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HomeMy WebLinkAbout- Soil Testing Results - 185 MILL ROAD 11/6/2018 immmmmmmrn%'mmx.s TOWN OF NORTH ANDOVER • � „ . office of COMMUNITY DEVI+aLOPIVii{J T AND, SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SurrE 2035 NORTH ANDOVER, MASSACHL)Sls'1"FS 01845 Susan V.Sawyer,RE HS, RS 978.689.9540-Phone Public Health Director 978.688.8476--FAX healthclept(a)t�ownotnorthanpl yff 0na www.towiiofnordiandover.�'om APPLICATION FOR SOIL TENS. AUG0 b ?014. DATE; r,- ''� MAP&PARCEL: ,C.�T A _ f LOCATION OF SOIL.TESTS: OWNER:����-t�- Contact#k: _...-� " ✓f"C� -�'j�O��3�-7 f3,- �t`tl APPLICANT:��t--t C% Contact -...- i ADDRESS; ENGINEER.: 7 P Contact#; � CERTIFIED SOIL EVALUATOR;_.. u-"_—tl� — � ,.. rCc Intended Use ofLand• Residential Subdivisio Single Family Home Commercial NOW Is This: Repair Testfn ✓ t'eveloped Lot Testing: for Addition: , t In the Lake Cochichewick Watershed? Yes o-._. - THE FOLLOWING MUST BE INCLUDED WITH THIS FORM Proof of land ownership(Tax bill,or letter from owner permitting test) Y8.51,x 11"Plot plan &Location of;[esting(please indicate test pit sites on the plan) 1� Fee of$425.00 per lot for new construction.. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 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 j representative. 1 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: Signature of Conservation Agent: Date back to Flealth Department: (stamp in).- � � ` . Lui� 1G� I1 . `f `v. i ti,,� �/• cz- tea , North Andover MIMAP May 12, 2014 098;1i-0079 038.0-0060 17.A-pOG7 b 107.A-0147 107 A=0146°' - 098.B-0080 , t #128 #816 1, 4826 ! "r 107.A-0027 107.A-0026 107.C-001.4 " 1 ''..`. 107.A-0141:: 1a7,A-0060 #826 #27 a1!. / 107.A-0025 1g7.A-0140 107.A-0061 #843 #850 107.C-001 107.A-0063�� #180 107•q-0045 0062 A- ##858 1p7.C-0002 107.A-0064 107. #164 ) #204 107.A-0044 107.C-0087 #190J Mill°Road 9140 -�- 107.A-0024 0 107.C-0088 1 #866 #12 IY� y #kL4 #200 j rr 107.A-0088 107.C-0090 �» 107.A-0046 #165 �? 107.A-0028 ✓' �'� #38 i07.A-Og87 107.C-0003 #143 #163 107.C-0070 ✓ #890 #50 107.C-0080 107.A-0092 62 `" ✓ 107.A-0157✓�#889 two `•�,,,, / 107.C-010.4n 107.A-0089 #68 r� / 10fi C 0091`i<; ✓ `i #910 #90 17.A- - <. 107.E-0056 / f 0156 107.C-0101 107.0 0092 k . t #920 #79 � #90 �� r #971 107.A-0090 " 107,C a1a0 � :107.A-0093 t. �---- 107.C-0093 !! : #915 #112 ''::': 107.A-0055 ? , #100 a� ##940 #91 107.C-0094 107.A-0174 107.C-0099 ^, i . ;;,_• 107.A-0091 #124 yl/ .fir! 107.A-0008 #103 107.112-0095:.•:= • sly: ##960 _. 107.C-0042 107.A-0172 �,•. Ay4 ,tl. 107.C-0098 , �. 'y107 C-pp07 ##939 / 107.A'-p007 ,107.C-0097 107.C-0096 _. ##92 107.A-0171 .}�t .. ".11,v.4.y #115 #963 #960 51,1a. Rail Line Inlerslales Horizontal Datum:MA Staleplano Coordinate System,Datum NAD81, ^^^I Meters Data Sources:The data for this map was produced by Merrdmack "-SR t4oRTH Valley Planning Commission(MVPC)using data provided by the Town of Roads pa 'q North Andover.Additional data provided by the Executive Office of siT•,.xa rsY N� t;i Easements Envlromnanlal AlYairslMassG1S,The Information depicted an this map is (' MVPC Bnundnry r G a 0L for planning purposes only.it may not be adequate for legal boundary O -• 0 definiton or regulatory interpretation.THE TOWN OF NORTH ANDOVER 0 Municipal Boundary MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Trails * THE ACCURACY,COMPLET ENESS,RELIABIUIY,OR SUITABILITY $ 2 :K OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT 0 Parcels * �oqA ,,,�"` Y ASSUME ANY LIABILI IY ASSOCIATED WTH THE USE OR MISUSE OF Hydrographio Features 1 °+All.,•e"4.t,5 THIS INFORMATION -- Streams � ACHUSE� Watands Exempt Lands 1`°=233 ft { $ _ Y t f C3 �`� � `---"'.Pf � ".�!✓il.T�..Y��.(�'r' t,IJ S ,'�`•tl?='tom i _ � _ -.n /� . x � • _ ry -70 ._.. ..ti. fc lvv Llz y.. �+j�/^ {y � r—[—�`l .ff fit— - —.. U� 4. �"Ws—f_��f y.: � � !,✓i ? .~i,"`�: C— -`� �I ! _ tw VY zl- i r --- P I �.. 4-5 Al c O fr7 VIA i i s j e .P ti , L12- -- rs' t S. : j `��i` �:tt' .?.�"{�-'���`'�.ff�-�.•_j3_ �'—tr�- �.._-��-1-. rF !_t�.`�F�f�_ -- /'-''`1F Y `�-.— ,.f., - -- ._ _._.__ ___.. - ------ -- '-' �,? - 1 r � ji.�(p f t, , 3 fa UL LEO F 1�L�1Y.11 FROM, Aw i Irr J1 f 1 C 1 r, .,.- ci ! --� , .r I r4T-I f, i C4 2.2 44 X 227 2,22 aq� DR sr 30' AINAGI 2 4) 12' 11 sp 220.04 X�, 2 r�0,3 2I 227 J2 1� 5221 341 Z?47 >: f,.8Fl w. 216.89 7-9)1� 6 LOT 1 %1 f4 TF EA—4-3'i'JE� S.F. UI 219 BA xx =1 .000 "A-C. c 2 Ea 19 \ V) 5 CE)k:.--32,670 S.F. 210,54 9 5 222.82 I A \219. 2A 21 6'J�N 19 69 )1491 x NEI 83 m 07 2 174 x 2,� Zq.ot 5A 22t,42 IIA 219 —LOT Cc, 2) AREA=43,87 S.F. 1.0073 AC. n8.0 , CBA=�T,' 94 S.F 1 721 9( x 1122.22 ­7 2r X SIA 9 220,43 0 221.07 225, X_ZMf" 21 217 7 220.42 7A t 226. M-55 21 n,47 27108 59 2 v 2nxg 222,23 lt� 708.19 22Z% 220,94 & , I.,. MI'V 20.94 X 22.0$ 222�78 22,64 x 221,13 219 5___ X)" .22 79 X 22t.10 X x ZO I? 20,r4 2 C� 208 13 224 2 A LOT 45. X 221.12 AREA=43,560,\S F\, OT *4- LOT 1"1000 Ok) AUA=4 56 S.F AREA=42,183 S.F. CBA!z-38,53 --O.a68.3s AC. 1. 00 AC: x M�.72 �jq_A V. V/ ­_ 7 1 1 2.9 4- " CBA=3V35r,��T,/ A6§8 YW 2$)("p CRA=35 5 F '-A '41. 82.31 Y. x 221.01 4911 )o — k , It 08,", 9.91 •220 f�2:�,I,4 x V), 2144 yj VTA I 42 219.87 220M >+122,03 ov, \/ 4) 215 94\ Cl) C 20AI, 2 W x 218.20 2? 9 29 70�6S 5.2 210.V 2� 30 '5 4. V Elm ',4',9 17.cl 218.1 217-r,3 4,11, _216.1fl, ,, r. ZM13 Q 0,6 244, t El Cv v tQ '$4 .39 �,Q �16 4 94 LIP#149 t co al 2U7.5J Il'I 3.8 3 214. C% mp x" lr� 7 , 212.9 fI C5 21 Qa" 212 9 6 u1 fJ" ' F i ti IN F _ -_ : IT ti Ali t zz I - . ' GAA _1 i CD a i s - -- _ L7i t I fi{ a E i - j 1 � � - P'~ �.s-�L �4v- ��� f j••1!-i f4�� _.__ _ - -. _-- { � L��.-:�L (�/ i.1_t[� ... ... i `t >-._.. __, � _ �,t., '�� �' ` � r it — — V --- - 7lc�rTti �1 #��_ i E q t _� 1 � � •�—� � ark_ — i� � —�— — - �� z I ! Al ZJ t � • r,.. ^f. a� .C! (`!'.,'Yr �11 ^�'�^f !� �� �"' �.��! �'f��`� 1��I r ,1.._ �"'.'-� � �' _i ..I..,_�S ��'_�fi�� � � k t. 2Z9 3() If-- , 39. 30 .9 S." WAIJ >/ 11 121.05 �11. 2 2.a 2 0 30' DR 7.30- 1 a, 12' A x --- `i�11 ,, I , 20,04 �f 0- -ASCMEN1 7 f, x 716 7031 40 Y.225 03 N221.3AJ X 112,47 Y. x 4 7 21 7.2 LQT 1 M 14 S.F.AREA K M.66, =1,OOOU-AC-- 'CBA,=32,670 S.F. l tom) L0 x 2113 19 4&54 X 22175� X 22:: L() --,x 0.2 J� to 2•U1 219-9 �2TI 5 2A 24�A 22 53 1.74 Q 2 0' ---A4A u X 22 33 x 219,01 cU 2,191 A LOT 2 42 29.4 is AREA=-43,879 S.F. 1.0073 AC. 227,0 2 01 7 �41 22 228 44) az1 7 5Y. S.F 227.94 y 2�A X�21.16 4 9A W 727.2c :v 43 225.03) 21137, 7A x 2�"6. 211 220.42 6.22 .4 •2(4- 111A �11 / t7 1, 222.08 c 4 21�43 71 X 221AZX 7�0'80 222. 7;71<1 4 21z 23. X "ie , 208.10 2 22,06 220.94 226.87 220.94 X 22.1',% 221.64 X 22t.13 212,26 x 219- 22 79 x X�z 9 X 221,10 x 20D 17( X 2(1171( I ;) X 219.64 21.2 17 '- 200.18 z22 224 17 A.W \/ZA A"' 1 X 222-34 -XImt 4� LO K 5 /fix ,�REA=43,560\ 1*4- LOT /2it'kj 73.06 /P 00oo ARFA=4 5 S.F. AREA=42,183 S.F. 15 CBA=38 53 =1. 00 AC 0.9,68.& AC,22-3 72 1 R nieq =,3,%f)3 5 r-!�Ff x 48.46% CBA=35, 5 CBA rlA \ I 215-96 22:? 820 ;�82,3 A. 7-A 220.0 A60.11(1 1 .14.18 0 2 1 2W.08X, 4, 20 3.3. /,1> 222,Dl A- "X2164 222,20 0.97 4A to \1, 21.36 1,220., x 21�42 21449 Uf. '4 1 -154 222.03 2077 22T59 -Vv (3) u) 2 4 9.3M6 x 2 15 21) 7\0 66 217M X 22D. 21 Y.21 5/0 21, 97 1�0 '9 )v a 14.9 3 0) '2 Gu 6 2150 20' r tIAk V W , 217 21 87 21 /c, V. 17' 21 7 4.S > 7.') - 1�-J9 20 U\4 VC '4(' - 210 1:�- 15 2'6 7.07.43 -,< 14.50 16 4 09. '71 Ib rZ' J . .er "21 4 3 am 21- 'j 2`1-3 3 ZIT. 14A 07'2'9"�' c &' -, 0, s. 14. 1A, 7, 2C 1 CS b?>"> 1- - MA -- � ' 1- �ne,Is I�.aL 10.44l'p - 212 1 '107 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Owner Name r) Street Address Map/Lot City State Zip Code B. Site Information 1. (Check one) /New Construction Fj Upgrade ❑ Repair 2. Published Soil Survey Available? No If yes: V Year Published Publication Scale Soil Map Unit Soil Name Soil Limitations 3. Surficial Geological Report Available? El Yes Sr/No If yes: Year Published Publication Scale Map Unit jluz (a "�D L)& Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? iYes F7 No Within the 1 00-year flood boundary? D Yes ❑ No Within the 500-year flood boundary? E] Yes E No Within a velocity zone? El Yes No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions (USGS): Month/Year Range: El Above Normal 2"Normal E] Below Normal 7. Other references reviewed: Soil Evaluation Forms.doc-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 8 Commonwealth of Massachusetts Cityffown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) -F-14 6V15 Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole: Location (identify on plan): 2. Land Use (e.g.,vv-oodiand,agricultural field,vacant lot,etc.) Surfaci-Ston-es Slope -Vegetation Landform Position on Landscape(attach sheet) > 3. Distances from: Open Water Body Drainage Way Possible Wet Area 7e—et feet feet Property Line ;An Drinking Water Well Other feet feet feet L'I"', - -1 No 4. Parent Material: — I � Unsuitable Materials Present: C2 Yes E If Yes: El Disturbed Soil VFF'ill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock F1 Bedrock 5. Groundwater Observed: Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation Soil Evaluation Forms.doc-rev. 1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 Commonwealth of Massachusetts -_ City/-rown of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: � Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (modes) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munsell (USDA) Structure Consistence Other Y { ) Depth Color � Percent ) Gravel Gobbles 8� (Moist) i Stones SE ` r#3 �tf tlr°� � t Cyr• • �p s Additional Notes: Soil Evaluation Forms.doc•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of Form 11 Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Date Time Weather 1. Location Ground Elevation at Surface of Hole: Location (identify on plan): 2. Land Use V�,ZA QT L-gv,� (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Vegetation Landform Positicrn-on Landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way Possible Wet Area >, feet feet feet Property Line Drinking Water Well 1�1 Other feet' feetk:cl> feet 4. Parent Material: Unsuitable Materials Present: Yes E] No If Yes: 171 Disturbed Soil Fill Material 171 Impervious Layer(s) 0 Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: [?/Yes E] No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation Soil Evaluation Forms.doc-rev. 1/1 Q Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 <L\\ Commonwealth of Massachusetts v , City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munseil (USDA) Structure Consistence Other y ( } Depth Color Percent ) ravel Cobbles& (Moist) Stones " 15 If V , Pwy%Le Additional Notes: Soil Evaluation Forms.doc•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ r1epth weeping from side of observation hole A. B. inches inches Depth to soil redoximorphic features (mottles) A. B. inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. Does t least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil abs ption system? Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: Lower boundary: inches inches Soil Evaluation Forms.doc•rev.1110 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts CityfFown of 4P Form I I - 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 15.0.17. 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. k Signs ure o f ) valuat Date Typed o rinted Name of Soil valuator!License# Date of Soil Evaluator Exam A Name of Board of Health Witness Board of Health 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. Soil Evaluation Forms.doc•rev. 1110 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of K Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: 47C YuAt) V A-n cO Soil Evaluation Forms.doc-rev.1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal Page 8 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) I lir I P1,( a Deep Observation Hole Number: e>_ kki Date Tim6 We1�7U 0 C- ather 1. Location Ground Elevation at Surface of Hole: Ve2. Location (identify on plan): to 44 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope-(%) nmj2 4 L,&->;;,Z Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body et feet Drainage Way > r)r> Possible Wet Area I fe feet Property Line 242 Drinking Water Well -� —Cr'> Other L." feet feet feet 4. Parent Material: Unsuitable Materials Present: ❑ Yes No If Yes: F1 Disturbed Soil E] Fill Material E] Impervious Layer(s) n Weathered/Fractured Rock El Bedrock 5. Groundwater Observed: Yes El No If yes: 1,;2 Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater- inches elevation Soil Evaluation Forms.doc-rev. 1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 Commonwealth of Massachusetts City/Town of Q Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other } Cobbles� (Moist) Depth Color Percent Gravel Stones MAW 1 1 E Additional Notes: Soil Evaluation Forms.doc•rev. 1t10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of Form 11 - Sail Suitability Assessment for On-Site Sewage Disposal C. On-Site-Review (continued) Lr Deep observation Hole Number. � Date Time Weather 1. Location Ground Elevation at Surface of Hole: Location (identify on plan): P AAA 7°` 2. Land Use �- (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope f / � € 6' Vegetation Landform Position on'Landscape(attach sheet) 3. Distances from: Open Water Body Drainage Way Possible Wet Area feet feet feet Property Line Drinking Water Wellt Other feet feet feet g 4. Parent Material: Unsuitable Materials Present: © Yes If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 4 `• p 5. Groundwater Observed: I�J Y ❑ (V e5 o If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: �y inches elevation Soil Evaluation Forms.doc•rev. 1/1 d Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 m Commonwealth of Massachusetts Cityfrown of w Farm 11 - Soil Suitability Assessment for On-Site Sewage Disposal r� C. On-Site Review (continued) Deep Observation Hole Number: T_ 1 Redoximorphic Features Coarse Fragments Soil Horizon!Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist Munsell (USDA) Structure Consistence Other Y { ) Depth Color Percent } ravel Cobbles (Moist) Stones ate . { Additional Notes: Soil Evaluation Forms.doc•rev. 1!1 d Form 11 •-Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts Cityfrown of ,! Form 'I I - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: B. ❑ Depth observed standing water in observation hole in A.ches in. ches A. 6_ ❑ pth weeping from side of observation hole inches inches Depth to soil redoximorphic features (mottles) P inches inches ❑ Groundwater adjustment(USGS methodology) A. B. inches inches 2. Index Well Number Reading Date Index Well Level Adjustment Factor Adjusted Groundwater Level 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 abZsorn system? ❑ No b: If yes, at what depth was it observed? Upper boundary: es Lower boundary:mcn inches Soil Evaluation Forms.doc•rev. 1110 Form 11—Soil Suitability Assessment for On-Ste Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of 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 A. Site Information forms on the computer,use CA only the tab key Owner Name to move your cursor-do not use the return Street AdIrss #or Lot Zip ode I e key. � ll c City/Town state Contact Person(if different from Owner) T e(e 5ph o5n RN b e 04 B. Test Results Date Time Date Time Observation Hole# 1 ` Depth of Pert Start Pre-Soak End Pre-Soak Time at 12" Time at 9" Time at 6" 12-409 Time(9"-6") Rate (Min./Inch) - Test Passed: Test Passed: Test Failed: ❑ Test Failed: ❑ Test Performed By: Witnessed By: Comments: t5form 1 2.doc-06/03 Perc Test-Page 1 of 1 1 -75 '6U SUA4 i t-� li05 t.1JPOGRAP c"}AT(),M EA`3"S*0!tL N.A.f.O-ESTXEI$EO g.w5 TS EENCN<ARK hS U.,i.tN UP 05-33 i',uA)•E:L:A'CN- =.10 i.Sa N,-:lt ttQRTN ANY;pN>'fi ASSE�+:mS vAP k.'a`.A LOT�?9 S it..A ifl �t 'V C:£ 'e ARNt'V. $? o +x BM ,9J}l PAS F`1 L*c-i 0 C .AN :AeJ ?OEG t ♦ Nz+ROOK#1366 PACT, ACT D.RD A'.,PLAk#sO}-`Es. RC why ¢`t, iF a nt%,ANOS DWIE-2, E'*LEN-LA-1--, 9ASHANE..wSs,?7ATLS. i` ror rre Sr _ t rip - E.;' ^i»isTAsiE_ft.APkL 4.Z014 k-.'•! 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F Abb'� T$MHIHiC aattNT[I�NWr G M PIl maaa«n' a�miAmc Aa TM S 07A f q' -- ti + As ImY aEaumYc+PPNsw,umu a�s+ vasi u acr TL 28 / .,2 �� ` 1 .d mieaaNw�raffiawu m'�No°�a`.wn.invert xr xme neaa §.� j zuaNe axiw um ae+aa..am+i rj cor , s+anays L fl t 4 rrecuin»a w ne masmr a - a I 1p LOT 28 \ �01 A:V— Y� t i<z r t PLAN OF LAND NORM ANDOVER, MASSAMUSETTS CAROLF:R RE=A Q P fAT" 9i?S iaPeST,.S1Y0 YS.kP18`la'E � Y 1 m�rr r-ra' v CX W�'RWQ SfRP1CFS �PiiC 5!Rffi ilYaarD[ltiSr'Q atdFa 107.C-0002 - - 107.A-0060 107.A-0140 8SO JOHNSON STREET 843 JOHNSON STREET 107.A-0061 107.A-002S f t1ORTN 4 0�Sao:•.�O 107.A-0063 358 30KNSON STREET M c 4 #i 7} 180 MILL ROAD 204 MILL ROAD 107.A-0062 s - 851 JOHNSON STREET 107.A-0045 .��*e,r{�o 107.C-0001 107.A-0064 i`rSACNUS�� - 190 MILL ROAD 233' 164 C3 mvpc Baand MILL ROAD +52` ay C3 Mantnpw Baenday 107. n C-0087 Mill Road Red una IInniarsiales 107.A-0044 -tAaor Road � 14F 1 -Roads - a9• w 12 FARNUM STREET t 3 EaaemmtEs �<' n m � :� ❑Parcels SIP OAD 5�. 0 3 '`HydrogrnpNC Foalares f aS +� •, C.� j Streams weHards 24 FARNUM STREET Exempt Leaft 07.C-008& 3 150` q 865 JOHNSON STREET a 107.A-0024 53 d' t m @.MILL ROAD JfJ ' Y107.A-0294 2 151• ©2, 4 /( 165 MILL ROAD - \ 4' t 107.C-0070 \ } rv' ,l 107.A-0092 107.A-008{ 353 MILL ROAD j'yq 1 890 JOHNSON STREET l N t311 07.C-00 3 f07.C-0OSD &JOHNSON STREET - 0 `p - g 107.A-0293 _ S NAD8niai tom Dim,Slakpia.^.a edato foe System.W!um ..�,:. NAD&3,?Aokts Data So:uoos:The lain for L*.€s mop was 54TUCKER FARMROAD - b¢; producetl Dy Metdmaak Valley Farming Co.:mHssinn(MYPC) wig data pmvded Ay 9w Town at North Andover.Additional 107.0 010 data P idnd by the Exacc@ve Cake of EnvirocmenWl 4 q 910 3OHNSON STREET f A fa rstytas GS.The information depicted on this map is for 107.A-0089 Pormdary daNdlFon or MV2t in Eeadegoata for TOWN c ti �, grdatarp intaryrvbt`�.THE TOWN OF -1 Y07.A-0157 _- 107.C-0103 S.- N NORTH ANDOVER A".AKEB NO WARRANTIES.EXPRESSED ; 68TUCKE1K FA ¢3R�tTAO = :� `o- OR IMPLIED,CONCERNING THE ACCURACY, t _ ::.- " .;._.+ tp, B89 JOHNSON:STREET - COMPLETENESS.RELIABILITY,OR SUFTRBIUTY OF THESE '`!" DATA THE TOWN OF NORTH ANDOVER DOES NOT 901 JOHNSON STREET / ASSUME ANY LIAeWTY ASSOCIATED WITH THE USE OR M75USE OF THIS 4vFORNIATION k 107.A-0156 76 TUCKER FARM ROAD -107.C-0092 yU. 1..3 .A-0093 { _ 90 TUCKER FARh9 ROAD 107.C-0093 iQ7.A-0090 07.C-0100 200 TUCKER FARM ROAD \ \ 920 JOHNSON STREET North Andover MIMAP .lull@ 28.2017 ON STREET 5