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HomeMy WebLinkAboutSoil Testing Results - 1180 TURNPIKE STREET 2/10/1995 Town of North Andover, Massachusetts Form No. 1 T40RrH BOARD OF HEALTH tia4 19 iL i y � y � APPLICATION FOR SITE TESTING/INSPECTION Applicant NAME ADDRESS TELEPHONE Y, Site Location Engineer NAME MDDRESS TELEPHONE Test/Inspection Date and Time CHAT RMAN, BOARD OF HEALTH J G Fee :`� Test Na. S.S. Permit No.-D.W.C. No.-C.C. Date Plbg. Permit No 6.i STO No PINWORM 10 IS WON= C:.. s f ff y rl 1 Y 1 1•kc fr i .. a 4J�~ '1 O ^'1 v�Y1 t .r Y� s� - i l i r � P/A.6 - - oG- 0A1.��. . ° � t e N k) �I . r T' a� • I�xm" (1�v RI��Y✓�",.m+ moth mn x+ m� ro �ro)it i:ov"i", "�r'ul�.�✓Jf/?' .�f �... 'I�:li,� ,ax'1�• vxi9d.Ikr C. � r i 1, 1, I I HAYES ENGINEERING,INC. 603 SALEM STREET FORM 11 - SOH, EVALUATOR FORM WAKEFIELD,MA 01880 Page 1 3 (617)24C-2800 FAX(617)246-7596 No. ............. AIDA-60 6-0 Commonwealth of Massachusetts A& W,0,06y&g_,JMassachusetts Soil Suitabilitv Assessment for On-site Sewage Disposal (go /a -e�6 LJ Performed Ely: -....... ....... Witnessed By qln . ...... ........... ...................................... ............. ............ ...... ..................... ...... ............... LAY-vion Addressor t(4-I � Owncr*s Name,Jl Lot# Address,and Telephow 1 'Izo UT New Construction Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes Year Published , tlgl/ Publication Scale Soil Map Unit .....1-4-;` Drainage Class -jT— Soil Limitations .. ........ ......................... .................. ............................ Surficial Geologic Report Available: No ❑ Yes ❑ Year Published Publication Scale ...... Geologic Material (Map Unit) ... . .... ....... ........-................ ........... .......... Landform ................ ........ ........ Flood Insurance Rate Map. Above 500 year flood boundary No El Yes 1� Within 500 year flood boundary No D— Yes El Within 100 year flood boundary No D' Yes F-1 Wetland Area: National Wetland Inventory Map (map unit) ......... Wetlands Conservancy Program Map (map unit) ............... ........ ........... ...... ........................... Current Water Resource Conditions (USGS): Month Range Above Normal El Normal ❑ Below Normal Other References Reviewed: FORM 11 - SOIL EVALUATOR F40Rl0[ Page 2 On-site Review .. | Deep Hole Nun�berJ_���— Dote�-��—�L� // 7lnoe�--�!�_ Weather .'` .......... Location ( Position on landscape (sketch on the back) ........................ _-- ......................................- - --- .....-...............'-......... Distances from: Open Water Body ^���o�' feat Drainage way.................. feet ���� Possible Wet Area ^-�' -' fao1 Property Line feet Drinking VVm1er Well /Joe7 feet Other '--'-- --- DEEP 019SERNINTION HOLE LOG Depth from S ur face Soil Horizon Soil Texture Soil Color Soil Mottling Other Consistency, % Gravel) -71X�e e t'37t�� } Parent Material (geologic) '< �� Depth to Bedrock: .A09r� Depth to Groundwater: Standing in the Hole: Weeping from Pit Faoa� Estimated Seasonal Hip Ground Water: Iq HAYES ENGINEERING, INC. FORM 11 - SOIL EVALUATOR FORM 603 SALEM STREET WAKEFIELD, MA 01880 Page 3 (617)246-2800 FAX(617)246-7596 Detennination or Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole....A. inches ❑ Depth to soil mottles ....7/ 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? If not, what is the depth of naturally occurring pervious material? Certification I certify that on - L OcN - ° V (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 15.017. Signature 6'1—Date u U � 6 /��� � � � P �� �_ �o a -� � � n C�ts� 05•'0.4 '19,96 10 29 F'R911 EMS/IIISICxER' S, GUICE TO 83 7,3103 P MAY-02-90 THU 07;20 ._. HAYES ENGINEERING .�-- _.� -FAX .NQ. 16172467595 - -------- - ------- 2 FORM XX SOIL, EVALUATOR FORM Page 2 r�� ite �ev'e iv 0001) 14010 Number ��-'�,j i Time;. W " Location (id tt do r e plan) r LV nd Use ..,. '' .. .. j ,,,.,...,...•...,,,..,. ...... , Slope (%) ., z Surface 5 Vao,Cttation t/1 .,.....,. .. tones . ;4,.!.......,.:.1................ �,. Landforrp .cL►�»/L,c� ... Po,it'IOn Ott ha e'c .. ......... ................ ....... .. ndsca a (sk h an the back) ......,. ., ............ ......... ........... „, ,. ......, , .,,,. ,.. . ,..,. oes from; ......................... Open: Water Body. ;?/.`acs Pest . Drainage way.................. feet Possible 'Wet Area feet Property Line ............ f&fat Drinking Water We!! feet Other ..„„ .. Depth feon,Surface HorfYpr Solt Texture{Inches! Soil Color Spit mottling (V$QA) (Munsell) tither _ ,(Strucivre,stones, BOU14CM Ceruist ncy, %Gravrall �- - C) Yyllrr- Paront Material (geologic► 1 C f' 64� L7Epth ... ..,, .,.....,,, t0 gedroCif: i r 4 05,"134 1996 1() F R 0 M E11F, 11151D[R' S GLlIpk TO $87310, R,ll2 MAY-02-96 THU 67120 HAYES, ENGINEERING FAX NO. 16172467596 P. 0i r FORM 11 - SOIL EVALUATOR FORM Page Z n-sgte Review r { 6^17"5 `emu Deep Hole fVurliber ....... ........ date: ...,.......... T' �.. ... . .. �.©cbiron (iden if n e' Weather Ay o bite plan,) .....................•....,,.........,r „,..,. Land ....,,...... Slope !%) t... ... Surface Stones o Vegetation .�)O'c t..,`Pt vt4. .......................... ............ .......... .. ............ .. L andform Positlon on landscape (sketch on the back) -Distances from: Open Water Body .%/© ?..... feet Drainage wey...//,, . .. feet POSSIble Wet Area . °./d°., feel Property Line .ta✓ t feet Dtinking Water k"del; fee,, Othor 10 LE O Depth from Surface Soil Horizon Soil Twure Soil+Color Soil MptiYar►q dtlke{ C (Endres) (USDA) (m 11) .(5auct•tre,Staoea, 6oulct+tr5. Cer+sistercy, oh oravell ,���• ...M+wvrwu.•wwrrrw � �r � ! �(SYV�4,1'i+lc/1.4�7jG2t/�t;,,• ! Parent Material (goolo ic) •E 4.-� � __o._.d_.__ Qepth to t3cdrooP,: , o Gigg d M1121t � CS gr1C�:.^.0 1h.1��., i� t1h U"' l 4 ,� 4 � ( � �, , . .__ _ .� h 1 _ ,. ``, ,._ �- ,,� �i�. � ,� j � �, I � �.. U "" t `✓ v ..,1 � � I • � � �� � `;fit �(���`` �% . ._ ,,;. ,� w ��`� .. - `�--� _� _:,�, �' ,,, _ _ .. . s __ _. -: �. s , , _ _. ,� � � ; .. _,� `�,., _S�.�-,, , ,,� L�3 ,� . _ _ . _ _. � ,� .�, . ._ � ' r,�E,, _.�i _ � � � \ ..� �.. I ; _� ��\ �� �� � � . i HAYES ENGINEERING,INC. 1,-ORM 11 - SOIL EVALUATOR FORM 603 SALEM SMEET WAKEFIELD.MA 01860 Page 1 (617)246-2800 FAX(617)246-7596 ............-... Commonwealth of Massachusetts Date......_............................. qC),17139c>V�)L , Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: ...q. .. `.qv ... ........ Witnessed By: ......................... .... .... ........... .................. ....... ....... ....................... O..,',N.., Location Address or 'JLJJ � S0-e-w\ Lot 2tF:—// Address.and t 47 4 0- "<A Telcphwf 6,4 New Construction Repair .Office Review Published Soil Survey Available: No ❑ Yes 0-' Year Published ..f? Scale AV Soil Map Unit A.......6 I-r- Drainage Class-i-i-, Soil Limitations . .... .............. ......... Surficial Geologic Report Available: No ❑ Yes ❑ Year Published .. Publication Scale ................ Geologic Material (Map Unit) ... .. .... .... ... ........................---............ .................. .. .... Landform .. .... .......... .... ....... . . ......... Flood Insurance Rate Map: Above 500 year flood boundary No El Yes Within 500 year flood boundary No Er Yes El Within 100 year flood boundary No Yes E] Wetland Area: National Wetland Inventory Map (map unit) ........ Wetlands Conservancy Program Map (map unit)................................. ............ ........... Current Water Resource Conditions (USGS): Month Range Above Normal El Normal El Below Normal Other References Reviewed: - - FORM 11 - SOYI, EVALUATOR FORM Page 2 On-site Review Deep Hole Number T—Y Date:... e:.... Weather .. `\ � �moo/ornn _.=-------------' ---------_ ___ __________________________ Position oolandscape (sketch on the back) -'---- .............. ................. --'-- .............- - - ..... ... .............. ...... _ Distances from: - Open Water Body '".=�/�-0—' feet Drainage foot Poom|b|r Wet Area �.foc> ' feat Property Line ./� feet � Drinking Water VWell ,°Qz` feet Other DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (inches) (USDAI (Munsell) .(Structure, Stones, Boulders, Consistency, % Gravel) --Yj Parent Material (geologic) J6� � ---'-- ------ - Depth to Bedrock: Depth to Groundwater: Standing VVs1e� in the Ho/o; Weeping from Ph Face. ~l� Estimated Seasonal High Ground Water; HAYES ENGINEERING,INC. FORM 11 - SOIL EVALUATOR FORM 603 SALEM STREET WAKEFIELD,MA 01880 Page 3 (617)246-2800 FAX(617)246-7596 Determination r Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole-..../� . inches ❑ Depth weeping from side of observation hole .-P/ . inches El Depth 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? If not, what is the depth of naturally occurring pervious material? Certification I certify that on OdO fto`/ (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 CIVIR 15.017. Signature Date