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Home My WebLink About- Application - 2 BANNAN DRIVE 2/7/2019 f • �Y"tlKk J�d,�, i Iij b t rl Community & Economic Development HEALTH DEPARTMENT 120 Main Stivet 4 NORTH ANDOVER,.MASSACHUSETTS 01845 4 978.688.9540 -Phone 978.688.9541- FAX i E-MAIL:licslthdept rt nortliandover-in,,t,gov 1 WE„3S1T"t: Ittt,if/�v�vty.a7c�rtE�aiaciov_err,q�'g_ov, SEPTIC PLAN S1J13MITJf'AL FORM Date of Submission:7/31/2018 Site Location:2 Bannan Drive c Engineer:Thorsen Akerley New Piaals`I Yes x $275/P.lan Check #108_ _(includes I"submission and one re- f review only) Revised Plans?Yes $125/Plan Check# Site Evaluation Forms Included? Yes X _ No - - i Local Upgrade Born Included? Yes No x Telephone##:(508) 843-0999 Fax#: E-mail:takerley@wsenglneers,com x Tlaxneowner Name:Michael Sposito i - ,w.n t Off ICE USE ONLY When the " ission is complete (including check): > Date stamp plans and letter > Complete and attach Receipt 1 _Copy Pile; Forward to Consultant /r Enter on Log Sheet and Database 'I i 1 r i i i Transmittal Letter Williams & Sparages July 31, 2018 189 North Main Street, Suite 101 Middleton, MA RECEIVED Phone: 978-539-8088 WILLIAMS � � sPAIznGEs Fax: 978-539-8200m ?01 TOWN OF NOR'flI ANDOVER 5 D'.PAR WENT To: North Andover Board of Health Attention: Brian LaGrasse 120 Main Street North Andover, MA 01845 Re: #2 Bannan Drive Septic design Job Number: NAND-0066 ...��.,�_...___�._�__��...e._mm...��..�_...._...�. We are sending .you 0 Attached mmm ^❑ Under Separate Cover via: [Type text here µm p ] the following: p ._.Drawings ❑ Prints 0 Plans ❑ Other: ❑ Copy of Letter ❑ Change Order ❑ Samples ❑ Total Quantity ❑ Reproducible ❑ Specification Submittal Quantity date. .._ G, # Description .W 8 (2 Sheets) Septic Repair Plan - #2mmBannan Drive 1 7/23/2018 DEP Title 5 Long Form __. _ .. . 7/23/201__ _.. . _. ___. __ . .... _ .�..�8 n_._._...._�Form 11„Soil Suitability Assessment .n.........._-.__ �w 1 7/23/2018 Form 12 Percolation Test These are transmitted�m as checked belsrvv��. ...,_�mm�� CAI For Approval � ❑ Approved as Submitted0 Resubmit copies for � p approval ❑ For Your Use ❑ Approved as Noted ❑ Submit [#] copies for distribution ❑ As Requested ❑ _Returned for Corrections ❑l Return [#] corrected prints ❑ For Review and Comment ❑ Revise and Resubmit/Work May Not Proceed ❑ FOR BIDS DUE: ❑ PRINTS RETURNED AFTER LOAN Comments: ---.....___... Copy to: Len Carpenter Michael Sposito Z1,1 _ Signature Thorsen Akerley Commonwealth of Massachusetts CitylTown of North Andover Farm 11 - Soil Suitability Assessment for On-Site Sewage Disposal t� DOVERDE A. Facility Information Len Carpenter Owner Name 2 Bannan Drive Map 38 C Block 104 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: USDA NRCS 421 B Source Soil Map Unit Canton None Soil Name Soil Limitations Coarse-loamy over sandy or sandy-skeletal Ground Moraine Soil Parent material Landform 3. Surficial Geological Report Available? ® Yes❑ No If yes: MassGIS Oliver Till or bedrock Year Published/Source Map Unit Canton fine sandy loam, 0-8 percent slopes, very stony (421 B) Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No 5. Within a velocity zone? ❑ Yes N No & Within a Mapped Wetland Area? El Yes yes, MassGIS Wetland Data Layer:Yes [Z No wetland Type 7. Current Water Resource Conditions (USGS): 7/12/18 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 i City/Town of North Andover 7 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 18-1 7/12/18 11:15 Sunny, 80 42.673523 -71.092094 Hole# Date Time Weather Latitude Longitude: Residential lot Lawn None 10% 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 over sandy or sandy- Moraine SH skeletal Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body 100+ feet Drainage Way 100+ feet Wetlands 100+ feet Property Line 10+ feet Drinking Water Well N/A 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 I Coarse Fragments b Volume Redoximorphic Features o Ia Soil I Depth(in)' Soil Horizon Soil Texture Soil Matrix: Color- Soil Structure Consistence Other Cobbles& Depth Color Percent Gravel Stones (Moist) 0-11 A FSL 10YR 3/2 11-21 Bw FSL 10YR6/8 { 21-102 C LS 7.5YR 718 10% I i i � � I I I Additional Notes: Roots to 75" no ESHGW Form 11 -Soil Suitability•rev.3/15I18 Form 11 Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 Commonwealth of Massachusetts lP, City/Town of North Andover Foam 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-2 7/12/201 11:45 Sunny, 80 42.673523 -71.092094 Hole# 8 Time Weather Latitude Longitude: Lawn 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 Lawn area along driveway in side yard Description of Location: 2. Soil Parent Material: Coarse-loamy over sandy or sandy-skeletal Moraine SH Landform Position on Landscape(SU,SH,SS, FS,TS) 3. Distances from: Open Water Body 100+ feet Drainage Way 100+ feet Wetlands 100+ feet Property Line 10+ feet Drinking Water Well N/A 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 Coarse Fragments Soil Horizon Soil Texture Soil Matrix: Redoximorphic Features o Soil Depth(in) to by Volume Soil Structure Consistence Other er/La USDA Color-Moist Y (USDA) (Munsell) Depth Color Percent Gravel Cobbles �tones i (Moist} 0-8 A FSL 10YR 3/2 8-23 Bw FSL 10YR 6/8 j r23-95 C LS 7.5YR 7/8 I 10% i 1 I Additional Notes: No ESHGW 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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of tvvo holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: TP 18-3 7/12/18 1:00 _Sunny, 8.0 42.673523 -71.092094 Hole# Date Time Weather Latitude Longitude: 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 over sandy or sandy- Moraine S f1 skeletal Landform Position on Landscape(SU,SH,SS,FS,TS) 3, Distances from: Open Water Body 100+ feet Drainage Way 100+ feet Wetlands 100+ feet Property Line 1 Q+ feet Drinking Water Well NIA feet Other feet 4. Unsuitable Materials Present: 7 Yes Z No li Yes: El Disturbed Soil 71 7'111 Material ❑ Weathered/Fractured Rock 7 Bedrock 5. GroundNater Observed:E] Yes Z No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Coarse Fragments Redoximorphic Features Soil Soil Horizon Soil Texture !Soil Matrix:Color- Cob Volume i Depth(in) Soil Structure Consistence Other Cobbles /Layer (USDA i Moist(Nurse((} Depth color Percent Gravel ( Stones Moist) A 7 L Additional Notes: NoESHW Form 11 -Soil Suitability-rev,3/15118 Form I I—Soil Suitability Assessment for On-Site Sewage Disposal Page 2 of 6 Commonwealth of Massachusetts IT City/Town of North Andover Form 11 - Soil Suitability Assessment for On-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) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches (USGS methodology) Index Well Number Reading Date Sh s Sc—[Sr X (OWc—OWmaxyowr] Obs. HoleMell# Sc Sr Owc Owmax Owr Sh 2. Estimated Depth to High Groundwater: 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 ❑ N o b. If yes, at what depth was it observed (exclude A and O Upper boundary: 8 Lower boundary: 102 Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches Form 11 -Soil Suitability•rev.3/15118 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 Commonwealth of Massachusetts i r CitylTown 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. 1 further certify that the results of my-,so my-,soj evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. _ � " � V `} 7/12/2018 Signa' valuator Date Thorsen Akerley, R.S. /#14016 7/1/2019 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-rev.3115/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5 Commonwealth of Massachusetts City/Town of North Andover Ea 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 f 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 Len Carpenter key to move your Owner Name cursor-do not 2 Bannan Drive use the return key. Street Address or Lot# North Andover MA 01845 jab City/Town State Zip Code Williams & Sparages, LLC _ �9 8) 539-8088 Contact Person(if different from Owner) Telephone Number B. Test Results 7/12/2018 1:00 PM Date Time Date Time Observation Hole# P-1 @ TP-2 Depth of Perc 26" + 18" 44'" Start Pre-Soak 1:02 End Pre-Soak 1 17 Time at 12" 1:17 Time at 9" 1:33 Time at 6" 1 51 Time (9"-6") 13 mins Rate (Min./Inch) 6 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: [� Thorsen Akerley, R.S. Test Performed By: Isaac Rowe, R.S. Board of Health Witness Comments: 1 t5forrr.12.doc•08/15 Pere Test•Page 1 of 1 �yy too Town of North Andover HEALTH DEPARTMENT 13sACHw' 'i CHECK: LATE: � � ° LOCATION * , H/O NAME: .. "L2 a.. rv. CONTRACTOR NAME: Tvve of Permit c"r L,icense;(Check box) ❑ Animal ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service Funeral Directors ❑ Massage Establishment $ A ❑ Massage Practice $_ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco ` $ ❑ Trash/Solid Waste Hauler $_ � ❑ Well Constructions $ SEPTIC Sy�tem.�: ❑ Septic-Soil l"estinng $ Septic-Design Approval $ , 2 ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ i ❑ Other:(Inndicate)._,_.. __._—_,.._. $ H attli''Agent Initials White-Applicant Yellow-Ilealth Piny-w Treasurer