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Home My WebLink AboutSoil Testing Results - 535 SALEM STREET 10/31/2017 TOWN OF NOR,ril ANDOVER Community & Economic Developatent EC HEALTH DEPARTMENT 120 Ma iyny Street;ry1' ' µLIkA 1111 K,1't 11 4lu Rlnt Nf)R.`I"'t-t ANDOVER, MASSAC'h11,4'Sl'°rfS 0145 N Al iht C2CYiPI .1'1+kE1'C 9 8.688.95 40..,..phone )78.688,'1542 FAX lien hirclel>t@iiorilrarrdoverrn a.gov wwNv,rTortharid overma.gov A>,.PPLICA 1[IO FOR 6✓ SOIL TESTS 3 �✓ DATE: 6130 1� MAP&PARCEL: LOCATION OF SOIL TESTS: __ ✓ ---------- � AI&I-r molVIN 6' OWNER: _. Contact 11; A 11b � �� APPLICANT: Contact ft: .. _ _ _ ADDRESS: ._ �� J460�, /VV,) �!�._...._ , t : � u W _ ENGINEER: Contac CERTIFIED SO1L intended Use of Land: Residential Subdivision Single Family I-lorne Commercial. 1s'I'his: Repair Testing:_V undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WI'I`I-I THIS DORM Proof of land ownership(Tax bill, or letter from owner permitting test) 8.5".x if"Plot plan,&.Location a "Testht )lease httlicale lest son fire lart Fee of$�S5,0(i Icer lot tau crew construction. This covers tl 77inimu two deep holes and two percolation tests required for each disposal arca. Pee S440-01t er lot for no,irs or u r rides. GENERAL INFO M N Only Certified Soil Evaluators may perform deep hole inspections. Y Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. At least two deep holes and two percolation tests vire required for each septic system disposal area. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. Full payment will be required for all additional tests within two weeks of testing. Within 45 days of testing, a scaled plan(no smaller than 11'-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write 13ehuw This Line N.A. Conservation Ccumnissioa proval Datet� _ �� __.._ Signature of Conservation Agentr et � {LC Date back to 1lealth Dejmrlment: 3 - 7 Sullivan Engineering Group, LLC; Civil Engineers& Land Development Consultants June 30, 2017 1 Town of North Andover Board of Health 120 Main Street North Andover, MA 01845 Re: 535 Salem Strut, North Andover 'setter granting permission for soil testing To Whom It May Concern: 1'.4Winning, owner of 535 Salem Street, North Andover grant permission to conduct soil testing on the property for a future septic system. Signature i Date: i __....... P 0 Rnx ' 00A 'Wnhnrn MA 01 RRR M 1) R54_RA44 '—IlAi1 rk • iac�r115� ii r.nmr.act not Town of North Andover, MA July 5, 2017 038 a o17 00/119/615A0�01a�� €�38 a 1)1 � ( Cy� 03&0.0004 0-0257 008.0-011)3 / C' 031 ,"Cw 03B,'V-0258 4/638.0-006 4 '%'t4 / i�% 035.a-g0o6 038.0.0162 ; v' r r 0.18.0 0065 p 030.0-0057 1" = 96ft "WI01✓NO/Il! Property information U Property 035.0-0066-0000.0 1D Location 595 SALEM STREET Owner WINNING FAMILY IRREVOCABLE TRUST MAP FOR REFERENCE ONLY r NOT A LEGAL DOCUMENT of Town of North Andover, MA makes no daims and no warranties,expressed or implied,concerning the validity or accuracy of the GIS data presented on this map. G' IIIIII�IIIIIIJJJJJJ �. � , T , A 1 Y' r ' IN zb( L L s I L. .__ _ ol Dk 94 4 A� A Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal = . A. Facility Information Barbara Winning Owner Name 535 Salem Street Tax Map 38 Lot 66 Street Address Map/Lot# North Andover MA 01845 city State Zip Code B. Site Information 1. (Check one) ❑ New Construction ® Upgrade ❑ Repair 2. Soil Survey Available? Z Yes ❑ No If yes: USDA MRCS 421 B Source Soil Map Unit Canton Fine Sandy Loam none listed Soil Name Soil Limitations Coarse loamy over sandy melt out Moraine Geologic/Parent Material Landform 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No If Yes,continue to#5. 5. Within a velocity zone? ❑ Yes ® No 6. Within a Mapped Wetland Area? El Yes Wetland Data Layer:Yes ® No wetland Type 7. Current Water Resource Conditions(USGS): 7/2017 Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Year 8. Other references reviewed: 535 Salem Street,NA.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 8 Commonwealth of Massachusetts ., City/Town of North Andover �' - Farm 11 - Soil Suitability Assessment forOn-Site Sewage Disposal 1, C. On-Site Review (minimum of fvvo holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 1 7-26-17 10 am 70 degrees/overcast Date Time Weather 1. Location Ground Elevation at Surface of Hole: 99.76 Latitude/Longitude: feet Description of Location: In front yard see sketch plan for location 2. Land Use grassed-residential None 2-4 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope grassed moraine Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >200 Drainage Way >200 Wetlands >150 feet feet feet Property Line 15 Drinking Water Well nta Other feet feet feet 4. Parent Material: coarse-loamy over sandy melt out Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 60 94.76 inches elevation 535 Salem Street,NA.doc•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of north Andover Form 11 - Sail Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 1 Redoximorphic Features Coarse Fragmentsa Soil fo Soil Horizon/Soil Matrix:Color- Soil Texture by Volume Depth{in.) Layer Moist{Munsell} (USDA) Cobbles Soil Structure Consistence Other Depth Color Percent Gravel (Moist) &Stones 0-15 A/Fill 10 YR 3/3 none SL 15-33 Bw 10 YR 6/8 none LS i No Water i 33-96 C 2.5 Y 6/4 60" LS Observed i i Additional Notes: 535 Salem Street,NA.doc•rev.8115 Form 11—Soil Suitability Assessment for Onsite Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover Farm 11 - Soil Suitability Assessment for On-Site Sewage Disposal G. On-Site Review (continued) Deep Observation Hole Number: 2 7/26/17 10 am 70 degrees/overcast Date Time Weather 1. Location Ground Elevation at Surface of Hole: 100.0' Latitude/Longitude: ! feet 2. Land Use Grassed- Residential none 2-4 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Grassed moraine Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body >200 Drainage Way > 200 Wetlands > 150 feet feet feet Property Line 22 Drinking Water Well n/a Other feet feet feet 4. Parent Material: coarse-loamy over sandy melt out Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 60 95.0' inches elevation 535 Salem Street,NA.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover a Form 11 - Soil Suitability Assessment for an-Site Sewage Disposal F=R\�jt C. On-Site Review (continued) Deep Observation Hole Number: 2 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture to by Volume Soil Depth(in.) Soil Structure Consistence Other Layer Moist(Munsell) (USDA) Cobbles (Moist) Depth Color Percent Gravel &Stones i i 0-6 9 10 YR 313 none SL 9-36 Bw i 10 YR 618 none LS G 36-94 C 2.5 Y 614 60 LS No Water Additional Notes: 535 Salem Street,NA.doc•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover -, Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#1 Obs. Hole#2 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 60 60 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh= Sr—[Sr X(OW.—OWmax)/OWI) Obs. Hole# S, Sr OWC Owmsx Owl Sh Obs. Hole# Sc Sr Ow" owmax Owr Sh E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �; Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 33 Lower boundary: 96 inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches 535 Salem Street,NA.doc•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Issac Rowe North Andover BOH-consultant Name of Board of Health Witness Board of Health G. Soil Evaluator Certification certify that 1 am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and it a_cord r�ce with 310 CMR 15.100 through 15.107. 7/28/17 Signature of Soil valu or Date John D. Sullkan SE#:2378 6-30-2019 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Pe,coletic ss Test Fern: ,2. 535 Salem Street,NA.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 o �iSuitabilityitsDisposal EX. 1 1/2 STORY WOOD FRAME STRUCTURE Ex 1 or Top of Fnd=103.32' Garage a E 24 Bit. Conc. c� z CD - TN-2 -� - Driveway 01 Pressurized Water Se ice afield located) 128.0'± 535 Salem Strut,NA.doc•rev.8115 s Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use Barbara Winning only the tab key Owner Name to move your 535 Salem Street cursor-do not Street Address or Lot# use the return key. North Andover MA 01845 V City/Town St 1.at I e Zip Code Q Contact Person(if different from Owner) Telephone Number B. Test Results 7-26-17 9:38 am Date Time Date Time Observation Hole# I ——-------- Depth of Perc 3811-58" Start Pre-Soak 9:38 End Pre-Soak 9:56 Time at 12" 9:56 Time at 9" 10:06 Time at 6" 10:23 Time (9"-6") 17 min--------___-- Rate (Min./Inch) 6 MPI Test Passed: Test Passed: El Test Failed: El Test Failed: El John D. Sullivan 111, PE, GSE Test Performed By: Issac Rowe, Mill River Consulting-(Consultant to NA BOH) Board of Health Witness Comments: t5form 1 2.cloc-08/15 Perc Test-Page 1 of 1