HomeMy WebLinkAboutSoil Test Application and results - 203 Mill Road aka 865 Johnson St - Soil Testing Results - 203 MILL ROAD 6/5/2019 r
TOWN OF NORTH ANDOVER
oDEVELOPMENT A]XD ffice SERVICES
DEPARTMENTHEALTH
1600 OSGOOD STREET; SUIITE 20315
NORTH ANDOVER,, MASSACRUSETTS 0 1845
t
Public Health Dr r
health
APPLICATION FOR SOIL � yes 1
TESTS. pp
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MAP&PARCEL. 7A
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LOCATION OF SOIL TESTS.
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ADDRESS:
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ENGINEER #.
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RII SOJIL � � �
Intended� � � Residential Subdivi i Singh.�� ril om_auL, 2 On
� ercial
is,-. Repair Testl Lot Testing:
W
eveloped
In the Lake Chihwi Watershed.? Yes 11"0
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
Proof of lane ownership(Tax bl ,or letter fi-loin owner pennittingtest)
'. " .1"'Plod ' � Location n � r�r t test p es on h r
Fee of . �newconstruction. minlimum,two deep holes and
two percolation tests required it for each disposal,area.. Fee r "erI lot forfe-I-s or upgrades.
GENERAL O T
Only Certified Soil.Evaluators may perform deep hoIle inspections.
Only mass.Registered Sanitarians and Professional Engineers can design septicplans.
systemAtleast two deep holes,and two perciolation tests are requiredfor,each septic disposal area.
Repairs require at least two deepholes nd at least one percolation test, t the discretion of the
BOH
rrnt .i .
Full,payment wiii"be required forall.additional tests within two,weeks off'testing.
Within 45 days of testing,a scaled plan(no smaller than F'- ' shall be submitted to thie Board of Health
showing the location all tests(including aborted tests).
Within 60 days of testing siold,evaluation forms shall be submitted.
Please Nn Write Below This,Line
N.A. Conservation Cominkstoit Approval : �
"
-vation Agent-,
Date back to,Health Department- (tarp in):
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M Meters Data Sources:The data for this map yjaa produced by Merrimack
®Shy ORTN ValleyPlanning Commission( N )using data prov ded by the Tom of
North ,Andover, dd'NtEcr�aN jala provided by the Executive Mc of
Reads .+ EnvironmentalAffalr/Mass N n 11ie infor allon depleted���this"lap Ns
f rename I:a
� " lever paN'arrruurng purposes only.,it may not be adequate for legal bcndau"y
0 MVP1G F3aundary 0 ,.. '„ fi definition or regulatory Iril�erprelatfon,THE TOWN'OF N�8'I�IRTH AN�IDOVE�
ED Municipal l Boundary MAKESN'O WARRANTIES.,TIES.,EXPRESSEDN" N'lt� �.IEO,CONCERNING
IN G
�. y "N`H "�
ACCUR , I,P�.RT E ,RELIABILITY, UITABILIT'Y"
Trails O,P TH ES E DATA«'TH E TOW,N~a OF N ORTHAN N DOE' NOT
Parcels �� � A` t� l� LIABILITY ASSOCIATED WITHTHEUSE, R N,�I USES OF
w�;Mr aaK A. THIS INFORMATION
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13 MVPC Boundary
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ine
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0 Parcels
MILL ROAD troy
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07 -08 24 FARNU M STREW
ip!Lnds
865 JOHNSONTR€ET
10 .A-004
_ tkMILL ROAD
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S MILL ROAD
107. 070
153 MILL ROAD 890 JOHNSON STREET
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Hofizo tto[Datums,MA Stateplans Caordinate System.Datum
NAD83,Motam r:Soure a data ic,#i3imap
g TUCKER FARM
p5� produced by M ma Halle.PEannin Commission((MVP)
4 : using data prod by ft Town of North Andover.AddWonW
1 i+9 data prov ad the Exe ttvn 1 of �rtronmental '.
1 - li -
"� WN=GI.The irttorma are depleted oil tft rip Is for
F `� 'vy 1 1 1 = t n ry do rt ton lat Interpretation.THE T O
., 1 1 NORTH AN MANES O WARRANTIES,EXPRESSED
F . IMPLIED.CONCERNING THE ACCURACY.
869 JOHNSON STREET COMPLETENESS,RELIABIU11Y,OR SUITABILITY OF THESE
Li
NN OF NORTH ANDOVER DOES NOT
DATA.THE TOV
ASSUME ANY ASSOCIATED� THE �
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i
a MISUSE OF THIS INFORMATION
4 107. 0156
t A. 05
6 TUCKER FARM ROAD
W9K Fto ROAD
e 7' 100 TUCKER FARM ROAD 920 JOHNSON STREET
a,£ North Andover MI MAP June 28,2017
k,
Y P F
Blackburn,, U
From: Isaac Rowe it we@mlllri ercon l l mg.
Sent: Friday, September 19, 2 AM
To: Blackburn, Lis - Sawyer, Susan
c 'Pam pally'; 'Isaac Bogs'
a
Subject; F: 865 Johnson St.,
Attachments: 865 Johnson Street Soil testing results 9- -14.PDF
Suss n,
Attached are the soil testing results for the above referenced property. We did a total old 5' lots, Generally good soil
except,some pockets of excessive rock..Theirs is relatively a high,groundwater table t r ughout he site so all systems,
will be raised above grade.
l allowed (2), deep boles and (2) pert tests per system area because they were across the proposed system location,.
Trenches will be proposed. if leach beds are proposed instead thenve should probably require additional test its
before or during construction.The,soil was consistent and I am not w lrrled about lath of soil depth in the areas we
bested
Please let rye know w if you have any questions.
Thanks,
Isaac M. Rowe, R.S.
Mill River,Consulting
Sargent Street
Gloucester, MIA 01,930-2719
Phone-, 978-282-0014 exti.804
Fax: 978-282-1318
it w tLwr illr rcon lti *corny
w . i�,Ilr erc ns l in .corn
Fr i_ s. Blackburn, visa m all ,L l ckburn, wn fry o rtharid over.com
Sen�t: Wednesday, August ' 2014 3 26, Ply
Dan Ott nheimer Isaac Rowe, Pam Dully
Us, Sawyer, Susan
!Subjectn. 865 Johnson St.
Good Afternoon,
Please contact Bill Dufresne set up soil testing for 865 Johnson St. Thank you.
Usa Blackburn
Health Department
Town North Andover
1600 Osgood Street, Suite 2035
North Andover', MA 01845
Phone978-688-9540
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Commonwealth oMassachusetts
F City/Town f
Form 11 Soil Suitability Asse for On=Site Sewage Disposal
A. Facility Information
)�7FK A
Owner Name
Street Address Map/Lot
- 014 - _
cif state Zip Code
B. Smite Information
1 (Check ore) New Construction 0 Upgrade Repair
2. Published Soil Survey Available? YesNo If yes_ _
Year Published Publication Scale Soil Map Unit
Soil Name Soil Limitations
3. Surficial Geological Report Avall i l Yes rg/No If Year Published Publication Scare Map Unit
_TAU ...........
Geologic Material Land form
4. Flood Rate Insurance Map
Above the- 0-year flood boundary? iYes El No Within the 1 -year flood boundary? Yes N
_.-.--...---
Within the 5 -year flood boundary? 0 Yes No Within a velocity zone? El Yes No
5: Wetland Area. National Wetland Inventory Mai Map Unit Name
Wetlands Conservancy Programs Mai Map UnK Name
6 Current Water Resource Conditions(USES): Ranges ANormal Z'#'Normalbove BelowNormal
nhf` r
. Other references reviewed - - - - --
Soil Evaluation F rm .d *rev. Form 11 —Soli Suitability Assessment forOn-Site Sewage Disposal #Page
Commonwealth Massachusetts
ff
" �lty/Town f
Form I I - Soil Suitability Assessment for Omits Sewage Disposal
C. 0 n--,S 1 te Revi ew (minimum of two holes required at every proposed pn"mary and reserved disposal area)
Deep Observation i r
T---2-Ab0,L 2-LI-7 Lan i
Date Time Weather
1 Location
Ground Elevation at Surface of Hole. - - Location (identify on plan):%mov 5-
Vei_"' 4
2. Land Use _WCA Q1-_ 1 )C>Q6_--
(e.g.,woodland,agricultural field,vacant lot,etc.) - Surf��Stones Slope(%
P L&P 6,- --
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body Drainage Way Possible Wet Area feet feet f
eet
Property Line Drinking WaterW l Other
feet feet feet
IT 00'
. Parent Material: - _ _ Unsuitable Materials Present:. YYes I
f Yes; D Disturbed Soil Do<ioll Material Impervious Layer(s) El Weathered/Fractured Rock Bedrock
5. Groundwater Observed: 0 Yes MeNo If es; Depth Weeping from Pit Depth Standing Water in Hble
Estimated Depth to High Groundwater; inches elevabon
Soil Evaluation Forms.doc rev. 1/10 Form 11 —Soil Suitability me t forOn-Site Sewage Disposal 4-Page 2 of
Commonwealth sscs
City- own of
Form 11 Soil Suitability Assessmentfor On=Site Sewage Di
C., on,-Site Review k-'*continued)
Deep Observation Hole Number:
Redoximorphic Feature Coarse Fragments Soll
Soil How Soil Matrix:Color Soil TextureConsistence Other
Depth n# Layer Moist(Munse - (USDA) _Cobble& structure (Moist)
Depth Color Percent Gravel Stones
Additional Notes.
Soil Evaluation Forms.doc rev. 1/10 Form 1 —Soil Suitability Assessment forOn-Site Sewage Disposal .Page
Commonwealth of Massachusetts
CityfTown o
MR
Form I I Soii Suitabilityfor 0n,,S,ite Sewage Disposal
C. OnSplte Review (continued)
Deep Observation Hole Number.
Redoximorphic Features Coarse Fragments i
Depth . Sol!Horizon/Soil Matrix:Color- Soil Texture Soil Consistence Other
Layer Moist(Munsell) (USDAGravel) b � SDepth Color Percentrur Is
Stones
_t
Additional Notes:
Soil Evaluation Forms.doc-rev.1/10 Form 11 —Soil Subs Assessment for On-Site Sewage Page-3 of 8
Commonwealth of Massachusetts
City/Town of
Form I I Soil Suitabi lity Assessment for On=Site Sewage Disposal
C. On-Site Rev i ew (minimum of two holes required at every proposed nm and reserved disposal area)
Deep Observation Hole Number,., Date Time Weather
I Location
Ground Elevation at Surface of Hole- Location (Idenfify on plan):
2. Land Use
(e.g.,woodlaFd!agricultutal field,vacant lot,etc.)i Surface Stones Slope
Pin
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body 7 WV Drainage Way Possible Wet Area
feet feet feet
Property Line pinking feet.00 saran feet Other feet
7NA' 'I"r--4.1 -1 No
4. Parent Mateal: Unsuitable Material
s ls Present: [2"oYes
If Yes: EJ Disturbed Soil dill fMaten*al El Impervious Layer(s) [I Weathered/Fractured Rock [I Bedrock
5. Groundwater Observed: Yes No If yes: ------ 15
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: inches elevation
Soil Evaluation Forms. rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal Page 2 of 8
Commonwealth of Mrise use
City/Town of
IR
Form 11 Soi Suitability As for On=S'Ite Sewage Disposal
C. On=Site Review (continued)
Cheep Observation Hole Number. -
Redoximorphic FeaturesCoarse Fragment Soil
Soil Horizon/r�Soil Matrix:Color-.. Soil Texture Soil fence Other
Depth(in.) Corgis s
Layer Moist(Munsell) Depth Color Percent (USDA) Gravel Cobbles& Structure (Moist)
Stones
5Y k±z�
Additional Notes;
Soil Evaluation Forms.doc*rear, 111-0 Form 1 —Soil Suitability Assessment for Ors-Site Sewage Disposal Page 3 of 8
A:�\ Commonwealth of Massachusetts
City/Town of
Form I I Soil Suitability Assessment for OnmSite Sewage Disposal
C. On=Site Review (continued)
Deep Observation Hole Number:
1. Location
Ground Elevation at Surface of Hole. Location (identify on plan);x4r A-Lr— LZ
_
2. Land Use
. ,goon ,agricultural f ,vacant lot,etc.) Surface Stoney Slope
Vegetation Landform Position n s (attach sheet)
3. Distances from: Open Water Body Drainage Possible Wet Area
�eet
feet feet
Property Line _ Drinking far Well Other
feet feet feet
4. Parent Material: Unsuitable Materials Present: Yes N
If Yes; Disturbed Soil &eFill Material Impervious L Weathered/Fractured Rock El Bedrock
5. Groundwater Observed: -Yes I No if yes:
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater
inches elevation
Soli Evaluation Forms.doco rev. Form 11 Soli Suit biifty Assessment forOn-Site Sewage Disposal Page 4 of
Commonwealth of Massachusetts
City/Town of
Form I I - oil Suitability Assessmentr On=Site Sewage Disposal
C. On=Site vie (continued)
Deep Observation Hole Number,
Redoximorphic Features Coarse Fragments
Soil Horizon/Si!Matrix,Color Volume Consistence Other
Layer Heist Mun Depth _r PercentGravel(USDA) Cobbles& Structure (Moist)
Stones
V7-1:10 C S05 VW
Additional Notes:
Soil Evaluation Form . o rear. 1/10 FQrm 1 —Soil Sits Assessment forOn-Site Sewage Disposal Page 5 of
---- -------------
Commonwealth of Massachusetts
City/Town of
Form I I Soil Suitability Assessment for On=Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used:
I p
4
F� Depth observed standing water in observation hole A. B.
inches inches
A. B.
Depth weeping from side of observation hole inches inches
A. B.
Depth to soil redoximorphic features (mottles) inches inches
A. B.
El Groundwater adjustment(USES methodology) inches inches
2.
Index Well Number Reading Date index Well Level
Adjustment Factor Adjusted Groundwater Level
E, Depth of Pervious Material
I 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
ab rein system?
Yes El No
r
b. If yes, at what depth was it observed? Upper boundary: Lower bounds
ry:
in des incheg
Soil Evaluation Forms.doc rev. Ill 0 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal Page 6 of 8
Commonwealth f Massachusetts
City/Town of
Form 11 Soil
Suitability Assessment foto Sewage Disposal
r;
F. Certification
I c rfify that I are 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 i n accordance with 310 CM R 15.1 through 15.107.
STina ire o it Val Date-
r?tjrk7- '�� *--_q-
Typed Printed Name of Soil evaluator I License# Date of Soil Evaluator Exam
Name of l5bardof Health Witness Board of Health
Note: In accordance with 30 CAR 5.182)this form must be submitted to the approving authority within 60 days of thedate of field testing, and
to the designer and the property owner with Percolation Test Form 12.
Soil Evaluation Forms.doc rev. 1/10 Form 1 —Soil Suitability Assessment for Ors-Site Sewage Disposal Page 7 of
n.
Commonwealth of Massachusetts
City/Town of
Form 11 Soit Suitability Assessment =Site Sewage Disposal
Field Diagrams
Use this sheet for field diagrams:
SoilEva]uat n Forms.d rear. 1/10 Form 11 —Soil Suitability Assessment forOn-Site Sewage Disposal Page 8 of
uommonwe%alth of Massachusetts
C owl of
FAJ A .,I
Percolatio' n Test
Form 12
Percolation test,results must be,submitted"with the Soil Suitability,Assessment f6r On-site'Sewage
Disposal. DE P 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 Health to determine the�form they use.
t*Importan . A. Site Information
When filling out
forms on the
computer,use
Only the tab key Owner Name
061 jo
to move your
cursor-do,not
use the return -dt-reet AddrJss,-or Lot# OOW
key. A
City/Town S ate Zip Code
Contact Person(if different from Owner), Te,epphone Number
B,. Test Results,
Date Time Date Time
ZoA "?,
Observation Hole#
Depth Per6
Start Pre-Soak 1 ?25
..........
End Pre-Sloak
Io C5�9
Time at 12
Time at 9'1
Time at 6
Time. (9 4))
Rate,(Min./Inch)
T'est Passed Test Passed*
Test Failed: Test Failed: El
e�stehormedi By;
Witnessed By-
Cornments-
Perc Test•Page 1 of 1
t5fo rm 1 2.d oc 0 6/0 3