HomeMy WebLinkAboutSoil Testing Results - 139 OLYMPIC LANE 5/2/2003 Town of North Andover,Massachusetts Form No. 1
NoRTIy A BOARD OF HEALTH �9
CD 1: O
APPLICATION FOR SITE TESTING/INSPECTION
ORATED
�SSACHUS��
Applicant
AME ADDRESS TELEPHONE
Site Location
E n g n e e r
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
—E AIRMAN,BOARD OF HEALTH
Fee Test No.
S.S. Permit No. D.W.C. No. C.C. Date PIbg.,Permit No.
.f _
BOARD OF HEALTH
NORTH ANDOVER, MASS. 01845
978-688-9540 - -- ;
APPLICATION FOR SOIL TESTS a
DATE: ZJO MAP&PARCEL:
LOCATION OF SOIL TESTS: t ,�l �.;;,,1i2, L !� tr.�i to
OWNER:_ TEL.NO.: j %
ADDRESS: 1 . 1-1 6%IyF,,,D,
ENGINEER: New England Engineering TEL.NO.: 978-686-1768
CERTIFIED SOIL EVALUATOR: Richard C. _Tangard and benjamiNC osgood Jr.
Intended use of land: Residential Subdivision 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:
1. Proof of land ownership(Tax bill,deed, or letter from owner permitting tests)
2. Plot plan
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 1200.00 per lot for repairs or upffades.
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 he 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.
Please Do Not Write elow This Line
N.A. Conservation Commission Approval:i � i -,.r _ 7/-��,, ✓
Date Received: Check Amount- Check Date: ��°�
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GRAIN SIZE DISTRIBUTION TEST REPORT
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GRAIN SIZE - mm
% +3" % GRAVEL % SAND % SILT % CLAY USCS LL PI
• 0 . 0 22 . 5 56 . 4 18 . 6 2 . 5 SM
SIEVE PERCENT FINER SIEVE PERCENT FINER Location :
inches number •ON SITE
size • size •
1 100.0 4 83.0
0 .75 95 .6 10 77 .5
0.375 88 .2 20 71 .5 Description : '
40 64.3 • F-M SAND, SOME F-GRAVEL
50 58. 4 LITTLE SILT, TRACE CLAY
100 42. 1
GRAIN SIZE 200 24.5
D 0.324 i
30
D10 0.0174 F-.- ' . :. Remarks :
COEFFICIENTS %.';: #200 WASH SIEVE
Cc 1 . 70
Cu 18 . 6
UTS OF MASSACHUSETTS, INC. P ro j ec t No. : 8066
5 Richardson Lane Project : 139 Olympic Lane, North Andover
Stoneham, MA 02180 Date : 6/15/03 Sample No . 9522
CJ 11171 GUU r. l.l. LCD 11 01,7.wL4U1 1J IHI`i,�f-4r°:UK 1"Hl7G U1
FORM,11 - SOIL EVALUATOR FORM
Page 2 of
Location Address or Lot No.
On-sites Review
�f ( fp Weather
lDeeo Hole Number Late: 7amo;. <
Location (irfendfy on site plan)
Land I-lSe j�?/t`�'�� �r�7 Slope {°fai Surface -tones
Vegetation
t_andform y.G >
Po5itiGn on landscape r
Distances from:
(open Water Body feet Drainage Wady feet
Possible Wet Area feet property dine feet
Drinking Water W''eli feet Other
DEEP OBSERVATION HOLE LOG"
i
I
6e�tf7 from Soil Horizon Soil Texture Sall Calw Soil Other
^surla,o llnahesl {USDA; Nunsel}} Mottling (StruChare, Blanes, 9ouldFrS, trOns,stency 'b
Gravel) _
— — --
1 RMSE6 A
pt'rent Material (ge4laeio} _ PepthtoBedrotk; __ —..
Ge the Io GrOuttdWONU Stand!nq Wacar in the Hole:. _t Weeping from Pit Pete
Estimated season' High Ground Vdater: L/. - ---- —
DFF krpRovEG YO"I. 12/07'5$
U tj 1'7r Z U U J 11: zi::. I r dil JqUI 10 1 1-1AUL Ov
FORM 11 - SOIL EVALUATOR FOR-M
Page 2 of 3
Location Address or Lot No, z\oi lk. - I , /"„1
-On-site Review
Deep Hole Number Data:. Time, Weather
Location (identify on site plan)
Land Use 74? 1 tY,,4-C- Slope (1/18) Surface Stories
V e g e 1 Zi t i 0 r)
Landform
Position on landscape
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*
Depth from SQ11 Horizon Soil Texture Soft Color Soil Othof
Surface (Inches) (USDA) (Mvnselll Mottling (Structure, Stones, Boulders,
Oraveii
Sir Z
f .
' ( r ���� ,,��f�C.� l t( � V L i '..
my
M
I WiNf6—r E n OMS MIUME11)AT E7FR7-MCFMP5'MGP hff
N!
Pare,mi Material (900109ic) Depthto8edrock;
2.!-�jpt�ht to Groundwater: Standing Water In the Haler Weeping frorn Pit Rice!
Esurnwled Seasonal High Ground Water;
kiDEp AppROVED FORM• tl/07195