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HomeMy WebLinkAboutMiscellaneous - Exception (513)e��t/ —tt'- cdF LF �� t� STes sT, e��t/ —tt'- Town of North Andover, Massachusetts Form No. 1 yy� p10RTR "I , BOARD OF HEALTH /:�///f "°4 APPLICATION FOR SITE TESTING/INSPECTION 7�p�AATED PQa�(y SSACHUS� 0 Applicant �%%% NAMM�Ej �ADDRESS TELEPHONE Site Location �./T���� /l�• Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time , y �f> CHAIRMAN, BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover Massachusetts Form No. 1 NORTH BOARD OF'HEALTH V6 0 p.• 10 ..-10 APPLICATION FOR SITE TESTING/INSPECTION �9SSACHUS���� Applicant �/� �� NAME Site Location_ '0:5) Engineer_ <��&" E Tes4-trispection Date and Time Fee ADDR 5 - Test No. � S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. CZINGSTOM MATERIALS Div. of Torromeo Industries P.O. Box 2308 Methuen, MA 01844-1097 Quality Aggregates Since 1958 Customer I .f ;q::�t.. l.11�1G:' !♦':� (..(jb'i j•T' :[ i Its; Truck: (" ()I.:, P) 1. ..j v, -' -t 1,; (i(•rl. Material: ' t.,�"�.�� ►.Tit !'i:Sl...i� ':)r:i<:>: lig• t) , , � Price: / Plant Address: 18 Dorre Rd. rzT 7^—, , _ Kingston, NH 03848 h Phone: (603) 642-5564 (/ Fax: (60 642-7776 DEC 0]` 200 I� r/. HEALTH DL, f D•e: Ship to: Ticket #: �-11GKIH.1-1 UP Gross: G0'If 00 Tare: i:::`.' qC)(:1 Net: Weighmaster: 1A.. , I *The seller shall not be responsible for i damage beyond the curb line. X Signature kA I*Upon signing this slip, the buyer accepts i full responsibility for the material. Time:; 71 L.1. ; Material: .1981. 3t Delivery: Tax: Total: ..o/ Rsa.\ TOWN OF NORTH ANDOVER <_�•� ����� Xir HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSACHUSETTS 01845C,�„5 t`9 Sandra Starr R.S., C.H.O. (978) 688-9540 - Telephone Public Health Director (978) 688-9542 - Fax Fax: Phone: Re: C/ ° � C"k�C�G'��J • ❑ Please Comment ❑ Please Reply From: ole- Fax: 2 Pages: Date: CC: ❑ Urgent ❑ For Review Please call 978-688-9540 for assistance with any questions. Thank you. xc: Address File Chrono File ❑ Please Recycle f wo 11V is- r s� IWO i - r 1 ,. TOWN OF NORTH ANDOVER BOARD OF HEALTH Location Health Agent White - Applicant Yellow - Dept. Pink - Treasurer Permit Food Service $ Retail Food Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing ✓ $ Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ Health Agent White - Applicant Yellow - Dept. Pink - Treasurer 'Y BOARD OF HEALTH �r NORTH ANDOVER, MASS. 01845 978-688-9540 DATE: April 22, 2003 APPLICATION FOR SOIL TESTS MAP & PARCEL 107.D 0014 0000.0 LOCATION OF SOIL TESTS: 0 Stiles Road _. OWNER: Catherine & Eugene Willis TEL. NO.: (978)685-7570 $ - ADDRESS: Boston Hill Road_ North Andover, MA - APR 2 2 2003 ENGINEER: Eugene Willis, P.E. TEL. NO.: (97$)373-0310 CERTIFIED SOIL EVALUATOR: Eugene Willis, P.E. _ �- ---e -- — - Intended use of land: Residential Subdivision X Single Family Home Commercial Is This: X Repair testing Undeveloped lot testing In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1 . Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of $425.00 per lot for new construction. This covers the minimum two de required for each disposal area. Fee of $200.00 per lot for repairs or upgrades ades GENERAL INFORMATION 1 2 4 5 6 7 Only Certified Soil Evaluators may perform deep hole inspections. Only Mass. Registered Sanitarians and Professional Engineers can design septi At least two deep holes and two percolation tests are required for each septic sy, Repairs require at least two deep holes and at least one percolation test, at the d m-enon— of he -ASH 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. N.A. Conservation Commission Approval � / � 7-z Z�%%� Date Received: Check Amount: Check Date: 0�✓ Town of North Andover Office of the Planning Department Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01845 http: / /www.townofnokthandover.com Planning Director: iwoods@townofnorthandover.com P J. Justin Woods F SENT USPS VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED July 9, 2003 Gene Willis, Arjuna Construction 76 Boston Hill Road North Andover, MA 01845 RE: Plan of Land on Stiles Street, ANR Form A Denial Dear Mr. Willis: (978) 688-9535 (978)688-9542 At the regularly scheduled meeting of July 8, 2003, you presented the above -referenced Form A Application to the North Andover Planning Board. The Board voted unanimously to deny the Form A application because the plan does not comply with the provisions of MGL Chapter 41, Section 81P or with the provisions of the of the Town of North Andover, Massachusetts Planning Board Rules and Regulations Governing the Subdivision of Land dated November, 2000, last Amended December 2002 (North Andover Subdivision Rules & Regulations), for the following reasons: 1) The private way known as Stiles Street DOES NOT meet the indicative criteria for the determination of frontage in accordance with Section 3.3 and Section 3.3.1 of the Town of North Andover Rules & Regulations. Specifically, the way is not paved and is not adequate to accommodate public safety access. 2) The Planning Board determined that the lot DOES NOT have frontage on away that, in the judgment of the Board, has sufficient width, suitable grades and adequate access to provide for the needs of the vehicular traffic and public safety access in relation to the existing and proposed use of land abutting thereon or served thereby and for the installation of municipal services to such land(s) and/or buildings erected or to be erected thereon. 3) The Planning Board determined that the subject plan is a subdivision, as defined by MGL Chapter 41, Section 81L. You may re -submit the plan to the Planning Board for approval under the Subdivision Control Law and you are hereby notified that should you disagree with this decision, you have the right, under MGL Chapter 41, Sections P & BB, to appeal to this decision within twenty days after the date this decision has been filed with the Town Clerk. Please feel free to contact me if you have any questions. Sincerely, J. Justin Woods BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688.9535 Page 1 of 2 Starr, Sandy From: Woods, J. Justin Sent: Thursday, July 10, 2003 12:01 PM To: Sullivan, Jack Cc: Griffin, Heidi; Hmurciak, Bill; Willett, Tim; Parrino, Julie; McKay, Alison; Nicetta, Robert; McGuire, Mike; Starr, Sandy; Lagrasse, Brian Subject: Stile Street Jack, Gene and Tim Willis are seeking to construct a single-family home an existing lot that does not have any frontage except on a paper street. I declined to sign the Form U and advised the applicants that they need to file a Definitive Subdivision to lay out the way and obtain frontage. Mr. Willis applied for an ANR to avoid subdivision. I visited the site with Mr. Willis and did not believe the access was adequate for ANR approval. The Planning Board denied the request and ? determined that a subdivision is required (copy of decision attached). A subdivision public hearing process is the appropriate method for evaluating the proposed construction of a paper street justified as approving the access to the lot in question, but only after the applicant has clearly demonstrated that they have the legal right to build on the paper right of way. The lot is pre -subdivision control law on a right-of-way that has not been accepted by the town. The individual property owners who front on the street may have fee ownership to the centerline and a right of passage over the route. The key question is when and if that right of passage extends to the right to develop without the consent of the other "owners" of the right-of-way. Based on the findings in the case Tattan v Kurlan, 32 Mass App Ct 239, I believe that if the Willis' cannot prove that they either have a deed ROW or fee simple in the paper street, then the consent of the other owners is required before the Planning Board can approve a plan to develop a paper street. I am copying Health and Conservation on this email because the proponents are in various stages of securing approval from these departments. J. Justin Woods Planning Director Town of North Andover Community Development Division 27 Charles Street North Andover, MA 01845 P (978) 688-9535 F (978) 688-9542 m_ailto1«,00ds;a townofnorthandover.com htV://www.townofnorthandover.com/ -----Original Message ----- From: Sullivan, Jack Sent: Thursday, July 03, 2003 3:00 PM To: Woods, J. Justin Cc: Nicetta, Robert; Griffin, Heidi; Willett, Tim; Hmurciak, Bill Subject: re: Stiles Street - Proposed Single Family Residence off of Paper Street Justin, I noticed you have 0 Stiles Street scheduled for discussion at the Planning Board meeting on July 8. The proposed developer meet with me today (again!) to discuss signing the Form U. I told him I will not sign the Form U until I have a written letter from either the Building Inspector or the Planning Board stating that the 7/10/2003 Page 2 of 2 tJ subject property is a buildable lot. When Bob N. gets back from vacation it might be a benefit to all departments to have a group session to discuss this property so we are all on the same page. At a minimum, please copy all parties on the discussion and/or decision reached by the Planning Board, Thanks Jack Sullivan Director of Engineering -----Original Message ----- From: Willett, Tim Sent: Thursday, June 26, 2003 3:54 PM To: Woods, J. Justin Subject: Stiles St Tim Willis is trying to get a form -U sign -off for a lot on a paper street known as Stiles Street. I raised questions about building a road to town standards and his responses bothered me. He's claiming Hmurciak said this and Nicetta said that. He said he also talked to you. Are you familiar with this site? 7/10/2003 x FR] MIMMMUS im Pimm mmmMMMMMM fir.!���1■i�1�'�i�■��������■P�`��������� i . Y-) h Y-) a2w-,77 TOWN,OF NO TH ANDOVER BOARD OF HEALTH Gej Location D Permit #�� Food Service $ Retail Food $ Limited Retail $ _ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing $ Design Approval Permit 2 $ _ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 6;60 Health Agent bdhite - Applicant Yellow - Dept. Pink - Treasurer_ Town of North Andover, Massachusetts Form No. 2 MORTh BOARD OF HEALTH 0:4�•0 ,0,�0 O � w A DESIGN APPROVAL FOR SSACMUSEt SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant �'��� �Test No. Site Location''l Reference Plans and Specs,66<:' [�//��✓ /�S ����/tea 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. CHAIRMAN, BOARD OF HEALTH ��fX , L Ql GY Fee LSite System Permit No. Gr1f�12�� r ' rig SEPTIC PLAN SUBMITTAL FORM 2 5 2003 LOCATION: 0ST 6-- 6 SST 07,,P k4rll NEW PLANS: YES $225.00/Plan Check #: (Includes 1" Re -Review Only) REVISED PLANS: YES $ 60.00/Plan Check #: SITE EVALUATION FORMS INCLUDED: S NO LOCAL UPGRADE FORM INCLUDED: YES NO DATE: � DATE TO CONSULTANT: DESIGN ENGINEER: �rt i e 1ti� l vt�s r G�o s� Telephone #3 79 ­ 6 9 � w eke, 01 As OFFICE USE ONLY When the submission is complete (including check): 1. /Date stamp plans 2.Complete the ree.' DESIGN APPROVAL FOR SOIL ABSORPTION -Z SEWAGE DISPOSAL SYSTEM form 3. �/ Attach file and route to the Health Director for review Lr( 14 , ''I .. .... .. . . ..... ....... ..... .......... ........... .. Receiv6d Mar -09-00 12:13 from 508 688 9542 4 G Mar -09-00 12:07 North Andover Com. Dev. 508 688 9542 l SEPTIC PLAN SUBMITTAL FORINT LOCATION: 6 571 -le S 57 NEW PLANS: YES $125.00/Plan REVISED PLANS: YES $ 60.00/Plan SITE EVALUATION FORMS INCLUDED: NO DATE: 6_ DESIGN ENGINEER: DATE TO CONSULTANT: *If you want your plans expedited, please submit three pians and included a stamped envelope with the correct amount of postage to mail plans to Port Engineering. When the submission is ail in place, route to the Health Secretary. <�z �� page 2 P.02 e- --- OF f�ORI BOARD OF HEA! ; H ijum 2 3 2003 No. THE COMMONWEALTH OF MASSACHUSETTS FEE _ BOARD OF HEALTH GO VL OF �d P -A 0"d C--te- f - APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstructRepair ( ) Upgrade ( ) Abandon ( ) - Complete System [:]Individual Components i / 16 J D Location `e' n BOS/OV, I) 7i N�� Map/Parcel # / C� � Z Lot # one,,! Installer's Name esi Name Addressr 7 6F_ D /�Idrrss E Telephone # /j Teellleephhonee## Type of Building: S/ l --r&Kt'dv, AS Ider1[-e Lot Size e*deet Dwelling — No. of Bedr —do �/ Garbage Grinder ( ) Other — Type of Building No. of persons Showers ( ), Cafeteria ( ) Other fixtures Design Flow (min. required) 7 7� gpd Calculated design flowgpd Design flow provided gpd Plan: Date Jf, ti Nu ber of sheets Revision Date Title S ccs e f <n� - l il Description of Soil(s) C5 !L L4J Soil Evaluator Form No. L1 Name of Soil Evaluator WllliDate of Evaluation DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑ Complete System The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( ) by at has been installed in accordance with the provisions of 310 CMR 1.5.00 (Title 5) and the approved design plans/as-built ` plans relating to application No. dated Approved Design Flow (gpd) Installer Designer: Inspector Date The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96 No. THE COMMONWEALTH OF MASSACHUSETTS FEE BOARD OF HEALTH DISPOSAL SYSTEM CONSTRUCTION PERMIT Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage b disposal system at as described in the application for Disposal System Construction Permit No. dated Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met. Date Board of Health FORM 2 - DSCP DEP APPROVED FORM 5/96 FORM 1255 (REV 5/96) H&W HOBBSB WARRENT" PUBLISHERS - BOSTON No. FORM 11 - SOIL EVALUATOR FORM Page I of 3 Date: Commonwealth of Massachusetts J'°1'7` A'"OoLte-'— , Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By ��-v��?... ...... t..11...CS �r ks� 0. Date: r -s �`� 4....... Witnessed By:..J� .! �............ .rr.................%f'.,. - .s,.®.-... ..:........ ....... ..... ...... T ,, Lccsuon Addrrss ar d 7l ��S S �. Owncr•s lhsnc. la 7C3'2. 1 1 bl 7tirpnm r New Construction Repair ❑ ��r¢ - GAS —%J-76� Ofce Review, Published Soil Survey Available: No ❑ Yes Year Published �. �..... Publication Scalp-....... Soil Map Unit ' ` 1KC-, l' y Drainage Class D�""Soil Limitations ................................................................................................... Surficial Geologic Report Available: No 19 Yes ❑ Year Published �.....:........... Publication Scale :,:....,,..,,. GeologicMaterial (Map Unit)...................................................................................................................................I.................. Landform _..... Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes Within 500 year flood boundary No 19Yes ❑ Within 100 year flood boundary No Yes ❑ Wetland Area: National Wetland Inventor), Map (map unit) Wetlands Conservancy Program Map (map unit) Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Bekw Normal ❑ Other References Reviewed: hi. DEF APPROVED FORA? • 12107195 F ,10F iqORTH ANDO11 -r / BOARD OF HEALTH JUN 2'3 2003 � FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot: 0 STILES ST, NO ANDOVER On-site Review Deep Hole Number:l Date:5/21/03Time:11:30 Weather: CLDY/SPRINK/65 Location: (identity on site plan) Land Use: OLD ORCHARD Slope: 3-8% Surface Stones: NO Vegetation: W PINE, APPLE Landform: KAME TERRACE Position on landscape: (sketch on the back) TOP SLOPE Distances from: Open Water Body feet Drainage way feet Possible Wet Area 150 feet Property Line 20 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth Soil Soil Soil Soil Other from Horizon Texture Color Mottles Structure Surface (USDA) (Munsell) Etc. (inches) 0-5 Ap F.S.L. 10YR 3/2 GRANULAR MASSIVE FRIABLE 5-19 Bwl F.S.L. 7.5YR 4/6 MASSIVE FRIABLE 19-36 C1 V GRAVEL 7.5YR 4/6 HI: S. GRAIN COARSE 7.5YR 40% GRAVEL SAND 5/8 36-49 C2 GRAVEL 10YR 4/3 S GRAIN LOOSE COBBLE 20% GRAVEL C. SAND 15% COBBLES 49-109 C3 MED TO 41" MASSIVE FRAIBLE NO LOAMY REFUSAL SAND MINIMUM ur' Z HULES REUU1HE0 AT EVERY PROPOSED DISPOSAL AREA Parent Material: (geologic) OUTWASH SAND Depth To Bedrock:> 109" Depth to Groundwater: Standing Water in the Hole: NO Weeping from Pit Face: NO Estimated Seasonal High Ground Water: 41" FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot: 0 STILES ST, NO ANDOVER On-site Review Deep Hole Number:2 Date:5/21/03Time:2:00 Weather: CLD/SPRINK/65 Location: (identity on site plan) Land Use: OLD ORCHARD/MEADOW Slope: 3-8o Surface Stones: NO Vegetation: GRASS, APPLE Landform: KAME TERRACE Position on landscape: (sketch on the back) TOP SLOPE Distances from: Open Water Body feet Drainage way feet Possible Wet Area 140 feet Property Line 40 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth from Surface (inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottles Other Structure Etc. 0-9 Ap F.S.L. 10YR 3/2 GRANULAR V FRIABLE 9-19 Bwl F.S.L. 7.5YR 4/6 MASSIVE FRIABLE 19-82 Cl F.S.L. 2.5YR 4/6 RELICS 1519+ 10YR 6/8 S. GRAIN V FRIABLE 82-110 C2 VF.S.L. 10YR 4/5 MASSIVE FRIABLE NO REFUSAL TO 61" MiN1MUM Ur' L HULES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material: (geologic) TILL Depth To Bedrock:> 110" Depth to Groundwater: Standing Water in the Hole: NO Weeping from Pit Face: NO Estimated Seasonal High Ground Water: 61" DEP APPROVED FORM - 12/07/95 FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot: 0 STILES ST, NO ANDOVER On-site Review Deep Hole Number:3 Date:5/21/03Time:3:00 Weather: CLD/RAIN/65 Location: (identity on site plan) Land Use: OLD ORCHARD/MEADOW Slope: 0-3% Surface Stones: NO Vegetation: GRASS, APPLE, W PINE Landform: KAME TERRACE Position on landscape: (sketch on the back) BOTTOM SLOPE Distances from: Open Water Body feet Drainage way feet Possible Wet Area 120 feet Property Line 60 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth Soil Soil Soil Soil Other from Horizon Texture Color Mottles Structure Surface (USDA) (Munsell) Etc. (inches) 0-7 Ap F.S.L. 10YR 3/2 GRANULAR FRIABLE 7-28 Bwl F.S.L. 10 YR 4/4 MASSIVE FRIABLE 5% GRAVEL 28-40 C1 V GRAVEL 7.5YR 4/6 75 YR S. GRAIN LOOSE M COARSE 5/8 15% GRAVEL SAND LOW: 10% COBBLES 40-49 C2 V COBBLE 10YR 4/6 5Y 6/2 S GRAIN LOOSE OUT MED SAND OF PIT 10% GRAVEL 20% COBBLES 49-96 C3 MED SAND 2.5Y 5/4 TO 48" MASSIVE FRIABLE NO REFUSAL MINIMUM Ur L HULLS REVUlKEll AT EVERY PROPOSED DISPOSAL AREA Parent Material: (geologic) OUTWASH SAND Depth To Bedrock:> 96" Depth to Groundwater: Standing Water in the Hole: NO Weeping from Pit Face: NO Estimated Seasonal High Ground Water: 48" DEP APPROVED FORM - 12/07/95 J FORM 11 SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot: 0 STILES ST, NO ANDOVER On-site Review Deep Hole Number:4 Date:5/21/03Time:4:15 Weather: CLOUDY Location: (identity on site plan) Land Use: MEADOW Slope: 0-3o Surface Stones: NO Vegetation: GRASS, APPLE, W PINE Landform: TILL RIDGE Position on landscape: (sketch on the back) MIDDLE SLOPE Distances from: Open Water Body feet Drainage way feet Possible Wet Area 120 feet Property Line 40 feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth from Surface (inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottles Other Structure Etc. 0-6 Ap F.S.L. 10YR 3/2 GRANULAR FRIABLE 6-27 Bwl F.S.L. 10 YR 4/5 MASSIVE FRIABLE 27-38 Cl GRAVELLY M SAND 7.5YR 4/6 7.5 YR 5/8 S. GRAIN LOOSE 38-50 C2 COBBLY MED SAND 10YR 5/8 LOW: 5Y 6/3 S GRAIN V FRIABLE 50-100 C3 MED SAND 2.5Y 5/4 TO 48" MASSIVE FRIABLE NO REFUSAL MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material: (geologic) OUTWASH SAND Depth To Bedrock:> 100" Depth to Groundwater: Standing Water in the Hole: NO Weeping from Pit Face: NO Estimated Seasonal High Ground Water: 48" DEP APPROVED FORM - 12/07/95 FORM 12 — PERCOLATION TEST Location Address or Lot No 0 STILES ST COMMONWEALTH OF MASSACHUSETTS NORTH ANDOVER, Massachusetts Percolation Test* Date:5/21/2003 Time: 1:55 Observation Hole # 1/1 3/2 Depth of Perc 27+18=45 30+18=48 Start Pre-soak 1:55 3:35 End Pre-soak 2:13 3:51 Time at 12" 2:13 3:51 Time at 9" 2:24 3:59 Time at 6" 2:43 4:14 Time (9"-6") 19 MIN 14 MIN Rate Min./Inch 6.3 MIN/INCH 4.7 MIN/INCH *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed R] Site Failed ❑ Performed By: GENE WILLIS Witnessed By: SANDY STARK, No. Andover Board of Health Agent Comments DEP APPROVED FORM -12/07/95 Location Address or Lot No. D 5/1 les FORM 11 - SUiL L�.-ALLAivat rv1t1\1 Pa -he 3 of 3 .Determination for Seasonal Hiah Water Table Method Used: 71 Depth observed standing in observation hole ....... inches FI Depth weeping from side of observation hole .. inches Depth to soil mottles �.. inches Ground water adjustment ................... feet Index Well Number ............... Reading Date ................. Index well level Adiustment factor ............... Adjusted ground water level .................. Deoth o; Naturally Occurring Pervious Material Does at least four feet of naturally occurring -pervious material exist in 11 areas observed throughout the area proposed for the soil absorption system? J If not, what is the depth of naturally occurring pervious material? Certification 9 I certify that on.CSc-T (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR .15.017. Signature Date/ 4 DEP APPROVED FOR.11 - 12707/93