HomeMy WebLinkAboutSoil Testing Results - 594 BOXFORD STREET 5/23/2018 Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information
Melmark New England
Owner Name
594 Boxford Street Parcel ID: 210/105.0-0079
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: UC Davis NRCS 4210
SoilWeb Soil Map Unit
Canton None
Soil Name Soil Limitations
Coarse-loamy over sandy melt-out till Ground moraine
Soil Parent material _ Landform
3. Surficial Geological Report Available? ® Yes® No If yes: MassGIS Oliver Till
Year Published/Source Map Unit
Canton fine sandy loam, 8 to 15 percent slopes, very stony
Description of Geologic Map Unit:
4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No
5. Within a velocity zone? ❑ Yes ® No
Layer:MassGIS Wetland Data La
es, y
6. Within a Mapped Wetland Area? ❑ Yes No If yWetland Type
7. Current Water Resource Conditions (USGS): 5/23/2018 Range: ❑ Above Normal ❑ Normal ® Below Normal
Month/Day/Year
8. Other references reviewed: USGS Current Water Data
Form 11 -Soil Suitability(TP-2,TP-3)•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 6
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. Ort-Site Review (minimum of two holes required at every proposed primary and reserve disposal area)
Deep Observation Hole Number: TP 18-2 5/4/18 10:OOAM Sunny, 65 42.67 -71.04
Hole# Date Time Weather Latitude Longitude:
Lawn/residential lot Lawn None 5-8%
1. Land Use (e.g.,woodland,agricultural Feld,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location:
2. Soil Parent Material: Coarse-loamy lodgment till overlying Ground moraine FS
outwash material Landform Position on Landscape(SU,SH,BS,FS,TS)
3. Distances from: Open Water Body 500+ feet Drainage Way 50+ feet Wetlands 100+ feet
Property Line —25 feet Drinking Water Well 150+ feet Other feet
4. Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed:❑ Yes ® No if yes: Depth Weeping from Pit Depth Standing Water in Hole
Soil Log
Redoximorphic Features Coarse Fragments Soil
Soil Horizon Soil Texture Soil Matrix:Color- /°b Volume
Depth(in) /Layer (USDA Moist(Munsell) Cobbles& Soil Structure Consistence Other
Depth Color Percent Gravel Stones (Moist)
0-44 Fill
44-48 Ab FSL 1OYR 3/2 Granular Friable
48-55 Bw FSL 1OYR 5/6 Massive Friable
55-108 C FSL 2.5Y 5/6 Massive Friable
Additional Notes:
No ESHGW, no mottles.
Form 11 -Soil Suitability(TP-2,TP-3)-rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 6
Commonwealth of Massachusetts
City/Town of North Andover
i;
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: 18-3 5/4/18 10:45 Sunny, 65 42.67 -71.04
Hole# Date Time Weather Latitude Longitude:
Lawn/residential lot Lawn None 5-8%
1. Land Use: (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location: Backyard of existing dwelling at 594 Boxford Street, North Andove
2. Soil Parent Material: Coarse-loamy lodgment till overlying outwash Ground moraine FS
material Landform Position on Landscape(SU,SH,BS,FS,TS)
3. Distances from: Open Water Body 500+ feet Drainage Way 50+ feet Wetlands 100+ feet
Property Line 20 feet Drinking Water Well 150+ feet Other feet
4. Unsuitable
Materials Present: [g Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Soil Log
Coarse Fragments
Soil Horizon Soil Texture Soil Matrix: Redoximorphic Features °/o Soil
Depth(in) by Volume Soil Structure Consistence Other
/Layer (USDA) Color-Moist Cobbles&
(Munsell) Depth Color Percent Gravel Stones (Moist)
0-9 Ap FSL 10YR 3/2 Granular Friable
9-16 Bw FSL 10YR 5/6 Massive Friable
16-99 C FSL 2.5Y 5/6 Massive Friable
Form 11 -Soil Suitability(TP-2,TP-3)•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 6
!rN, Commonwealth of Massachusetts
VCity/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Additional Notes:
No ESGHW, no mottles.
D. Determination of High Groundwater Elevation
1. Method Used: Obs. Hole#18-2 Obs. Hole#18-3
❑ Depth observed standing water in observation hole inches inches
❑ Depth weeping from side of observation hole inches inches
❑ Depth to soil redoximorphic features (mottles) 108 inches Winches
❑ Depth to adjusted seasonal high groundwater(Sh) inches inches
(USGS methodology)
Index Well Number Reading Date
Sh =Sc—[Sr x(OWc—OWmax)/OWrj
Obs. Hole/Well# Sc Sr OWc OWmax OWr Sh
2. Estimated Depth to High Groundwater: 99 inches
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 (exclude A and O Upper boundary: 9 Lower boundary: 108
Horizons)? inches inches
c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary:
inches inches
Form 11 -Soil Suitability(TP-2,TP-3)-rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 6
Commonwealth of Massachusetts
City/Town of North Andover
p` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. 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. I 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.
5/23/2018
Signature of Soil Evaluator Date
Greg Hochmuth, R.S./#2825 6/30/2019
Typed or Printed Name of Soil Evaluator/License# Expiration Date of License
Isaac Rowe, R.S. North Andover Health Department
Name of Approving Authority Witness Approving Authority
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.
Field Diagrams: Use this area for field diagrams:
Form 11 -Soil Suitability(TP-2,TP-3)•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 6
Commonwealth of Massachusetts
lCity/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information
Melmark New England
Owner Name
594 Boxford Street Parcel ID: 210/105.0-0079
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: UC Davis NRCS 421C
SoilWeb Soil Map Unit
Canton None
Soil Name Soil Limitations
Coarse-loamy over sandy melt-out till Ground moraine _
Soil Parent material Landform
3. Surficial Geological Report Available? ® Yes® No If yes: MassGIS Oliver Till
Year Published/Source Map Unit
Canton fine sandy loam, 8 to 15 percent slopes, very stony
Description of Geologic Map Unit:
4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No
5. Within a velocity zone? ❑ Yes ® No
6. Within a Mapped Wetland Area? ❑ Yes ® No If yes, MassGIS Wetland Data Layer:
Wetland Type
7. Current Water Resource Conditions(USGS): 5/23/2018 Range: ❑ Above Normal ❑ Normal ® Below Normal
Month/Day/Year
8. Other references reviewed: USGS Current Water Data
Form 11 -Soil Suitability•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5
Commonwealth of Massachusetts
lugCity/Town of North Andover
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: TP 18-1 5/4/18 9:OOAM Sunny, 65 42.67 -71.04
Hole# Date Time Weather Latitude Longitude:
Lawn/residential lot Lawn None 5-8%
1. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location:
2. Soil Parent Material: Coarse-loamy lodgment till overlying Ground moraine FS
outwash material Landform Position on Landscape(SU,SH,BS,FS,TS)
3. Distances from: Open Water Body 500+ feet Drainage Way 50+ feet Wetlands 100+ feet
Property Line —25 feet Drinking Water Well 150+ feet Other feet
4. Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Soil Log
Redoximorphic Features Coarse Fragments Soil
Soil Horizon Soil Texture Soil Matrix:Color- /°by Volume
Depth(in) /Layer (USDA Moist(Munsell) Cobbles& Soil Structure Consistence Other
Depth Color Percent Gravel Stones (Moist)
0-29 Fill
29-31 Ab FSL 10YR 3/2 Granular Friable
31-41 Bw FSL 10YR 5/6 Massive Friable
41-110 C LS 2.5Y 5/6 Massive Friable
Additional Notes:
No ESHGW, no mottles.
Form 11 -Soil Suitability•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 5
Commonwealth of Massachusetts
City/Town of North Andover
p' 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:
Hole# Date Time Weather Latitude Longitude:
1. Land Use:
(e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location:
2. Soil Parent Material: Landform Position on Landscape(SU,SH,BS,FS,TS)
3. Distances from: Open Water Body feet Drainage Way feet Wetlands feet
Property Line feet Drinking Water Well feet Other feet
4. Unsuitable
Materials Present: ❑ Yes ❑ No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed:❑ Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole
Soil Lo
Soil Horizon Soil Texture Soil Matrix. Redoximorphic Features Coarse Fragments Soil
Depth(in) /Layer /°by Volume Soil Structure Consistence Other
Ye (USDA) Color-Moist Depth Color Percent Gravel Cobbles& (Moist)
(Munsell) Stones
Additional Notes:
Form 11 -Soil Suitability•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5
Commonwealth of Massachusetts
City/Town of North Andover
`s
p` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used: Obs. Hole#18-1 Obs. Hole#
❑ Depth observed standing water in observation hole inches inches
❑ Depth weeping from side of observation hole inches inches
❑ Depth to soil redoximorphic features (mottles) 110 inches inches
❑ Depth to adjusted seasonal high groundwater(Sh) inches inches
(USGS methodology)
Index Well Number Reading Date
Sh =Sc—[Sr X(OWc—OWmax)/OWr]
Obs. HoleANell# Sc Sr OWc OWmax OWr Sh
2. Estimated Depth to High Groundwater: 110 inches
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 (exclude A and O Upper boundary: 31 Lower boundary: 110
Horizons)? inches inches
c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary:
inches inches
Form 11 -Soil Suitability•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5
Commonwealth of Massachusetts
City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. 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. |furthercedifv
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.
5/23/2018
Date
Typed or Printed Name of Soil Evaluator/License# Expiration Date of License
6/30/2019| North AndoveName of Approving Authority Witness Approving Authority
r d t
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.
Field Diagrams: Use this area for field diagrams:
Commonwealth of Massachusetts
City/Town of North Andover
Percolation Test
Form 12
GSM
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 M_elmark New England
key to move your Owner Name
cursor-do not 594 Boxford Street
use the return
key. Street Address or Lot#
North Andover MA 01845
City/Town State Zip Code
Williams &Sparages, LLC (978)539-8088
Contact Person(if different from Owner) Telephone Number
B. Test Results
5/4/18 11:00 5/4/18 11:00
Date Time Date Time
Observation Hole# TP 18-1 TP 18-3
Depth of Perc
40"+18" =58"(C-layer) 34"+18"=52".f C-layer)
Start Pre-Soak 10:37 11:29
End Pre-Soak 10:52 (Took 24 gallons-unable to
saturate)
Time at 12" 10:52
Time at 9" 10:59
Time at 6" 11:12
Time(9"-6") 13 mins
Rate(Min./inch) 5 MPI <2 MPI
Test Passed: ® Test Passed:
Test Failed: ❑ Test Failed: ❑
Greg Hochmuth
Test Performed By:
Kristin McRae, R.S.
Board of Health Witness
Comments:
t5form12.doc•08/15 Perc Test•Page 1 of 1