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Home My WebLink AboutSoil Testing Results - 60 DEER MEADOW ROAD 6/21/2018 TOWN OF NORTH ANDOVER Coinntunity& Economic Development HEALTH DEPARTMENT 120 Mainn Street NOR"ITF1 ANDOVER, MASSACIJUSETTS 01.845 J 978.688.9540-_ Phone 978.688.9542---FAX lzealthdept@nrortlnanndoverma.gov www.noilhandovertnna.gov APPLICATION FOR SOIL TESTS 2017 DATE; "7 MAP&I'AI CEL: -�1( LF SYNOFNORTH 4NC)O HEALTH DEPARTMela LOCATION OF SOIL TESTS: "1 ei2� r" cnX r2&J a. Il-— OWNER: - Contact APPLICANT: �Contact##: ADDRESS:—60 Deer lAe--"o ENGINEER: c+a ?+>-r_ Contact#: BOSS CERTIFIED SOIL EVALUATOR:� � � Ir•.-w_._ ..��i��...... Intended Use of Land: Residential Subdivision Single Family I-Iome Commercial Is This: Repair Testing:.__. Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? 'Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM 3> Proof of land ownership(Tax bill,or letter fi•orn owner permitting test) S> 8.51'v 11"Plot Matt&Location ofTestitte(please hit irate testhitsites on the plait) 7> Fee of 5585.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal at-ca. Fee of. 4'fi 40.00 per lot for repairs or upprades. GENERAL INFORMATION > Only Certified Soil Evaluators may perform deep hole inspections. 5> Only Mass. Registered Sanitarians and Professional.Engineers can design septic plans. 5> At least two deep holes and two percolation tests are required for each septic system disposal at-ea. ➢ 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. 7> Within 45 clays 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 fornns shall be submitted. j i I Please Do Not Write Below This Line N.A.Conservation Cotttntissiatr roval Date: Signature of Conservation Agent M Date back to Health l7epat�tnrent: start #n): p r • CONSERVATION DEPARTMENT Cc;rni-nunity & Economic Development Division NEGATIVE DETERMINATION OF APPLICABILITY SPECIAI, C ONDI JONS 60 Deer Meadow Road, North Andover- At the July 12, 2017 public hearing, the North Andover Conservation Commission (N.ACC) voted to issue a Negative Determination of Applicability for installation of temporary construction access path (12'wide) within the 100-foot:Buffer Zone to Bordering Vegetated Wedand (BVW). The purpose of the path.is to access a low area to the rear of the house for soil testing (outside 50' No-Build Zone) for a replacement septic systern. The project will conform to the follow ing: Applicant/Owners: Sumecta & Sunit Mukherjee 60 Deer Meadow Road North Andover,MA 01845 Representative: Williams & Sparages LLC 189 North Main Street Middleton, MA 01949 Record Documents: Request:for Determination. of Applicability Form 1 and supporting materials, submitted:June 29, 2017 Including: Narrative,Locus Map/USGS Map, Delineation Field Data Forms, Affidavit of Service,Abutter Notification &.Application Checklist,- Dated: hecklist;Dated:June 29, 2017 Record flans: Titled: Plan to Accompany A Request for Determination of Applicability in North Andover, MA 460 Deer Meadow Road Prepared by: Williams & Sparages Dated:June 28, 2017 SPECIAL CONDITIONS: 1. Prior to the start of work the applicant sha11 ensure that the site contractor has reviewed the Determination and is aware of the wetland resource area and the limits of the proposed work. 2. Erosion control, trenched siltation fence, shall.be installed as shown on the herein referenced plan. Prior to construction, the applicant will arrange a preconstruction meeting at the site with the contractor and the Conservation Department to review the installed erosion controls and the construction schedule. 3. Changes to the proposal shall be reviewed with the Conservation Department. Less intensive means of access sha11 also be allowed under this approval. 4. Upon completion of the approved project and site stabilization, please contact the Conservation Department for a final inspection and authorization to rernove erosion controls. 1201 Alain Street,North Andover,Afassac hlSetts 01845 Phone 978.688.9530 Fax 97€3.685.9542 Web:litti)://www.nortliandovernia.gov Ae BK 10282 PG 117 QUI=LAIM REED We, SUM MUKHERJEE and-SUBHASH MUI£i110ER E as joint tenants, ! of 60 Deer Meadow Road,North Andover,Massachusetts in consideration of ONE DOLLAR($1.00)and other goad and valuable consideration,receipt of which is hereby acknowledged,and love and affection grants to 6Uhli A ►*IUJKRERJEE%a married person,of said 60 Deer Meadow ' Road,North Andover,MA, individually with Quitclaim covenants The real property in North Andover, County of Essex, Commonweah`h of Massachusetts,described as follows,to wit: ". Beginning at a point in the Northwesterly corner of said Lot at Deer Me44ow - Road; Thence in"wMeMbrly direction at a bearing of v,44"l a distance of 587.34 feet to a point; `' 77 Thence in a of ha ' ., .IV direction at a bearing of*1600451,46"'E' r c) a distance of 568:69xfeet to a point; Thence in tW irection at a bearing a 4 '`;8 ' a distance of 353.96 feet to an angle point; Thence in a4toftw4ftalJodirection at a bearing o. 'UW- 551AV a distance of 165.97 feet to an angle point; , Thence in ad"t4y direction at a bearing of 4,AX?,fiQ' 4" W w a distance of 68.83 feet to Deer Meadow Road; Thence in a - y direction along,Deer Meadow Road on a curved line a ria radius= 100.00 feet a distance of 5100 feet-to the point of beginning. Said Lot 30A on a plan by Scott L. Giles. R.L.S. and recorded as Plan,10258 at the North Essex Registry of Deeds on April 25, 1986. The above legal description includes memberships and/or ownerships of, non- municipal water and/or sewer systems,if any. This conveyance is subject to any subsisting restrictions, conditions, limitations, encumbrances, covenants, exceptions and easements as may appear of record, if any, affecting the above described property. MAE=J.SCI4 LUE ATTORNEY AT uw s�w+uea sTReer . NORM ANDOVER.MA oleo iOtp!b?.a{1tlb �l 04 Town of North Andover HEALTH DEPARTMENT CHECK 4: DATE: LOCATION: 9a H/0 NAME: CONTRACTQOZ NAME: ................ der Type of Permit or Ucene: (Check box 0 Anfinal EJ Body Arl-Establishment • Body Art Practitioner • Dumpster • Food Service-Type:---- 0 Funeral Directors 0 Massage Establishment 0 Massage Practice 0 Offal (Septic)Hauler n Recreational Camp 0 Sun tanning 0 Swimming Pool 0 Tobacco [I Trash/Solid Waste Hauler ci Well Construction SEPTIC Sjytems: $ Septic-Soil Testing [I Septic-Design Approval [I Septic Disposal Works Construction(DW0 0 Septic Disposal works installers(DM) 0 Title 5 Inspector 0 Title 5 Report 0 Other. (Indicate) /1, 2e' He'.,,_fkAgent Initials Applicant Yellow-Health Pink-Treasurer n � . _� 1>11 Sir e � 4-1 a a 4 t � ts 4 i o __ __ vc Commonwealth of Massachusetts u Cityfrown of North Andover Form 11 - Soil Suitability Assessment forOn-Site Sewage Disposal A. Facility Information Sumeeta&Sunit Mukherjee Owner Name 60 Deer Meadow Road 104.B/118 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? Z Yes ❑ No If yes: NRCS Web Soil Survey 254E Source Soil Map Unit 717E-Charlton-Hollis complex Soil Name Soil Limitations Ablation Till Ground 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? F-1Yes ® No MassGIS Wetland Data Layer: pp Wetland Type 7. Current Water Resource Conditions (USGS): - Range: ❑ Above Normal ❑ Normal ❑ Below Normal Month/Year 8. Other references reviewed: - t5form11.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts city/Town of North Andover Form 11 - Sail 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#17-1 8/9/2017 9:00am Sunny 70 Date Time Weather 1. Location Ground Elevation at Surface of Hole: See Plan Latitude/Longitude: - t - feet Description of Location: See Plan 2. Land Use Residential Lot Few 3-8 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Mixed Deciduous/Lawn Ground Moraine See Plan Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >200 Drainage Way >200 Wetlands >50 feet feet feet Property Line >10 Drinking Water Well NA Other - feet feet feet 4. Parent Material: Ablation 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: - - Depth Weeping from Pit Depth Standing Water in Hale Estimated Depth to High Groundwater: 98 - inches elevation t5form11.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts v CitylTown of North Andover Farm 11 - Sail Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP#17-1 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Depth{in.} Dyer Moist(Munsell) {USDA} Cobbles Soil Structure Consistence Other Depth Color Percent Grave[ {Moist} Stones 0-88 Fill - - - - - - - - - - 88-98 Ab 10YR3/2 - - - FSL - - Granular Friable - i 98-109 Bw 10YR5/6 98 5Y5/2 20 FSL - - M Friable - 109-164 C 2.5Y5/4 - - - SL - - M Friable - i Additional Notes: t5form1 l.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts -- v City/Town of North Andover - Farm 11 - Soil Suitability Assessment for on-Site Sewage Disposal C. {fin-Site Review (continued) Deep Observation Hole Number: TP#17-2 8/9/2017 9:30 am Sunny 70 Date Time Weather 1. Location Ground Elevation at Surface of Hole: see plan Latitude/Longitude: - / - feet 2. Land Use Residential Few 3-8 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Mixed Deciduous/Lawn Ground Moraine See Plan Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body >200 Drainage Way >200 Wetlands >50 feet feet feet Property Line >10 Drinking Water Well NA Other - feet feet feet 4. Parent Material: Ablation Till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ FII Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ® No If yes: - - Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 32 - inches elevation t5form11.doc•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP 17-2 Redoximorphic Features Coarse Fragments Boil Soil Horizon/Soil Matrix;Color- 1 Soil Texture %by Volume Depth(in.) Layer Moist{Munsell} Soil Structure Consistence Other (USDA} Depth Color Percent gavel Cobbles (Moist) Stones 0-12 A 1OYR3/2 - - - FSC_ - - Granular Friable - 12-19 Bw 1OYR5/6 - - - FSL - - Massive Friable - 19-78 C 2.5Y5/4 32 5Y5/2 20 SL - - Massive Friable - Additional Notes. t5formI 1.doc•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover _ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 1 C. On-Site Review (continued) Deep Observation Hole Number; TP#17-3 8/9/2017 9:30 am Sunny 70 Date Time Weather 1. Location Ground Elevation at Surface of Hole: see plan Latitude/Longitude: - / - feet 2. Land Use Residential Few 3-8 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Mixed Deciduous/Lawn Ground Moraine See Plan Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body >200 Drainage Way >200 Wetlands >50 feet feet feet Property Line >10 Drinking Water Well NA Other - feet feet feet 4. Parent Material: Ablation 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: - Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 84 - inches elevation t5fom111.doc•rev.8/15 Form 11 a Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover } Form 11 - Soil Suitability Assessment forOn-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TF 17-3 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture %by volume Boil Depth{in.} Soil Structure Consistence Other Layer Moist{Munsell} (USDA} Cobbles Depth Color Percent ravel {Moist} Stones I 3 0-6 A 10YR3/2 - - - FSL - - Granular Friable - 6-13 Bw 10YR5/6 - - - FSL - - Massive Friable - 13-98 C 2.5Y5/4 84 5Y5/2 20 SL - - Massive Friable - i Additional Notes: t5form1l.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts E City/Town of North Andover y s Form 11 - Soil Suitability Assessment forOn-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#17-1 Obs. Hole#17-2 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 98 32 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh=Sc—[Sr X(OW.—OWE)/OWrl Obs. Hole# S, Sr OWG OWmax OWr Sh Obs. Hole# SC Sr OWl_ OWE,. 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: See Plan Lower boundary: See Plan inches inches c. If no, at what depth was impervious material observed? Upper boundary: See Plan Lower boundary; See Plan inches inches t5forml 1.doc-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 Form 11 - Soil Suitability Assessment forOn-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#17-3 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) 84 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh=Sc—[S€x(OWE—OWmax)/OW,] Obs. Hole# S. S, OW, OWE OWE Sh Obs. Hole# S.: S, OWC OWMU OWE 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. See Plan Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: See Plan Lower boundary: inches inches t5forml 1.doc•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 Form 11 - Soil Suitability Assessment for on-Site Sewage Disposal Vtf- F. Board of Health Witness Isaac Rowe RS#1217 North Andover Name of Board of Health witness Board of Health C. 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. �( 8/31/2017 Signature of Soil Date Greg Hochmuth, SE#2825 6/30/2019 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, t5forml 1.doc•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts L -_- City/Town of North Andover R" Percolation Test Form 12 ............ Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important:When filling out forms A. Site Information on the computer, use only the tab Sumeeta & Sunit Mukheqee key to move your Owner Name cursor-do not 104,B/118 use the return key. Street Address or Lot# North Andover MA 01845 VQ City/Town State Zip Code -Summeeta.mukherie 978-387-3147 Contact Person(if different from Owner) Telephone Number B. Test Results 8/9/2017 12:01 Date Time —Date Time Observation Hole# Perc I Depth of Perc 2011 + 1811 Start Pre-Soak 12:01 12:16 End Pre-Soak Time at 12" 12:16 Time at 9" 12:22 ........ Time at 6" 12:33 -—-------- 11 Minutes Time (W-13") 4 Minutes Per Inch Rate (Min./Inch) —----- -— —--------- Test Passed: Test Passed: Q Test Failed: El Test Failed: EJ Greg Hochmuth, SE*2825 Test Performed By: Isaac Rowe RS#1 217 Board of Health Witness Comments: .... ....... t5form 12.doc-08/15 Pere Test-Page 1 of 1