HomeMy WebLinkAboutSoil Testing Results - 62 FARNUM STREET 11/20/2017 RECENFED
TOWN OF NORTH ANDOVE R
qj)1, Community & Economic Developmcnt J
1,00 OF tqORT14 AMOVER HEALTH DEPARTMENT
JjmTR DEPARTMEW 120 Mainn Street
NORTH ANDOVER, MASSACHUSETTS 01845
978&688,9540 Phone
978.688.9542 FAX
fiealtlidept@iioi-thandovet-iiia.gov
www,tioilhatidoverina.gov
APPLICATION FOR SOIL TESTS
DATE:-Sept. 11, 2017MAP&PARCEL: 107A/86
LOCATION OF SOIL TESTS: 62 Farnurn Street
OWNER: Brian &Jessica Hickey Contact#: 617-418-0517
APPLICANT: Contact#:
ADDRESS: 62 Farnum Street
ENGINEER: Hayes Engineering, Inc. Contact 9: 781-246-2800
CERTIFIED SOIL EVALUATOR: Gordon Rogerson SE2074
Intended Use of Land: Residential Subdivision Single Family Home Commercial
Is This: Repair Testing:X Undeveloped Lot Testing:_ Upgrade for Addition:
In the Lake Cochichewick Watershed? Yes No X
THE FOLLOWING MUST'BE INCLUDED WITH THIS FORM
Proof of land ownership(Tax bill,or letter from owner permitting test)
> 8.511 x 11"Plot plan&Location of Testing(please hi(licale test vi!sites on the Platt)
Fee of$585.00 per lot for Lew construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of$440.00 per lot for repairs or upgrades.
GENERAL INFORMATION
> Only Certified Soil Evaluators may perform deep hole inspections,
> Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
> At least two deep holes and two percolation tests are 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 I"-100')shall be submitted to the Board of Health
showing the location of all tests(including aborted tests),
> Within 60(lays of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Consermflon Commission ""O"a roval Date:
Signatare of Conservation Age fit. V"/
Date back to Health Departimn : (s tap in):
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httpsJ/mail.google.com/mail/u/0/#inbox/15e76e1119522231?projector=1 1f1
9/26/2017 Town of North Andover Mail-62 Farnum St
OVER Toni Wolfenden <twolfenden@northandoverma.gov>
Massachu J
62 Farnum St
1 message
Isaac Rowe <irowe@millriverconsulting.com> Tue, Sep 26, 2017 at 1:04 PM
To: Brian Lagrasse <blagrasse@northandoverma.gov> t
Cc: Toni Wolfenden <twolfenden@nortltandoverma.gov>, Michele Grant<mgrant@northandoverma.gov>, Pam Lally
<plaIIy@millriverconsulting.com>, Isaac Rowe <irowe@millriverconsulting.com>
Brian,
Attached are the repair soil testing results for the above referenced property.
Upon arriving to the site, Gordy from Hayes Engineering indicated that the owners wish to replace the existing failed
infiltrator chamber system in kind with a stone and pipe leach field using the previous soil testing data. Since I was t
already out there„ I recommended that we dug (2)test pits and conducted a pert test in an undisturbed location in order
to give Hayes Eng, some options to explore with the owners for the design.
Let me know if you have any questions.
Thanks,
Isaac Rowe
Project Manager
AW91
RIVER CONSULTING
C.44�,et6t4^solli6cln*frau1.1.1141 D4°u416pillc"t
6 Sargent Street
Gloucester, MA 01930-2719
Phone: 978-282-0014 ext.804
www.millriverconsulting.com
62 Farnum St-Soil testing results 9-26-17.PDF
1026K
https://rnail.google.com/mall/u/0/?ui=2&ik=aOc6f4e4cf&jsver-EaIL6uzdl9M.en.&view=pt&search=inbox&th=l5ebf25b849fbcc3&s ml-15ebf25b849fboc3 1/1
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Form 11 = SoH Sultablilty Assessment for On-Site Sewage Disp 6sa� G=SakrnSt
Watcefield,MA 0i
Mlarituaket,(Sas)22s.'2
A. Facility Information
Owner Name
Street Address
_�tate -Zip Code
B. Site xuuuoruo8atKon
1. (Checkone) New Construetion 9"Upgrad� �� Repair
2. Sol] Gun^ayAvailable? El No If yes:
unurce Soil Map Unit
Soil Name Soil Limitations
Geologia/Parent Material Landform
3. Sur5cia| Geological Report Avai|ab|e7 El Yen El No If yes:
Year Published/Source Publication Scale Map Unit
4. Flood Rate Insurance Map '
Above the 50O-yeerflood boundary? [;�^yon No y0thinthe100-ye�r�oodboundary9 E7 Yoe El No
nYes,ono� �oueto� --
5. VV�hinsvelocity zone? yes r;~*|�
G' Within eMapped Wetland Area? El Yes 9,-Ijo {NaonB|6WetandData Layer: Wetland Type
7. Current Water Resource Conditions (U8BS):. Range: 7 Above Normal Normal 7 Below Normal
mnntUfYear
8. Other refenenceoreviewed:
��nn���uoc^���nn
' For,n1I—SpuauumbuuYanv=vnmont/nron-nxeamvagooispooal ^Page I of
Commonwealth of Mlassachusetts
City/Town o f 1-` '
F
all orm 11 = Soil Suitability Assessment for On-Site Sewage D'Rspos l
F. Board of Heaith Witness
<;
Name of Board of Health Witness Board of Health
G. Soil Evaluator Certification
I certify that I 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 1n310CMR 15.017. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurate and in accordance tikiith 310 CMR 15.100 through 15.107.
Si attfrie of Soil EvaIuator Date
gordQn_Roger sD� SE2074 Tj 1-n
Typed or Printed blame of Soil Evaluator I License 4 Expiration Date of icense
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 Percolation Test Form 12.
assment for On-Site Sewage Disposal •-Page 7 of 8
t5forml I.doc-rev.8115 Form I—Soil Suitability Ass
-——----------------
Commonwealth of Massachusetts
Cit I own of
Form 11 ® Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: 16'-96-12"
Date Time Weather
1. Location K
Ground Elevation at Surface of Hole: Latitude/Longitude: I
feet
2. Land Use g 1`1'1,-2
(e.q.(%,vood land,agr.15,,ultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope
Vegetation Landform _Position on Landscape(SU,SH,BS,FS,
3. Distances from: Open Water Body Drainage Way Wetlands to C)
feet feet feet
Property Line C Drinking Water Well P0 V C-i Other
feet feet feet
4. Parent Material: Unsuitable Materials Present: F-1 Yes
If Yes: El Disturbed Soil 1771 Fill Material F-1 Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: 7 Yes �o If yes:
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater:
inches elevation
t5form I I.doc-rev.8115 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8
Commonwealth of Massachusetts
City/Town of '�_g7/ ,
Form 1 it Suitability Assessment € r On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: —
[ Redoximorphic Features !Coarse Fragmentsi
Soil
Soil Horizon/Soil Matrix: Color- Soil'texture � la by volume
Depth(in.) Soil Structure Consistence Other
Layer Moist(Munsell) {USDA} (Cobbles ! (Moist) I
Depth Collor Percent Gravel
I I&Stones;
+75 LJ
I `al n
" `-
!
I
i
Additional Notes:
t5form1l.doc e rev.8115 Form'1 —Soil Suitability Assessment for On-Site Sewage Disposal k Page 5 of 8
Commonwealth of assachuse
Q. 4: City/Town of ' r -
Form 9 I - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
yJ:
Deed Othservatfian Pole Number:
Date Time Weather
1. Location a< G
Ground Elevation at Surface of Hole: Latitude/Longitude: 1
feet
2. Land Use aC—)
woodland,agryuitura;field,vacant lot,etc.) Surface Sto&s(e.g.,cobbles,stones,boulders,etc.) Slope
Vegetation Landform Position on Landscape(SU,SH,8S,FS,
3. Distances from: Open Water Body _7 Drainage Way Wetlands 106
feet feet feet
Propert}j Line Drinking Water Well kb&i Other
feet feet feet
4. Parent Material: Unsuitable Materials Present: F7Yes
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ NNeathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ❑ Yes g-N o If yes: /do/i_ J
Depth 1,11eeping from Pit Depth Standing Water in lHole
Estimated Depth to High Groundwater:
inches elevation
t5forml`(.doo•rev.8115 Form 11—Soil Suitability Assessmerit for On-Site Sewage Disposal -Page 4 of 8
Common ealih of Massachusetts
City/Town of )C—
®r I I R Soil Suitability Assessment rOn-Site' Sewage -Disposal
C. On-Site Review (continued)
Deep Observation Hole Number:
Coarse Fragments {
Redoximorphic Features °%ob Volume Soil j
Soil Horizon!Soil Matrix:Color Soil Texture
Depth(in.) y Soil Structure Consistence Other
Layer Moist(Uiunseil) ! (USDA) Cobbles (Moist)
Depth Color Percent Gravel i
j &Stones
l
; k t}
I �
k
E
I
i
i
AdditionaE Notes:
t5forml l.doc rev_8.115 Form 17—SO![Suitabil tyAssessment for On-Site Sewage Disposal =Page 5 of 8
Commonwealth of Massachusetts
City/i oven o i
Form I Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used: Obs. Hale# DCS Obs. Hole# 909--2-1
❑ Depth observed standing water in observation hole
inches inches
❑ Depth weeping from side of observation hole
inches inches
❑ Depth to soil redoximorphic features (mottles) 70
inches inches
❑ Depth to adjusted seasonal high groundwater(Sh)
(USGS methodology) inches inches
Index Well Number Reading Date
Sh=Sc—[Sr x(OWc—OWmax)/OWr]
Obs. Hole# Sc Sr OWc OWmax OWr Sh
Obs. Hole# Sc Sr OWc OWmax OWr Sh
Ea Depth of Per lour 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?
es ❑ No
b. If yes, at what depth was it observed? Upper boundary: Lower boundary:
inches inches
c. If no; at what depth was impervious material observed? Upper boundary: Lower boundary:
inches inches
tbforml I_doc e rev.8116 Form 11—Soil Suitability Assessment for On-site Sewage Disposal •Page 6 of 8
Commonwealth of Massachusetts
v, City/Town of lVe,)Af 741
Form
I I - Soil Suitability ssss e t for On-SiteSewage Disposal
Field Diagrams
Use this sheet for field diagrams:
1
`Z�`_
/ Ir
f
t5form11.doc=rev.8115 Form 19—Soil Suitability Assessment for On-Site Sewage Disposal Rage 8 of 8
Commonwealth of Massachusetts
City/Town of
911)
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.
I—---------------------——-----
Important:When
filling out forms A. Site Information
on the computer, j'/
use only the tab
key to move your Owner Name
cursor-do not 6'e2 /-,
use the return Street Address or Lot#
key.
tab City/Town State Zip Code
Contact Person(if different from Owner) Telephone Number
B. Test Results
--------------------------
Date Time Date Time
91
Observation Hole# ...........................- -
Depth of Perc
Start Pre-Soak -------
End Pre-Soak - , _......_..______a__.-_-.._ _
Time
--------
Time at 12" -----------------------
Time at 9" 65
Time at 6"
Time (9"-6") .__--
Rate(Min./inch)
Test Passed: Test Passed: ❑
Test Failed: ❑ Test Failed: El
Gordon Rogerson SE2074
Test Performed By*
Board of Health Witness
Comments:
----------------------
------------- —-------
t5form I 2.doc-08/15 Perc Test-Page 1 of 1
79>1 - VI-16" 990
,tate/ZIP Code Telephone
I
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t5form9a.doc•rev.7/06 Application for Local Upgrade Approval° Page 5 of 5