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Home My WebLink AboutSoil Testing Results - 351 REA STREET 4/17/1997 m No. 1 Town of North Andover, Massachusetts For F NORTH LE BOARD OF HEALTH -q �? h� xb �0 19!1_ ORATED WPp�y,�5 APPLICATION FOR SITE TESTING/INSPECTION �SSACHUS�� Applicant NAME ADDRESS TELEPHONE Site Location Engineer NAME / ADDRESS TELEPHONE Test/Inspection Date and Time tl� lnl v, /cj, ydr _ l� -CHAFRMAN, BOARD OF HEALTH Fee Test No. _ S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. pONTi+ BOARD OF HEALTH 146 MAIN STREET �.'•°. , .:•'�5 TEL. 688-9540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: 7e LOCATION OF SOIL TESTS ' ' -e� Assessor's map & parcel number: OWNER: ,/ TEL. ADDRESS: 9� ENGINEER: (7( z TEL. NO.:_ U 7 j 3�2U CERTIFIED SOIL EVALUATOR: Z22 /OU Ups Intended usa of land: residential subdivision, single f it ho , commercial 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 $175.00 per lot for new construction. This covers the two deep holes - and two percolation tests required for each lot. Fee of $75.(10 per lot for Irepairs 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. 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. LAW OFFICES OF RALPH R. JOYCE ELLIS BUILDING 95 MAIN STREET NORTH ANDOVER, MA DIB45 RALPH R. JO'YI.:E (SOB) 665 4555 FAX 6B5 3148 April 17 , 1997 Town of Forth Andover ` BOARD OF HEALTH 15(� Mair, Street Ai,dc1� E.r r'.A (T184 � i I;r% SII EI;7 f Dear Sirs : 1'. Enclosed please find the following items required tQ perform water tests nn the above-cited property : 1 . Check in the amount `of $150 . 00 2 . Copy of deed 3 . Plot plan Kindly contact my office with Aed / 3 RRJ : mjj enc . AUTHORIZATION I hereby authorize Ralph R . Joyce and the North Arndo,,,er Board of Health to conduct water tests on my property at 357 Rea Street . a reen J. Jo�ee, FO 11 - s61L EVALUATOR FORM Page I of 3 ate Jj No. D : - Commonwealth of Massachusetts Nol2F)4 t1Nb0VLC . Massachusetts oil Suitabilt Assessment or n-st— ewa- e as osalf Date: JI./m/98- ............. ................ Performed By: ... WNN ... .... ........5 ...... -r ................... ........................................................................ ............. .......... Witnessed By: PI Location Ad&as Of LOT Z r5 tq 5Tr1kf1T Owner's Num, Address,AM Los x Nzi&M ANOWOC Telephone I gE 11 S T-R-u'7- Wew Construction DRepair El Office Review C Published Soil Survey Available: No Yes Soil Map Unit Year Published Publication, Scale . .9G� Drainage Class 0 ........ ....... Soil Limitations, Surficial Geologic Report Available: No 2'- Yes Year Published Publication Scale Geologic Material (Map Unit) ........ ............................................................... ................ ........ Landform ........I............................... ...... ................... ...... Flood Insurance Rate Map: Above 500 year flood boundary No [12/yes El Within 500 year flood boundary No ❑Yes 2/ Within I 1 00 year flood boundary No ❑Yes WetlandArea: unit) ........ ............. ............. ................................ National Wetland Inventory Map (map ...... Wetlands Conservancy Program Map (map unit)...... .......................................................... Current Water Resource Conditions (USGS): Month Range :Above Normal EINormal E]Belc,.,/ Normal El Other References Reviewed: DEP APPROVED FORM-12/07/95 FORM 11 - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. LO 1 2 rl—F- S T 12 iz l On-site Review it/1� 5 Time: 1.�%D� Weather 1�. S�I�✓n/`� ¢� G Deep Hole Number Date:. ::: .:. . . . ..,. . Location (identify on site plan) :. Land Use ........ . - (Z:)Q.5 --: : Slope Surface Stones 13�' .4•�f-i2S Vegetation ..:,.0!4101. t31►� K..1. MY� 'S- / :.W., pJN /.. UK,aS.S!ij.:::::..:.. ....:.:..... _ _ Landform _: .:..:,,_..:::. .. .. . ... Position on landscape (sketch on the back) . ,:.... ._ - - Distances from: Open Water Body . -L (J feet Drainage way feet IPossible Wet Area ._:.J : feet Property Line feet Drinking Water Well .::.:::.:. feet Other HOLE LOG* DEEP OBSERVATION IDepth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure,Stones, Bounders, Consistency, % ST. F, S,t. JuYYL� Z G►2�9N � n , pels4 S L I - Jh✓�J51�i�, t-VLrt�-�5 L/z., I G2, mo) Z,SyS(v 1'�K�I� 6KAN�fL44YL, F��tg LrL Z� �6 G l G L Fwe ft mrb L614 m z l PYLr46Lf LIS ! ��Nti� 2,54��(r Z�" jV1�4J�JVfL, V641 `/ 1�t2i�4�l,rL —13 " lot ('3 MlfffMU' �.S►9Nb l Parent Material(geologic) 5�N ley Tr C (— DepthtoBedrock: 7 6 i Depth to Groundwater: Standing Water in the Hole: (�S Weeping from Pit Face: b Z ri Estimated Seasonal High Ground Water: ,r i 4pZ u i DEP APPROVED FORM-12107/95 q{ rY �_kA FORM 11 - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. COT Z F 14 On-site Review :.: l,L9. .`? //; 3G Deep Hole Number Date:./ Time: Weather/ J • Location (identify on site plan) :..::. ILand Use Slope 3—o Surface Stones vegetation -0 4K v Bl".— A,..MM 144 �. Landform .:. .:::..,....:::. Position on landscape (sketch on the back) Distances from: Open Water Body 1,10 feet Drainage way :. .... _ feet IPossible Wet Area :.:1 Z i;� feet Property Line . . . feet 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,Goauldders, Consistency, % 012.1-,S. t, 7S YV''*' G, 7;3 M�4J�►t,'�� Ft2��9+�i,fr� M Z' a K.,0 b 2 t'4S Parent Material (geologic) jv9N ly (�( DepthtoBedrock: Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: a Estimated Seasonal High Ground Water: i .4. r,� { 1 t DEP APPROVED FORD)-12109/95 t ra3cx-a,a17 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. (,Cl Z afA On-site Review Deep Hole Number .. Date: �:z'.v� Time: �!.I�� I c�� Weather ,51�•1i/v� ¢�. Location (idertlfy on site plan) 0 3'Y3 Surface Stones Land Use ..:.. :Lt}.:::Ui?. 5 . :...::. Slope ( /ol .. Vegetation ''� )E4 L£ �. ,aJ..piN C�-►ZVS�t .....::.......:.:.... .:: .... _ icu, .. . i... Landform ..........: ....:......:.. ::..:.:_:..:..: ......,: Position on landscape (sketch on the back) ..._.:. - Distances from: Open Water Body Z/Q. feet Drainage way feet Possible Wet Area ...a ((:.. feet Property Line _.JJ�%... feet Drinking Water Well feet Other s OGF DEEP OBSERVATION HOLE _ IDepth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones, Boulders, Consistency, % I5r, F S.L. loyt23 Z ��,✓+rvti�-�v-v�, �►�-��4 s�� I 7,S'11�s/y �U4 M 2,Sy5�b MINIMUM QF2 HOLES RE(lUiREU A r EVERY PKUVUbtU UlbVUbAL AREA Zvi (3 Parent Material(geologic) SON 0� T-/LA-- DepthtoBedrock: 7 b Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: i aQ t7 Estimated Seasonal High Ground Water: ; ` � I '> DEP APPROVED FORM- 12/07/95 gt' FORM 11 a SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. (ti -Z lZg&g S T, Determination ,for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole................... inches YD�epth pth weeping from side of observation hole ............ ..... inches to soil mottles . 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? y If not, what is the depth of naturally occurring pervious material? ICertification I certify that on v (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. I / b Signature Date DEP APPROVED FORM-12/07195 FORM 12 - PERCOLATION TEST Location Address or Lot No. &O I Z PLEA S7-Yl f COMMONWEALTH OF MASSACHUSETTS 140KNj {9N961V&t , Massachusetts Percolation Test* Date: :..:. :. Il/l.b�%� Observation Hole # / Z Depth of Perc , Start Pre-soak 4-c/ I/ i 3 Z End Pre-soak i Time at 12" P ". Time at 9" Cl 5-0 I Time at 6" /6 l Z = Z'O Time (9"-6") Rate Min./Inch --1 * Minimum of 1 percolation test must be performed in both the primary area AND ; reserve area.Lam Site Passed ' Site Failed ❑ ..............................................................................................:......................................._.._......-......... Performed By: b t9 fYIILL. U C yA/I/E-L-e Witnessed By: h—Lf�2LY "-IZ)F o Comments: DEP APPROVED FORM-12/07/95 / U ' / o' / loll I-ool 6b / \ / J ' / / y ' 1ti / 10 / _ r / r „ } i e r Y k � 7 5f i r fn9xY a' 1 > #7 r c 1 � r 111111111111111101%111111 . 71111k 111111111111111111111; IIIIIIIIIIIIIIIIIfi�IZ �'11r�11��11 ' r r r r 1107 Bill 1111111111111111111111�111 , 1�!L�l1l1111 11�:lISIG111�J111�i Flo AAR 11 , r E } >f !!�!��l111 ICII�,I�J11�111�111111111 � 3 { � �k r t+TISfl12j �� ' 3 1 d 5 b 111 1 1111 1 IIILMA1111111111111 IGI EII 101 1x1111111111111 r r" 1111 1��1�C�11C�111111111iir111�IG�1 , . r r �tNr � 1111 11111111.��i1111�111111111�1111 3 7�h �z- 11111111111 111111111111111111111 � t � � r 1111111111111111111111111111111111 � � ' r } '�` } ' -� ��` N 111111 11111111111111 111111111111 k, r � �( ��$ 111111 11111111111111 111111111111 a r f ? ; , �� iN m rti r i f k"� rr� •T�� `. 1111111 11 11111111 1111111111111111 T 111111111111111 111111111111111111 1111111111111111111111111111111111 arr Ell 11111 ill 1111111111111111111111Y 1 2; 'pypy r 1 ^rfi DATE: LOCATION. 3 6 E N G I N E✓,=;: BOH wITNESS. PERCOLATION TEST r EO i OM DEPTH OF PERC TEST: ¢ TIME OF SOAK: _ �Cj t (At le-st 1 minutes Icrc) TIME AT 12 / TIME AT 911 c) d TIME AT CVE;,NIGr T SOAK TIME S RTED NEXT D,�,Y S0 K: (,At ieEsr 1 -,inures) TIME AT 1 TIME AT u„ TIME AT _ DATE: S7 r LOCATION: ENGINEER: ---- — - - - BOH WITNESS, PERCOLATION TEST BOTTOM DEPTH OF PERC TEST: TIME OF SOAK: _ l (At least 1 minutes Icnc) TIME 1 � ;,, A � � TIME AT c„ T I M E AT CVEFNIG'r-i T SOAK T IM E -QTr--r,T HD NEB ' S " (,' eas, 1 Miru-es T 11v1 E A T %" TIME T TIME A7 �„ T-7 L-175'�,' IJ LILZI L I A/ ----------