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HomeMy WebLinkAbout- Soil Testing Results - 487 WINTER STREET 8/30/2019 4/22/2019 Date: April 22, 2019 Soil Testing Permit #47903 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/48960 h COMMONWEALTH OF MASSACHUSETTS 0l ❑� • TOWN OF NORTH ANDOVER BOARD OF HEALTH I joseph serwatka 487 WINTER STREET is hereby granted a Soil Testing Permit This permit is granted in conformity with the statutes and ordinances relating thereto. Soil Evaluator Contact Number:9783148731g7'�;V240 Owner Contact Number#:9788077239 Engineer Contact Number:9783148731 FRANCIS P. MACMILLAN,JR., M.D. Conditions: BOARD OF HEALTH CHAIRMAN 1/2 4/22/2019 • h COMMONWEALTH OF MASSACHUSETTS Ell, ❑� • • TOWN OF NORTH ANDOVER M� _' BOARD OF HEALTH 16 0 Date: April 22, 2019 Soil Test Application Summary #4790 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/48960 Applicant: joseph serwatka Engineer: joseph serwatka Owner (if different): Engineer Contact Number: 9783148731 Owner Contact Number: 9788077239 Address: Certified Soil Evaluator: joseph serwatka 487 WINTER STREET Soil Evaluator Contact Number: 9783148731 NORTH ANDOVER, MA 01845 Location of Soil Test: Intended Use of Land: front yard Single Family Home Type of testing: In the Lake Cochichewick watershed? Repair Testing No Conditions (if applicable): 1/1 4/18/2019 Soil Testing Permit 47903 Applicant L joseph serwatka % 9783148731 ;a) joeserwatka@comcast.net Location 487 WINTER STREET NORTH ANDOVER, MA 01845 General Information Owner(if different from applicant) Owner Contact Number -- 9788077239 Engineer Engineer Contact Number: joseph serwatka 9783148731 Certified Soil Evaluator Soil Evaluator Contact Number: joseph serwatka 9783148731 Project Details Intended Use of Land Type of Testing: Single Family Home Repair Testing In the Lake Cochichewick watershed? Location of Soil Tests: No C front yard:) C Internal /^©n �5- J05 Conditions 60 C� 1/1 Town of North Andover, MA April 18, 2019 487 winter street w4 i [ I I' II �ylyIf Pf� 3 rA a fi „ ,: Nnpa"t�ee L�� 3 , rK. t4, * }' MAP FOR REFERENCE ONLY NOT A LEGAL DOCUMENT Town of North Andover,MA makes no claims and no warranties,expressed or implied,concerning the validity or accuracy of the GIS data presented on this map. Geometry updated 10/31/2018 Data updated 10/31/2018 Owner has submitted To : North Andover Board of Health From : Elaine Haddad, 487 Winter St Re: Septic plan Date: Apr*1118, 2019 Joseph Serwatka is the engineer who will be conducting a soil test on my land for the purpose of designing a septic system as mine did not pass Title 5 . 1 will work with him to get this design done as soon as possible as I am selling my house. At this time I am submitting a check for $440 to be applied to the soil test application. 4/18/2019 Payment Receipt Town of North Andover, MA $440.00 Paid via Check Note: ck#7218 Haddad 487 Winter Street- Soil Test Thanks for using the Online Service Center joseph serwatka Soil Testing Permit#47903 April 18, 2019 Repairs or Maintenance Fee $440.00 Total Paid $440.00 Kim 10 Powered by the ViewPoint Cloud platform Receipt number#14581 1/1 5/15/209 487 Winter Street soil test results.jpg j Y A -1 " - rj , (y i i e r r _ 1/ https://mail.google.com/mail/u/0/#inbox/FMfcgxwCggBFvxkvsWRhpSfFgpTcZsPC?projector=l&messagePartld=0.1 1/1 Commonwealth of Massachusetts City/Town of North Andover fN L Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal � 2kT A. Facility Information ` NR Haddad Owner Name 487 Winter Street 104.A/0071 Street Address Map/Lot# North Andover MA City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ® Upgrade ❑ Repair 2. Published Soil Survey Available? ® Yes ❑ No If yes: 276b Year Published Publication Scale Soil Map Unit ninigret fine sandy loam Soil Name Soil Limitations 3. Surficial Geological Report Available? ❑ Yes ❑ No If yes: Year Published Publication Scale Map Unit Geologic 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: National Wetland Inventory Map Map Unit Name 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: 78pinehillsoilsl.docx•rev. 1/10 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: T-1 5/10/19 9 a.m. clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: 96.0 Location (identify on plan): 2. Land Use lawn some 1 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) grass drumlin Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area >100' feet Property Line feet Drinking Water Well feet Other feet 4. Parent Material: till Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 72" 72" 5. Groundwater Observed: El Yes ® NO If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 60" 91.0' inches elevation 78pinehillsoilsl.docx•rev. 1/10 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: 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 pth De Color Percent Gravel Cobbles& (Moist) Stones 0-7" Ap 10YR3/3 fSl 7-18" Bw 10YR6/6 fsl 18-90" C 10YR6/4 60" 7.5YR5/8 20 Isand Additional Notes: 78pinehillsoils1.docx•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts City/Town of North Andover V" .'a Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: T-2 5/10/19 9:30 a.m. clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: 96.1 Location (identify on plan): 2. Land Use lawn some 1 (e.g.,woodland, agricultural field,vacant lot,etc.) Surface Stones Slope(%) grass drumlin Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body feet00 Drainage Way feet Possible Wet Area >100 feet Property Line eet Drinking Water Well feet Other feet 4. Parent Material: till Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 54" 54" 5. Groundwater Observed: ® Yes ❑ NO If yes.- Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 48" 92.1' inches elevation 78pinehillsoilsl.docx•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 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: T-2 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 ravel Cobbles&Stones (Moist) 0-12" fill 12-20" Ab 10YR3/2 fsl 20-28" Bw 10YR6/6 fsl 28-84" C 10YR6/4 48" 7.5YR5/8 20 Isand Additional Notes: 78pinehillsoilsl.docx-rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal L� Y 9 p D. Determination of High Groundwater Elevation 1. Method Used: ❑ Depth observed standing water in observation hole A. B. inches inches ❑ Depth weeping from side of observation hole A. B. inches inches ® Depth to soil redoximorphic features (mottles) A. 60" B. 48" 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 absorption system? ❑ Yes ❑ No b. If yes, at what depth was it observed? Upper boundary: 18-28 — Lower boundary. 84-90" inches inches 78pinehillsoilsl.docx•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts r Cityrfown 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 soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 5/10/19 Signature of S E uator Date Joseph J. rwatka, P.E. #2190 Nov. 1996 Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Erin Kirchner/Mill River 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. 78pinehillsoilsl.docx•rev. 1/10 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover Percolation Test ° Form 12 �M 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 Haddad key to move your Owner Name cursor-do not 487 Winter Street use the return Street Address or Lot# key. North Andover MA City/Town State Zip Code Joseph Serwatka 978-314-8731 Contact Person(if different from Owner) Telephone Number B. Test Results 5/10/19 9:55 Date Time Date Time Observation Hole# T-2 Depth of Perc 18(18)total 36" Start Pre-Soak 9:55 End Pre-Soak 10:10 Time at 12" 10:10 Time at 9" 10:27 Time at 6" 10:47 Time (9"-6") 20 Rate (Min./Inch) 6.6 Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Joseph Serwatka Test Performed By: Erin Kirchner/Mill River Witnessed By: Comments: t5form12.doc•06/03 Perc Test•Page 1 of 1 August 11, 1997 Zabel Environmental Technology 10409 Watterson Trail Jeffersontown, KY 40299 Attn: Lawrence Gravely Re: Application for approval of Filter: Zabel A1800 wastewater filter Dear Mr. Gravely: The Department of Environmental Protection has completed a Technical Review of the above referenced application and hereby approves the use of Zabel A1800 wastewater filter in accordance with 310 CMR 15.289 (4) "List of Alternative System, Effluent Tee Filters" subject to the following conditions: 1 . Prior to sale of the A1800 Filter, the distributor of the system shall provide the purchaser with a copy of this approval. 2 . Prior to installation in an existing system, the owner shall obtain approval from the Board of Health for the proposed modification of the system. If the system is a failed or nonconforming system, the system shall be upgraded in accordance with 310 CMR 15 . 404 in conjunction with installation of the filter. 3 . All septic tanks in which a Zabel A1800 Filter is to be installed must have a 20" manhole over the outlet tee . In addition, both inlet and outlet manhole covers must clearly note (either painted with non-degradable paint or other permanent identifiable markings) the system is equipped with the Zabel A1800 Filter. 4 . When installed the Zabel A1800 Filter outlet tee must extend below the flow line in accordance with the following table: Liquid Depth in Septic Tank Depth of Zabel A1800 Filter Baffle below Flow Line 4 feet 14 inches 5 feet 19 inches 6 feet 24 inches 7 feet 29 inches RE: Flowlink's Filter Baffles Page : 2 8 feet 34 inches 5 . The system owner shall have a septage Handler, licensed by the local board of health in accordance with G. L. c. 111 s . 31A and 310 CMR 15. 502, service the filter regularly, at least once every year and pump the septic tank in accordance with 310 CMR 15 . 000 . The system owner shall report in writing to the local Board of Health within 30 days of the date of servicing every time the septic tank is serviced. 6 . The distributor for the Zabel A1800 Filter shall provide to the local Board of Health when requested by the Board of Health, the name (s) and license number (s) of the licensed septage haulers in the town which have been trained in the proper installation and maintenance of Zabel A1800 Filter, as specified by the manufacturer and the Department . 7 . When the Zabel A1800 Filter is proposed for new construction, all other aspects of the design and construction of the system must comply with the provisions of 310 CMR 15 . 000 . 8 . This approval shall not constitute approval of the filter in lieu of a properly sized septic tank, including but not limited to, the requirements for a properly sized septic tank for grey water when used in conjunction with a composting toilet, as described in 15 . 289 (3) (a) (2) . 9 . In approving this filter, the Department has made no determination to the extent, if any, that it will improve the performance of an onsite sewage disposal system. If you have any question, please contact Christos Dimisioris at (617) 292-5912 . Sincerely, Michael Rapacz, Deputy Director Wastewater Management Program cc: DEP, DWPC, SERO, WERO, CERO, NERO John Higgins/Millbury Office