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HomeMy WebLinkAbout- Soil Testing Results - 218 LACY STREET 10/13/2020 Date:June 2,2020 Soil Testing Permit #53907 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/4/records/61875 COMMONWEALTH OF MASSACHUSETTS tia TOWN OF NORTH ANDOVER BOARD OF HEALTH 4wx 0 Jack Sullivan 218 LACY 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: 4-8644 Owner Contact Number#:617-8404340-4348 Engineer Contact Number:781-854-8644 FRANCIS P.MACMILLAN,JR.,M.D. Conditions: BOARD OF HEALTH CHAIRMAN COMMONWEALTH OF MASSACHUSETTS ❑� 0 TOWN OF NORTH ANDOVER BOARD OF HEALTH 1 Date:June 2,2020 Soil Test Application Summary #53907 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/61875 Applicant:Jack Sullivan Engineer:Jack Sullivan Owner(if different):Troy Moran Engineer Contact Number: 781-854-8644 Owner Contact Number:617-840-4348 Address: Certified Soil Evaluator:Jack Sullivan 218 LACY STREET Soil Evaluator Contact Number:781-854-8644 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): • Gx.. BLS ee..� a�� _��c.te� CQ��/Lei�o�.�. �-e.--a- • ,�Zo-� L czrt. �aw E z..o--�o /�/��-�c,.�c� ��e.. ...�e�c�o C cl�- 6-a..a cad Soil Testing Permit Applicant Location 53907 a 218 LACY STREET Jack Sullivan NORTH ANDOVER, MA 01845 % 781-854-8644 Status:Complete @ jacksu1153@comcast.net Submitted:Jun 02,2020 General Information Owner(if different from applicant) Owner Contact Number Troy Moran 617-840-4348 Engineer Engineer Contact Number: Jack Sullivan 781-854-8644 Certified Soil Evaluator Soil Evaluator Contact Number: Jack Sullivan 781-854-8644 Project Details Intended Use of Land Type of Testing: Single Family Home Repair Testing In the Lake Cochichewick watershed? Location of Soil Tests: No Front yard Internal Conditions Attachments (2) pdf Proof of land ownership Jun 01,2020 pdf Plot Plan and Location of Testing 8.5"x 11" Jun 01,2020 Timeline Soil Test Application Summary Status: Issued June 2nd 2020,8:47 am Application complete? 'Internal Only"section completed by staff? Status:Completed June 2nd 2020,8:48 am Assignee:Toni Wolfenden Payment Status: Paid June 2nd 2020,8:48 am Conservation Approval Status:Completed June 2nd 2020, 1:43 pm Assignee:Amy Maxner Amy Maxner June 2nd 2020, 1:43:09 pm Test pits shall not be performed within 25 feet of a wetland resource area. Erosion controls should be employed if within the buffer zone if engineer sees potential for soil erosion. ❑ Soil Test Permit Status: Issued June 2nd 2020, 1:43 pm Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants May 28,2020 Town of North Andover Board of Health 120 Main Street North Andover, MA 01845 Re: 218 Lacy Street, North Andover Letter granting permission for soil testing To Whom It May Concern: I, Troy Moran, owner of 218 Lacy Street,North Andover grant permission to conduct soil testing on the property for a future septic system. )W�o Signature 5-28-2020 Date: P.O. Box 2004 Wobum, MA 01888 (781) 854-8644 c-mail:jacksu1153@comcast.net 1 1�.. Q 1'f" it �� ga ' ' A5 IN GRGG{/�� ��7 1�Z_F V-4 7`/¢/V S ee-, 1 d4oh '3`! ? ay e u��db !'1 `ice,���,` �p 7 Tom• O �•^ c0� � � slj-�SRN�tlSsd$ /d©o G�/. St'T'♦c %r k I y TOWN OF NORTH ANDOVER Community& Economic Development HEALTH DEPARTMENT 120 Mainn Street NORTH ANDOVER,MASSACHUSETTS 01845 978.688.9540—Phone 978.688.9542—FAX healthdept@northandoverma.gov www.northandoverma.gov APPLICATION FOR SOIL TESTS DATE: May 29, 2020 MAP&PARCEL: Map 105C Lot 29 LOCATION OF SOIL TESTS: 218 Lacy Street(Front yard) OWNER: Troy Moran Contact#: 617-840-4348 APPLICANT:Same as Owner Contact#: ADDRESS: 218 Lacy Street North Andover, MA 01845 ENGINEER: Jack Sullivan Contact#: 781-854-8644 CERTIFIED SOIL EVALUATOR: Jack Sullivan email:jacksull53@comcast.net Intended Use of Land: Residential Subdivision Single Family Home Commercial Is This: Repair Testing: XX Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No XX THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter fi•om owner permitting test) ➢ 8.5"x 11"Plot plait&Location of Testink(please indicate test pit sites on the plait) ➢ 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. A 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 i N.A. Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department: (stamp in): C6,, //o ZIS AS 11V C-R644,VyQ / AAl 7/� 1� 1r_L&. VA T/G NS fEg / oo• 4Z oo� o _I ,o �1f�S11NovSSd3, Q K /0�vo I Cx�57/NG l�PProX I 1 . i � I Sullivan Engineering Group, LLC Civil Engineers&Land Development Consultants May 28, 2020 Town of North Andover Board of Health 120 Main Street North Andover,MA 01845 Re: 218 Lacy Street, North Andover Letter granting permission for soil testing To Whom It May Concern: I, Troy Moran, owner of 218 Lacy Street,North Andover grant permission to conduct soil testing on the property for a future septic system. t� 1)Wj Signature 5-28-2020 Date: P.O. Box 2004 Woburn, MA 01888 (781) 854-8644 e-mail:jacksu1153@comcast.net r i i ! _ _ s F j a 3 i � Y i f 4.0 _r-�w.....r-.._.�......�....��.�a:lf u.�_.�...j�+- '�a�tllE ...< .y --.-.-+- ...e.........rr •.rw+•+.._wr��� -+..—.er... _..—... � �! b e 1 { 1{ iit t n . ¢ r t r t Commonwealth of Massachusetts R 212��0 City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal uvl � l �UoF�,OR�AMEN 10 A. Facility Information Troy + Heidi Moran Owner Name 218 Lacy Street Map 105c Lot 29 Street Address Map/Lot# North Andover MA01845 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction 0 Upgrade ❑ Repair 2. Soil Survey Available? x❑ Yes ❑ No If yes: NRCS 711c Charlton Rock Outcrop Source Soil Map Unit Soil Name Soil Limitations Loamy eolian deposit Ridge Geologic/Parent Mated al Landform 3. Surficial Geological Report Available? ❑ Yes x❑ 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 x❑ No MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): N/A Range: ❑ Above Normal ❑ Normal ❑ Below Normal MonthNear 8. Other references reviewed: t5formI I.doc-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 d 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: 1 6-19-2020 9 : 00 am 75/clear Date Time Weather 1, Location Ground Elevation at Surface of Hole: 93 .2 ' Latitude/Longitude: / feet Description of Location: In front yard - grassed area 2. Land Use Residential none 2-4 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) grassed Ridge Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >200 Drainage Way >200 Wetlands > 150 feet feet feet Property Line 55 Drinking Water Well > 100 Other feet feet feet 4. Parent Material: Loamy eolian deposit Unsuitable Materials Present: ❑ Yes ❑x No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: © Yes 7811 7811 ❑ No If yes: Estimated Depth to High Groundwater: 5011 89 . 01 Depth Weeping from Pit Depth Standing Water in Hole inches elevation t5forml 1.doc•rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 �C\, 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: 1 Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- Soil Texture %by Volume Soil Dyer Moist(Munsell) (USDA) Soil Structure Consistence Other Depth Color Percent Gravel Cobbles (Moist) 8 Stones 0-6 A 10 yr 3/3 FS1 6-18 Bw 10 yr 6/8 LS 18-84 C 2 . 5 y 6/4 50" 50 m-c sand 15 Additional Notes: Water weeping Q 78 t5formI1.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 2 6-19-2020 9 : 00 am 75/clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: 93 .4 Latitude/Longitude: / feet 2. Land Use Residential none 2-4 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) grassed Ridge Vegetation Landforrn Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body > 2 0 0 Drainage Way ' 200 Wetlands > 150 feet feet feet Property Line 40 Drinking Water Well ' 100 Other feet feet feet 4. Parent Matedal: Loamy Eolian Deposit 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: 7811 78" Estimated Depth to High Groundwater: 52 89 . 06 Depth Weeping from Pit Depth Standing Water in Hole inches elevation t5formI 1.doc•rev.8115 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 �L\, 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: 2 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- Soil Texture /o by Volume Soil Depth(in.) Layer Moist(Munsell) Soil Structure Consistence Other (USDA) Depth Color Percent ravel Cobbles (Moist) Stones 0-5 A 10 yr 3/3 FSL 5-17 Bw 10 yr 6/8 LS 17-80 C 2 . 5 y 6/4 52" 50 m-c sand 15 Additional Notes: Water weeping @ 78" t5form11.doc•rev.8115 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 Commonwealth of Massachusetts F City/Town of North Andover Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1 1. Method Used: Obs. Hole# Obs. Hole# 2 ❑ Depth observed standing water in observation hole Inches inches ElDepth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 5011 5211 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Irdex Well Number Reading Date Sh= S.—[Sr X(OW.—OWmax)/OWr) Obs. Hole# SC Sr OWE OWmax OWr Sh Obs. Hole# Sc Sr OWE 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 es at what depth was it observed? 1 80 yes, P Upper boundary: Lower boundary: inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5forml 1.doc-rev.8/15 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 Commonwealth of Massachusetts lugCity/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Issac Rowe Consultant to NA BOH 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 t e above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CM 5.017. 1 fu er certify that the results of my soil evaluation,as indicated in the attached Soil Evaluation Form, are accurate and in c rdance 10 CMR 15.100 through 15.107. 7-16-2020 Signature of Sol' uato Date John D. S 11 n III/ Lic : 2378 June 2022 Typed or Print ame 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. t5form11.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 8 Ex. 4 Bedroom o` M / Residentlai Structure N TOP of Foundation \ Elev=100,0. \ 95x5 /93x6 94x3 96x5 / ` 9sx, "Way 92x8 94x3 93 0 9ze 93x1 94x6 12" 93 S 28 s2x8 ! -1 93x6 s*� 91x6 �Pr-1 �u rig-2 0 91x6 93x4� 18" 24" 92x7 3x2 12" 9 x 92 6 O 6" 3xi 12" 12"0 3x216" 4� 8" 14" 16" 109 "!.-� sIxo Q Spike in 16" Pine Fri y Elev--93.16' N58 59�48"E 9oxa 1't Above ground 150.00' sox0 28" I 91x0 Edge of Pavement tsfbr LACY STREET i 8 of 8 Commonwealth of Massachusetts City/Town of North Andover W Percolation Test Form 12 iV^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 filling out forms A. Site Information on the computer, Troy + Heidi Moran use only the tab key to move your Owner Name cursor-do not 218 Lacy Street use the return Street Address or Lot# key. North Andover MA 01845 City/Town State Zip Code 617-840-4348 Contact Person(if different from Owner) Telephone Number B. Test Results 6/19/20 ( ;00 am Date Time Date Time PT-1 Observation Hole# 26-44 Depth of Perc 8 : 52 Start Pre-Soak 8 : 56 End Pre-Soak Took 25 gallons during soak Time at 12" Time at 9" Time at 6" Time (9"-6") 2 MPI Rate (Min./Inch) Test Passed: Test Passed: ❑ John D. Sullivan I IT1est Failed: ❑ Test Failed: ❑ Test Performed By: Issac Rowe, Consultant Board of Health Witness Comments: t5form12.doc•08/15 Perc Test•Page 1 of 1