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HomeMy WebLinkAboutApplication and Results - Soil Testing Results - 1975 SALEM STREET 7/6/2020 'I MN NOU- NOR I II A N DONTR Office Of CONIMUNITN' DIA ELOPAIENT AND SERVICES 11EAU141 D1,'1'.W'1'.N1EN'F 1600 OSGOOD S-1 1%'11 1 , -SUITE 203; C)'7 I'(' 1A\ RECEIVED MAY 1 1 2016 OF APPLICATION FOR SOIL TESTS TOWN HEALT NORTH ANDOVER H DEP,-',,RTVENT DATE: 41 -44 - 20140 MAP&PARCEL: tfT/— / LOCATION OF SOIL TESTS: lf7_1;- --'SiqLc--M OWNER: Lots 4Aq4APru-E— Contact#: APPLICANT:.L1VtM6 STD Nam" Dey . Contact#:— 79 8"5 5�t 7 ADDRESS:-"I NoDrgsorj Po ft 62) 7iC-WkS ,R/) r-j /M ENGINEER:-PPI41P Contact#: 177f-379 -0-310 CERTIFIED SOIL EVALUATOR: Ply! I P el-4/Z 15 77,4-Q SeFkj Intended Use of Land: Residential Subdivision ( Single Family Home Commercial Is This: Repair Testing: Undeveloped Lot Testing: � Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No z 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 Testinz(please indicate test nit sites on the plan) > Fee of$585.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$440.00 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 I"-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: 6 Signature of Conservation Agent V V 0 Date back to Health Department: (stamp in): f SQ a cc e- -S S i s lip North Andover MIMAP April 4, 2016 106.E-0013 % 106.6-0131 ` r' 106.E-0042 106.6-0127 i ;7 106.E-0130 106.6-0071. 106.E-0186! a 9194 106.E-0015 • A 19r50. +,.:-•� t�., )O\ 106.E-0128 106.E-0168 ``, ' #265 �., 106.B 0145 a j #2065 \ _ 106.E-0181 106.B-0129 - 106.6-0183 t#1975 106.E-0182 106.6-0014 105.D-0120 #275 Sd/ 106.E-0180 #200(1 P� #261 106.E-0016 `S46 ,1 108.A-0002 PEE 106.E-0179 _'_-� #2051` ~ -- 106.B-01.73 106.E-0178 \� #239 #244 P6s #2053 106.E-0174 i� o i#2:21 3J. #23Q QOS 106.E-0177 106.8-0175 r.. 108.A-003 2 .108_A-0018 #186 10�x01 106.B-O 176 10 8.A-00 26 108.A-0031 9190 108.A-0030SjW 108.A-0024 108.A-0025 9201 108.A-0023 9175 lO8.A-0028 , Lei - 108.A-0029 `\ 108.A-0003 ©MVPC Bo 0 Municipal Boundary Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, -Rail Line Meters Data Sources The data for this map was produced by Merrimack Interstates NORTH Valley Planning Commission(MVPC)using data provided by the Town of I Of A+ North Andover.Additional data provided by the Executive Offca of -SR .Z, a •s OO. Environmental Affairs/MassGIS.The Information depicted on this map is Roads 3 , L for planning purposes only. It may not be adequate for legal boundary D definition or regulatory interpretation.THE TOWN NORTH R Easements MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Parcels a _ rh THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY • M OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT Trails M ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF Hydrographic Features �.��� ty THIS INFORMATION Streams ,SSAC Nt15E< Wattends Exempt Lands 1^=229 ft L T 3 AR 1,00±A S LOT 2 LOT 1 (FRONTAGE (FRONTAGE EXCEPTION LOT) EXCEPTION LOT) AREA= AREA= 3.47t ACRES 345±ACRES PURCHASE AND SALE AGR.EENMNT This day of February,2016 1.PARTIES LOIS IL LACITAPELLE,with an address of 931 Wilton Road,Mason,New Hampshire 03048 AND MA1LLNG ADDRESSES hereinafter callers the SELLER,agrees to SELL and 1XMGSTONE DEVELOPMENT CORP,a Mavachusetts corporation with a prirx�al Place of business located at 1501 Maui Street,Unit 4,Tewirsbwy,Massachusetts 01976 hereinafter called the BUYER or PURCHASER, agrees to BUY, upon the terms hereinafter set forth, the following descat'bed premises; North Andover 11'iA Assessor's Parcel ID No. 210/106.B-0016-0000.0, which is a certain parcel of land consisting of 7.8 acres more or less,located on Salem Street In North Andover,Massachusetts,described as-the "Second Parcel"in Deed dated September 2, 1992,and recorded with the Essex North District Registry of Deeds Book 3539,Page 353. 2.DESCRIPTION A certain parcel of land consisting of approximately 7.8 acres more or less, located on Salem Street in North Andover,Massachusetts,described as the"Second Parcel"in Deed dated September 2,1992,and recorded with the Essex North District Registry of Deeds Book 3539,Page 353(Excepted from this conveyance Is the "First Parcel"or the 3.2 acre parcel described In said aforementioned Deed). Excepting and excluding from this conveyance Parcel A as shown on the sketch plan muted "Conceptual SVbdivk don Plan W scale I"=120;dated February 10,2016,provided however that BUYER,after BUYER Is completion of BUYER's surveys for the subject property, confirms that BUYER does not need Parcel A for purposes of B UYER's proposed residential land subdivision. For further property description of the "Second Parcel" or 7.8 acre parcel (which description does not except therefrom Parcel A as shown on the aforementioned sketch plan),see metes and bounds description attached hereto and herein incorporated by reference. 3. BUILDINGS, STRUCTURES, ffOWMefits Dow dIeTeGa,—andthe IMPROVE- ' MENI'S, ' FIXTURES hot wateF heateps, e----ide television atitanaas, and INCLUDING THE LAND IS VACANT 4.TITLE DEED Said premises are to be conveyed by a good and sufficient quitclaim deed running to the BUYER, or to the nominee designated by the BUYER by written notice to the SELLER at least seven(7)days before the deed is to be delivered as herein provided,and said deed shall convey a good clear record and marketable title thereto, free from encumbrances,except (a)Provisions of existing building and zoning laws; (b)Existing rights and obligations in party walls which are not the subject of written agreement; (c)Such taxes for the then current tax year as are not due and payable on the data of the delivery of such deed; (d)Any liens for municipal betterments assessed after the date of this agreement; (e)Easements,restrictions and reservations of record if any SIT B TO PURCHASE AND SALE AGREFd4IENT 7.8 Acre Parcel of land located on Salem Street,North Andover,MA Metes and Bounds Property Description A parcel of land located on Salem Street,North Andover,Essex County,Massachusetts, bounded and described as follows: "Beginning at a point on the Southwesterly side of said Salem Street at the Southeasterly comer of the First Parcel hereinbefore described,and which First Parcel was formerly owned by N innie Peard and thence running Southwesterly along the stone wall,partly by said Peard land and partly by land now or formerly of George Rhea five hundred and twenty-six(526)feet to a point in said stone wall,thence running about Southeasterly,still by said Rhea land and along the stone wall,eleven hundred and thirty-three and 5/10(1133.5)feet to a point in said stone wall at land now or formerly of Charles J.Kimball,thence running Northerly by said Kimball's land,six hundred and sixty(660)feet,more or less,to a stone bound set in the ground;thence running a little East ofRorth,still by said Kimball's land,four hundred and eighty-five(485)feet, more or less,to a point in said Salem Street, which point is at the Northwesterly comer of said Kimball's land;thence running in a Northwesterly direction,following the contour of the said Southwesterly side of said Salem Street,two hundred and eighty(280)feet to the point of beginning. Said Second Parcel contains 7.80 acres more or less and is shown on a plan of land entitled"Plan of Land of Peard&Kimball,Salem St.,North Andover",dated Dec. 1928 and duly recorded with said Registry of Deeds." Being a portion of the premises described in Deed from Mary V. Lachapelle to Lois R. Lachapelle dated September 2, 1992 and recorded with the Essex North District Registry of Deeds in Book 3539, Page 353. Life tenant Mary V. Lachapelle died on February 26, 2015. s I dF 41 1Z'Z1-12�Z o �Z- .JZ4& i i I f - �'' =Zj Try LEE, ,P-5 ZQ 4-lK hvr' r iI -e S �s-Zo _•rrc !Z 1.3� /r�-� i' LA- -,-� ,)2 rL i ;sZ I 1II-- -� I 1 � _ �.- ' P 4 20 20-72- tf�, "'`-1 i �1 Z :gipp i 1 Z o4 �Z (o z a 3, l .p i � t j Icx ( 2 ,n� i t 1 , I o„/ 7 Ott 5=c� 124J- �y j : � i F y d� # t 1 3 Iz " 1 " II ; I i i r LIEVUHQ OF U U M= \L It NORSE ENVIRONMENTAL SERVICES, INC. 92 Middlesex Road, Unit 4 T n sboro MA 01879 oarE JOB NO Y 9 TEL. (978) 649-9932 • FAX(978) 649-7582 ATTENTION Website: www.norseeenvir nmental.com TO A tic/oV G' RE a 5-t I(P d U US c d 601 S a0 S6 o2o3Al tit '6#,XAn 242000" 4/t+ p l�� WE ARE SENDING YOU ❑Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION i, �o rM l - s. ss e THESE ARE TRANSMITTED as checked below: '[r7HE LT NORTH DEPARANDOVTMENT R HEALTH DEPARTMENT ❑ For approval ❑ Approved as submitted ❑ Resubmit_ copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distrubution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: Commonwealth of Massachusetts �"- City/Town of North Andover - Lot*/' i Percolation Test Form 12 ri 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 cursor-do not 1975 Salem Street-Ma 106 Block 106.B Lot 16 use the return - -- -p- - -- ..---- ----- _ key. Street Address or Lot# North Andover MA 01845 _.... - „y City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 6/1/16 - 1:18 p.m.-- 6/1/16 - 1:40 P.M. -- __-__. Date Time Date Time Observation Hole# Perc 3 DH-6 Perc 4 DH-8 ---- - --......� _�...-- __ ------- Depth of Perc 44" 44" Start Pre-Soak 1:18 1:40 End Pre-Soak 1:33 1:57 Time at 12" 1:33 1:57 Time at 9" 1:53 2:08 Time at 6" 2:21 2:20 Time(9"-6") 28 Min. 12 Min. Rate(Min./Inch) 9 Min./Inch 4 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 Wi—tness Comments: t5form12.doc•08/15 Perc Test•Page 1 of 1 Commonwealth of Massachusetts City/Town of North Andover- Lot 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 City State Zip Code B. Site Information 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If es: Web Soil Suuve 422D Source Soil Map Unit Canton Soil Slope and stoniness Soil Name Soil Limitations Glacial Till Moraine Geologic/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? ❑ MassGIS Wetland Data Layer:Yes ® No - - - -------- Wetland Type 7. Current Water Resource Conditions (USGS): 6/16 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: t3 done T5,T6•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 a tw ;i 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-5 6/1/16 12:00 p.m. _ Sunni& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: Sst,- Latitude/Longitude: 42 38; 16"N / 71 03'6'W feet -------._ ----- Description of Location: See Plan 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(°k) 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 t3 done T5,T6-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 Commonwealth of Massachusetts �s City/Town of North Andover - Lot $ y 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-7 6/1/16 1:00 P.M. Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: Latitude/Longitude: 6"N / 71 03 6 Pam+- -L.L 42 38 1 ' "W -- feet Description of Location: See plan__ 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(°�) Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SU,SH,B8,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 t4done T7,T8•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts r City/Town of North Andover - Lot 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal r a C. On-Site Review (continued) Deep Observation Hole Number: DH-5{Lot } 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 ) Gravel Cobbles stones (Moist) rl< 0-8" Ap 10 yr 2/2 FSL Granular Friable 8-20" Bw 10 yr 4/6 FSL Massive Friable 20-94" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm i i - Additional Notes: t3 done T5,T6-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 ffi Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-7{Lot�} 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 Gravel Cobbles (Moist) &Stones 0-91, Ap 10 yr 2/2 FSL Granular Friable I 9-19" Bw 10 yr 4/6 FSL Massive Friable 19-76" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm I Additional Notes: t4done T7,T8-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 3 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-6 LC/.1 6/1/16 12,00 p.m Sum& Mil Date Time Weather 1. Location Ground Elevation at Surface of Hole. Sve pt= ttq,I{ 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.i 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 Q done T5,T6-rev.8115 Form 11 -Soil Suitability Assessment for On-Sfte Sewage Disposal •Page 4 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot : 41 _y5 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-# 6/1/16 1:00 P.m.--_-- Sunny& Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: 8 ietrn_ Q Latitude/Longitude: 42 38' 16"N / 71 03' 16"N feet 2. Land Use Woodland Some Stones Q-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones boulders,etc.) Slope(g6) Oak& Pine Moraine SH Vegetation Landform Position on Landscape(SO,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 t4done TT T8-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 3 " Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-6 Lot ' Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color-! j I Soil Texture by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Gobbles Soil Structure Consistence Other Depth Color Percent !. ravel Stones (Moist) A 0-8" Ap 10 yr 2/2 FSL Granular Friable 8-24" Bw 10 yr 4/6 FSL Massive Friable 24-86" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t3 done T576-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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: PH-8 Lot Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Depth(in.) Layer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) Stones 0-10" Ap 10 yr 2/2 FSL Granular Friable 10-20" Bw 10 yr 4/6 FSL Massive Friable 20-72" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t4done T7,T8-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 3 �- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal p D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-5 Obs. Hole#DH-6 ❑ 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) > 94" _ >86" (USGS methodology) inches in1.ches Index Well Number Reading Date Sh = Sc—[Sr X(OWc—OWmax)/OWrl 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: 20" _ Lower boundary: 94" inches inches Q done T576•rev. 8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts City/Town of North Andover- Lot t 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-7 Obs. Hole#DH-8 ❑ 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) > 76" >72" (USGS methodology) inches inches Index Well Number Reading Date Sh= Sc—[Sr X (OWc—OWmax)/OWrj 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: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: 19" Lower boundary: 76" inches ----_.____ inches t4done T7,T8-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 3 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. 6/9/16 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. t3 done T5,T6-rev.8/15 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 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 Till Moraine Geologic/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: t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 s Commonwealth of Massachusetts City/Town of North Andover - Lot 1 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-11 6/2/16 11:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38 16"N / 71 03'6"W feet Description of Location: See plan 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(%) 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 Estimated Depth to High Groundwater: Depth Weeping from Pit Depth Standing Water in Hole inches elevation t6 done T11,T12-rev. 8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 8 J Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-11 {Lot 1) 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 Percent Gravel Cobbles (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-26" Bw 10 yr 4/6 FSL Massive Friable 26-86" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t6 done T11.T12•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 1 F -- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-12 _ 6/2/16 11:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38' 16"N / 71 03' 6"W feet 2. Land Use Woodland Some stones 0-5/o o (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 t6 done T11,T12•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 1 - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-12 {Lot 1) 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 Percent ravel Cobbles (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-2.6" Bw 10 yr 4/6 FSL Massive Friable 26-83" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 L, Commonwealth of Massachusetts City/Town of North Andover - Lot 1 - Form 11 - Soil Suitability Assessment for Can-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-11 Obs. Hole#DH-12 ❑ Depth observed standing water in observation hole inches inches ElDepth weeping from side of observation hole inches inches ElDepth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) > 86" > 83" (USGS methodology) inches inches Index Well Number Reading Date Sh = Sc—[Sr X (OWc—OWmax)/OW,] 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: 26" Lower boundary: 86" inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t6 done T11,T12•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 1 - 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. 6/9/16 �-��- 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. t6 done T11,T12•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t6 done T11,T12•rev. 8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Commonwealth of Massachusetts City/Town of North Andover - Lot 1 ,� Form 11 - Soil Suitability - y Assessment s ent 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 Till Moraine Geologic/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: t5 done T9,T10•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 1 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-9 6/2/16 10:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan Latitude/Longitude: 42 38' 16"N / 71 03'6"W feet Description of Location: See plan 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(%) 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 t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts IIz City/Town of North Andover - Lot 1 _- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-9 {Lot 11 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Layer Moist(Munsell) (USDA) Cobbles Soil Structure Consistence Other Depth Color Percent Gravel (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-24" Bw 10 yr 4/6 FSL Massive Friable 24-82" C1 2.5y 5/3 LS 20% 50% Single Grain Friable Firm Additional Notes: t5 done T9,T10•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 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-10 6/2/16 10:00 a.m. Sunny & Mild Date Time Weather 1. Location Ground Elevation at Surface of Hole: See plan 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(%) 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 t5 done T9,T10•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 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: DH-10 {Lot 1} 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 Percent ( ) Gravel Cobbles (Moist) &Stones 0-12" Ap 10 yr 2/2 FSL Granular Friable 12-24" Bw 10 yr 4/6 FSL Massive Friable 24-82" C1 2.5y 5/3 LS 10% 50% Single Grain Friable Firm Additional Notes: t5 done T9,T10•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 1 Form 11 - Soil SuitabilityAssessment -s ent for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#DH-9 Obs. Hole#DH-10 ❑ 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) > 82" > 82" (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# So 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: 24" Lower boundary: 82" inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5 done T9,T10•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 1 � 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. 6/9/16 Signs ure 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. t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 Commonwealth of Massachusetts �= City/Town of North Andover - Lot 1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: t5 done T9,T10•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8