The URL can be used to link to this page

Home My WebLink About- Miscellaneous - 404 SUMMER STREET 1/24/2019 ID C �; c:ol nrrrl hdIICIN+I "�: rrn�, nt y nic l ev��lopinent C�t�)It.�N""t-t ) 1[�"�()�i`t.:?fa�� Streett 20 , MA SACilt,l f.,,'[°I S 01 4; 978M8.9540 Phone " 978M8M42..._FAX E-MAIL [icalt[Ndel)t(�i)riotttia i(iovet-ina.govSEPTIC 131,AN SUBMITTAL 1 t j CORM f i I Date of Submission: 1/15/2018 Site Location: 404 Summer St. ....__.............__............._.._...... ........_ _.... Engineer: Doug Smith-Soilsmith Designs New Plans? Yes X ;275/flan Check � (inclucles Ist submissiol7 and one re- review only) Revised Plans`?Yes $125/Plan Check# Site Evaluation Forms Included? Yes X No Local Upgrade Form Included? Yes _.. ......_.. No X Telephone#:603-487-2298 Fax#: F -mail:Soilsmith@aol.com Homeowner Name: Jay Sousa (: FFICE USE ONLY When the s tf n ission is complete (including check): { Date stamp plans and letter Complete and attach Receipt Copy File; Forward to Consultant Enter on Log Sheet and Database i ID \A bar, Doatglcas J. Sii ilh R. K ale ,�i;filh 98 Ifhilliri lor7 Slivel A,htnche lee, Alf/ 0 3104 (60 3) „187--2 398 ,I oil li ilh(�a), aol,coara January 15,2018 North Andover Board of Health 120 Main St North Andover, MA 01845 Re: Variance Request for Jay Sousa 404 Summer street Date of plan - 1-4-2018 Dear Board of Health: Please accept this letter as my request for consideration for below variance. North Andover regulations require the soil absorption system to be 100' from wetlands. We are requesting a variance to have the system 75.4' from wetlands at the closest point. This will allow the soil absorption system to be at the best soil conditions and the most suitable area on the property. Thank you. I appreciate your consideration. Sincerely, Douglas J. Smith CWS RS SE Commonwealth of Massachusetts City/Town of North Andover Form - Soil Suitability ssess ent for On-Site Sewage Disposal A. Facility Information Jay Sousa Owner Name 404 Summer Street zk, 107-A lot 22 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: Web 70A Source Soil Map Unit Ridgebury Soil Name Soil Limitations till 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 & Within a Mapped Wetland Area? El Yes Wetland Data Layer:Yes ® No Wetland Type 7. Current Water Resource Conditions (USGS): Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Year 8. Other references reviewed: t5form1l north andover•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts CityfTown 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: 1 12-6-17 9:00 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 101.02 Latitude/Longitude: / feet Description of Location: back of property 2. Land Use house lot few 5°fo (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body none Drainage Way none Wetlands 95, feet feet feet Property Line 22' Drinking Water Well none' Other feet feet feet 4. Parent Material: till Unsuitable Materials Present: ED Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: El Yes E No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 30" 98.52 inches elevation t5form1l north andover-rev.8f15 Form 11 --Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover Ft = For - Soil Suitability ssesS et for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hale Number: 1 Coarse Fragments Redoximorphic Features , Soil Soil Horizont Soil Matrix:Color- Soil Texture la by Volume Depth(in.) Layer Moist(Munsell) (USDA) Cobbles, Soil Structure Co(Msoist) other Depth Color Percent Gravel Stones ) 0-12" A 10YR3/3 sandy loam gran friable 12"-23" B 10YR5/6 sandy loam granular friable 23'-96" C 2.5Y5/6 30" 7.5YR5/8 5% Loamy sand i i Additional Notes: t5fomm11 north andover•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts n City/Town of North Andover sy Form 11 - Soil Suitability Assess a forOn-Site Sewage Disposal 4(44 G. On-Site Review (continued) Deep Observation Hole Number: 2 12-6-2017 9:30 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 101.16 Latitude/Longitude: t feet 2. Land Use house lot few 6% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones, boulders,etc.) Slope Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body none Drainage Way none Wetlands 95' feet feet feet Property Line 31" Drinking Water Well none Other feet feet feet 4. Parent Material 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: 32" 98.50 inches elevation t5form11 north andover•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts A Cityffown of North Andover a Form I I - Soil Suitability Assessment for On-Site e e Disposal C. On-Site Review (continued) Deep Observation Hole Number: 2 Coarse Fragments' Redoximorphic Features fl Soil Soil Horizon/Soil Matrix:Color- I Soil Texture to by Volume Depth{in.} Layer Moist(Mansell} (USDA} obbles Soil Structure Consistence Other Depth Color Percent Gravel (Moist) Stones i 0-11" A 10YR3/3 sandy loam granular friable 11"-23" B 7.5YR5/6 sandy loam granular friable 23"-96" C 2.5Y5/4 32" 7.5YR5/8 5% loamy sand i friable i Additional Notes: t5form11 north andover•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts r City/Town of North Andover Form 11 - Soil Suitability Assessmentfor -Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#1 Obs. Hole#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) 30" 32" inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh=Sc—[Sr x(OWC—OWmax)IOWrl Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Sc Sr OWc Owmax 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 north andover•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts Cityffown of North Andover For 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: 3 12-6-17 9:45 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 101.55 Latitude/Longitude: feet Description of Location: near pool 2. Land Use house lot few 5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body none Drainage Way none Wetlands 77' feet feet feet Property Line 24' Drinking Water Well none' Other feet feet feet 4. Parent Material: till Unsuitable Materials Present: ❑ Yes 0 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: 48" - 97.55 inches elevation t5form 11 north andover-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover ' FO 11 - Soil Suitability Assessment for On-SiteSewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 3 Coarse Fragments Redoximorphic Features o Soil Soil Horizon/Soil Matrix:Color- Soil Texture 1Q by volume Depth{in.) Soil Structure Consistence Other Layer Moist(Munsell) (USDA) Cobbles Depth Color Percent Gravel {Moist) &Stones 1 0-16" A 1 OYR3/3 sandy loam gran friable I 16°-37" B 1OYR5/6 sandy loam granular friable 37"-96" G 2.5Y5/6 48" 7.5YR5/8 5% Loamy sand i i I Additional Notes: t5form11 north andover•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover 311 4Form I I - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 4 12-6-2017 10:00 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 101.65' Latitude/Longitude: l feet 2. Land Use house lot few 6% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body none Drainage Way none Wetlands 80' feet feet feet Property Line 28" Drinking Water Well none Other feet feet feet 4. Parent Material: till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes M No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 48" 07.55 inches elevation t5form1l north andover•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 1 I tail Suitability Assessment for On-Site e a Disposal C. On-Site Review (continued) Deep Observation Hole Number: 4 I Coarse Fragments Redoximorphic Features i i Soil Soil Horizon[Soil Matrix:Color-I I Soil Texture Jo by Volume Depth(in.) Layer Moist{Mansell} {USDA} �obbles Soil Structure Consistence Other Depth Color Percent Gravel (Moist) Stones i 4-9" A 1OYR3/3 sandy loam granular friable T-22" B 7.5YR5/6 sandy loam granular friable i 22"-96" t C 2.5Y5/4 44" 7.5YR5/8 5% loamy sand friable I Additional Notes: t5forml 1 north andover-rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts ;; City/Town of North Andover or 1 - Soil Suitability Assessment forOn-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#3 Obs. Hole#4 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 48" 44° inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh= Sc—[Sr x(OWc—OWmax)/OWrl Obs. Hole# Sc Sr OWc OWmar OWr Sh Obs. Hole# Sc Sr OWc OWmax 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 north andover•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts CitylTown of North Andover t{ Form 'I I - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#3 Obs. Hole#4 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 48" 44" inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh= Sc—[Sr x(OWc—OWmax)/OWr] Obs. Hole# Sc Sr OWc OWmax OWr Sh Obs. Hole# Se Sr OWc OWmax 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 north andover•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 }f 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. 5 12-6-17 10:40 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 99.86 Latitude/Longitude: / feet Description of Location: front yard 2. Land Use house lot few 5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body none Drainage Way none Wetlands 132' feet feet feet Property Line 50' Drinking Water Well none' Other feet feet feet 4. Parent Material 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: 52" 84"5 Depth Weeping from Pit Depth Standing Water in Hale Estimated Depth to High Groundwater: 15" 98.61 inches elevation t5form11 north andover•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts ^; City/Town of North Andover is Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 5 Coarse Fragments a Soil Horizon!Soil Matrix:Color- Redoximorphic Features Sail Texture to by Volume Soil Depth(in.) Layer Moist(Mansell) 1 (USDA) Cobbles Soil Structure Consistence Other Depth Color Percent Gravel (Moist) &Stones 0-8" A 1OYR2/2 sandy loam gran friable i 8"-24" B 7.5YR3/4 151f sandy loam granular friable i 24"-86" C 10YR4/4 Loamy sand i i Additional Notes: t5form1 1 north andover•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal Page 3 of 8 ............. ...... Commonwealth of Massachusetts w?; CitylTown of North Andover r,. Form 1 - Soil Suitability Assessmentfor On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 6 12-6-2017 11:00 sunny Date Time Weather 1. Location Ground Elevation at Surface of Hole: 99.76' Latitude/Longitude: 1 feet 2. Land Use house lot few 6% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope Vegetation Landform Position on Landscape{SU,SH,BS,FS, 3. Distances from: Open Water Body none Drainage Way none Wetlands 135' feet feet feet Property Line 49" Drinking Water Well none Other feet feet feet 4. Parent Material: 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: 52" 72" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 15" 98.51 inches elevation t5fom711 north andover•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover k� -- For - Sail Suitability Assessment for On-SiteSewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 6 Redoximorphic Features Coarse Fragments Soil I Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Depth(in.) Soil Structure Consistence; Other Layer Moist(Munsell) (USDA) Cobbles Depth Color Percent ravel (Foist) &Stones 0-12° A 1(}YR212 sandy loam granular friable 12"-22" B 7.5YR3/4 sandy loam granular friable 22"-88" C 1 OYR4/4 15" 7.5YR5/8 5% loamy sand friable i i l Additional Notes: t5form11 north andover•rev_8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover 1113 Form 11 - Soil Suitability Assessmentfor On-Site Sewage Disposal F. Board of Health Witness Isaac Rowe North Andover Name of Board of Health Witness Board of Health G. 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. January 4, 2018 Signature of Soil Evaluator Date Douglas J Smith ma se 2267 2019 Typed or Printed Name of Soil Evaluator I 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 north andover•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover Form ' 1 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t5form11 north andover•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Commonwealth of Massachusetts City/Town of North Andover 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 A. Site Information filling out forms on the computer, use only the tab Jay Sousa ------ ................ ............... .................... key to move your Owner Name cursor-do not 404 Summer Street use the return Street Address or Lot# ...................... key. North Andover Ma 01845 City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results Dec 6, 2017 10:24 Dec 6, 2017 10:30 Date tire 'bite Time Observation Hole# A ------------------ B Depth of Perc 69" 4011 ......... Start Pre-Soak 10:24 10:30.......... 0:39 End Pre-Soak ....1...... 10:45 Time at 12 10:39 10:45 " 10:43 10:59 Time at 9" -------- Time at 6" 10:48 11:10 Time (9%6") 5/3 11/3 Rate (Min./Inch) faster than 2 min per inch 4 min per incj Test Passed: Test Passed: ❑ Test Failed: El Test Failed: E] Doug Smith Test Performed By: Isaac Rowe ............ Board of Health Witness Comments: Perc C depth 36" deep could not presoak -----_-_------------ ---__-_---_--- t5form I 2.doc-08/15 Perc Test-Page 1 of 1 E ' I r y 1 Town of North Andover HEALTH DEPARTMENT �. �'¢SMGNUstt CHECK#. 1.J.1__7 DATE: r„ f LC7CATlOI '° ` H/O NAME: CONTRACTOR NAME; Yd..,� .. T . e a( "erniit or License: (Check box) ❑ Animal $ ❑ Body ArtEstablishment $ ❑ Body Art Practitioner $ ❑ Dempster $ Food Service-Iype: — $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)hauler $ ❑ Recreational Camp ❑ Sun tanning $ y ❑ Swimming Pool $ ❑ Tobacco $ ❑ Traslr/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC S?ostems: ❑ Septic-Soil Testing $ ° CJ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) ------77 7r Health A t Initials White-Applicant Yelluzv-Health Fink-Treasurer