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HomeMy WebLinkAboutMiscellaneous - 25 OGUNQUIT ROAD 4/30/2018 (2)I f O N l0 UI O O O '5 O UI C Ul N• (t' O (D 0) (D P l 4 Is Old 00 DD r� O x � A a; 0 0 W F o H wa¢a w 0 aar zN o a w � o o ° 0 o 3arA An h C U a O 0 O O N ' � � ti ti o Q fyn' F"0% q U PC p v u� y o o aAv�3aa`� w 0 00 Q o W) - w ti r ,It C� O O O151, M ami U o. Is Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT Director (978) 688-9531 --, May 12,1999 Neve Associates 447 Old Boston Road Topsfield, MA 01983 RE: Lots 11A and 12C Ogunquit Road Dear Mr. Morin: , Li -00 p V1TID Fax(978)688-9542 This letter is to inform you that the proposed septic plan for Lots 11A and 12C Ogunquit Road, North Andover have been disapproved for the following reasons: • Street numbers and Assessor's Map and Parcel are missing. (310 CMR 15.220(4)(u)). • Names of abutters are missing from plan. (NA 8.02) For Lot 11A: • The fill required for breakout slope of leaching area extends onto the northwesterly abutting lot. (The breakout elevation required is 1277.) This needs to be addressed through an easement or other instrument. For Lot 12C: • The d -box and distribution lines from same encroach into the 10 foot lot line setback. (310 CMR 15.211) • Holding the groundwater gradient of 57" below the surface requires raising the leaching area by 0.5' to comply with the 4' above groundwater. • The detention pond is located within 100' of the system and may cause problems in the future. Please attempt to locate the pond at least 100' from the septic system. Please do not hesitate to call the Health Department at the number below if you have any questions. Sincerely, Sandra Starr, RS. Health Administrator Cc: P. Breen H. Griffin B. Scott File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 May -11-99 01:40P Paul D_ Turbide, PE/PLS PORT INGINIERIE Civil Engineers K Land Surveyors One Harris Street Newburyport, MA 01950 (978)465-8594 May 11, 1999 508-465-0313 P_07 Sandra Starr North Andover Board of Health Administrator Office of Community Development and Services 30 School St. North Andover, MA 01845 RE: Title V review for Lot 12C Ogunquit Road Dear Sandra, Enclosed find the "Checklist for North Andover Septic System Plans" for the above- mentioned site, The following is a list of all the `Problem' areas and deficiencies Port Engineering has found. ❑ Street number and Assessor's Map and Lot Number must be shown 310 CMR 15.220(4)(u). ❑ Names of abutters must shown on plan. NA 8.02j o The d -box and distribution lines connecting the dbox to the trenches are closer to the property line than the required 10 feet setback for system components. 310 CMR 15.211. L) The high point of the existing grade of the system area has an elevation of about 124'. TP 99-2 had an ESHW down 57" from the ground surface. Thus ESHW adjusted for the high point of the system is at elevation 119.3'. Thus the leaching bed should be raised by 0.5' to have the 4' separation between ESHW and the bottom of the system at the high point. 310 CMR 220(4)(n). As a general comment, the proposed leaching bed is designed to be over 100 feet away from existing wetlands. However, the proposal is to create a detention pond within 100 feet of the proposed leaching bed. This detention pond is designed to have up to 2.5 feet of water stored in the bottom, which will create wetlands. These wetlands will probably grow more than 50 feet away from the leaching bed, but will not be more than 100 feet away. Thus it appears that they will be more than the Title V setback distance of 50 feet, but closer than the Town setback of 100 feet. (I am not sure if this is an issue because the system is more than 100 feet away from any wetlands that PRESENTLY exist.) If you have any questions or comments please feel free to contact me. Sincerely Carlton A. Brown, PE/PLS Ogunquit Lot 1Ia. doc Lot l IA Ogunquit Road Town of North Andover, Massachusetts Form No. 3 NORTH - BOARD OF HEALTH o � DISPOSAL WORKS CONSTRUCTION PERMIT Hus Applicant A E ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct (+'j or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. %D 6,-; CHAIRMAN, BOARD OF HEALTH J ` Fee. D.W.C. No. ao 10 Town of North Andover, Massachusetts Form No. 2 f NORT1y BOARD OF HEALTH ,y{ 19�O L F w a ♦ i # DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant '�� Test No. Site Location 'fir lac,�y���� Reference Plans and Specs. kC-V'6r , ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. AIRM N, BOARD OF HEALTH Fee - Site System Permit No. leioL Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH Q�.,ED Ib qH� ya 6 OL 19q� , A \4oe , Ewoa.APPLICATION FOR SITE TESTING/INSPECTION Appl Site Location Engineer -YN)Z At NAME ADDRESS TELEPHONE Test/Inspection Date and Time Fee CHAIRMAN, BOARD OF HEALTH Test No. 0 S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts BOARD OF HEALTH ,ED 10 �tiRAo Ewea ^: APPLICATION FOR SITE TESTING/INSPECTION Form No. 1 19 Applicant NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN, BOARD OF HEALTH r S.S. Permit No. D.W.C. No. C.C. Date Test No. Plbg. Permit No. INSTALLER PROJECT MANAGEMENT OBLIGATIONS As the North Andover licensed installer for the construction of the septic system for the property DG T at Co C relative to the application of dated for plans by 4(f -y - and dated with revisions dated I understand and agree to the following obligations for management of this project: 1. As the installer I am obligated to call for any and all inspections. If homeowner, contractor, project manger, or any other person not associated with my company schedules an inspection and the system is not ready then item two shall be applicable . 2. As the installer I am required to have the necessary work completed prior to the applicable inspections as indicated below. I understand that requesting an inspection, without completion of the items in accordance with Title 5 and the Board of Health Regulations may result in a $50.00 fine being levied against my company. a) Bottom of Bed — generally first inspection unless there is a retaining wall which should be done first Installer must request the inspection but does not have to be present. b) Final Inspection — Engineer must first do their inspection for elevations, ties, etc. As -built or verbal OK from engineer must be submitted to BOH, after which installer calls for inspection time. Installer must be present for this inspection. With pump system all electrical work must be ready and able to cause pump to work and alarm to function. c) Final Grade — Installer must request inspection when all grading is complete. Does not have to be on site. �i 3. As the installer I understand that persons or companies not associated with my company may not perform the work required by my company to complete the installation of the system identified in the attached application for installation. I further understand that work by others unlicensed to install septic systems in North Andover can constitute reasons for denial of the system, and/or revocation or suspension of my license in the Town of North Andover plus significant fines to all persons involved. 4. As the Installer I understand that I must be on site during the performance of the following construction steps: a) Determination that the proper elevation of the excavation has been reached b) Inspection of the sand and stone to be used. c) Final inspection by Board of Health staff. d) Installation of tank, D -box, pipes, stone, vent, pump chamber, retaining wall and other components. 5. As the installer I understand that I am solely responsible for the installation of the system as per the approved plans. No instructions by the homeowner, general contractor, or any other persons shall absolve me of this obligation. Undersigned Licensed Septic Installer 4� " ' Date: 00t > .�O I LO " /vo uur Z one I� FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all -necessary approval / e Boards and Departments having jurisdiction have been obtained. This does not relieve permits from applicant and or landowner from omplanc ewith any applicable requie APPLICANT J PHONE % L ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER Z C STREET gnaws Mason .......... STREET NUMBER Z; ..... . OFFICIAL USE ONLY .... woussonsaws too a man RECO NDATIONS OF TOWN AGENTS ............................................ ............. ON VA_ DATE APPROVED (D s ()d DATE REJECTED TOWN. P R DATE. APPROVED Q / DATE REJECTED 9_Q MENTS ----- --- -__ FOOD INSPECTOR - NF�ALTH C IPTIC - INSPE�TQ3„ 1. COMMENTS PUBLIC WORKS - SEWER 7 WATER CONNECTIONS DRM WA r,ERMIT FIRE RECEIVED BY BUILDING INSPECTOR DATE APPROVED DATE REJECTED --------------- DATE APPROVED /j�04_> DATE REJECTED 6 TE APPROVED DATE REJECTED Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 Sandra Starr Public Health Director TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE DATE OF COMPLIANCE 03/01/02 This is to certify that the distribution box and connection pipe constructed (X) or repaired ( ) by Peter Breen at Lot 12C Ogunquit Road Telephone (978) 688-9540 Fax (978) 688-9542 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. ,1 Brian J. LaGrasse Board of Health Inspector \RD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Feb 26 02 08:55a Thomas Mese Associates 978-887-3480 p.2 nu•i am TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System M constructed; ( ) repaired; by_ _ Pe -ter located at Lo -r IZ C• - QCjUSgQt-C KOAP was installed in conformance with the North Andover Board of Health approved pian, System Design Permit # , dated . with an approved design flow of gallons. per day. The materials used were in conformance with those specified on the approved plan; the system was installed is accordance with the provisions. o€3.1Q•CMR 15,000, Title S-and..local.regulmionsl.and the final grading agrees substantially with the approved plan. All work is accurately represented on the As -built which has berm sub mihccrto the -Board ofHealdL Bed inspection -date.- ! ! f 00Y� , Maw.. Trtnc h £ 0. pox • i 1/1 (0100 rvt o� aMeer Representative --I— Final inspection date: $l ZSjO I S49&6. y„'l Engfi4eer Representative Installer!, Design Engineer: � t, Date: $I Z9 f 01 4dy 413)1-0 P-�,e 6g Id ��^�Ci Fi)�Q ns ;E�i 021_1�061 APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: 0 't 3 ZO DG CURRENT INSTALLER'S LICENSE# LOCATION: �- i t2 C G v U( (�©Q LICENSED INSTALLER:e SIGNATURE: 1'tlt� t/_ TELEPHONE# � F % - 2 2 2 Y CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS -BUILT. Administrative Use Only $75.00 Fee Attached? Yes No Foundation As -Built? Yes No Floor Plans? Yes No Approval Date: i Lot & Street/ ,,._p /- �U,uQU/T Map/Parcel CONSTRUCTION APPROVAL Has plan review fee been paid: YES NO Permit4_�3 Plan Approval: Date: q% Approved by: Designer:_ y� Plan Date: `- Conditions: Wat r Supply- own Well Permit: Well Tests: Chemical Bacteria I Bacteria II Plumbing. Sign -Off: Comments: --_ - WelI. _ - _. Driller: Date Approved- Date -Approved —� Date Approved -Wiring Sign -Off: Form "U" Approval: Approval to -Issue: YES N0 Date Issued Bv: Conditions: J Final Approval: All Permits Paid? YES NO Well Construction Approval? YES NO Septic System Construction Approval? YES NO Certification? YES NO Other YES NO Any Variance Needed? YES NO FLNAL BOARD OF HEALTH APPROVAL: DATE: APPROVED BY: SEPTIC SYSTEM INSTALLATION k� Is the installer licensed? As Built-Plan YE NO Type of Construction: W REPAIR New Construction: _-Certified Plot Plan Review NO -Floor Plan Review YES ' NO — Conditions of Approval from Form U YES AVO <i0 _Issuance ofDWC permit: - C YES _DWC Permit Paid? YES NO --DWC_Permit #_ �T Installer: jl;j r L _- Begin -Inspection:_ __ �S NO -Excavation Inspection: -Needed- Needed: -Construction Inspection: Needed: As.Built.Plan Satisfactory: YES: Approval of Backfill -Final Grading Approval ,M-- box4-A' ��-rte-✓z Date:,//� �� By: Date: 1 07, By: Final Construction Approval: Date: 0 10 D By-._. Certificate of Compliance: Approval: \'JL Date: (1Z- a A C0 Li) tm i� r O ,,o,tz Ilol� O "OA „9,9 A cD 0 0 O O II LO CN N tm i� r O ,,o,tz Ilol� O "OA „9,9 1101 1 110/^ - 1191" llol J AM � „0,81 11018z 11919 t -1 - wO,z .8,2 p� .019 R 0 0 o II C' A V co CO o a 0 4�n o A o W C.0 ck: Cp O A m N cC -1 W , L 0 PC d- U 9NIa1S „0,� >; n0'� 1 - L oo C) � .91z o ' N 4 W r� ' 0 0 ---- - -o 7-- N 0 oZ > 1101 cV1. 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CO ; t i I oLi= N N .0 1 � t p L ---t 11 00 3 cn N7 3 L2 j 14 1 1 1 a 1 1 s , �• 1 1 1 1 t0 ' CV 1 .1 1 1 1 1 1 1 I 1 1 1 '1 1 a 1 t 1 ~ a c IM 1 I E '" i �� (U' N '1 1 1 i 1 j I 1 1 Z vU(n V) 1 F-- Q �� N 1 1 f D x co coo m O d (� 1 1C-)1 Ica1 I ' x� L I ' 1 1'' mIONO 1 1. 1 i -------------- ------------ .1 of 1 . • 1 �__•-_____-il uo,g .0,6 NO,S a9,9 ,191 a v O CO LO 0 a Mr m Aq x.9,9 119A 110IR 7 .0,�t clq Mir aZ,0 oft Oj 0) a C-4 7 O O CD LO W LO � m O CN to cp O Aq x.9,9 119A 110IR 7 .0,�t clq Mir aZ,0 oft Oj 0) a LO W A � m Aq x.9,9 119A 110IR 7 .0,�t SEPTIC PLAN SUBMITTAL FORM LOCATION: NEW PLANS: $125.00/Plan C/ REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: YES NO DATE: !�4 yl fi rz DESIGN ENGINEER: lVe - y r-- 4- SSO c / a Te S' DATE TO CONSULTANT: *If you want your plans expedited, please submit four plans and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. 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Oggmc @-OrEM u , A'S 44 ZJ, , �wt fOO LM FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 Date: June 27, 1997 Commonwealth of Massachusetts North Andover, Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Steven D'Urso, RS Witnessed By: Sandy Starr, RS Date: June 19, 1997 tion Address or Owner's Name peter & Kerry Breen # 12C Ogunquit Road Address and 770 Boxford Street, N. Andover, MA Telephone # (978) 687-7774 New Construction �X Repair ❑ Office Review Published Soil Survey Available: No Yes FX I Year Published 1981 Publication Scale 1"=1320' Soil Map Unit Canton Drainage Class WD None Surficial Geologic Report Available: No FYI Yes = Year Published Publication Scale Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes X Within 500 year flood boundary No X Yes Within 100 year flood boundary No X Yes Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month Range: Above Normal NormalBelow Normal Other References Reviewed: DEP APPROVED FORM - 12/07/95 soilevlsam FORM 11 - SOIL EVALUATOR FORM Page 2A of 3 Location Address or Lot No. Lot 12C - Ogunquit Road On - Site Review Deep Hole Number 97-1 Date 6/19/97 Location (identify on site plan) See Plan Land Use Woods Slope (%) 4 % Vegetation Oak, Pine, Maple Landform Moraine Position on landscape (sketch on the back) See Plan Attached Distances from: Open Water Body N/A feet Possible Wet Area 160 feet Drinking Water Well N/A feet Time AM Weather Surface Stones No Drainage way 280 feet Property Line 10 feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 0-511 A FSL l OYR 3/2 None 511-3011 Bw ST FSL 10YR 4/6 2411 30" - 120" C ST SL 2.5Y 5/4-4/4 ------------- >15% Cobbs, BLDS & GRV MFRI STD Water @ 120" Weep @ 108" *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic) Till Depth to Bedrock: None Depth to Groundwater: Standing Water in the Hole: 120" Estimated Seasonal High Ground Water: 24" Weeping from Pit Face: 108" DEP APPROVED FORM - 12/07/95 soilevlsam FORM 11 - SOIL EVALUATOR FORM Page 2B of 3 Location Address or Lot No. Lot 12C - Ogunquit Road On -Site Review Deep Hole Number OP #97-2 Date 619/97 Location (identify on site plan) See Plan Land Use Woods Slope (%) 5 % Vegetation Oak, Pine, Maple Landform Moraine Position on landscape (sketch on the back) See Plan Distances from: Time Weather Surface Stones No Open Water Body N/A Feet Drainage Way 220 Feet Possible Wet Area 110 Feet Property Line 20 Feet Drinking Water Well N/A Feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 011-51' A FSL None 511-3611 Bw ST FSL IOYR 4/6 36" 36" - 112" C ST S Loam 2.5Y 5/4-4/4 Std Water @ 102" Weep @ 90" *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic) Till Depth to Bedrock: None Depth to Groundwater: Standing Water in the Hole: 102" Weeping from Pit Face: 90" Estimated Seasonal High Ground Water: 36" DEP APPROVED FORM - 12/07/95 SOILEVISAM FORM 11 - SOIL EVALUATOR FORM Page 2C of 3 Location Address or Lot No. Lot 12C - Ogunquit Road On - Site Review Deep Hole Number 95-1 Date 5/25/95 Time Weather Location (identify on site plan) See Plan Land Use Residential Slope % 5 % Surface Stones None Vegetation Wooded Landform Position on landscape (sketch on the back) See Plan Distances from: Open Water Body N/A feet Drainage way 220 feet Possible Wet Area 110 feet Property Line 30 feet Drinking Water Well N/A feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other Surface (Inches) (USDA) (Munsel) (Structure, Stones, Boulders„ Consistency, % Gravel) 0-811 A FSL None 8 - 24" Bw LFS None 24 - 96" C LMS 2.5Y 5/4 58" Bands of Cs Sand Single - grained loose *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic): Depth to Bedrock: None Depth to Groundwater: Standing Water in the Hole: None Weeping from Pit Face: None Estimated Seasonal High Ground Water: 58" DEP APPROVED FORM - 12/07/95 soilevls= FORM 11 - SOIL EVALUATOR FORM Page 3A of 3 Location Address or Lot No. Lot 12C - Ogunquit Road Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole Depth weeping from side of observation hole Depth to soil mottles 24" (97-1) inches Ground water adjustment Index Well Number Adjustment factor Reading Date feet Index well level Adjusted ground water level inches Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas inches observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature / g �—���y �' �—`Date //ZZ b g DEP APPROVED FORM - 12/07/95 soilevlsam FORM 11 - SOIL EVALUATOR FORM Location Address or Lot No. Lot 12C - Ogunquit Road Determination for Seasonal High Water Table Method Used: aDepth observed standing in observation hole Depth weeping from side of observation hole FX X Depth to soil mottles 36" (97-2) inches = Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material inches Does at least four feet of naturally occurring pervious material exist in all areas Page 3B of 3 inches observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature S'.,, '2� /Date / LZZ /79 DEP APPROVED FORM - 12/07/95 soilevlsam Location Address or Lot No. Lot 12C - Ogunquit Road Method Used: F7 FORM 11 - SOIL EVALUATOR FORM Determination for Seasonal High Water Table Depth observed standing in observation hole Depth weeping from side of observation hole Depth to soil mottles 58" (95-1) inches = Ground water adjustment Index Well Number Adjustment factor feet Reading Date Index well level Adjusted ground water level Depth of Naturally Occurring Pervious Material inches Does at least four feet of naturally occurring pervious material exist in all areas Page 3C of 3 inches observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/94 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Sinature g � Date / 1 ZLI9 q DEP APPROVED FORM - 12/07/95 soilev2sam FORM 12 - PERCOLATION TEST Location Address or Lot No. Lot 12C - Ogunquit Road COMMONWEALTH OF MASSACHUSETTS North Andover, Massachusetts Percolation Test* Date: 6/19/97 Time: 1:00 PM Observation Hole# 97-1 97-2 Depth of Perc 58 - 70" 60 - 72" Start Pre-soak 1:04 PM 1:13 PM End Pre-soak 1:22 PM 1:28 PM Time at 12" 1:22 PM 1:28PM Time at 9" 1:47 PM 1:45 PM Time at 6" 2:25 PM 2:15 PM Time (9"-6") 38 30 Rate Min./Inch 13 Min/inch 10 Min/inch *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed F7X Site Failed Performed By: Neve Associates, Inc. Witnessed By: Comments: Sandy Starr, RS DEP APPROVED FORM - 12/07/95 Perctmt.SAM FORM 12 - PERCOLATION TEST Location Address or Lot No. Lot 12C - Ogunquit Road COMMONWEALTH OF MASSACHUSETTS North Andover, Massachusetts Percolation Test* Date: 9/4/86 Time: AM Observation Hole# P 19 P 20 Depth of Perc 50-6211 50 - 62" Start Pre-soak 9:40 9:40 End Pre-soak 9:55 9:55 Time at 12" 9:55 9:55 Time at 9" Time at 6" Time (9"-6") Rate Min./Inch <2m/1 <2m/1 *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed FX Site Failed F7 Performed By: Neve Associates, Inc. Witnessed By: Mike Graff Comments: DEP APPROVED FORM - 12/07/95 Perctest.SAM FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 No. Date: April 26, 1999 Commonwealth of Massachusetts North Andover, Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: Thomas E. Neve Witnessed By: Sandy Starr, RS Date: April 20, 1999 .ion Address or Owner's Name peter & Kerry Breen # 12C Ogunquit Road Address and 770 Boxford Street, N. Andover, MA Telephone # (978) 687-7774 New Construction ❑X Repair Office Review Published Soil Survey Available: No Yes FX I Year Published 1981 Publication Scale 1"=1320' Drainage Class B Soil Limitations Moderate Surficial Geologic Report Available: No M Yes = Year Published Geologic Material (Map Unit) Publication Scale Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes X Within 500 year flood boundary No X Yes Within 100 year flood boundary No X Yes Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month Range: Above Normal Normal Below Normal Other References Reviewed: DEP APPROVED FORM - 12/07/95 Soil Map Unit Large Stones 0 Canton TOWN OF NORTH Ar soilev2.sam LLm' a •oJ FORM 11 - SOIL EVALUATOR FORM Page 2A of 3 Location Address or Lot No. Lot 12C - Ogunquit Road On - Site Review Deep Hole Number 99-2 Date 4/20/99 Location (identify on site plan) See Plan Land Use Residential Slope (%) 4 % Vegetation Wooded Landform Moraine Position on landscape (sketch on the back) See Plan Attached Distances from: Open Water Body N/A feet Possible Wet Area 175 feet Drinking Water Well N/A feet Time PM Weather 50 F, Cloudv Surface Stones No Drainage way 230 feet Property Line 20 feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % Gravel) 0-811 A FSL 10YR 3/2 None & 2.5Y6/3 811-2011 Bw FSL 10YR 5/6 None 2011-4511 C1 Fine to 2.5Y 6/4 None Medium Sand 45 - 85" C2 FSL 2.5Y4/4 57" Very Gravelly 7.5Y5/8 20% Boulders 10% Cobbles & Gravel 8511 Cr *MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material (geologic) Depth to Bedrock: 8511 Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: 57" DEP APPROVED FORM - 12/07/95 soilev2sam FORM 11 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. Lot 12C - Ogunquit Road Determination for Seasonal High Water Table Method Used: Depth observed standing in observation hole inches Depth weeping from side of observation hole Depth to soil mottles 57 inches Ground water adjustment feet Index Well Number Reading Date Index well level Adjustment factor Adjusted ground water level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas inches observed throughout the area proposed for the soil absorption system? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 11/95 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signatur Date 4/26/99 DEP APPROVED FORM - 12/07/95 soilevlsam