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Home My WebLink AboutPercolation Test - Soil Testing Results - 1985 SALEM STREET 9/25/2019 Commonwealth of Massachusetts "'- City/Town of North Andover - Lot 2 - F Percolation Test - a = Form 12 f' 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 Lois Lachapelle _ key to move your Owner Name q pe' �-- I cursor-do not 1975 Salem Street-Map 106 Block 106.B Lot 16 / U—.) '-)�z' �� S use the return — - -- - _-_ key. Street Address or Lot# North Andover MA 0 City/Town State Zipp Code Contact Person(if different from Owner) Telephone Number ' B. Test Results 6/1/16 12:27 p.m. 6/1/16 12:33p.m.._ Date Time Date Time Observation Hole# Perc 1 (DH-1) Per 2 (DH-2) Depth of Perc 45" 47" Start Pre-Soak 12:27 12:33 End Pre-Soak 12:42 12:49 Time at 12" 12:42 12:49 Time at 9" 1 - 12:52 Time at 6" 1:07 12:55 Time(9"-6") 14 Min. 3 Min. Rate (Min./Inch) 5 Min./Inch — 1 Min/Inch Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Maureen Herald —_. —_ Test Performed By: ----- Issac Rowe- North Andover Board of Health Board of Health Witness Comments: t5form 12.doc-08/15 Perc Test•Page 1 of 1 ' Commonwealth of Massachusetts City/Town of North Andover - Lot 2 t Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Lois Lachapelle -- Owner Name 1975 Salem Street Map 106 Block 106.E Lot 16 - 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 Soil Survey 422D Source Soil Map Unit Canton Soil Slope and stoniness Soil Name -_- -- Soil limitations Glacial Tilll Moraine G-- - -- - — --- _ --- --- --- —_ eologic/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 6. Within a Mapped Wetland Area? ❑ Yes No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions(USGS): 6/16 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: t2 done T3,T4•rev.8/15 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 2 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: DH-1_ &" 6/1/16 10:00 a.m. Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: 3telen () Latitude/Longitude: 42 38 16"N / 71 03'6"W feet ---- -------- _ __ Description of Location: See plan -_ 2. Land Use Woodland Some Stones 0-3% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line >25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: — inches elevation t1 done T1,T2 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 - Lot 2 r, W j Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-1 (Lot 21 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture �o by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent I Gravel Cobbles (Moist) &Stones 0-9" Ap 10 yr 2/2 FSL Granular Friable 9-20" Bw 7.5 yr 4/6 FSL Massive Friable 20-90" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: tl done T1.T2•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 - Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH_2 C.r j 6/1/16 10:00 a m Sunny&Mild - - - _ �._ — Date Time Weather 1. Location Ground Elevation at Surface of Hole: S€rhatr t � 7 Latitude/Longitude: 42 38' 16"N / 71 03'6'W feet 2. Land Use Woodland Some Stones 0-3% (e.g.,woodland agricultural field,vacant lot,etc.) Surface Stones(e.g,cobbles,stones boulders,etc.) Slope(%) Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft — -_- ....--- _..._ feet feet feet Property Line >25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t1 done T1 T2-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 - Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-2{Lot 2 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color ercent ravel , obbles (Moist) &Stones 0-10" Ap 10 yr 2/2 FSL Granular Friable 10-20" Bw 10 yr 4/6 FSL Massive Friable 20-87" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm I Additional Notes: t1 done T1,T2•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- Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal {, Y C. Oh-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: DH-3 f�. _j_ A 6/1/16 11:00 a.m. Sunny_& Mild Date Time Weather 1. Location r Ground Elevation at Surface of Hole: SL-�i Latitude/Longitude: 42 38 16"N / 71 03'6"W feet Description of Location: SeepIan 2. Land Use Woodland Some stones 0-3% _ -__ _— __ _.-.- --- ----_- _-_---__ ........_ (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g,,cobbles,stones,boulders,etc.) Slope Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft -- _........----- feet feet feet Property Line > 25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation Q done T3,T4-rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-3 tLot 2)__ Redoximorphic Features Coarse Fragments °I°b Volume Soil Depth in. Soil Horizon/Soil Matrix:Color- Soil Texture y p Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) 8 Stones 0-10" Ap 10 yr 2/2 FSL Granular Friable 10-20" Bw 10 yr 4/6 FSL Massive Friable 20-86" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes; t2 done T3,T4-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 - Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-4 L07 a 6/1/16 11:00 a.m. Sunny& Mild -- -.. — ---- - ._._.........._... Date Time Weather 1. Location Ground Elevation at Surface of Hole: S iLau. Latitude/Longitude: 42 38' 16"N / 71 03'6'W feet 2. Land Use Woodland Some stones 0-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(96) Oak& Pine Moraine SH Vegetation Landform Position on Landscap e(SU,SH,BS,FS, 3. Distances from: Open Water Body > 100 ft Drainage Way > 100 ft Wetlands > 100 ft feet feet feet Property Line >25 ft Drinking Water Well > 100 ft Other feet feet feet 4. Parent Material: Glacial 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: None None Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: inches elevation t2 done T3,T4-rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 8 y' Commonwealth of Massachusetts City/Town of North Andover - Lot 2 ,e_ - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-4 Lot 2 Redoximorphic Features Coarse Fragments Depth(in.) ,soil Horizon/Soil Matrix:Color- Soil Texture /o by Volume Soil Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent ravel obbles Stones (Moist) 0-101, Ap 10 yr 2/2 FSL I Granular Friable 10-20" Bw 10 yr 4/6 FSL Massive Friable 20-99" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: Q done T3,T4•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 y„ Commonwealth of Massachusetts City/Town of North Andover- Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-1 Obs. Hole#DH-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) >900, > 87" (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# 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: 20" Lower boundary: 90" inches inches c. If no, at what depth was impervious material observed? Upper boundary: _ Lower boundary: inches inches t1 done T1.T2•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts r : City/Town of North Andover - Lot 2 ( - Tl�f Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1, Method Used: Obs. Hole#DH-3 Obs. Hole#DH-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) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) >86" _ >9911 (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# 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: 20" Lower boundary: 99" inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches 1:2 done T3,T4•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 - Lot 2 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Isaac Rowe North Andover Board of Health 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. _.--___... _ ___ 6.... Signature of Soil Evaluator Date Steven Eriksen/SE685 6/30/18 Typed or Printed Name of Soil Evaluator/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. 1:2 done T3,T4•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8