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Home My WebLink AboutMiscellaneous - 1975 SALEM STREET 4/30/2018 (2) '15 UU91tlS 56b1 • s Tun— .3 ro• • irfl North Andover Health Department Community and Economic Development Division e � August 24, 2017 Livingstone Development Corp PO Box 50 Tewksbury, MA 01876 Re: Subsurface Sewage Disposal System Plan for 1975 Salem Street—Lot 1 (Map 106B,Parcel 16,Lot 1) To Whom It May Concern: The proposed wastewater system design plan for the above site dated May 5, 2017 with a final revision date of August 14, 2017 and received on August 17, 2017 has been approved. The design has been approved for use in the construction of a new on-site septic system for a five (5) bedroom, eleven(11) total room residential dwelling, utilizing a gravity leach field system. This design plan approval is valid until August 24, 2020. During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. This approval is also subject to the following conditions: 1. Prior to the issuance of the Disposal Works Construction Permit, the applicant must submit a foundation as-built at the same scale as the approved plan. 2. Prior to the issuance of the Disposal Works Construction Permit,the applicant must submit the floor plans of the proposed dwelling showing no greater than five (5) bedrooms or eleven (11) total rooms. 3. Prior to construction, the designer must establish a benchmark within seventy-five (75) feet of the proposed system. The location and elevation of the benchmark must be submitted to the Health Department. Page 1 of 2 North Andover Health Department Town Hall, 120 Main Street, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542 1975 Salem Street—Lot 1 August 24, 2017 4. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit (3 10 CMR 15.020(1)). 5. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe and/or imply compliance with any of the aforementioned requirements. Please feel free to contact the office with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. ?Since ly, . LaGrasse, CEHT Director of Public Health Encl. Installers list cc: Christiansen& Sergi, Inc. 160 Summer Street, Haverhill MA 01830 File Page 2 of 2 North Andover Health Department Town Hall, 120 Main Street, North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542 LIVINGSTONE DEVELOPMENT CORP. `LC :RVATION P.O. sox so SEP 05717 0 TEWKSBURY,MA 01876 (978) 640-1611 NORTH ANDOVER Fax(978) 640-1611 CO I Cell(978) 815-4847 September 1,2017 Town of North Andover Jennifer A. Hughes Conservation Administer 120 Main Street North Andover,MA 01845 Re: Contact list For North Andover Dear Jennifer: The following is a contact list for Lot 1-3 Salem Street,North Andover, MA. Thomas B.Hodgson President (978) 815-4847 Bob Michalczk Forman (978) 815-5226 Brett Berube BPB Co. Excavator (603) 966-7577 Leah Basbanes Environmental monitor (978) 649-3839 If you have any questions or need more information feel free to contact me. Sincerely, Susan Connor Office Manager .Livingstone Development Corp. i i CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET.HAVERHILL.FOIA 01830 te!:978-373-0310 wvt,.,/.cs"s-ergr.ccm fax 978-372-3960 August 14, 2017 Mr. Brian LaGrasse Director of Public Health RECEIVED North Andover Health Dept. 1600 Osgood Street, Suite 2035 ►�ItG 17 North Andover, MA 01845 TO�L7H pEpgFt?NtEN7 F NORTH ANDOVER Re: Septic System Design Plan for Lot 1 1975 Salem Street (Map 106DB Parcel 16, Lot 1) Dear Mr. LaGrasse: We have received your July 6, 2017 comments on the above referenced plan, and we offer the following response. 1. The Title Block shows the Owner/Applicant as Livingstone Development Corp. The deed reference listed on the plans shows Livingstone Development Corp. as the record owner. 2. All of the requested soil testing information has been added to the plans. 3. The second to last page of the soil evaluations forms were signed. 4. The percolation rate for P-3 has been revised to show 10 minutes per inch. 5. No response needed: 6. A foundation drain and invert were added to the plan. 7. The length and slope of the building sewer have been revised to show the correct information in the Profile on sheet 2 of 2. 1 trust that these responses fully address all of your comments. Please contact me if you have any questions. Very truly yours, Christiansen &Sergi, Inc. Philip G. Christiansen d� TOWN OF NORTH ANDOVER Af Community & Economic Development HEALTH DEPARTMENT 120 Main Street NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone 978.688.9542—FAX E-MAIL:healthdept@northandoverma.gov WEBSITE:http://www.northandoverma.gov SEPTIC PLAN SUBMITTAL FORM Tp\1 I Date of Submission: 49 - CJ Site Location: E of Np�PP��ME ALM Lc" E Ile Engineer: (H R IS"P Z.A M A lyo 5E(ZCr7 7/yc. New Plans? Yes-V$275/Plan Check#/� (includes 1St submission and one re- review only) Revised Plans?Yes $125/Plan Check# L Site Evaluation Forms Included? Yes V No j Local Upgrade Form Included? Yes No G Telephone#: 1.78' 3 O 0 p 7 3 Fax#: ` E-mail: 7Z &CSI—k A/(,R.CQ%/_q Homeowner Name: U1r r&-S?c tylF r-V 1=L-0P/"I eNT 4 OFFICE USE ONLY i When the aubmission is complete(including check): ➢ Date stamp plans and letter E Complete and attach Receipt ➢ Copy File; Forward to Consultant ➢ Enter on Log Sheet and Database Commonwealth of Massachusetts City/Town of North Andover - Lot / 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:When filling out forms A. Site Information on the computer, use only the tab Lois Lachapelle — key to move your Owner Name cursor-do not 1975 Salem Street-Map 106 Block 106.B Lot 16 _ _ use the return key. Street Address or Lot# i North Andover ___ MA 01845 _ „y City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 6/1/16 1:18 p.m. _ 6/1/16 _ 1:40 p.m._ Date Time Date Time Observation Hole# Perc 3(DH-6) Perc 4(DH-8) Depth of Perc 44" 44"– -- Start Pre-Soak 18 1:40 End Pre-Soak 1:33 1:57 Time at 12" 1:33 _ 1:57 Time at 9" 1:53 2:08 Time at 6" 2-21 2:20 Time(9"-6") 28 Min. _ 12 Min. — Rate(Min./Inch) 9 Min./Inch 4 Min/Inch Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Maureen Herald Test Performed By: Issac Rowe-North Andover Board of Health Board of Health Witness Comments: t5form 1 2.doc-08115 Perc Test-Page 1 of 1 d k ' 79UO Of ND oT�1 t O 0 aF Town of North Andover �'- o• �' HEALTH DEPARTMENT CHU CHECK#: DATE: LOCATION: /9 7 S fic, e(n ''. H/0 NAME: CONTRACTOR NAME: Type of Permit or License/(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTICS stems: ❑ Septic-Soil Testing $ xSeptic-Design Approval ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ ealth Agent Initials White-Applicant Yellow-Health Pink-Treasurer Commonwealth of Massachusetts City/Town of North Andover- Lot , 3 f Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Lois Lachapelle Owner Name 1975 Salem Street_ _ _ Map 106 Block 106.13 Lot 16 Street Address _ Map/Lot# North Andover Ma City State Zip Code I ' B. Site Information 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: Web Soil Survey 422D Source Soil Map Unit Canton Soil Slope and stoniness Soil Name Soil Limitations ^�- Glacial Till 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? ❑ Yes ® No MassGIS Wetland Data Layer: _ Wetland Type 7. Current Water Resource Conditions (USGS): 6/16 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: 1:3 done T5,T6•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- Lot J r - g Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal p C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DH-5 6/1/16 12:00 p.m. Sunny& Mild Date Time Weather 1, Location Ground Elevation at Surface of Hole: See- 'sn- LOAQ ,3_ Latitude/Longitude: 42 38; 16"N / 71 03'6'W feet - - Description of Location: See plan 2, Land Use Woodland _ _ Some Stones _ 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) I Oak & Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body > 100 ft, Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line >25 ft Drinking Water Well > 100 ft Other --- fe feet feet ..... ......... --- feet. 4. Parent Material: Glacial Till 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: _ inches JY elevation t3 done T576-rev.8/15 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 '\ Commonwealth of Massachusetts City/Town of North Andover- Lot 3 ,r1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 1 C. On-Site Review (continued) Deep Observation Hole Number: DH-5{Lot I} Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture /o by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) &Stones 0-8" Ap 10 yr 2/2 FSL Granular Friable 8-20" Bw 10 yr 4/6 FSL Massive Friable 20-94" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t3 done T576•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover- Lot 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal a; C. On-Site Review (continued) Deep Observation Hole Number: DH-6 LCT/ 6/1/16 _ _ 12:00 p.m. Sunny& Mild Date Time weather 1. Location Ground Elevation at Surface of Hole: 8ecpMfl' �{,q Latitude/Longitude: 42 38' 16" N / 7103 6"W feet — -- _ 2. Land Use Woodland _ _ Some Stones0-5% .(e.g.,woodland,agricultural field,vacant lot_etc.) Surface Stones(e.g.,cobbles,stones,boulders—etc,) Slope Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SM,13S,FS, 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft feet feet .__.___ feet — _.._..._.__. Property Line > 25 ft Drinking Water Well > 100feft Other feet .._._._et fe _ __.et......__ .. _______ 4. Parent Material: Glacial Till 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: _None_ None_ Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: _ _ inches elevation t3 done T5,T6 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 - Lot 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-6{Lot a} Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture /o by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent ravel Cobbles (Moist) 8 Stones 0-8" Ap 10 yr 2/2 FSL Granular Friable 8-24" Bw 10 yr 4/6 FSL Massive Friable 24-86" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t3 done T576-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts r/y City/Town of North Andover- Lot $ - } Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DH-7 6/1/16_ __ 1:00 P.M. Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: SVLl�, 7 Latitude/Longitude: 42 38 16"N / 71 03'6"W_ feet Description of Location: See plan 2. Land Use Woodland _ _ Some stones _ 0-5% (e,g.,woodland,agricultural field,vacant lot,etc.) V Surface Stones(e.g.,cobbles,stones,boulders,etc.) _ Slope Oak& Pine _ Moraine SH Vegetation Landform Position on Landscape(SU,SH,B9,FS,TS) 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft_ Wetlands > 100 ft feet feet feet Property Line >25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till _ 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t4done T7,T8-rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts P. ._ City/Town of North Andover - Lot r Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-7{Lot 1} Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Calor- Soil Texture /o by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) 8 Stones 0-9" Ap 10 yr 2/2 FSL Granular Friable 9-19" BW 10 yr 4/6 FSL Massive Friable 19-76" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t4done T7,T8-rev,8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 :. Commonwealth of Massachusetts �y City/Town of North Andover- Lot :0 n1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 6/1/16 1:00 p.m. Sunny& Mild _ Date Time Weather 1, Location Ground Elevation at Surface of Hole: Sire- _ertr_ (�(l 18 Latitude/Longitude: 42 38' 16"N / 71 03' 16" N feet 2. Land Use Woodland Some Stones _ _ _ 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(°k) Oak& Pine_ Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS,FSI_ 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 10.0 ft feet feet feet —� Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured flock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t4done T7,T8-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- Lot A t Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-8 f Lot 3) Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) obSoil Structure Consistence Other i Depth Color Percent ravel ( 8 Stones nes Moist) 0-10" Ap 10 yr 2/2 FSL Granular Friable I 10-20" Bw 10 yr 416 FSL Massive Friable 20-72" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t4done T7,T8•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 3 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-5 Obs. Hole#DH-6 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches _ inches ❑ Depth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) > 94" _ >86" _ (USGS methodology) inches inches ' Index Well Number Reading Date Sh= Sc—(Sr X(OWc—OWmax)/OWrj Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Sc Sr OWc 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: 20" Lower boundary: 94" inches inches t3 done T5,T6•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover- Lot 3 Disposal Form 11 - Soil Suitability Assessment for On-Site Sewage Dis J P D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-7 Obs. Hole#DH-8 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole _inches`_"__'_________. . inches ❑ Depth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) > 76" >72° (USGS methodology) inches inches Index Well Number Reading Date Sh= Sc—[Sr X(OWc—OWmax)/OWrl Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Sc Sr OWc 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: 19" Lower boundary: 76" inches inches t4done T7,TS•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 6 of 8 Commonwealth of Massachusetts Cityfrown of North Andover- Lot 3 Y� Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Isaac Rowe _ North Andover Board of Health Name of Board of Health Witness Board of Health 1 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 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 in accordance with 310 CMR 15.100 through 15.107. I 6/9/16 Signature of Soil Evaluator Date, Steven Eriksen/SE685 6/30/18 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 Percolation Test Form 12. t3 done T576•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 dffyu[212 OF 4 o e tW0U4L\L NORSE ENVIRONMENTAL SERVICES, INC. lit 92 Middlesex Road, Unit 4 �' Tyngsboro, MA 01879 DATE j �� JOB NO TEL. (978) 649-9932 • FAX(978)649-7582 ATTENTION Website: www.norseenvir, nmental.com / f TO �+ n c/c/ RE Od SL Co 0 U Os o d� S� ao S ao� d d,,/w . 4/i4- o jFy� 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 o r(n ., I �Si e JIUN I THESE ARE TRANSMITTED as checked below: TOWN T NORTHANDOVER HEALTH DEPARTMENT ❑ For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distrubution ❑ As requested ❑ Returned for corrections ❑ Return_corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 79 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: • S4'�'[CED76g6 • ^�♦ • North Andover Health Department Community and Economic Development Division July 6, 2017 Philip Christiansen, P.E. Christiansen and Sergi, Inc. 160 Summer Street Haverhill,MA 01830 Re: Subsurface Sewage Disposal System Plan for Lot 1 - 1975 Salem Street (Map 106B,Lot 16) Dear Mr. Christiansen, The proposed wastewater system design plan for the above site dated May 5, 2017 and received on June 8, 2017 has been reviewed. Unfortunately,the plan cannot be approved until the following items are corrected. The specific section in Title 5: 310 CMR 15.000, or North Andover regulation that is not met by this design follows each item where applicable. 1. Please indicate the record owner on the design plan (NA 3.2). The Assessor's field card has Lois Lachapelle as the current record owner. 2. The following soil testing data was not on the design plan: a. The results of the soil and percolation logs (310 CMR 15.220(4)(h-i)) b. Date of the soil evaluation (310 CMR 15.220(4)(h)) c. The name of the approving authority representative (310 CMR 15.220(4)(h)) d. The name and approval date of the soil evaluator(310 CMR 15.220(4)0)) 3. The soil evaluation forms were not signed by the soil evaluator(3 10 CMR 15.018). 4. The percolation rate for P-3 should be depicted as 10 mins/inch. 5. On sheet 1 of 2,the benchmark is shown greater than 75 feet to the proposed septic system(3 10 CMR 15.220(4)0). A note on the design plan indicating a benchmark shall be set prior to construction is sufficient. 6. A foundation drain and elevation were not shown on the design plan(NA 3.2). Page 1 of 2 North Andover Health Department, Town Hall, 120 Main Street, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542 7. On sheet 2 of 2,the profile indicates the incorrect length and slope of the proposed building sewer line. Please feel free to contact the office or Mill River Consulting at 978-282-0014 with any questions you may have. We look forward to working with you to obtain a wastewater treatment and dispersal system which will be in compliance with all regulations and assure protection of public health and the environment of North Andover. Since y, B an J. LaGrasse, CE Director of Public Health cc: Livingstone Development Corp. File Page 2 of 2 North Andover Health Department, Town Hall, 120 Main Street, North Andover,MA 01845 Phone: 978.688.9540 Fax: 978.688. 9542 S. 11. TOWN OF NOR-1 11 ANDOVER 04 Office oaf CONENIUNFINDEQ FILOPAI FNTAND SERVICES I-1EA1,'r11 DIA'AWFN11"N"'I' 1600 OSGOOD ST'R'F.FT: SLA-14, 203; to NCI RECEIVED MAY 1 '1 2016 OF NORTH ANDOER APPLICATION FOR SOIL TESTS TOWN HEALTH DEPARTMENTV DATE: 41 -Lt -2 0 1 MAP&PARCEL: L6-1— OF D LOCATION OF SOIL TESTS: ---44UM OWNER: Lois &--+QVAPE*Lt&— Contact APPLICANT:.L1VW65rzm1&- DC-V . Contact 79 -Y/5 - 410-7 ADDRESS:-1ZW1 14oP&-,sc)1j P06eXSit TOdLRar�6 -/M ENGINEER:-PI4141P Cf4g1S77Prk15C--V Contact#: 279-37g -0310 CERTIFIED SOIL EVALUATOR: PUILIP e/4/Z1-S77/4-Q-`7-,-- k,/ Intended Use of Land: Residential Subdivision ( Single amily Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No z THE FOLLOWING MUST BE INCLUDED WITH THIS FORM > Proof of land ownership(Tax bill,or letter from owner permitting test) > 8.5"x 11"Plot plan&Location of Testing(please indicate test pit sites on the plan) > Fee of$585.00 per lot for new 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 1"-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 Below This Line N.A. Conservation Commission Approval Date: Signature of Conservation Agent Date back to Health Department: (stamp in): Lp-- a cc e 5 North Andover MIMAP April 4, 2016 106.6-0013" ,F T 106.8=0131 iu t = 106,8-0042 - \/ 106.8-0127 .t. 371935 (x. 1'06130 l 106:$0071 1{36..8-0186 1 a.� ' * #195 Ej #194 ref 106.6-0015 s_ A 19`5 106.6-Oi28 ; 106:6`0168..Y #265,�, 31 106.6-0181 vi _ #206 \� J t \ al \ ' 106.B-0 129 106.B-0183 #1975 106.B-0182 106.8-0014 � 105.D-0120 a, 106.6-0180 #2009 #261 106.6-0016 \`Slr 108.A-0002 Pit 106.18-0179 #2051 #247 106.8-0173 ~\ � #45 106.8-0178 \. #239 #244 �6s #2053 lZ #221 106.6-0177 #234 106.6-0175 108.A-003 Z .108.A-0018 i86 106.B-0176 108.A-0026 :10'$A-0001 108.A-0031 4t.` #209 108.A-0033 190 0f Y+t`'•t; #180 t� 109,A-0030 Is�lf• / ` s� }r r 108,A-0024 108'.A-0025 #201 3, 108.A-0023 #195 � - r \ #175 l�\108.A-0028 108.A-002 ' r. �108.A-0003' ,y� �• .ti(,_--_: 0 MVPC Bo Q Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NA083, Rail Line Meters Data Sources:The data for this map was produced by Merrimack Interstates Nd�TF1 Valley Planning Commission(MVPC)using data provided by the Town of •—•SR .�,4~6 North Andover.Additional data provided by the Executive Office of sAl a Environmental Affairs/MassGIS.The information depicted on this map is RoadsC 1 for planning purposes only.It may not be adequate for legal boundary definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER .Easements ~ - 4 MAKES NO WARRANTIES.EXPRESSED OR IMPLIED,CONCERNING Parcels THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY T Tt .^,'i, OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Trails ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features .(� ��- .�•"tcp THIS INFORMATION Streams Wetlands SwCwt75E Exempt Lands 1"=229 ft ` ; i N gi 1 . T3 `\ ARk;< 1,00±A S ' LOT 2 ,� LOT 1 (FRONTAGE 2 , (FRONTAGE EXCEPTION LOT) EXCEPTION LOT) AREA= AREA= 3.47±ACRES 3.45±ACRES }, M4. SL�Ff M1 b, I l �t II PURCHASE AND SALE AGRLEIVIENT This day of February,2015 L PARTIES LOIS IL LACHAPFA,E,with an address of 931 Wilton Road,Meson,New Hunpshire 03048 AND MAiI.ING ADDRESSES be, called the SELLER,agrees to SELL and LIVIMGSTONB DBVELOP1VJ1if CORP,a Mattadweifs caporatton with aprirxVd place of busbea located at1501 Main Street;Uffi 4,Tewhsbmy,Massa: s 01876 called the BUYER or PURCHASER, agrees to BUY, upon tine terms heneioafier set forth, the Mowing described premim North Andover MA Assessor's Parcel ID Na 21WIO&B-0026-0000.0, whkh is a clam parte of land consisting of 7.8 acres more or teas,located on Salem Street in North Andover,Massachasetfs,descae'bed asthe "Seco Panned"in Beed dated September 2,1992,and recorded with the Essex North District Registry of Deeds Book 3539,Page 353. 2.DBSaMMON A certain,parcel of land consisting of approxhnatoly 7.8 acres more or k,%located on Salem Street In North Andover,Mamchusetis,dwm bed as the"Second Parcel"in Deed dated September with the FWex North District Registry of Deeds Book 3531 Page da 2'1'and recorded "Fbst Parcel"or the 3.2 acre parcel described in said aforemeegioned Deed��ce�� Excpfing and=dadueg from this conveyance Parcel A as shown on the Sketch plan enabled-Conceptual Subdivision Plan#A"scale 1"=120,dated February 10,2014provided however that BUYER,after BUYER's coraple M of BUYEF's surveys for dee subject propmV4 canlyrms that BUYER does not need Parcel Aor purposes of BUYER's proposed resldemial land subdivision f For further property description of the "Second Parcel" or 7.8 acre parcel(which description does not except therefrom Parcel A as shown on the eebrementioned sketch plan),see metes and bounds description attached hereto and herein incorporated by reference. 3. BUILDINGS, STRUCTURES, ZQROVE- MENTS, FIXTURES , ' TIE LAND IS VACANT: 4.WME DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the nominee designated by the BUYER by written notice to the SELLER at least seven(7)days before the deed free from encumbrances,except is to be delivered as herein provided,and said deed sball convey a good clear record and marketable title thereto, (a)Provisions of existing building and zoning laws; (b)Existing rights and obligations in party walls which are not the subject of written agreement; (c)Such taxes for the then current tax year as are not due and payable on the date of the delivery of such deed; (d)Any lions for municipal betterments assessed after the date of this agreement; (e)Basements,restrictions and reservations of record if any 27.CONSTBUCT This ioshvmeut;executed in mato*cam,is to be as a Massachusetts contract, s to take TION OF effect as a sealed sets forth the entire coutaast between.the parties,is binding upon ad ens to the AGRM111MNT benefit of the parties hereto and their mpective heirs,devisees,executors,�succesm and and may be canceled,modified or amend only by a written instrunumt executed by both the S UXR and the BUYER. If two or mane persons are named berein as BUYER their obligations hereunder shall be joint and sev%2L The captions and marginal notes are used only as a meter of convenience and are not to be considered a Put of this agreement or to be used in determining the intent of the parties to it. 281,EAD PAINT Not applicable. LAW 29.SM0KB Not applicable. DETECTORS AND CARBON MONOXIDE DETECTORS 30.ADDI MN The Initialed riders,if any,attached hereto,ars incorporated herein by reference. AL PROVISIONS See Rider A attached hereto as Exhibit A and herein incorporated by reference. See Exhibit B(metes and bounds description for premises)attached hereto and incorporated by reference. See Exhibit C(sketch plan/conceptual plan showing parcel A as excepted from this conveyance). See Bayer's Rider B attached hereto as Exit D and herein incorporated by reference. FOR ME)PRUL-PROPERTY GO) GM PMR W 197.8, 111AMR NOTICE This is a legal document that avates binding obligations. If not understood,consult an attorney. SELLER BUYER LIVINGSTONE DEVELOPMENT CORP, LOIS R LACHAPELLE By:THOMAS HODGSON Its: President and Treasurer � e • I EXIHfBIT B TO PURCHASE AND SALE AGREEMENT 7.8 Acre Parcel of land located on Salem Street,North Andover,MA Metes and Sounds Property Description A parcel of land located on Salem Street,North Andover,Essex County,Massachusetts, bounded and described as follows: "Beginning at a point on the Southwesterly side of said Salem Street at the Southeasterly corner of the First Parcel hereinbefore described,and which First Parcel was formerly owned by hfi mie Peard and thence running Southwesterly along the stone wall,partly by said Peard land and partly by land now or formerly of George Rhea five hundred and twenty-six(526)feet to a point in said stone wall,thence running about Southeasterly,still by said Rhea land and along the stone wall,eleven hundred and thirty-three and 5/10(1133.5)feet to a point in said stone wall at land now or formerly of Charles L Kimball,thence running Northerly by said Kimball's land,six hundred and sixty(660)feet,more or less,to a stone bound set in the ground;thence running a little East of North,still by said Kimball's land,four hundred and eighty-five(485)feet, more or less,to a point in said Salam Street,which point is at the Northwesterly comer of said Kimball's land;thence running in a Northwesterly direction,following the contour of the said Southwesterly side of said Salem Street,two hundred and eighty(280)feet to the point of beginning. Said Second Parcel contains 7.80 acres more or less and is shown on a plan of land entitled"Plan of Land of Peard&Kimball,Salem St.,North Andover",dated Dec. 1928 and duly recorded with said Registry of Deeds." Being a portion of the premises described in Deed from Mary V. Lachapelle to Lois R Lachapelle dated September 2, 1992 and recorded with the Essex North District Registry of Deeds in Book 3539, Page 353. Life tenant Mary V.Lachapelle died on February 26, 2015. I I I �I tt I A I I � i I i � � i- ! 1 j t i �.. . •. I ` EI 11 • lzo 19 ILI 1 I I -�7 -17t II I ! I l�SIi I _444 , 4 W� Ll_G .;./"( U✓7!' !vaJ YS 1 f r M`, C 1 ! mU� �j I Z�DkIP ice'-.4- TI� LL fZ;_ I Ai r/� !/Vd r ` � � ,�!•'� ,:��i 1 I �1'_I�.. �d �jr r�J� ;G� ��y �O I Z:I I � ��_,,��'�'�1 . y -7 'yp , lz Fk- �, ,, I � � .- rr iv,1.� '�� ,,J` I I --r�7r V.t C 7•A' 'f1 �f� -�J�, T�� Y" '? ''�•,}i�r .r r, • Y '� a / 1�J �yl,d,L..�I�.:',1 •%L �...�,r � � �.✓./Ch�r��..� 1�� _. / � —_. 1 �' Jam. 1'1rIt �.;'f� P 4 7- 4I9 �� o� �� - i i I •�4� I�SS i tii•�3 II'.5 J 20, 17 `ry 1 ' s_j z.Yjr +K. I 4s t III i... i � �• 01) 11 7� , . � ' X5;11 -�:�! � � �sj:l-Qb•, I :\ ' b t ',t} E { _ 5�f 7 r . III! 7 : Y S fir 1(J�f P�y /Y lE - (1` z5:11 ,21 (vim �It�2 ca zoom== •.Fr+'ki�= at3�s..<•� ,�:i`t -,:.:r_. ..,,.:_:-.. _ s,.,..:.. ....-.:_.. t ';_ ,_ ,.:r.. F +ir` r,"''- -a'2. :�`Y 13 Ij r I , t 1 , } III 1 A9 - Si SIT ! i Clr s Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Lois Lachapelle Owner Name 1975 Salem Street Map 106 Block 106.6 Lot 16 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? ® Yes ❑ No If yes: Web Soil Survey 422D Source Soil Map Unit Canton Soil Slope and stoniness Soil Name Soil Limitations Glacial Till 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 ® No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): 6/16 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: t6 done T11,T12•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 - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DH-11 6/2/16 11:00 a.m. Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38 16"N / 71 03'6"W feet Description of Location: See plan 2. Land Use Woodland Some Stones _ 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Oak & Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS, FS,TS) 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands - > 100 ft feet feet feet Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t6 done T11,T12•rev. 8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 s Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-11 {Lot 1} Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-26" BW 10 yr 4/6 FSL Massive Friable 26-86" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-12 6/2/16 11:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38' 16"N / 71 03'6"W feet 2. Land Use Woodland Some stones 0-5% (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH, BS, FS, 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till 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: None None Depth Weeping from Pit. Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t6 done T11,T12•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 - Lot 1 Form 11 - Soil SuitabilityAssessment ent for On-Site Sewage Disposal `tea C. On-Site Review (continued) Deep Observation Hole Number; DH-12 {Lot 11 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA) Cobbles Soil Structure Consistence Other Depth Color Percent Gravel &Stones (Moist) 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-26" Bw 10 yr 4/6 FSL Massive Friable 26-83" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-11 Obs. Hole#DH-12 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ❑ Depth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) > 86" > 83° (USGS methodology) inches inches Index Well Number Reading Date Sh = Sc—[Sr x(OWc—OWmax)/OWrj Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Sc Sr OWc 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: 26" Lower boundary: 86" inches inches C. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 _ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Isaac Rowe North Andover Board of Health 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 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 in accordance with 310 CMR 15.100 through 15.107. 6/9/16 Signature of Soil Evaluator Date Steven Eriksen /SE685 6/30/18 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 Percolation Test Form 12. t6 done T11,T12•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 k"Vir Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t6 done T11,T12-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 4 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Lois Lachapelle Owner Name 1975 Salem Street Map 106 Block 106.13 Lot 16 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? ® Yes ❑ No If yes: Web Soil Survey 422D Source Soil Map Unit Canton Soil Slope and stoniness Soil Name Soil Limitations Glacial Till 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? ❑ Yes ® No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): 6/16 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Aq Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DH-9 6/2/16 10:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38' 16"N / 71 03'6"W feet Description of Location: See plan 2. Land Use Woodland Some Stones 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones, boulders,etc.) Slope(%) Oak & Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH, BS, FS,TS) 3. Distances from: Open Water Body > 100 ft. Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t5 done T9,T10•rev.8/15 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 - = Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-9 {Lot 11 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA) Cobbles Soil Structure Consistence Other Depth Color Percent Gravel Stones (Moist) & 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-24" BW 10 yr 4/6 FSL Massive .Friable 24-82" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t5 done T9,T10-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 _ - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-10 6/2/16 10:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38' 16"N / 71 03'6"W feet 2. Land Use Woodland Some Stones _ 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones, boulders,etc.) Slope(%) Oak & Pine Moraine SH Vegetation landform Position on Landscape(SIJ,SH,BS, FS, 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial Till 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t5 done T9,T10•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 - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-10 {Lot 11 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) USDA Soil Structure Consistence Other Depth Color Percent ( ) Gravel Cobbles (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-24" Bw 10 yr 4/6 FSL Massive Friable 24-82" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 t Commonwealth of Massachusetts City/Town of North Andover - Lot 1 - Soil Suitability Assessment for On-Site te Sewage Disposal 11 D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-9 Obs. Hole#DH-10 - ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ❑ Depth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) > 82" > 82" (USGS methodology) inches inches Index Well Number Reading Date Sh = Sc—[Sr X (OWc—OWmax)/OWr1 Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# So Sr OWc 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: 24" Lower boundary: 82" inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches 1:5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 • Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for ®n-Site Sewage Disposal F. Board of Health Witness Isaac Rowe North Andover Board of Health 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 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 in accordance with 310 CMR 15.100 through 15.107. 6/9/16 Signa ure of Soil Evaluator Date Steven Eriksen/SE685 6/30/18 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 Percolation Test Form 12. t5 done T9,T10•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 - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �e Field Diagrams Use this sheet for field diagrams: t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 From: Norse Environmental [mailto:norseenvironmental@verizon.net] Sent: Thursday, June 09, 2016 10:06 AM To: irowe(amillriverconsulting.com Subject: FW: 1975 Salem Street North Andover MA Hi Isaac, Hey I wanted to let you know I goofed on the lot numbers. Please see the correct info below: Test pits 1-4 - Lot 2 (correct) Test pits 4-8 - Lot 3 (out in the field I thought it was lot 1) Test pits 9-12—Lot 1 (this is the second day of testing that you did with Steve) See the attached plan &sorry for the mistake. Thanks Maureen Herald Norse Environmental Services, Inc. 92 Middlesex Road— Unit 4 Tyngsboro, Ma 09879 Ph: (978) 649-9932 Fax: (978) 649-7582 From: Phil Christiansen [mailto:phil@csi-engr.com] Sent: Monday, May 09,2016 11:38 AM To: Norse Environmental (norseenvironmental@verizon.net)<norseenvironmental@verizon.net>; Hughes,Jennifer<JHughes@townofnorthandover.com> Cc: 'livingstonedev@icloud.com'<livingstonedev@icloud.com> Subject: FW: 1975 Salem Street North Andover MA Steve Looks like we have clearance from NHESP to move ahead with the peres Philip Christiansen P.E. CHRISTIANSEN & SERGI, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill,MA 01830 (978)373-0310 From: Leddick,Jesse (FWE) [mailto:Jesse.Leddick@Mass Mail.State.MA.US] Sent: Friday, May 06, 2016 1:54 PM To: Phil Christiansen<phil@csi-engr.com> Cc: Dan O'Connell<dano@csi-engr.com>; Glorioso, Lauren (FWE)<lauren.glorioso@state.ma.us> Subject: RE: 1975 Salem Street North Andover MA Hi Phil, Good to hear from you.Soil testing via test pits and percolation tests would fall under 321 CMR 10.14 (Exemptions from Review for Projects or Activities in Priority Habitat) of the MESA, which reads as follows: (14)performance of customary land surveying activities,wetland resource area delineations, percolation tests,environmental assessments and investigations performed in accordance with M.G.L.c.21E,and other customary preliminary site investigations or customary property due diligence activities,provided that vegetation clearing and soil alteration are avoided or minimized to the maximum extent practicable; Therefore,as long as impacts are avoided and minimized to the maximum extent practicable, soil testing activities may proceed in advance of official MESA filing.This site appears to be mapped for a state-listed turtle species,so I would recommend conducting soil testing activities as soon as possible,ideally by the end of the third week of this month(before significant turtle movements begin). Prior to subdivision of the property,I would recommend a pre-filing consultation to ensure that any concerns are addressed in advance of MESA review. If you would like,I would be happy to review the conceptual subdivision plan now and provide comments.Please let me know! ....Jesse ------------------- Jesse Leddick Natural Heritage&Endangered Species Program Massachusetts Division of Fisheries&Wildlife 1 Rabbit Hill Road,Westborough,MA,01581 Phone: 508-389-6386 1 Fax: 508-389-7890 www.mass.gov/masswildlife From:Phil Christiansen[mailto:phil@csi-engr.coml Sent:Thursday,May 05,201610:18 AM To:Leddick,Jesse(FWE) Cc:Dan O'Connell Subject:1975 Salem Street North Andover MA Jesse We have a client interested in a property at 1975 Salem Street North Andover MA. It is parcel 10613-0016 shown in GIS plan 1 attached. The property is in a priority/estimated habitat area as shown on MA GIS NHESP Map parcel 0. The client would like to subdivide into 3 lots as shown in the attached drawing 4975 Salem Street Conceptual Plan. Boston Brook is across the street from the property but the 200 ft. Riverfront area crosses the front of the land. The next step in our process to determine the feasibility of development is to do soil testing which will require us to bring a backhoe on the site. We have had a wetland scientist inspect the property and flag the bank of the stream. There aren't any wetlands or vernal pools on the property. The local Conservation Commission agent will not give approval for us to do testing until you review what we propose. As required by Title 5 we will dig 4 test pits and two percolation tests per lot.The test pits will be 10 feet deep and approximately four feet by 15 feet in size. The percolation tests will be three feet deep in an area that is about five feet by five feet. If the percolation tests are successful we will subdivide the land as shown and file with the Conservation Commission and your office. Please let me know what special conditions or precautions we must follow to perform the tests. Phil Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill, MA 01830 (978)373-0310 6/9/2016 GIS plan 1.jpg Base Map ZOning 2012 Aerials EJ 9 V V V I '+ Help Scale 1" 12C67 _ ft I }xv �, lOfi B-0060#1907 n #1 1`06.8 0133106.B-0126 #1825 -, ;�; '• ,_ ..�,• ....,. #170 _ 106.840012 _ 132 ,'163 105.113-0146 1'06.0-0013#1928 B . . 8-01,31t 175 #182 1Cl6.`B-00-.1 106.115-0042 _ � •�; , -:106.0-0245 106.8-0127 106.B-0130 #299 - 106.E-0185 #1935 �,,,• r x'195 ?: '" 106.8-0015 _ i #i94 106.113-0168'k. :::=_-"?sx. 106�B-0128 ., #255 i 106.8-0181 :._ ,, - #206 106.0-0169 #300 #295 #2 106.B-0129 106.8-0170 106.0-0183 $1975 #290 #287 ::'31{i':`•' : 105.D-012 82 1'06.B-001.4 1.06:B-0171 O6.B-01 #280 #275 106.113-0180 y #261 106.B-0016 #21309 lt.r�j 106.8-0172 #50 k- 108`A-0002 S`t f 106.0-0179 #2061 rf #30106:0-0166 `� #247 __... #45 f c� 106.0-0178 - 1066 8-0173 `as. #23 9 x'35 • 244 1#2453 106.8-0174 #221 1.06:0-0165 #230 106.8-0177 106.8-0175 IOB.A-0032 NJ� 106x0-;0245 kali: --i #1'86 108.A-0026 IOB.A-0033 � #2053 U, #39 '•r#39 106.E-0176 -'••..:�1.r,�.... • .:;�: #209 106.E-016 ='- #190 #1130 :•:�Ju:::._-,i; :.:=::::: " 1O8.A-11030tJ :::-....i ' .. 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L T 3 �• ARF - sr 1.00± A S LOT 2 _ LOT 1 (FRONTAGE foo, (FRONTAGE EXCEPTION LOT) EXCEPTION LOT) AREA = AREA = 3.47± ACRES 3.45± ACRES .r i ever OLIVER: MassGIS's Online Mapping Tool OLIVER Updates Available Data Layt L91935 salem st north andover, �` ► � "''+► b � `___-._.______.._......__.—� !Pick a town._..._ ___.. _...�.•.______� �1 '-----..--- - ----- f h data layers Tiled i Layers ° P' L State Facilities ,r r �.fs / r f '� • .c ,� ar Census 1990 Census 2000 �'�•`%fit f ff •" '` / / ' - Census 2010 ;!M ,+�+ /� T r �. , , . i ,� •-��, s'+�rr <f✓""r•�' . �� Y4,- Census , r �' ,� . f' rr r s �,� % �i Coastal and Mar 05 = . - C onserva fon/F ,,,,^ r+ ,{�f< � f r l 'f�i�.�C r t f it { . � ti. f • 'oe f r�♦ ,-, .i �* ..: ( Areas of Crit 00 Community F 10. de" s�-s ,+^-. / ..+"f��,�,/t ��i��+, , %,,� ;f��' `,I�`. � ✓"r. ��'# CanoeAcce: e ♦e ie r �/c ,+! ." � ,��°-.s,• w.,! s' x .,f,, , L ,y w�,.1 r Canoe Trips y 5 r ,Ile _Natural Herit, I1,. � • yr� � +� .«"�,.�8 a�' �, rf ,��" , ,° � t � � O Active Data Layers � ->;`� 'f• , fr 1` '�� .f ,J�. � �,1 r. 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J L43 5/10 016 Town of North Andover Mail-FW: 1975 Salem Street North Andover MA No1U19 ANI�0VER Lisa Hadge <Ihadge@northandoverma.gov> Massachusetts FW: 1975 Salem Street North Andover MA 1 message Lois Christiansen <lois@csi-engr.com> Mon, May 9, 2016 at 2:08 PM To: Lisa Hadge <lhadge@northandoverma.gov> Good afternoon, This should be the final input of data to allow for the perc testing at 1975 Salem Street. Please advise if this is not the case. Thanks, Lois From: Phil Christiansen Sent: Monday, May 09, 2016 2:05 PM To: Lois Christiansen <lois@csi-engr.com> Subject: FW: 1975 Salem Street North Andover MA Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill,MA 01830 (978) 373-0310 From: Leddick, Jesse (FWE) [mailto:Jesse.Leddick@MassMail.State.MA.US] Sent: Friday, May 06, 2016 1:54 PM To: Phil Christiansen <phil@csi-engr.com> Cc: Dan O'Connell <dano@csi-engr.com>; Glorioso, Lauren (FWE) <lauren.glorioso@state.ma.us> Subject: RE: 1975 Salem Street North Andover MA https://mail.google.com/mail/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&type=15495c0110e6fa10&th=15496b4714695d37&siml=15496b47146... 1/4 5/10/.9,016 Town of North Andover Mail-FW: 1975 Salem Street North Andover MA Hi Phil, Good to hear from you.Soil testing via test pits and percolation tests would fall under 321 CMR 10.14 (Exemptions from Review for Projects or Activities in Priority Habitat) of the MESA,which reads as follows: (14) performance of customary land surveying activities,wetland resource area delineations, percolation tests,environmental assessments and investigations performed in accordance with M.G. L. c. 21E,and other customary preliminary site investigations or customary property due diligence activities,provided that vegetation clearing and soil alteration are avoided or minimized to the maximum extent practicable; Therefore,as long as impacts are avoided and minimized to the maximum extent practicable,soil testing activities may proceed in advance of official MESA filing.This site appears to be mapped for a state-listed turtle species,so I would recommend conducting soil testing activities as soon as possible,ideally by the end of the third week of this month(before significant turtle movements begin). Prior to subdivision of the property,I would recommend a pre-filing consultation to ensure that any concerns are addressed in advance of MESA review.If you would like,I would be happy to review the conceptual subdivision plan now and provide comments.Please let me know! ....Jesse ------------------- Jesse Leddick Natural Heritage&Endangered Species Program Massachusetts Division of Fisheries&Wildlife 1 Rabbit Hill Road,Westborough,MA,01581 Phone: 508-389-6386 1 Fax: 508-389-7890 www.mass.gov/masswildlife From:Phil Christiansen [mai Ito:phil@csi-engr.com] Sent:Thursday,May 05,201610:18 AM To:Leddick,Jesse (FWE) https:Hmail.goog le.com/mail/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&type=15495c0110e6fa 10&th=15496b4714695d37&siml=15496b47146... 2/4 5/10/016 Town of North Andover Mail-FW: 1975 Salem Street North Andover MA Cc:Dan O'Connell Subject:1975 Salem Street North Andover MA Jesse We have a client interested in a property at 1975 Salem Street North Andover MA.It is parcel 10613-0016 shown in GIS plan 1 attached.The property is in a priority/estimated habitat area as shown on MA GIS NHESP Map parcel 0.The client would like to subdivide into 3 lots as shown in the attached drawing 4975 Salem Street Conceptual Plan.Boston Brook is across the street from the property but the 200 ft. Riverfront area crosses the front of the land. The next step in our process to determine the feasibility of development is to do soil testing which will require us to bring a backhoe on the site.We have had a wetland scientist inspect the property and flag the bank of the stream.There aren't any wetlands or vernal pools on the property.The local Conservation Commission agent will not give approval for us to do testing until you review what we propose.As required by Title 5 we will dig 4 test pits and two percolation tests per lot.The test pits will be 10 feet deep and approximately four feet by 15 feet in size. The percolation tests will be three feet deep in an area that is about five feet by five feet. If the percolation tests are successful we will subdivide the land as shown and file with the Conservation Commission and your office. Please let me know what special conditions or precautions we must follow to perform the tests. Phil Philip Christiansen P.E. CHRISTIANSEN&SERGI,INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 Summer Street Haverhill,MA 01830 i I (978) 373-0310 i 3 attachments i hftps:/Imail.goog le.com/mail/u/0/?ui=2&ik=46857787dO&view=pt&search=inbox&type=15495c0110e6fa 10&th=15496b4714695d37&siml=15496b47146... 3/4 5/10/016 Town of North Andover Mail-FW: 1975 Salem Street North Andover MA GIS plan I.jpg 316K 1975 Salem Street Conceptual Plan #4.pdf 97K Mass GIS NHESP Map.pdf 430K https://mail.google.com/mail/u/O/?ui=2&ik=46857787dO&view=pt&search=inbox&type=1 5495cO 11 Oe6fa 1 O&th=1 5496b4714695d37&siml=I 5496b47 146... 4/4 4/5/2016 Town of North Andover Mail-RE: 1975 Salem St. • NORT MDOVER Massachusetts Lisa Hadge Ihadge@northandoverma.gov RE: 1975 Salem St. 1 message Lois Christiansen <lois@csi-engr.com> Tue, Apr 5, 2016 at 12:40 PM To: Lisa Hadge <Ihadge@northandoverma.gov> Hi, Can you just hold on to them? We hope to get this resolved within the week. Thanks, Lois From: Lisa Hadge [mailto:Ihadge@northandoverma.gov] Sent:Tuesday, April 05, 2016 12:04 PM To: Lois Christiansen <lois@csi-engr.com> Cc: Michele Grant<mgrant@northandoverma.gov> Subject: 1975 Salem St. Hi Lois, Heidi told me that she spoke with you regarding the soil applications. What should I do with the applications? Do you want me to mail you back the applications and checks? Lisa Hadge Health Department Town of North Andover 1600 Osgood Street, Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Ihadge@northandoverma.gov Web www.northandoverma.gov 1WI https://mail.google.com/mail/ca/u/O/?ui=2&ik=46857787dO&view=pt&search=inbox&th=153e74c5O823c87a&siml=153e74c5O823c87a 1/2