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HomeMy WebLinkAboutMiscellaneous - 101 ROCKY BROOK ROAD 4/30/2018 (2)r . ti TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE: 1/27/99 This is to certify that the individual subsurface disposal system constructed ( X ) or repaired ( ) by Peter Breen at Lot 14B - Rocky Brook Rd has been installed in accordance with the provisions of Title V of the State Sanitary Code. and with the North Andover Board of Health regulations as described in the Design Approval Site System Permit #1030 dated 7/29/98 The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector BOARD OF HEA'CrHic_i�/ TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(constructed; c., by located at ZE % ) repaired; was installed in conformance with the North Andover Board of Health approved plan, System Design Permit 3 0 dated 7/a ZZ S?' with an approved design flow of gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in accordance with the provisions of 310 CMR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has been submitted to the Board of Health. Bed inspection date: IV Z¢/ 98 vh rq mo . Final inspection date: 3) 9g Q €ctor Z_, ;� Installer: jxe,,, Lic. #: Date: / Z2 Design Engineer: qQj,' r'i Me7l v, Date: z? q9 Lei /-I opo l AS -BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER _ LOT LINES & LOCATION OF DWELLINGS LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ✓ ELEVATIONS OF DISPOSAL SYSTEM ✓ TOP OF FDN ELEVATION LOCATIONS OF WELLS, DRAINS, WATERCOURSES W/IN 150' OF SYSTEM LOCATION OF WATER, GAS, ELECTRIC LINES, CABLE DISTANCES FROM CORNERS OF HOUSE TO CENTER OF TANK & D -BOX ✓ STAMP & SIGNATURE IMPERVIOUS AREAS - DRIVEWAYS, ETC. NORTH ARROW FINAL CONTOURS LOCATION & ELEVATION OF BENCHMARK USED LOCUS PLAN i F AUG -- 5 ;, w APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT Y DATE:- YA(Iq T CURRENT INSTALLER'S LICENSE# LOCATION: GQ 7— /�/ C, 49-46 4n� LICENSED INSTALLER: rc ie_ SIGNATURE:- ► n Lon _ TELEPHONE# lS F2 r % �% y CHECK ONE: REPAIR: NEW CONSTRUCTION: W NEW CONSTRUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only $?5.00 Fee Attached? Yes No Foundation As -built? Yes ✓ No Floor plans on file? 4es Z___ No Approval Date: Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 2 DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant -Q`"Test No. Site Location 4 114 Reference Plans and Specs. X EN Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. I RgXN, BOARD OF HEALTH A\ Fee 60° Site System Permit No. Y� -L3 R Town of North Andover, Massachusetts Form No. 2 NOR71y BOARD OF HEALTH _ 19 o � pd F i i y y '•'/?' DESIGN APPROVAL FOR Ann &I',,`j SsAcmuSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicantsl�Jc. • Test No. Site Location eo j,, &,=?A — --- Reference Plans and Specs. ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. G-? Fee �• CHAIRMAN, BOARD OF HEALTH Site System Permit No. ?�Oe_ ,AORTH O•�t��o ��,•y0 o � w p sACHUSE Town of North Andover, Massachusetts BOARD OF HEALTH Form No. 2 DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant C � C�t,c-.�- , Test No. Site Location_ L25F 14 A P CA,,, RA,,, -4, E Reference Plans and Specs.—Q a – -t . C ' ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee CHAIRMAN, BOARD OF HEALTH Site System Permit No. FR SEPTIC PLAN SUBMITTALS LOCATION: 1-0 % /V w0c, v dre, Z NEW PLANS: YES REVISED PLANS: YES DATE: G s DESIGN ENGINEER: /Vf-� V $60.00/Plan U $25.00/Plan When the submission is all in place, route to the Health Secretary Town of North Andover, Massachusetts Form No. 2 NORTH BOARD OF HEALTH C9 05 3 �9 o w DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant (5./ Cr U )1 l� O)J E22. _,�,Y1 � Test No. Site Location 4 67 19 — " dell Reference Plans and Specs. Ute ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CIRAIRIVIAN, BOARD OF HEALTH Fee' Site System Permit No. / 0 3 d I DATE//3/c/or BOARD OF HEALTH TOWN OF NORTH ANDOVER Sheet of SUBSURFACE DISPOSAL DESIGN REVIEW FEE $60 PERMIT # 8�6 DATE RECEIVED ff Al1 APPLICANTV/+UQ.0/r 11OM675 ASSESSOR'S MAP o"Grimp ENGINEER ADDRESS PLAN DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED .X PARCEL T LOT # 141g STREET T REVISION DATE Ile, A166D M'14A)OOLC- O� T14tit' Q)IA-) 6 �,�°r9�� ,s- 9a7(4) r �`/a-S `�/4-Ff� �" .DC/=L-G-zT� •� /I�l/55 //U G' ��a /1.t ®UTG�J� /S• a NB -D 7-o E LE V c - 6 -1 I -?b Dk.E6-.5 ©P le- A) )7 f, S0I6, 7117/-7$ Z 5�T0 PLAN REVIEW CHECKLIST ADDRESS_ / fA �4e ll � ENGINEER__ NL -":;7 -Ye GENERAL / 3 COPIES STAMP v LOCUS,. NORTH ARROW &---' SCALE CONTOURS PROFILE (Sc) SECTION BENCHMARK SOIL & A -RCS ELEVATIONS L-- WETS. DISCLAIMERy WELLS & WETS WATERSHED?-,Z,/Q DRIVEWAY L/ WATER LINE ✓ FDN DRAIN '�'-' M&P SCH40 L,-' TESTS CURRENT? c/ SOIL EVAL 5 - b 'be510 SEPTIC TANK MIN 150OG 6-'*-- .17 INVERT DROPy GARB. GRINDER_lVd(2 comps +200) 10' TO FDN� MANHOLE AK-- ELEV GWCOMPS. GB D -BOX SIZE_ DSS 4 # LINES 3 FIRST 2' LEVEL STATEMENT INLETIZI FZ. - OUTLET 12-165' 7 (2 " OR .17 FT) TEE REQ' D? A/d LEACHING MIN 440 GPD? RESERVE AREA L----*' 4' FROM PRIMARY?y 2% SLOPE 100' TO WETLANDS ✓ 100' TO WELLS v�- 4' TO S.H.GW "� (5'>2M/IN) 20' TO FND & INTRCPTR DRAINS L--' 400' TO SURFACE H2O SUPP Z---' 4' PERM. SOIL BELOW FACILITY MIN 12" COVER BREAKOUT MET? TRENCHES , / MIN 440 gpd SLOPE (min .005 or 6" 1 / / 00' ) SI/DE�WALL DIST. 3X EFF. W OR D (MIN 6') y RESERVE BETWEEN TRENCHES?�/ IN FILL? MUST BE 10' MIN. 4" PEA STONE? VENT?(>3' COVER; LINES >50') BOT + SIDE r%_ X LDNG % = TO TI� (L x W x #) (DxLx2x#) (G/ft2) Copyright 0 1996 by 8.6. Starr PLAN REVIEW CHECKLIST ADDRESS 1.,lT 1jfA TP ENGINEER GENERAL 3 COPIES/ STAMPS LOCUS NORTH ARROW SCALE CONTOURS C,-' PROFILE L,,-- SECTION i_-� BENCHMARK L� SOIL & PERCS ELEVATIONS WETS. DISCLAIMER I--' WELLS & WETS WATERSHED? 4L DRIVEWAY2/ (Eley);; WATER LINE 4--' FDN DRAIN c� SCH40r-�' TESTS CURRENT? v--- SEPTIC TANK SOI L EVAL 51 7)1&)/ 56 MIN 1500G_L,--" .17 INVERT DROP!/ GARB,. GRINDER_J/Q_(2 comps +200) 10' TO FDN MANHOLEY ELEV GW # COMPS.J_ GB D -BOX SIZE # LINES FIRST 2' LEVEL STATEMENT a �2 INLET OUTLET ( 2" OR .17 FT) TEE REQ' D?'16_ p Y LEACHING �O0�J' �O MIN 440 GPD? `' RESERVE AREAL--' 4' FROM PRIMARY?e--' 2% SLOPE (-� 100.' TO WETLANDS" 100' TO WELLS �� 4' TO S.H.GW (5'>2M/IN ) 20' TO FND & INTRCPTR -DRAINS 4—`400' TO SURFACE H2O SUPP 4-- 4' PERM. SOIL BELOW FACILITY 4 MIN 12" COVER4____ FILLV__�( 5') BREAKOUT MET?-C-- TRENCHES ET?C--TRENCHES MIN 440 gpd " SLOPE (min .005 or 611/100')SIDEWALL DIST. 3X EFF. W OR D (MIN 6') RESERVE BETWEEN TRENCHES? SIN FILL? [_/ MUST BE 10' MIN. L-'____�4" PEA STONE?.C'�VENT?_ Q! (>3' COVER; LINES >50') BOT r + SIDE a��� X LDNG = TOT�� (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1996 by S.L. Starr. PLAN REVIEW CHECKLIST ADDRESS,/, ���G,�y,�(�K' ENGINEER GENERAL / 3 COPIES Z STAMPy LOCUSNORTH ARROW SCALE c_/ CONTOURS/ PROFILE SECTION ✓ BENCHMARK 6� SOIL & PERC INFO ELEVATIONS WETS. DISCLAIMER WELLS & WETLANDS WATERSHED?LS DRIVEWAY Elev) WATER LINE FDN DRAIN L,,--' SCH40 V"_ TESTS CURRENT? SEPTIC TANK / MIN 150OG .17 INVERT DROP (/ GARB. GRINDER(+200% EDF) 25' TO CELLAR v MANHOLE TO GRADE ELEV GW D -BOX SIZE # LINES FIRST 2' LEVEL STATEMENT INLET �)9, 7Z - OUTLET //Q,63' = , / ( 2" OR .17 FT) TEE REQ' D? LEACHING / MIN 660 GPD? RESERVE AREA(// 4' FROM PRIMARY? 2% SLOPE 100' TO WETLANDS t 100' TO WELLS v 4' TO S.H.GW '--� 35' TO FND & INTRCPTR DRAINS 325' TO SURFACE H2O SUPP 4' PERM. SOIL BELOW FACILITY_,=,ZMIN 12" COVER ✓ FILL? (25' if above natural elev; 101if below) BREAKOUT MET?l/ TRENCHES / MIN 660 gpd SLOPE (min .005 or 6"/100') C >3'COVER?-VENT SIDEWALL DIST. 2X EFF. W OR D (MIN IS RESERVE BETWEEN TRENCHES?(L,,�I N FILL? MUST BE 10' MIN. 4" PEA STONE?�/ BOT 7,Z� X LDNG�_� SIDE 3 X LDNG SO= TOT ZLJ Oe�O (L x W x #) (G/ft2) (DxLx2x#) (G/ft2) Copyright O 1993 by S.L. Starr Town of North Andover a NORTIy OFFICE OF 32 y�, ! •° O L COMMUNITY DEVELOPMENT AND SERVICES O A 146 Main Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director January 6, 1996 Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: 14A Rocky Brook Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Need manhole on tank within 6 inches of grade..(3 10 CMR 15.227(4)) 2. Gas baffle deflector missing from outlet tee. (310 CMR 15.227(4)) 3. Note: lines from D -Box to be level for at least 2 feet. (310 CMR 15.232(c)) 4. Address of owner/applicant missing. (N.A. 6.02g) NB: System is within 200 feet of Mosquito Brook. Rivers Bill may affect this site. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, —71 Sandra Starr, R.S., Health Administrator SS/cjp x BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 THOMAS E. NEVE ASSOCIATES, INC. Engineers a Land Surveyors a Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 (508) 887-8586 FAX (508) 887-3480 TO 54,3vy S TAR 1Z ,oAtz,c> OF N EAL_-r H dIMUTIn OIF 4G�C�GJ� i]�44L�d DATE � / JOB NO. G� ATTENTION SANv>Y S-rARR RE: Lo -r 1 4B - Roc_Ky SrooK Roo'CO Tr, ,: ,.,, /"'4 Veira/ t-onvcrS,+io^ 0." ; ;'ALTH -71 ZS) l a ddeck -tke pert. +eS+ 1 cc c.+, o-. o— WE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 3 � 550-14 SEP-rtL 1>ES1(:W - L -c> -r 149 Roc.K,/ azooK RD dor t.oT 14& Ro-c_KY Bm*K XpA > . Per ogr t-onvcrS,+io^ on -71 ZS) l a ddeck -tke pert. +eS+ 1 cc c.+, o-. o— l-o T %SS AS Well RS "E1'{ C-a'�C _ wl��c1-, ►s is m/1 'lo +'e plan. $asedd Dr+ %l;,s rAOSIA.-+ �yr THESE ARE TRANSMITTED as checked below: WFor approval ❑ For your use ❑ As requested ❑ For review and comment ❑ FORBIDS DUE ❑ Approved as submitted ❑ Approved as noted ❑ Returned for corrections El ❑ Resubmit ❑ Submit ❑ Return copies for approval copies for distribution corrected prints 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS �e0.r Sa^d./ Plec►Se OE +6c re-Jksedl e ►L d�e.s:�� dor t.oT 14& Ro-c_KY Bm*K XpA > . Per ogr t-onvcrS,+io^ on -71 ZS) l a ddeck -tke pert. +eS+ 1 cc c.+, o-. o— l-o T %SS AS Well RS "E1'{ C-a'�C _ wl��c1-, ►s is m/1 'lo +'e plan. $asedd Dr+ %l;,s rAOSIA.-+ �yr Lo -r 14% based' or+ a IS Mli Pecs rc-ie t,, 3 -tr"' e,l,eS 44` La ,A +t%w be,re - Also Pe4w Sreer. e_)oP 6,^eA 4o rrwe _j) N' - *11,t 90 be„tl-e >, s►d.ded *,,-s -b -kLe ©Ian Also enc,6uct ctre iLe So► 1 Gral-;r�40c- �a�t+r•s �n� Pi'ES 9�-1 X7-3 ^,A e? --4 A,v pL"cr Ga 11 �c.-ho„% COPY TO —T)g�^ l< yo.l -For- Yo,)r RECYCLED PAPER: g�SIGNED: �1 - Contents: Pre -Consumer -10% Post -Consumer r If enclosures are not as noted, kindly notify us at once. Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 30 School Street North Andover, Massachusetts 01815 WILLIAM J. SCOTT Direclor August 3, 1998 Neve Associates 447 Old Boston Road Topsfield, MA 01983 RE: Lot 14B Rocky Brook Road Dear John: This letter is to inform you that the proposed septic plans for Lot 14B Rocky Brook Road, dated 7/29/98, have been approved. If you have any questions, please do not hesitate to call the Board of Health office. Sincerely, .".'d 6 Sandra Starr, R.S. Health Administrator cc: Peter Breen File NORTH 0 O A p9 9SSACfHUSE� BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 BOARD OF HEALTH 146 MAIN STREET TEL. 688-9 540 NORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: o� 7 ZZ % / LOCATIOf4 OF SOIL TESTS: 6, i f `f 4 /w Assessor's map & parcel number: OWNER: lM'ViyG?vl -F /�O>l�1P S TEL. NO.: 0-1 7 -- 2 2 2Z ADDRESS: 4L -5ie_ ye_-d'i YZ�_ .41- od,,i,ZAM- ENGINEER: /7/e V -e TEL. NO.: Y X .9 - Lf E6 CERTIFIED SOIL EVALUATOR: 5 -e_ve I)y,� S D Intended use of land: residential subdivision, single family home, commercial THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of $175.00 per lot for new construction. This covers the two deep holes and two percolation tests required for each lot. Fee of $75.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full 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 V-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 forms shall be submitted. I Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH `""` O�^B`. ^ APPLICATION FOR SITE TESTING/INSPECTION 2Rp^4 aa.a Appl ican Site Loco Engineer Test/Inspection Date and Time Fee ADDRESS TELEPHONE Al -i CHAIR AN, BOARD OF HEALTH Test No. S.S. Permit No..�8 D.W.C. No. C.C. Date Plbg. Permit No. FEB -18-1997 15:22 February 18, 1997 THOMAS E. NEVE ASSO,P. Ms. Sandy Starr Board of Health 146 Main Street North Andover, MA 01845 Re- Lots 1 & 3 Rocky Brook Estates Phase U Lot 14a Rocky Brook Road (Phase I) Dear sandy, On April I & 2, 1996 you witnessed soil testing for various lots at the Rocky Brook Phase II subdivision and you determined at that time that the percolation tests done on Lots 1 & 3 would need overnight soaks. __ ... _We also need to gQa40 *1 To g on Lot 14a Rocky Brook Road due to a ro"4.,*w, and also we are going to try to minimize the. Ie , ,. �.. :wt .• l �.if Yf.lNh,' :. Y.YiaiY.¢Y�.r.N•— .Y. •e•/:-. M� r, i':Y ♦'�--r Very truly yours, THOMAS E. NEVE ASSOCIATES, INC - Kathy Molina Personal Assistant • ENGINEERS - 447 Ofd Boston Road (508) 887-8586 • LAND SURVEYORS • U.S. Route N1 4550 & 11694BRM.WPs • LAND USE PLANNERS • Topsfield, MA 01983 FAX (508) 887-3480 FEB -18-1997 15:22 THOMAS E. NEVE ASSOC. P.04 •" RJV -R2 YXFt. PI. �g(i �� d ,� 1 - r -•t 00 1 R31 1 - _A - 100 �- 1 ,01 R40. Rj - o OF ."' R33 1 _ rr . ` • / \` ` / \`ori RJO 1 , r -251 No C ♦ r , a9-.- _ • / O. Top go fo0yi ° 0 r' R44 1-2 j'•r + / / .--%R45 J r - - �_ _ / �.. � r 5 PR4 . , ' /• \yPQr p�101 h-+1?70 --- -- --p- -J?50 , , �r 4 , r + R51 CP \ r , /4 /71 / 911 FEB -18-1997 15:23 THOMAS E. NEVE ASSOC. ch I r QTD / DZ< dor' rte+ ♦ I op 1 / of .00p1` ♦` rr ,� Job j flood rla Im / / 1 (D/ i/ 4 / , 04 00 op ` r Co Q\ 1 1 t \ ♦` \` \ t ` ' \\l `\ ♦♦ ``� `` % W Po / ♦� , r 16♦♦♦ \. t v ti Sco Na % ~••••_ � ,` ��♦ ```�� `may � t\ `\\ t� ♦ \ \ \ t �\ ` �♦ ♦ \% \\ \` ♦` \�- ♦♦ ♦, t ` %% 1 ` ♦ t \ o % ♦ �. FEB-19-1997 15:24 THOMAS E. NEVE ASSOC. P.06 tyl� r - '~ r ti ti Lc�Y ► 3a, `` � `•-- �i � �' � ` Pioro �aqt� pitoposED ARE 616 - PROPOSED WLAW' 0-7 MN od GVe0 R 100 rNcp , � i � ti° a •� • � � � � AZO � tr�L14 DRAt t•p•� ` �Co Vo ,tNll P �1P 1(6 red �1 �.� 5 Ttic 0 • � .va�sT � • LFe 47 E Vo A4& ti { r ! _ _ �trz A49 43 A q47 o p,44 : .JA l F J EI i A4Z ♦ 25.50 0 E7 q, .� FORM I I SOIL EVALUATOR FORM Page 1 of) No. Date: June 27, 1997 Commonwealth of Massachusetts North. Andover, Massachusetts Soil Suitability Assessment for On=site Sewage Disposal Z Performed By: Steven D'Urso, RS Witnessed -By: SandraStarr,.RS Date: June 19, 199T Address or Rocky Brook Estates, Phase II, Owners Name Stephen Breen, Ogunquit.Homes, Inc: North Andover; MA 01845 * 14B Address and 770 Boxford. Street;. No. Andover; M.A. 01845 Telephone # (508) 685-6028 New Construction Q Repair a Office Review Published Soil Survey Available: No Yes Q Year Published 1981 Publication Scale 1"=1667 Drainage Class WD Soil Limitations None Surficial Geologic Report Available: No Q Yes Soil Map Unit Canton Year Published Publication Scale Geologic Material (Map Unit) Landform Esker Flood -Insurance Rate. Map: Above 500 year flood boundary No Yes X Within 500 year flood boundary No X Yes Within 100 year flood boundary No >c Yes Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month Range: Above Normal Normal Below Normal Q Other References Reviewed: DEP APPROVED FORM- 12/07/95 soileval.sam O c` FORM. l l - SOIL EVALUATOR FORM Page 2 0'13) Location Address or Lot No. Rocky Brook, Phase II,. North Andover Ogunquite: Homes, Inc. File* 684 On Site Review Deep Hole -Number- OP #1 Date 6/19/97 Time Weather Location (identify on site plan) LandUse Woods Slope (%) A Surface Stones No Vegetation Oak,. Pine, Maple Landform Moraine. Position on landscape (sketch on the back) Distances from: Open Water Body >100 feet Drainage way >100 feet Possible Wet Area >100 feet Property Line 20 .feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG* OP #97-1 Depth from Soil Horizon Soil Texture Soil Color Soil Other (USDA) (Munsell) Mottling (Structure, Stones, Boulder, Surface (Inches) Consistency, % Gravel) -511 A FSL 10YR. 3/2. 5"-30" IBw IST FSL I10YR 4/6 3011-12011 C ST SL 2.5Y 5/4-4/4 1>15% Cobbs, BLDS &. GRV MFRI. STD Water 120" Weep 1.08" I24" I I I 'REDOX -MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Materiai (geologic) Till Depth to Bedrock: None au p Groundwater- .Standing Water in the Hole: Weeping from Pit Face: 108" Estimated Seasonal High Ground Water: 24" soaevai.sam DEP APPROVED FORM - 17/07/95 < <. FORM l 1. - SOIL EVALUATOR FORM Page 2 of 3' Location Address or Lot No. Rocky Brook Estates, Phase II, No. Andover - Ogunquit Homes, Inc. File. # 684 On - Site Review Deep Hole Number OP. -#97-3 Date 6/19/97 Time Weather Location (identify on site plan) Land.Use: Woods Slope% A Surface Stones No Vegetation Oak, Pine, Maple Landform Moraine: Position on landscape. (sketch on the back) Distances from: Open Water Body >100 feet Drainage way >100 feet Possible Wet.Area >100 feet Property Line 20 feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG* OP #97-3 Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other - Surface (Inches) (USDA) (Munsel) (Structure, Stones, Boulders„ Consistency, % Gravel) 0"-6" A 61t-3611 Bw 36"-96" C 30" 72" ST FSL 11OYR 4/6 ST S Loam 12.5Y 5/4 - 4/4 REDOX. Weep *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic): Till Depth to Bedrock: None Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 72" Estimated Seasonal High Ground Water: 36" DEP APPROVED FORM -17!07/95 soilevlsam c ., FORM I I - SOIL EVALUATOR FORM Page 2of3 Location Address or Lot No. Rocky Brook Estates, Phase II, No. Andover Ogunquit Homes, Inc. File-# 684 On Site= Review Deep Hole Number- OP #97-4 Date 6/19/97 Time Weather Location (identify on site plan) Land Use. Woods Slope % A Surface: No Vegetation Oak, Pine, Maple Landform Moraine Position on landscape (sketch on the back) Distances from: Open Water -Body >100 feet Drainage Way Possible Wet Area >100 feet Property Line Drinking Water Well N/A feet Other >100 feet 20 feet. -MINIMUM OF 2 HOLES REQUIRED Al tvmx rnvrvacu L10. ­ I Parent Material (geologic): aTill Depth to Bedrock: gs Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 96" Estimated Seasonal High Ground Water. 40" DEP APPROVED FORM 12107/95 Oy soilev2sam FORM 1 I -SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. Rocky Brook Estates, Phase II, No. Andover- Ogunquit Homes, Inc. File #684 Determination dor Seasonal High Water Table Method Used: Depth observed standing in observation hole inches Depth weeping from side of observation hole. inches aDepth to soil mottles inches QGround water adjustment feet Index Well Number Adjustment factor Reading Date. Index well level Adjusted ground water level Depth of Naturallv Occurring Pervious Material Too Wet to conduct Soil Profile Analysis. 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 occuring pervious material? See Individual Logs Certification I certify that. on 11/94 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with therequired. training, expertise and experience described in 310 CMR 15.017. Signature' �' ��Date June 27, 1997 DEP APPROVED FORM . 17/07/95 soaNM.:un FORM 1Z - PERCOLATION TEST Location Address or Lot. No- L o -r 145 C0 M M0 UWEALTH OF MASSACHUSETTS Qor+1- Andovef' , Massachusetts_ Percolation Test* Date:: Time: - Observation Hole# Pesc. I @ 58�, Parc_ 4 @ 5f Depth of Perc Start Pre-soak 1: 04- Fm 2-1 1�2) PM End Pre-soak 1: ZZ 7_: 3 4 Tune- at 1 Z"` 1 ZZ Z 34 Time: at 9' 1: 47 Z=S� Time: at 6'r Z_.. Z.5 3 : Z-1 Time: (9"-6") 38 tN11N 3o M IN Rate: Min./Inch l3 M/ i 10 M *Minimum of 1 percolation test must be performed.. in both the primary area AND reserve area.: Site Passed Elsite Failed =, Performed By: S i -e -ye. 'D'y r s o Witnessed By: S O r%6 S t e m Comments: DEP APPROVED FORM 11/07/95 Pe L=SAM i :z `�t Yk�x i AM YP. Yz� �"v^ ✓'„� ,'e f` ycr'. Y. "ti4'�f iR� t ��-��_""�,',,,.?� �`'s� ��---'n•=��.':A'�=.�' C.�..k. "� i.:�' r. '�>.:a�-tom u Fa •qtr m IN ��r�l _71 �- ����\- --- ---- LZ x I ht, \ j. it Nil ly iY 1i Y4 i� - 1 4 �\ --- t- I _ I Fn 'y ,.fr_..,.x.'s;-..{u-Yu-:.s'...a +.. .:o...M...•„1 N «�....... p... -••c - iI- bµ5•ter. `ft,.,�'i�. .c3�'"' }. , +C >i eq"i' _. $, •,;f, lr .. .. � .. •'4*1::tt•^"'.. -� i ,. ?a�h• 'y.'fr :�"y;':!•Y m''� �w`r ..e7+. ^...... _ +l T�.--d N. _`.� • 'l a - - sit Av SON my -75--k RN 7r ii c. AMOCO. w W 4W, "All 1 a ii+r`�.� too IP" OWN KNEW - I Q SOME-: AS �W; I MR3 tl--i - --^ — NMI SIR- ig% 4? 4- MOW a 'WAl-'S' wis "tr.. Oil -1Z Iq 7 - _ _q 7- 7 6 T 3 0 llt"M .............. FORM 11 - SOIL EVALUATOR FORM PAGE 1 of 3 No. 550-14A Commonwealth of Massachusetts North Andover, Massachusetts Performed By: Steven J. D'Urso Witnesses By: Sandra Starr 14A - Rocky Brook Road Date: 11/6/96 Date: Ogunquit Homes, Inc 345 Stevens Street No Andover, MA 01845 INew Construction, X Repair, 1 (508) 685-6028 Office Review Published Soil Survey Available: No Yes X Year Published: 1981 Publication Scale: I"= 1320' Soil Map Unit:Crc (Carlton) Drainage Class: Well Drained Soil limitations: Moderate (slope, large stones) Surficial Geologic Report Available: No X Yes Year Published: Publication Scale: Geologic Material (Map Unit): Landform: Ground Moraine Flood Insurance Rate Map: Above 500 year flood boundary: No Yes X Within 500 year flood boundary. No X Yes Within 100 year flood boundary: No X Yes Wetland Area: National Wetland Inventory Map (Map Unit): Wetlands Conservancy Program Map (Map Unit): Current Water Resource -Conditions (USGS): Month Range: Above Normal: Normal: X Below Normal: Other References Reviewed: u DEP APPROVED FORM -12/07/95 l FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. Lot 14A - Rocky Brook Road On-site Review Deep Hole Number: 96-5 Date: 4/1/96 Time: AM Weather: Fair Location (identify on site plan) See sanitary disposal system design Land Use: Residential Slope (%) 8-15 Surface Stones Vegetation: Wooded Landform: Ground Moraine Position on landscape (sketch on the back) See sanitary disposal system design (locus map) Distances from: Open Water Body 120+/- ft Drainage way N/A ft Possible Wet Area 120+/- ft Property Line 95 +/- ft (from left lot lune) Drinking water well N/A ft Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 011-411 A F/S/L 10YR None 2/1 411-3611 B L/S 7.5YR Medium, Weeping @ 28" 2.5/3 3611-8411 C S and L 10YR Stratified, Silt Loam to Coarse Sand, 4/6 Some cementation, Obs Water @ 62" * MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic): Glacial till, basal Depth to Bedrock: None Depth to Groundwater: Standing Water in the Hole: 62" Weeping from Pit Face: 28" Estimated Seasonal High Water: 28" DEP APPROVED FORM -12/07/95 Location Address or Lot No. Lot 14A - Rocky Brook Road Method Used: FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Determination for Seasonal High Water Table Depth observed standing in observation hole 62 inches Depth weeping from side of observation hole 28 inches 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 Certification 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 If not, what is the depth of naturally occurring pervious material ? I certify that on 1114 7 (date) I have passed the soil evaluator 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 >�(� Date o(' DEP APPROVED FORM -12/07/95 kv I( 6r 1 A&L- 1 N I 1 A FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and ^Apartments having jurisdiction have been obtained. This does not relieve. the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION'6646666066 APPLICANT J PHONE �_vr— ---vc�2 LOCATION: Assessors Map Number PARCEL SUBDIVISION ,P 424L LOT (S) STREET 4- ST. NUMBER """"*"OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED EALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE q �' © 5 CO) z n 7y o �. CO) j C..,CD CD O 5 0 CA CD 0 CL y. C• O O CCD CCD a C CD 2 N r -I C") �J m. m CO2 d © 5 CO) z n 7y o �. CO) j C..,CD CD O 5 0 CA CD 0 CL CD C• 2 N r -I C") �J m. m CO2 d © 5 CO) z n 7y o �. o ^ o CD CD O d� P.0 CD P7 O O CCD CCD a C CD H _. CL v O CD y co CD - CO) v O CD O • � CD O G CD ra F O � © o z? z n 7y o �. o ^ o aQ O• ' y x Wop m z 0 rA M 1 40