOLE LOG° Depth from 5041 Horizon Soil Texture Soil Color Soil Other ! Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, % Graven I F 0 d Parent Material(geologic) pepd�toBadror#: Depth to Groundwater. Standing Water in the Hole: , " Weeping from Pit Face: Estimated Seasonal High t'iround Water: f'Ei? 1'3Y: � vv$, �ssz r� syd X e A V14 7'40 tiZ VE?APPROVED FORM-t2107195 FORM 12 - PERCOLATION TEST Location Address or Lot No " i_ 'r % joj3 NO. COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test* r Date: . i+ Time:,. . . Observation Hole # Depth of Perc 1 : Start Pre-soak End Pre-soak " Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch iviinimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed ❑ Site Failed ❑ ..............................................................................................:......................................._-_--------_......_. Performed By: l " Witnessed By: "�J r.1 Comments: .:,.:::.: DEP APPROVED FORM-12/07/95 FORM 12 - PERCOLATION TEST Location Address or Lot No. J05 NP, COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test* Date: Time:,.._ 2_5' Observation Hole # Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at'6" Time (9"-6") Rate Min./Inch Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed IJ Site Failed ❑ ..............................................................................................:......................................._..._........_......_. Performed By: Witnessed By: Comments: .: DEP APPROVED FORM-12/07/95 FORM r SOIL EVALUATOR FORA Page 2 of 3 Location Address or Lot i4o. i I On-site Review _ F , Deep Hole Number 7 f Date: ' ! Time: Weather Location (identify on site plan) Land Use �It/0 Slope M ' ° Surface Stones Vegetation Landform Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line _ feet Drinking Water Well - -- - feet 'Other _.. DEEP OBSERVATION HOLE LOG' i �II Depth from Soil Horizon Sol Texture Sol Color Soil Other I Surface(Inches) (USDA) (Munsell) Monting (Structure,Stones.Boulders,Consistency, % Graven i Psrant Material(geologic) papCttoBdrock: Depth to Groundwater; Standing Water in the Hole: Weeping from Pit face: Estimated Seasonal High ground Water: f' FO 'viri7"lil�5'S�17 13Y`; VA 7,0 xz— DEP APPROVU)FORM-12107195 i FORT _ SOIL EVALUATOR FOR NI Pabc 2 of 3 Location Address or Lot 1-40. I t On-site Review _ Deep Hole Number Date: ' � '-.� .1 Time: Weather i Location (identify on site plan) Land Use Slope (%) Surface Stones Vegetation I Landform Position on landscape (sketch on the back) Distances from; Open Water Body feet Drainage way ti feet Possible Wet Area feet Property Line feet Drinking Water Well _ -- - -. feet 'Other ,___...."... DEEP OBSERVATION HOLE LOGS Eeh, Sol Horizon Sol Texture Sol Color Sol Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency, % Graven i 1 i r r Parent Material(geologic) Dape"Badrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit face. Estimated Seasonal High Ground Water: PIE i? F0R,-j'6 vvi'rNa5��e--D BY XcAVA710 JCZ DEF APPRONIM FORM-12!87195 /i ., ,,,,, ,� ,.., ..r„ �„r�..,,,,,,,, ire:; ,/�.. ../.r,rr„a�i�o,,,�,r,,,, ,,.,,�//, rri ��; �//./iii/ �/r.�,i/,,,. r.,,rr ri��.. ar //':✓,!/! ' ry „r�� w,r�..�,,.�,.r� F,.,a.,. ,�L,�.��, ,,,,�/.w (aG. ��roG�l��,/ .,�,✓.va/.�,��lly�,�� "��.�C�l.��/� �,�i�/�r��/��W ✓i,////fl// („ ,,, ,� ,.. ii..rr irr, �r:,, r„r, ////„/// �o., �r, r ir.r�, i�,.�. ..:,.,.r, r �r, r, ,/%%%, // / Jr Fi;e �r- .........$ 13102 r/ 5 /%o ,,, ..yyyyr� :�i ,, ri i„✓/,a ,,, „r, ' ..x.., 513102 ...�� // eCtBinlshCa e- 5131102 j% Engineering services required for soil inspection on 14 lots ` r/rr� Engineer:Joe Serwatka,#978-683-6595 Assessors Map: Applicant:Stella Family Trust NO 1 Boston&Gray Street .............../�. rr /iii, ',o,' o,,, io,, ,fir-, /�l /ll'// r 9 Yy�JIdtII11 / //f(/ 07�71 Ot t 6& i AR f'�I u r i jj 1�, . : Pro Project Request Record Town of North Andover Date: .. Client Id: ToNA Card Id:ToNA Client/Company Name.Board of Health Card Type-Client Contact Name: Ms. Sandra Starr Phone: 978-688-9540 Title:Director Fax: 978-688-9542 Address: 27 Charles Street Email: sstarr @townofnorthandover.com: Notes: Town: North,Andover Stater MA Zip Code: 01845 Name: pr'.m .)) Installer Other contacts if applicable ie'E�n g ic�N , Phone: ' Title: Fax: Address: Email: Notes: Town: State: Zip Code: Proiect: Project Id: 1770 Project Title: Town of North Andover Board of Health (JOB NO) (PROJECT NAME&STREET ADDRESS) Manager:NOW Billing Group: Billing Cod J:Fixed Fee ' ' o Description for each billing group BG/tract Info.Pro�Appl ant tptio�� ..�;�. 'e d`',s" .1 e r_.. k,,,� � � �e '7-- - Assessors Map Lot Street Type of service D Office/forms/j brqutona TOWN OF NORTH AINI)OVE1 4 HEALTH DEPARTMENT 27 CHARLES ST'REET NORTH ANDOVER, MASSACHUSET"I'S 01845 Sandra Starr Telephone(978)688-9540 Public ficalth Direc.,lor FAX (97 8)6M-9542 April 29, 2002 John Noonan Noonan&MacDowell 125 Bridge Street Billerica, NM 01921 Re: Soil Tests Boston& Gray Streets Dear John: Please see the enclosed memo from the North Andover Conservation Commission Administrator concerning the noted parcel above. If you have any questions about this testing, please give me a call. Sincerely, Sandy Town of North Andover �{ *kORTH y t,LID Office of the Conservation Department ;� Community Development and Services Division ` 27 Charles Street CRUS North Andover,Massachusetts 01845 Telephone(978)688-9530 Fax(978)688-9542 MEMORANDUM DATE: April 2, 2002 TO: Sandra Starr, Board of Health Agent FROM:Julie Parrino, Conservation Administrator SUBJECT: Boston &Gray Street Soil Testing Activities An Abbreviated Notice of Resource Area Delineation has been filed with the North Andover Conservation Commission for approval of a wetland delineation located on the Stella Property located between Boston and Gray Street. I understand the applicants have filed with the Health Department for the scheduling of soil testing activities on the subject property. I have met with the applicant's field biologist on the property to review the delineation. Minor changes to the delineation were recommended by this Department, with the exception of the wetland delineation on Lot 11. The changes have been made in the field and the applicant's representative will be submitting a revised plan to the Conservation Commission for final approval. Changes on Lot 11 still remain un-resolved and I therefore recommend soil testing activities to be postponed for Lot 11 until verbal approval of the line has been issued by this Department. Please be aware, the small isolated wetlands located on Lots 4 & 5 have been enclosed by flagging in the field and all soil activities should be conducted greater than 100 feet from the isolated resource areas until it is determined by this Department whether they are subject to protection under the local bylaw. In addition, a resource area was identified and flagged in the field off property, southerly of Lot 9. The 100 buffer zone may encroach upon the rear of Lot 9 and all activities should be conducted greater than 100 feet from the flagged resource area. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535