Loading...
HomeMy WebLinkAboutSoil Testing Results - 224 SUMMER STREET 11/5/2002 BOARD OF HEALTH NORTH ANDOVI;R, MA 01 845 �w 978-688-9540 c Nov 620V d APPLICATION FOR SOIL TESTS �w DATE: MAP &PARCEL: M re� LOCATION OF SOIL TESTS: ;' AA A4. :: :. _. G "T OWNER: 1 ,CV.r� PC, °�14�<.e.�l� TEL. NO.: ADDRESS: nA stir.C �,.�._�...._. �.... ENGINEER .... .�. ,.�.� 1��c�,....��,r��� 1p n2 &a A�) t L1.� - ; TEL. NO.: q'vs- CERTIFIED SOIL EVALUATOR: _ i�c;.r-t y3gp ' �1 vC _ >!-r :o�a.vI 0 'yC�z : t�. 3 ; Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: _ Undeveloped lot testing: In the Lake Cochichewick Watershed? Yes No x THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 1. 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 up grades. (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. S. Frill 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 farms shall be submtted. Please Do Not Write Below This Line N.A. Conservation.Con'nnission Approval: Date Received: Check Amount: Check Date: .... "" Nov-12-02 13 : 28 P . 07 ,w y IMF,,. Id ,S . ;r�j •; -, tr� • � .,CYO •`, 1 � t ib� +1 L.•i �1 4 •likly`� P � 1 r FORM II - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot v4o_ ' Jed s"3 N•�� � F =" ".r ' i, � z:-� , �.:� I i Orr-site Review _ Dee Hole Number � � P Date:Zu � Time: Weather Location (identify on site plan) Land Use ' ?:?"'' # ' . Slope 1%1 Surface: Stones Vegetation Landform Position on landscape (sketch on the back) Distances from: Open Water Body �` Meet Drainage moray.� feet t Possible Wet Area feet Property Line ' feet i Drinking Water Well `. feet 'Other DEEP OBSERVATION HALE LOG' Depth from Soil Horizon Soil Texture Sail Color Soil Other Surface !inches) (USDA) (Munsell) Monlir3q (Structure.Stones,Boulders. Consistency. % Gravel) ' s - r 1 Parent Material tpeologic) Oqp&RoBedrodr: Depth toGroundwe3err: Standing Water in theHoie: £�,' :�':� ->.:-,Weeping horn Pit Face: Estirn4ted Seasonal High ('wound Water E X G°A 1ve4 y t7 rte. VF.r APPRONIM FojtM-121471lS d FORM 11 - SOIL FVALUA'I-OR FORA I'abc 2 of 3 Location Address or Lot No. Jed 3 1140. On-site Review _ 1 � Deep Hole Number ` © i " Time: Weather Location (identify on site plan) Land Use ��d'�A;. J;:y � �' Slope M — Surface Stones o, Vegetation °� f Landform Position on landscape (sketch on the back) j Distances from; € Open Water Body "%�-` �� feet Drainage way�8 test Possible Wet Area - is r`' feet Property Line °" 3.; feet Drinking Water Well =r: - feet Other DEEP OBSERVATION HOLE LOG' Depth from 5041 Horizon Soil Texture Soil Color Soil Other Surlace tlnches) (USDA) (Munsell) Mottling (Structure,Stores.Boulders, Consistency, % i tarsvel} . a �I ! c 4rp - �::. "A'V l l � $ Paysnt Material(Qeot04ic) ElapttKogrdrat3c: D_2th to Grounewaser• Standing Water in the Hole: �:� z Weeping from pit Face; y , Estimated Seasonat High lsround Water' r .rat? Fop.I E D y. �#M'J EX•G'AVATOx?- yEP APPROVED satyrs-12107115 1jI/1U/2UUj 11:1b 1l81334U11Fi IANUAROR €-9aiE U1 ( _7 FORM 11 SOII, EVALUATOR 14[)RM lal 1" -t f y Page 2 of 3 Location Address or Lot iJo. On-.bite Review Deep Flare Number .. i]ate.. .! .1 Time.1 Weathers- � L Location (identify on site plan) P-1. Land Use Slope {Q/a) Swfat:e Stones Vegetation . .� 4. Loodform Position on landscape (sketch on the back) Distences tram; Open Water Body feet Drainage wary feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other ...:...:.-_............................ DEEP OBSERVATION-HOLE LOG" Dipih from Sail Horixor ' Sail Toxturs Sall Color $oil other Svffat•e OnQhesl (USDA€ tM vnvenl Mottling (STrUcTura,Stones,Boulders,Consisionev, % _ gravell Jet- G /6fz � y Vitt r Cell von 03A � r=arent Material Igeoloplel_ f DeptmoBedrock;_ _ -• gepthSo G.r_yu3¢wa er. Standing Walor in the Mole: Weeping from Pit Faco, Fslimaied Seasonal High Ground Vlater: DER APPROVED FORAS-MOM i�1JlE7fll7a� 1.1:1b 1/ti13�i4k}1�b IFSf`iC�Hhtl� I-A�at Jl i 5 FORM 11 - SOIL EVALUATOR FORM Page 2of3 l,,ocetion Address or Lot No —On-site Review Deep Noce Number 14-7 Dale:./// Time: WeathiC Location (identif on Site plan) ).,and Use 0 // 51Upe M Surface Stones Vegetation f.•r :..,. ... :. Landform � Position on ,andscape fsketch on the back) }� (!�7 Distances from: Open Water Body feet Dralnege way feet Possible Wet Area feet Property tine feet Drinking Water Well feet Other .. ...:.. T DEEP OBSERVATION HOLE LOCI t Depth from sail Harkon Sall Texture soli Color Soil Athgr Svrface tlnchesi (USDA) (Mundell) Mottling [Steuewre,Stones,Boulders, Consistency, % Gravell � � -"'"- �� �.�.�• � '� ��-��"�� ���sue. ''�.�' .–� Parent Material(geologic) _ DapthtoBadrock:_. 0E Regth to_G.r_oundwaler. Standing Water In the Hole: Weeping from Pit Faee; 6 —•---. Es'iimicid Seasnnsl High Grnund Water. DEF AN2R 3'VED FOM- 12+07'93 Of Massa, 'The constructer iresting Pow LETTER OF TRANSMITTAL -SOIL TESTING RESULTS SAMPLE NO. Qa i PROJECT: �•��'� S u m�� S aC(` � DATE: � LOCATION: ��l n PROJECT NO Q 4m—ale Submitted By Q UTS Representative: Other: a Date Submitted: a � of SOURCE OF SAMPLE On-Site Existing @ Location: ❑ Off-Site Borrow from: PROPOSED USE: MATERIAL gFrntiiITTED AS ❑ Structural/Granular Fill: RE uESTED TESTING ❑ Ordinary Barrow: MHD MI.01.0 (Shall be approved by the Architect Gradation Analysis • Gravel Borrow: MHD Ml.03.0 Tyne• A — B 1 wash Sieve Analysis • Processed Gravel for Base Course: MHD 91.03.1 C ° Modified Proctor ❑ Sand Borrow: MHD 91.0-1.0 T e' _ o Atterbergl imits La Reclaimed Pavement Borrow for Base Course: MHD Mi.11.0 a Permeability ❑ Crushed Stone: NfHD M2.01,0 Outer: g ❑ Dense Graded Crushed Stone for Base Course: MHD 92.01.7 • Common Borrow: • Drainage Fill: • Other: MATERIAL CLASSIFICATION: PROJECT SPECIFICATION CONFORMANCE RESULTS ❑ Does conform: ❑ Does NOT conform... Basis: © Marginally does not*conform... Basis: * We suggest the suitability of this soil be reviewed for approval by the Architect and Engineers-of-Record. a No Specification provided to our office. ❑ Specifications provided to our office but sample not submitted to a specific use. o Sample submitted without indication of intended use and without Specifications. Li REMA RKS: John C. McCarthy Geotechnical Dept. Mgr. 5 Richardson Lane, Stoneham, Massachusetts 02180 (781) 438-7755 Fax (781) 438-6216 GRAIN SIZE DISTRIBUTION TEST REPORT C C C \ C * N ar O a a a Q O 1 00 M N K, M -ft CN E I 90 80 70 w z 60 IL Z 50 w - _._...._.......-... t� L.d 40 a.. 30 20 10 . 0 200 100 10.0 1 .0 0. 1 0 .01 0 .001 GRAIN SIZE - mm % +3" % GRAVEL % SAND % SILT % CLAY USCS LL PI 0 . 0 17 . 4 62 . 5 17 . 5 2 . 6 SM SIEVE PERCENT FINER SIEVE PERCENT FINER Location : inches . number •ON SITE size size 1 .5 100.0 4 88 ,0 1 97 .0 10 82 .6 0 .75 95 . 6 20 74. 7 Description : 0 . 375 92 .0 40 64. 1 O F-M SAND, LITTLE SILT 50 57 .8 LITTLE GRAVEL, T-CLAN, 100 42.6 GRAIN SIZE 200 26.0 D60 0.335 D30 r, d10 a.ozoz Remarks: COEFFICIENTS 200 WASH SIEVE 6 Cc 1 . 20 Cu 16 . 6 UTS OF MASSACHUSETTS, INC- P ro j ec t No. : 8099 5 Richardson Lane Project : 224 SUMMER STREET, NORTH ANDOVER , AAA Stoneham, MA 02180 Date : 3/20/2003 Sample No , 8492 S 'r ` N m tf1 to t'G �n � Y• 0. Cs �i C r(D cn m a @ sn+ {`I N H. w t� z .. F rt b rr tN OQ ` n Yh tp V] w rt n 1 m n w M m m i-- P. H. r{ ti w :3 o c cn t� rt d v ci w . Q w � � n z o � O ;�rA o c m rj m c %� o cc 4 rA Fes`V4 V L7 N ON �� 2 -0 r a 0 0 -00 /00 Town of North Andover, Massachusetts Form No. 1 01 NoR�7 yq�O BOARD OF HEALTH, x � _ APPLICATION FOR SITE TESTING/INSPECTION ��SSaC USES a Applicant /e / /,� ' /�S NAME ? ADDRESS TELEPHONE Site Location -.Engineer ✓ 'sOY �/y �//f' �� �C' G � �/�;� ��1�~"�:3r� NAME ADDRESS TELEPHONE Test/Inspection Date and Time Fee ��/ CHAIRMAN,BOARD OF HEALTH vC. Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.