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Home My WebLink AboutMiscellaneous - 1975 SALEM STREET 4/30/2018 1415 SALQ� S-T LM3 � 11/20/2017 Town of North Andover Mail-1975 Salem St-soil evaluator NORTAN ).OVER Massachusetts Michele Grant<mgrant@northandoverma.gov> '11975 Salem St - soil evaluator 1 message Isaac Rowe <irowe@millriverconsulting.com> Thu, Nov 16, 2017 at 8:35 AM To: Brian Lagrasse <blagrasse@northandoverma.gov> Cc: Isaac Rowe<irowe@millriverconsulting.com>, Michele Grant<mgrant@northandoverma.gov> Brian &Michele, Something to keep in mind moving forward with this soil evaluator/(Steve Erickson), he was prepared to conduct the perc test in the Bw layer instead of the most restrictive Cd layer and tried to convince me there was 4 feet of the Bw layer by holding the tape measure on an angle.There was about 20 inches of the Bw. I made sure we logged the Bw layer depths correctly and conducted the perc test in the most restrictive Cd layer as required by Title 5. Just thought you both should be aware of it in case either of you are ever on site with him or his partner Maureen. Thanks, Isaac Rowe Project Manager ' 3aA N 4 1 V A-ZN tLC RIVES CONSULTING Uv atitc";ohnionz-Liar Utud.IkNn!Ic unrnf 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 www.miliriverconsulting.com https://mai I.google.com/mail/u/0/?ui=2&ik=d4458df3d9&jsver=CS87NgUoRx4.en.&view=pt&search=inbox&th=15fc50a45b 103f8e&sim I=15fc50a45b 10... 1/1 -- RECEIVED •9FtT�D j . TOWN OF NORTH ANDOVER NUV 0 6 2017 Community, & Economic Development HEALTH DEPARTMENT TOW1`10FNORTH ANDOVER 120 Mainn Street HEAt.THDEPARWENT NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540-Phone 978.688.9542-FAX healthdept a,northandoverma.gov www.northandoverma.gov APPLICATION FOR SOIL TESTS DATE: 11- -3— 1 —+ MAP&PARCEL:IYl LOCATION OF SOIL TESTS: L-6—t c3 SCL LC_'In ,+V kl. k &dem OWNER: V4. _TLS►m I-4d i C . APPLICANT: nn Contact#: 1 ADDRESS: XX i TfJ-�'1�0 Io.c M 1 t I'-i A (0 1�S ENGINEER: 9bi k i P Contact#: N-I 8) 31.3 " 0 310 CERTIFIED SOIL EVALUATOR: Jc e e'� ! V-i VSt:1 I T' low'"Z11 w f re w Intended Use of Land: Residential Subdivision (mg1eFaniily:Honi:e) Commercial Is This: Repair Testing: Undeveloped Lot Testing: V/ Upgrade for Addition: 1n the Lake Cochichewick Watershed? Yes No ✓ THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5".r II"Plot plan&Location of Testing(please indicate test nit 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$440.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days oftestin a scaled lap no smaller than 1"-100' shall e s g� ( b submitted to the P ) Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission A roval Dale: l — l Signature of Conservation Agent Date back to Health Department: sl lip in): ,� I j /� Fv` �J �jVt,�C A•�� 41-1 / NOTES / 1, TIE LOCAnoN oP ALL UNDEaGPDUND urLnEs SHMN'EREDN ARE • q,l�\\\ i�RF+x APPRox MArE a ARE WED ON A COMBNAr ON 01 FIELD LOCATONss SITE PLAN coMwLEDNFORMAnoNFIR—PLA111PPL,EDBvvARouSUTLTY 30' 0 30' 60' £'', . NE FYD_E DO. PAN GE CHAPTER 02 SECTION 40.INCLIII..AM GHTS U P-1211' RF, SHOULD NOTIFY IN"ITING 11 ULLUTY COMPANIES I ALL L.WIWACT SCALE:1'=30' S, `, \q v �RF+o , QSBIG_S.RO TO ANY ExCI-11 WORN A CALL DI—Is AT Fe AA15 HI•.DF E aT RP1 ACCORCLIG TO THE 11-FLOOD NSGPANCE RATE MAP NDMBER si �A,a n 1HU111 cr.E `A. —_ DODO ELmEva E11 ILL eN AEo c E`E000 \ C �N.,rD. N PARLEL,aa�sa,AETHE ITH AL, EAULT SEE IF.EMsrAEE°�ABOVE EEaT,ONa "- 9$ > RA' TOWN OF NORTH ANDOVER A I\)*'lFB/ /i siREET60UT5 DE OF THE No ALONG TIEFEET,Do THE UNIT 3F TIE F—E.I5EA5T OF THE PAVEMENT NSALEM SWORIARGA Sr ',N I/PF0/ 3, THE SUBJECT WATEPSHEO PROTECTIONOSIR CTEO wTXNT EUHECOCHLHEWICN All %`/ a. THE CONTDURVELEVAnONSOSHaWN ARE BASED ON NAVD 101 DATUM. rose �� 1 _ s. EL NEAT ON was PERFORMED BY NoasE PARCEL maem 1 '`, "in-1 're J'' \ �k Al RCP AlF_- `r ;\ TYNGsaoso MA mem INC..sa AsvvLEsex ROAD.UNIT a, Is /MgXAE�\qPBUT, �s uI UI MF4iv.,,f `b. ` III or 1�� p a THE ToraLRVERmoNT APER oNTHE PRDrEcrSITE ss,wssF _ /> fa" 'yam,. p / \ DISTURBANCE STHN TIERVERFRONT AREA S.890 BE, _J I ' -- s,A�. /' Ak \ LSI, �� .c A Hc. WHICH s ISH Fon THAI foTHE RECORDED BEFORE oc;oeea 6.111D IN.w R jf \ ��vecfmn NE e. THE PROPOSED D,STUREANCE wrHN THE,on BUFFER WNEssz36 S F. IS a wa DPo ,o. THE TDTALnBTURBEDgR�,aBB,ASBSF oR„YHABnAr,BBB. �^ so4eR"' ,Ha d"�aa.THEPRo£ELTSITELESWITXNNHeSPPR OMSE 10111 - /• ouTRo I1 ♦ i `, \ \ `\�S Prior to any land disturbance activities commencing on the / BAR �T"w _ \ , \\ \ site the developer shall physically mark limits of no land ,/�•nv�/' m' / \\'', @tc�`, I , � disturbance on the site with tape signs,or orange !/ /h`L`/• ,% �/ y be. o rnoe�rnri \\ .^1`,1 ' construcllon fence so that workers can see the areas to be PgacEL,ae.e-o,e, 1 B ' °% PR4w5gev LMrDFA�� dIPRn_ r1' cNTROL BARB NH \ \I `� protected.The physical markers shall be inspected daily °NEi.isBiqunr /' w xlrvay ' `� Crmstructinn Sequence DEMseLSTga LE UNNG TRGsr ITw MAPLE, ,\ � y, \�rD� r✓ i / wDRN/ i ♦ 'P \' Snlam Slrcct I.ou , N � ,M*4F eeD (WP,) I� Al /i� \1 _ �' fit' r� / N LC 4 4e, Ta i- • ,.,, 1 Smkenut sedimentation wntml }}/ 2 Stakeout limit fwork 43. CuL Install Sedimentation entatistumps in plain. 1 v - I \L - •'+" ,�' 5 Install constmctinc n Ore. Irl 1 zns.• 2ZMPNc are 6. Grub all Dlesred as P S^E 6TMee I o_ I / n•h•','+ R� scv PAVEMENT 7 Strip loam and subsoil from drivoway Wrens and adjoining slopes. / p 10 �4 t i\- - NF4roNeoN 8. lE cavate to Sublimate f driveway constmcuon sE,EssR i✓ 9 Loam and seed disturbed riser and shoulders 10 Smbiliec sloped mens ns I I.Install driveway gravel base V� ! \J + \ „\;� /'p ,. E BED MEuranoN 12.As individual l lots d \ ( I ur �i.`, '� coargol BgRR ER 13.As irMiv,duBl IGts arc ro be developed the work uren should he grubbed groI I �' 1\\ i�m�A `' I ', , \\,�1 1n1 ,z, \ 14.[,am and subsoil removed ns necessary,for the septic system house and well Nm PR opgg 1 f +\ I .� .Y onstmctinn '-%; E 1 1 .1 all F 1" f �\ 1,5 Upon completion of conslruct,on work loom nrM aced rill disturbed mens It 1�// 1 ;ncaNTRVI BAgHE. f` �L 1 P u�' a I6.LI :abrin ofnll work on the lots ramose the contraction entrance + ,o EDGES of Pan cmmp /' •_ - rtaD 17,Pnvc the to of os holt. J.• ( `is+ r h '1 � �p�R''�' e°R"wy top p D<°R`•Vow;�A•oI°, 1� 1y '` 04 DR VBwAY PapcEldiBg,Dd,ed, 1 - NO TIGN — P EDaARRoD'�° \ L vssk,, ' _ PANCEL,aa— .\ 1, 1`` �\ 1 'W •.•1WnP.`. L .\``.`` \ ------ 1E11REY F.MANOWBM L b \ .\ Pea--, LVA R,bPossDuM, wDPx„� I aF';,ry^. \ B-----"`i l/ 1\ SITE PLAN FOR SPECIAL PERMIT `^--_„rti_— _-•'-i , /?'� ` FOR I 1/ \1.YLa l/`\ aE E p5E _ -\\\`'` ,` LOTS 1-3 SALEM STREET r ---,� PR xreRDw. N PROPOSED \ bAPLEL,ob.ea„B `� NORTH ANDOVER,MASS. SITE PLAN PI �NAE'A�O N(\N \\ \A\ $ - \ ENGINEER CORD LOWNER. 'CA-T OIS LACHAPELLE LIVINGSTONE DEVELOPMENT CORP. ID WILTON ROAD P 0. MA—,NHa-B PRIG:,D XMaR° a pEL o EWPLna6B.��aTa \ J P d PROFESSIONAL ENGINEERS B LAND SURVEYORS i \5 - g',\L\ ------_:- BE�� ML R-\ o �� CµHRISTIANSEN L SERGInINC. l ^ ' G.CHRIBnANEEu r 8067 Ot PO eT e'�y j04 a = Town of North Andover =�'•e,,,,e:� HEALTH DEPARTMENT ,SSACNUSE� CHECK#2 DATE: LOCATION: /? 7,5 .5xLln sJ AI n 3 H/O NAME: CONTRACTOR NAME: S _ 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 $ SEPTIC Systems: xSeptic-Soil Testing , $� ❑ Septic-Design Approval $ Septic Disposal Works ConstrAcon(DWC) $ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate) $ Z�W_ *-Agent Initials White-Applicant Yellow-Health Pink-Treasurer CHRISTIANSEN&SERGI INC 34611 TOWN OF NORTH ANDOVER 10/31/2017 Date Type Reference Original Amt. Balance Due Discount Payment 10/31/2017 Bill .585.00 585.00 585.00 Check Amount 585.00 1000 TD BANK 585.00 Allow- NIIIIIIIIIN1111 11 MEN �► �� 111 IIIIIIIIIIINIIIIIIIIIINME In ININIIIIIIIIIIIIIIIli II IIN 11111 1111 IIINII 1111111 III 111 , .` �� 11 1 111 IIINII 1111111. 11111111 k �� 11 1111111111 IININIIIINIIII ` 11111111 Ilan 111111111111 ��: 1111 1/1/11111 OMNI . IINIIIIIIIIIIIN 11 n11i 11 11 N N Iln IIIIINIIIIII IIIIIII 11 11 11 pati ' 111 Il1s1111111111iIN11 s� 11 1111 11 IN 11 11 11 INII �' 11 1111 1 111111 IN 11 .11111111 � •�� 1111 IIINIIII ° x IIIIIINII111111111 111 11 111//111 1111111111 11111 • '' 1111 n11111111111111ON I /; : 11111111111 1 111 111111 IIIIN I � � �� `� ,, 1 111111111 11111 111 11 IIIIIIIN 1 1111 11111 1111 111 1111111 11 111 INN 1 111111111111111 � 11111 IN11111MEN IIIIIIN � ' � � 11 11 NI IIIIINII IIIINIII �� ' ' ' 111 111 11 Illlllllf IININII .. u • 1, ��!_ 11 111111111111111111 ... i � 3 1,5::y��_��`,�� !� ! •! �� J fr f, ,�,< it ;•�'�#��,�r,�,', ,� /'� .,,,; •g �e..,...�� 000 POSED$OTIC i t STEM iyE.'ACMNt3 PROPOSEDAN WaVA �� tr t �/ �>�li/ ! t* ''vhf �,� \ t.✓f / rrt er "'�, ~'..` h�ri �, � +( \ \ j1 ifr / PROF 1 �+t►sledb�, .. v v 3E[XMENr#TION ,4 le h• +� � �., 1 � \ CONTROL 8A'F;RIER t E ULD PAA CEk 14841 adt 1 . r _,,,r-,/' �• Eaw"OC{/F ► p E 8TH •�� 1 t i 1 �. // � r�t,stac�c�e�' .��\ �,r %10 y ,•� hh ""►,?, -�.�� I rVj fit i h 'A 4`"m + 1 t *. t ! �% �� PROPMED YjnL (1YOj ` I . t _ h i i rJ � !ONN'N OF NOIZTI I ANDOVER • ,,,Ti.l.,,,' Y ( ommunit) & Economic Devclopment I-11:ALTII DEPARTMENT w �� 1211 i ainn Sti-ecf �0� Nt)IL'f'H ANDOVER, 1t1ASSACfIUSl:1"1S 01815 978.688 95.30 Phone 978.688.9542 JAX healthdeptd'northand0vernrd _ov ww�v.northandovcrni i.gov APPLICATION FOR SOIL TESTS DATE:_,--1- �_` 1� .. MAP&PARcEL:tYl c I.,OCA*I'ION OF SOIE,•I'I,SsrS: LC .3 Scc u r n .5 t�:� t`V-7Salem OWNER: -`rC'.rrY? e. ----— �-{Fj t APPLICANT: Contact ll: ADDRESS:—PC. (;ex( -`J j k lir t- t"�A •C"Is- 7c^ ENGINEER: eb tie Contact t?: (9 l 8) 313 0 3't 0 CERTIFIED SOIL,EVALUATOR: 7-1 vsr: I rncw"Cf1_ �-j.r-6- Intended Use of Land: Residential Subdivision Gamily I Lome Commercial Is This: RepairTesting: Undeveloped Lot Testing:_ Upgrade for Addition:__ In the L.akc Cochichewick Watershed'? Yes No ✓ THE FOLLOWING MUST 13E INCLUDED WITF[THIS FORM r Proof of land ownership('fav bill,or letter ti•om owner permitting test) r 8.5"x 11"Plot glut!&Location of 1 ecting(please indicate test pit tiles on the Plan) Fee af$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. i- 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 13011 representative. y Fu11 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 I fealth showing the locution of all tests(including aborted tests). r' Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This line N.A. Conset-vation C'ommissioa Approval Dade: Signature of Conservation agent: Date back to health Depar•nnent:(stamp in): F,a ; NOTES. SITE PLANFFl1 - - b' o w, so' A,il, av3 --. N.E vov.Ea Co. C AFTER 5iiiiia — C1. 1RFtA "'Ll"IT1111 TNI IL 11 T1 1111"El' SCALE:I'-aD t02\t \AI ��•;RF bB6DGSFN OAxv.Cnv T' wORKe CgiLoasAFEni To THE F—FLOW INSVRANCEMTEMAP NUMBER O£CTaTEuE50V,9CE 11OPECINFLOoo NEI 1 ELE F 9e FEtT.TX SODATED WTH RFa� DU7SIDESPA— ENT - TORN OF-ORTI AHCOVER E. STREET a ODTODE OF THE PROPOSED WORK AREA IRFe/ S' WgTERBHEDFAOTECT WOES NOT.LIE WTNNTIE V ECOCHICHEWCK ,] THE comWREtEVART WsSRSowN ARE eAsm ON NAw rase IT11 11 RCF / 5. iTE�ERANOBCEONEATW WASPERFORMEOeV NORSE PARCEI,ae aaws \ - \ /PFr \ rvxcsrnaoRMerr i%WOES xc.mg6--ROAD-T q. coM ee \%A+o- \\\ \ e. THETmALRVERFRONrF oNTIEPRo£CTsTEIsar]ossF F. PEGE , ` m T o inreli vo�apor co°ao Dei o 0 oeFn o uc a Tam N }'l �i Y 1 ��..�,,. OHa �\ •\'.. a THE PROPOSED DSTURenNCE 4xrx NTHEtoo euFFER Est— F. 1 fit EnSEME -N. /.. `s, \E^ \ \ , TH T T R AR ORTV HFe rqr+sm. \• o E o wDSrD BED E:sftURSFPR AT Prior to any land disturbance activities commencing on the `A� —af' ��.-- \ \ site,the developer shall physically mark limits of no land :q I ��T disturbance on me siteth tape signs,or orange _ /'�gc�, / �• a 11 ' �--:C' _C-�"�J' ENTiiti��\\ 1\. \�� construction fence is that workers can see the areas to be aARCEL+..Bwe, 1 BLNU 1'� PF_ —, q� 1 `---•RIP aA� WTROL auauER\\S\\ 1 protaded The physical markers snail be inspected dally DOasEL sTABILEOWxc TPOST NL MAPLE / 1 P�oF• \ `S�l \�4 \ (.11 11'11 111fl\e411IN116'tl 1 r4a 1 _ PaoPosE / N N /i/ SIII4111\IIYFI Lull / / ✓ A«roF w«« y�� 1 I 1. //, 'C �' ;1 ...-. •"� i// . /.f •'``w ! 1� - , \\ �,�P / `\ >. 7. (SunnreSI.i4anf stnul.ln d rninltnl l \IRU.wlmt- ik ItililuMAIiiin a. 4 V V nc 1 1 l o -;r.+ / '111,11 'r S h,"lall Con In I 1' us to 06FT f \\ 6 l w GruN all cJ ,nP.INPAVF,gENT 1 slrl loan, J-ul III n,driv .' arca"u J n II.I,Lit 41npe• S E._,•w lo+ubpn,du for ori,,, ywnsmlcllon A"1m� \ ! •*e'Ays'1•. '� 4 oam and send di,murheDres J s Trio Annuldora Io.ar billry slopnl C' rt� 1". 1, I `.�`rt� 1 II In t it Jrheaay gruSvl Pa"e { \ OMSED f Ihd�ncaonc •A J\ �' '� \ r K Il+ eoNiaDL BARKER li AInll ul ull t rv-IQ III,JeeNb+pul the W.rk nna nholIld 15C nruNhTJ N.Lnnm rind..b, II ILr.I I'b4V.. ry lie IN xapn'.a mmt ti I114.a11 NNeemm - _.e'• ,1�' I�. \ - eannlruoiou A/ '� I sE McNrAiwN-1�+ r ,4'.. `C yL .^� 4, ,•� .'�. \\ It upon Tpell r M :well-1 rrk l.\+,Ino mad nil did,rhed area* "I III , 1111 ] C, m lhv lute n»In4u lhu cull41ru4tin l4nuTN4L 1'—mz the top c.une of a<phalotl. ;\' C=1 \ 1. 1 I seegloD,,sEo /� -}� \�\'. `'l ,� + "•9.,A o � ,' /�'r\ Fw:.+a / I Pqr wow \ ! •.- \'�,.._.7 F o.¢ `�' \ 1 _- \\ \ s° �✓7/ J P.C.,.— "b" ARCEL,.Aaoo3 \ \\ 11, `\\ I -.--i"_. �,S'z� \\•, - .� +EFFaEVFMAKowsc 1\ - 1�- _____i r F \� SITE PLAN FOR SPECIAL PERMIT r....._"L\ �, PROPOSED " \ _ FOR Y \ 1 \ seEoao M+ 0 1. \ LOTS 1-3 SALEM STREET r�L�n�F,�rt„aD ^•_�� 1 \\ ,,: PR�nTER.D.W. IN PROPOSED j \ NORTH ANDOVER,MASS. SITE PLAN MOFE ENmNEER aD c DA.£R. cnm- \ LgS UCNAPELIE AFT.,LIVINGSTONE OEVELOPMENT CORP. _N.- DATE BERa3me Pam = P C \ ETTELRsa,ae;s a ee „"' cn [(MoCHRISTIANSENR&SERGI��EINC. LIVINGSTONE DEVELOPMENT CORP. P.O. BOX 50 �J SEP 05 20 9 7 TEWKSBURY,MA 01876 (978) 640-1611 NORTHANDOVER Fax(978) 640-1611 CO Ns RVATION 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 7 zo INV Yo , 1 ` 1 y. 2 Pi 1 4S ZI Yr �� r ESI 0 �rY } -I" 1 r� r � 3 F �l AGI• �..J t __ f°�� 1 ` id G$ �� , �) .,Z �f .' t!`tY 4..1-�1-�- � ��/..��a1`� t�/'/ _� r"✓" � i _... _ ......_ I �r I Y 1 i r��.. �� .... (� .. � tx� i j • b7 VY ": l.r!"v..t .� 'Y1�llfl� L S�� -•� ��J� •n�f�� , ! . � l i _ �� ,-,X -71 j t y "'d ?311 b LL _.5=C [r.�c (2ff Ll r TOWN OF NOR I JIAND0VFR Office O'CONIMUNITY 1)1`1 FILOPAIE.NTAN'D SFIRIXICTS 1111-1A14-1-11 D1, 11,A WFN I U],NT 1600 O-S("001) ti,Tkl-'.F I'; -&I 1-1' 203; RECEIVED MAY 112016 -rOM OF NORTH ANDOVER HEALTH DEPARTMENT APPLICATION FOR SOIL TESTS DATE: -q -Ll -2 0( (Z' - MAP&PARCEL:- 3 LOCATION OF SOIL TESTS: M 5—.( OWNER: Lots Contact 4: APPLICANT:.L!VW65rz)ti1&r- DFV , Contact 79 8'15 614 7 ADDRESS:-IZW, 14cDC,,S;01j P0 T�y,)KS 13 t) N`% MA ENGINEER: P1410P CMgiSnA-DSc-V Contact#: CERTIFIED SOIL EVALUATOR: PlJit-00 Intended Use of Land: Residential Subdivision Single Family 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. . I > 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: /I L Signature of Conservation Agent VU6 CDate back to Health Department: (stamp in): (,-6 f\-%- -2:, W North Andover MIMAP April 4, 2016 •1 .8-0033 / `106 8-0131 1136 8-0042 \, •• \ l := J 106.6-0127 P1935 ' S`%.i+. 106.6-013.0 10.6.B-0071 106.6-0186 #195 Q X194 ,r 106.8-0015 c t 19S0 0", 1D6.8-Di28 '106 $-016 9265 / 106 $ 0145 1fl6.B-0181 1#2050 it °, 106.B-0129 106.5-0183 ##1975 f 10 6.B-0182 106.B-0014 105.D-0120 275 d/ 106.B-0180 #2009 #261 106.8-0016 108.A-0002 S� 106.6-0179 92051 #247 106.6-0173 45 106.6-0178 \ 1#'239 #244 6s, #2053 1106.6-0174 X01 #221 ;(#230 00S 106.8-0. 77 iML :�,-, .:- 106.8-0 i75 t � .,:::_��•::.... - 108.A-0032 #186 106.8-0176 108,A-0026 108A OU 01 108.A-0031 7#209 108.A-0033 ;ri: .._:_.•. It< #190 ,i{`•:.i; '.t. #180 l; ^_108.A-0030 •:.:•uJlr / sf a4xr / 108.A-0024 10:8.A-0025 ► / 4201 �lOS.A-0023 #195 108.A-0028 4r t �#175 _• ssc �6�J.. _.tial, his_ 108.A-0029 108.A-0003 - ale'•::.. \ `* `�,•--: `tis�� `_�'r _,'aSJ, �i MVPC Bo �$Municipal Boundary Horizontal Datum:MA Slateplane Coordinate System,Datum NAD83, —Rail Line Meters Data Sources:The data for this map was produced by Merrimack Interstates KORTh Valley Planning Commission(MVPC)using data provided by the Town of North Andover.Additional data provided by the Executive Office of •-^SR ? y ��d� Environmental Affairs/MassGIS.The information depicted on this map is Roads } G for planning purposes only.It may not be adequate for legal boundary M definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER t r Easements MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING G Parcels t F THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY 'Ar sc. �. OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Trails ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF :1 Hydrographic Features .(��a THIS INFORMATION Streams 7ySwC14 Wetlands Exempt Lands 1"=229 fte i i ! o � •� T 3 AR = ~ i,00sA S LOT 2 ` LOT 1 (FRONTAGE (FRONTAGE EXCEPTION LOT) EXCEPTION LOT) AREA= ? �• AREA= 3.47t ACRES 3.451 ACRES J i PURCHASE AND SALE AGPYJ ViENT This ON day of February,2016 t.PARTIES LUISR LACHAPELLE,with an address of931 WIkn Road,Mason,New Hampshire 03048 AND MAILIM ADDRESSES herein called the SMER,agrees to SELI,and LPANCSTONS DEVELOPNZNT CORP,a Massadncse*ea lwadon with a prirsgW Place of business located at 1501 Dain Street,Unit 4,Tewksbury,Massachnsetts 01876 Mvinafiff called the BUYER or PURCHASER, agrees to BUN, upon the terms heremaftcr set forth, the Mowing desaibed premism North Andover MA Assessor's Parcel ID Na 210l106.B.00164oe", which is a certain pared of land cons' of7.8 acres more or less,ass,located on Salem Street hs North ante Andover,Masaachnsetts,described asthe Second Parcel"in Deed dated September 2,1992,and recorded with the Essen North District Registry of Deeds Book3539 P 353. 2.DBSCUMON A certain parcel of land consisting of approximately 7.8 acres more or kss,located on Salem Street in North Andover ,Massachusetts,described as the"Second Pared"In Deed dated September 2,1M and recorded with the Essen North District Registry of Deeds Book 3539,Page 3s3(Excepted f vin this em eyanr e "FbstParcel"or the 3.2 acreparcel described in said aforementloned Deed). b the Excepting and cwJudfng frons this conveyance Parcel A as shoirn on the shdch plan en*W-Conceptus! Subdivision Plmr#41scale 1"=120,dated February 10,2016,provided however that BUYER,afi'er BUY.BR's completion of BUYER'S surveys for the subjed properly, conflrens ynat BUYER docs not need Parcel A for purposes ofBUYER's proposed residentialland subdtvlslon. For farther property description of the "Second Parcel" or 7.8 acre parcel (which description does not except therefrom Parcel A as shown on the Olorementioned sketch plan),see metes and bounds description attached hereto and herein incorporated by reference. 3. BUILDINGS, STRUCTURES, IIVIPROVEAlAmage swage doer-,"me blink windew- serves deefs,stem winds"and dqffisr�' mmmels, ' FI3CT'URESoeem stoves, TRE LAND IS VACANT, 4.TrME 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 is to be delivered as herein provided,and said deed shall convey a good clear record and marketable title thereto, free from encumbrances,except (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 tan year as are not due and payable on the date of the delivery of such deed; (d)Any liens for municipal betterments assessed after the date of this agreement; e ( )Basement%restrictions and reservations of record if any t s 27-CONSMUCT TSS itumen4 executed in mn[hpie�,is to be as a Massachusetts COniract,is to take TION OF effect as a sealed instrument,sets fixHl the enthe contract between the parties,is binding upon and enures to the AC PT benefit of the parties hereto and their ratpective heirs,devisees,excoutms,administrators,Monson;and and may be canceled,modified or emended only by a written k*U n W executed by both the SIKLER and(W BUYER. If two or more persons aro named heron as BUYER their obligations hereunder s11aii be joint and several. The oan captions d marginal nates are used only as a matter of convenience and ere not to be considered a part of this ag�eeazent cr to be used in determfi ft the intent of the parties to it 28.IMAD PAINT Not applicable. LAW 29.SMOKB Not applicable. DETECTORS AND CARBON MONOXIDE DETECTORS 30.ADDITMN The.initiated riders,if any,attached hereto,am 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 plam/conceptust plan showing Parcel A as excepted from this conveyance). See Buyer's Rider B attached hereto as Exhibit D and herein Incorporated by reference. NOTICE: This is a legal document that crates binding obligations. If not understood,consult an attorney. SELLER BUYER LIVINGSTONE DEVELOPMENT CORP. LOIS R LA.CHAPELLE By:TEIOMAS HODGSON Its: President and Treasurer UUMIT B To PURCHASE AND SALE AGREE14iEN'r 7.8 Acre Parcel of land located on Salem Street,North Andover,MA Metes and Bounds Property Vescription 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 Souitheastedy corner ofthe First Parcel hereinbefore descrh`bed,and which First Parcel was formerly owned by Minnie Peard and thence,running Southwesterly along the stone wall,partly by said Pearl land and partly by Iwd now or forahedy 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 Salem 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 be Said Second Parcel contains 7.80 acres more or Less and is shown on a plan of land entitled Plan of Land o£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. A Commonwealth of Massachusetts City/Town of North Andover - Lot 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Lois Lachapelle Owner Name 1975 Salem Street Map 106 Block 106.1 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 & 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: t4done T7,T8•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 4 • Commonwealth of Massachusetts City/Town of North Andover - Lot 3 - = 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: 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.,nobbles,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 t4done T7,T8•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal .Mnr C. On-Site Review (continued) Deep Observation Hole Number: DH-7 {Lot 31 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) &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 City/Town of North Andover - Lot 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal VJ' C. On-Site Review (continued) Deep Observation Hole Number: DH-8 6/1/16 1:00 P.M. Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan 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(%) 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 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 3 o Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-8{Lot 31 - 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 0-10" Ap 10 yr 2/2 FSL Granular Friable 10-20" Bw 10 yr 4/6 FSL Massive Friable 20-72" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t4done T7,T8•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 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 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—OWmaxyowrl 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: 191, Lower boundary: 76" inches inches t4done T7,T8-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 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/x/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. t4done T7,T8-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 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t4done T7,T8•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 i Commonwealth of Massachusetts City/Town of North Andover - Lot 3 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 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: 1:3 done T576•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 z , Commonwealth of Massachusetts City/Town of North Andover - Lot 3 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-5 6/1/16 12:00 p.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 1:3 done T536-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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-5 {Lot 3} 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 Stones (Moist) & 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 T5,T6•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 C. On-Site Review (continued) Deep Observation Hole Number: DH-6 6/1/16 12:00 p.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 Estimated Depth to High Groundwater: Depth Weeping from Pit Depth Standing Water in Hole inches elevation t3 done T536-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 31 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 0-8" 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: B done T536•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 3 _- 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)/OWr) 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: 2011 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 = 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 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. t3.done T536•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 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t3 done T536•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8