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Home My WebLink About- Soil Testing Results - 37 WELLINGTON WAY 11/24/2014 TOWN OF NORTH ANDOVER V , •. -" Office of CONINIUNITY DEVELOPMENT AND SERVICES .- HEALTH DEPARTMENT 1600 OSGOOD STREET;SUITE 2035 .------NORTH-ANDOVER, MASSACI USETTS 01845u;J` h_ Susan Y.Sawyer,REHS,RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX Z.5 2014 - - - healthde t .townofnortha'dover.com www.townofnorthandover' i— FL-i�dJle!'!�� `��`� E,��fr,_se_ APPLICATION FOR SOIL TESTS DATE: 11/24/2014 MAP&PARCEL: 105C.22 LOCATION OF SOIL TESTS: 602 Boxford St, NA Lot 6 owNER: Gorton Family Trust -- ^ Contact#: V APPLICANT Messina_Development contact#:978-837-95 \V ADDRESS: 277 Washington St; -Groveland; MA 01834 --" Christiansen=& Serg i, Inc- ------- ---97&;-3T&-0310-- ENGINEER- Contact#: CERTIFIED SOIL EVALUATOR: rh•�I�p ChriSfianS.en Intended Use.of Land: Residential Subdivision Single Family Home__ Commercial Is This: Repair Testing: Undeveloped Lot Testing: X Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) x➢ 8.5" 11"Plot plan&Location of Testing(please indicate test nit sites on the plan) ➢ 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 representative. ➢ 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 Approv Dat : Signature of Conservation Agent: Date back to Health Department: (stamp in): t by V\, y, al TOWN OF NORTH ANDOVER Office.of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT - 1600 OSGOOD STREET; SUITE 2035 — .-NORTH-ANDOVER;-MASSACHUSETTS-01845- - Susan Y.Sawyer,REHS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX - healthdept(ci)townofnortliandover.com / t) utivw.townofnorthandover.com APPLICATION FOR SOIL TESTS 11" l DATE: 11/24/2014 MAP&PARCEL: 105C.22 -602 Boxford St, NA Lot LOCATION OF SOIL TESTS:- O -414 INER: Gorton Family Trust Contact#. APPLICANT:Messina Development ADDRESS: 277 Washington St; GroveIand MA-018-34 - Cf ristiansen.n&:Ser i, Inc -- - ----- =978;373 031-0 ENGINEER. g.� Contact#: CERTIFIED SOIL EVALUATOR: P h f I p r�Sty a nS e n I Intended Use-of Land:..,Residential_Subdivision ._u _. Single Family Home.,___ Commercial Is This: Repair Testing: Undeveloped Lot Testing: X Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of,land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"'Plot.plan&Location of Testing(please indicate test pit sites on the plan) 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=Sanitarian 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 representative. ' ➢ 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 Health Department: (stamp in): &a'o T, �9 -ne-•r' I 1 -- I I i I I iln oi it /� .ir,v I Flo [�nf�Tl I it I � rn, - _t._.. A.- .t, .. ...;x ....:�.-.�.,. 3 F=s—..� no:,w a• �., -o't:.._....ems+.=> �-.�ti�.-� _ $±;�5• tea" 7 11 Al LJ _ j a � I Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 G7M 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 Gordon Family Trust key to move your Owner Name cursor-do not 37 Weillington Way Lot 6-formerly 602 Boxford Street LOT 8 use the return Street Address or Lot# key. North Andover MA 01845 Q City/Town State Zip Code Philip Christiansen 978.373.0310 Contact Person(if different from Owner) Telephone Number ' B. Test Results 1/9/2015 9:58 1/9/2015 10:17 Date Time Date Time Observation Hole# 8A 8b (PSA) Depth of Perc 9+18 9+18 1 Start Pre-Soak 10:51 10:17 End Pre-Soak 11:06 10:32 Time at 12" 11:06 10:32 Time at 9" 11:14 10:37 Time at 6" 11:18 10:48 Time(9"-6") 4 MIN 11 min Rate(Min./Inch) <2 MIN/INCH 4 min/inch i4 Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: El Philip Christiansen Test Performed By: Isaac Rowe Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 I Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal w - A. Facility Information Gorton Family Trust Owner Name 37 Wellington Way-Lot 6 (Formerly 602 Boxford St. Lot 8) Map 105C Lot 89 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: NRCS 421 B&C Source Soil Map Unit CANTON LARGE STONES Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit Geologic/Parent Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ❑ No Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ❑ No 5. Wetland Area: Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): Month/Year Range: ❑ Above Normal ❑ Normal ❑ Below Normal 7. Other references reviewed: tp lot 8•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of North Andover 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) Deep Observation Hole Number: 8-A 1/9/2015 9:30 32 SNOW Date Time Weather 1. Location Ground Elevation at Surface of Hole: 128.0 Location (identify on plan): WOODLAND NO 0-3 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK, W PINE OUTWASH PLAIN BOTTOM Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 possible Wet Area >100 feet feet feet Property Line >50 Drinking Water Well >100feet Otherfeet feet 4. Parent Material: 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: 86" 120.83 inches elevation tp lot 8•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 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: 8-A Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Consistence Other Layer Moist(Munsell) (USDA) Cobbles& Structure Moist Depth Color Percent Gravel Stones (Moist) 0-4 A 10YR3/2 FSL 4-22 BW 1 10YR4/4 FSL 22-86 C 10YR6/6 M SAND REFUSAL Additional Notes: tp lot 8•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 i 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: 8-B 1/9/2015 9:30 32 SNOW Date Time Weather 1. Location Ground Elevation at Surface of Hole: 129.5 Location (identify on plan): 2. Land Use WOODLAND NO 3-8 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK, W PINE OUTWASHPLAIN BOTTOM Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100 feet feet feet Property Line >50 Drinking Water Well >100feet Otherfeet feet 4. Parent Material: 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: 511. 125.25 inches elevation tp lot 8•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 1 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal w„ C. On-Site Review (continued) Deep Observation Hole Number: 8-13 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 Depth Color Percent Gravel Cobbles& (Moist) Stones 0-4 A 10YR3/2 FSL 4-36 BW 10YR4/4 LS 36-52 C1 10YR6/6 MS 52-120 C2 2.5Y5/3 LS Additional Notes: tp lot 8•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts -UIFCity/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 8-C 1/9/2015 9:30 32 SNOW Date Time Weather 1. Location Ground Elevation at Surface of Hole: 130.0 Location (identify on plan): WOODLAND NO 3-8 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) OAK, W PINE OUTWASHPLAIN BOTTOM Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body >100 Drainage Way >100 Possible Wet Area >100 feet feet feet Property Line >50 Drinking Water Well >100feet Otherfeet feet 4. Parent Material: 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: 114" 120.50 inches elevation tp lot 8C•rev.3/13 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover a V Form 11 - Soil Suitability Assessment for On-Site Sewage-Disposal C. On-Site Review (continued) Deep Observation Hole Number: 8-C 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 ( ) Gravel Cobbles a (Moist) Stones 0-4 A 10YR3/2 FSL 4-37 BW 10YR4/4 LS 37-102 C1 2.5Y5/3 LS REFUSAL Additional Notes: tp lot 8C•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 i Commonwealth of Massachusetts City/Town of North Andover 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. C: inches inches ❑ Depth weeping from side of observation hole A. B. C: inches inches ❑ Depth to soil redoximorphic features (mottles) A. B. 51" C: inches inches ❑ Groundwater adjustment(USGS methodology) A. B. C: 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 absorption system? ® Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 4cnes Lower boundary. 120ches tp lot 8•rev.3/13 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 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. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accuratg and in accordance with 310 CMR 15.100 through 15.107. 1/9/2015 .Signature a uator Date -PHILIF5 CHRISTIANSEN#378 11/1994 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam ISAAC ROWE NORTH ANDOVER 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. tp lot 8•rev.3/13 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8