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Home My WebLink AboutCorrespondence - 45 BEECHWOOD DRIVE 8/7/1996 F k ` �Y A � � k�i J ✓sue I T''t cyc n A ti F A ..- ... tf �' 0 Kovw � cc fz IQ f r-- �... 9 -- - . P_ a I C_ • f � I i' i 1 f fir; g VALUATOR FORM FORM 11 _ s61L E Page I of 3 Date: _f ho No Commonwealth of Massachusetts 111 , , Massachusetts -- ail uitabili Asses went or On-site_Sewagg D isposal _ Date: ,171?4 Performed By: ....D4 ...... ;14, .............. Witnessed By: Owner's Num. L,Datjon Address Of (,07- 7_0 A6&tss,and 60 [. Law ("L Telephone Os-J, os&000 (315CCOIJ00 0vCn,.,410t 6062 Review epair ❑ Office R Available: No Yes Published Soil Survey ........_1_44.0 Soil Map Unit Un cr, ....... Publication Scale /, 4 Year Published .uf ....... ............... ......... r-n 7ta n ......... Coll LIM to Drainage Class ())LJ4jA/&;V.......... �j ❑ Surficial Geologic Report Available: No Yes Year Published Publication Scale ...... ........ Geologic Material (Map Unit) ......... ...... ............... ............ ............... ........................ ...................... Landform ......-........ ....... AZ Flood Insurance Rate Map: ......... k, Above 500 year flood boundary No Yes Within 500 year flood boundary No ❑Yes N year flood boundary o ❑Yes Within 100 Wetland Area: ........ ........................... National Wetland Inventory Map (map unit) .................................................... ............. .......... Wetlands Conservancy Program Map (map unit) ................ .......... ....... Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal 7Belcn.vNormal Other References Reviewed: DEP APPROVED FORM 12/07195 FORM 11 - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. T Z af-f-CAIWO00 U, On-site Review Deep Hale Number Date:.::. . 0 Time:. .�z� Weather -�91N CAS Location (identify on situ plans t Land Use !?.. .....:... .. Slo e. (%) '-.0 Surface Stones N.D.. I :.:.,t,..,1:0�6. S p Vegetation .13.1 .CN. a:;3rzCK j („j.'►�:Trt:ptNk-,. Ul4-C. Land form .....:.. ..:.._;:..:: Position on landscape (sketch on the rack) , 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 Soil Horizon Soil Texture Soil Color Soil Other Surface llnchesl (USDA) iMunselll Mottling (Structure,Stones,Goulledlrs, Consistency, F D �012fz sL 4-2110 8 w r Z'S11 s-/&, r-5 L coMM(W rLao 13 2,0- 3 gw z Z,stf 615- r-S L ' �IZfzt.G.�lLwn. r3o-aNa,r�y (014 511/3 3 6.— it Z10 C, STYu4'17C7 &-'S('VA- s lN�c.>:. "A w4 �, / iu G,4rc R rti� G2D P+L4,45.L& — L'-fpoaE Mkt uM ftw V Kcxs S�1 i5 i�flrs t�[ crc d yr5 a _Ka 110M MIRIMULM- arm X MM Parent Material (geologic) DepthtoBedrock: 7 C De th to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 17N 41 Estimated Seasonal High Ground Water: DEPA PPttavEn FORM-12107195 FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 I Location Address or Lot iJo. WE F On site Review • � `OU Deep Hole Number 9 .:-.� Date:.:.rP:f ..�Q� Time:., ..: ... Weather Location (identify on site plan) Land Use .,::..':�J:C}.(1b .. Slope m 3.-b Surface Stones NP f3 . 11 . ptN .t:0 .:...:: Vegetation . .�3.�.I�C#�.�:... .��..�...... �:. .. :.. 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.` Depth from Soil Horizon Soil Texture Soil Color Soil other {USDA} (Munsell) Surface{Inches! Mottling. (Structure,Stones, Boulders, Consistency, % 5L 1�3 �3 Z i ZZ— 41 C{ Vr—S Z.5"11 Y-3 G z WS G Z,SN 61¢ MSSa u.C,� r=►�-��`t3 r-+ %-1000 G Snt*nlgo 51{6 3 7 gft5/`6 5 0-j6L4- M�11�1M C YL0 o , Tb CcAm4 Z (� 4r Parent Material{geologic} DepthtoBadrock: y.. U Depth to Groundwater' Standing Water in the Hole: tvowj,, Weeping from Pit Face: Il/v N Estimated Seasonal. High Ground Water: D "APPROVED FQRht- 12107195 .k A FORM 11 - SOIL EVALUATOR FORM Page2of3 Location Address or Lot i4o. _ f _ _ r� . ..... Quo If bL On-site Review Tune:.: M: U Weather S.�fti✓t/NJ Deep dole Number (.:b:�. . .: . Location (identify.on.site plan} ::µ„.,....:.::.: ....,:::..:......,:::::..::.:::.::.x...:::.. :..:...: :...,,....::.:.......:::.....:::.. 3 �- .q Slope (%} -'6 Surface Stones Land•Use L-)-Q9 - - r ' Vegetation ..:QW r. (<.,)P1- -....i'�t.N .�... �t:G. Nbl4 . :.. :.....::.- L.andform -... D !A :f(::.1 .GG.�..::n::....:.... .. :.:.. ::.::...:::,... .:. Position on landscape(sketch on the back) ...... Distances from: Open Water Body feet Drainage way. -q U feet Possible Wet Area . . ... feet' Property Line feet Drinking.Water Well feet Other . . DEEP OBSERVATION= HOLE '_0G Depttrfrom Soil horizon Soil Texture Soil Color Soil Other Surfacer(Inches) tUSDA? [Munsel” Mottling (Structure,Stones.Boulders, Consistency, . 14 f p F5(. GrS� Z, 1S� W%vt S I C Z.S4 G�¢ r,�l. Mr�sru�, r-/U,4j�(E. 1-15 L-e: )S GZ U��S 2,S�ib�4 � 14i4tvns u4- "-7/Z G w� - x t,U(I LIE �IZA IIV� J Mo. v co X 14'4 YL5I6 L,0os Z s"/V% 4- C Z ( > ffnAC- 6 K4V G r� Parenr MeteriaL(geologic) 0 a Depthto8adrock: 7 De tFrtcr Groundwater., Standing Water in the Hole: ..... _ Weeping from Pit Face: U Estimated- Seasonal High'Ground Water, i f nar-nrPROVED FORM- 12/07195 FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot 140. T ZA I t')029 n-site .;Review Deep Date:,.:: ��6 Time:.: .Z�UU Weather S�NrNy„- cgJ.. eep Hole Number ... ... Location (identify on.site-plan) - :.., .......r.....ry�•.:. Land Use Slope f%) 3 .f Surface Stones A-10 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 DrinkingMater Well ...:.... feet- Other- DEEP OBSERVATION, HOLE _QG.* Depth from Soii Horizon Soil Texture Soil Color Soil Other Surface(inches) (USDA) (Munsall) Mottling: !Structure,Stones,Goau1edi'rs, Consistency, . F SL l o. n,31 Z K- G 1,4A IM C4+”- 1 P+W 4017 41 1 (P (,vS<i 1 ,yVll Ny f'Looc� C V�~�� Z� .11'1 H'35iU,C.r � yc� .Z C Mtt r7. FU 4 D riA//L ,q�� Depthtal3edrock: 7 f L parent Material(9e0lvgic) • C�(�G!��_• {a"� ,,..�.,_..�-.�-- De thtvGroundwater: Standing Water in the Hale: Weeping from Pit Face: Esttmated- Seasonal High,Ground Water 4 k OEP APPROVED FORM- 12107/95 1 DORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Locations Address or Lot No. LET 40 f* " C14 wUci MIL-6 Determination for Seasonal Hivorh Water Table Method Used: ❑ Depth observed standing in observation hole................... inches ❑ Depth weeping from side of Observation hole ............ ..... inches -JSZepth to soil mottles 4 ..,.54 inches i ❑ Ground water adjustment ................... feet Index Well Number .................. Reading Date .................. Index well level .........._.. Adjustment factor ................... Adjusted ground water level .....................-................... ........... 4 Depth of Naturally Occurring Pervious Material l Does at least four feet of naturally occurring pervious material. exist in all areas observed throughout the area proposed for the soil absorption system? !(is If not, what is the depth of naturally occurring pervious material? Certification I certify that on 10194= (date) I have passed the soil evaluator examination approved by the Dep rtment 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 Date f DEP APPROVED FORM- 12/07195 i FORM 12 - PERCOLATION TEST Location Address or Lot No. WT ?,e 3 aCHWOW HIC-(- COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test* Date: 1.(� ` Time:..... Observation Hole # Depth of Perc 76 rr 60 1( Start Pre-soak mclo o 1V 191vit 0 End Pre-soak Z : e 3 : 3 Time at 12" 1 : Z ; d 13�! Z% t 3 Time at 9" j Z Z ► Z Z: l :¢�' Time at 8" f 3 13 Time (9„_6„) 4 6 SEC S-F-C Rate Min./inch G z �j,� ,� Z Aew/I/✓ * Minimum of 1 percolation test. must be performed in both the primary area AND reserve area. Site Passed 9L Site Failed ❑ Performed By: bayte L n'L9 e n/ C'& _ Witnessed By: b Comments: Y. r...................w..v................:...,.......... ...........,_... .,.....,....,..,:...:............................,........u... .....:...............:... . ..... ' DEP APPROVED FORM-12147145 Form No.4 Town of North Andover, Massachusetts BOARD OF HEALTH 19 97 CERTIFICATE OF COMPLIANCE This is to certify that the Individual Sol] Absorption Sewage Disposal System constructed or repaired ( ) by Peter Breen INSTALLER at 175.5 Oscrood Street SITE LOCATION has been installed in accordance with Board of Health Regulations as described in the Design Approval Site System Permit No. ; K.,3...' dated Sept _ 1 2 .__ -19— _96 The issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. BOARD OF HEALTH { ° ?� ° °1 = y ° CT VJ n _ O M . CIO � ~ O? N VJ CL CD 0 IE m H m a - d Q � Q. Ns C7 n ° o y C.) 'CD 0 CL o •v A r -• C - W-• (0 C, CL-. CD CJ) C/) CD O '^� sa o m c n _ yam : O ° d 'fl O d e� ti °'g c p -e CD o ° C �: p m CA o- co C� GGI co ° R. 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