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Home My WebLink AboutPermit, Perc Test, & Form 11, Field Results - Soil Testing Results - 101 FOSTER STREET 10/15/2021 • COMMONWEALTH OF MASSACHUSETTS ❑� ❑� TOWN OF NORTH ANDOVER BOARD OF HEALTH to ❑� � � Date: June 15,2020 Soil Test Application Summary #54115 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/62407 Applicant: benjamin osgood Engineer: BENJAMIN OSGOOD,JR Owner(if different): KENNETH GRASSO Engineer Contact Number: 978-435-1324 Owner Contact Number:978-500-3389 Address: Certified Soil Evaluator: BENJAMIN OSGOOD JR 101 FOSTER STREET Soil Evaluator Contact Number:978-435-1324 NORTH ANDOVER, MA 01845 Location of Soil Test: Intended Use of Land: REAR YARD Single Family Home Type of testing: In the Lake Cochichewick watershed? Upgrade for Addition No Conditions(if applicable): - aka OF Np MEN Soil Testing Permit Applicant Location L 101 FOSTER STREET 54115 benjamin osgood NORTH ANDOVER, MA 01845 % 9784351324 Status:Complete (7n bosgoodpe@gmail.com Submitted:Jun 15,2020 General Information Owner(if different from applicant) Owner Contact Number KENNETH GRASSO 978-500-3389 Engineer Engineer Contact Number: BENJAMIN OSGOOD, JR 978-435-1324 Certified Soil Evaluator Soil Evaluator Contact Number: BENJAMIN OSGOOD JR 978-435-1324 Project Details Intended Use of Land Type of Testing: Single Family Home Upgrade for Addition In the Lake Cochichewick watershed? Location of Soil Tests: No REAR YARD Internal Conditions Attachments (2) pdf Proof of land ownership Jun 15,2020 pdf Plot Plan and Location of Testing 8.5"x 11" Jun 15,2020 Timeline ❑ Soil Test Application Summary Status: Issued June 15th 2020, 11:47 am ❑ Application complete? "Internal Only"section completed by staff? Status:Completed June 15th 2020,1:19 pm Assignee:Toni Wolfenden Payment Status: Paid June 19th 2020, 11:41 am Toni Wolfenden June 15th 2020, 1:20:14 pm Payment is now due. Please pay by credit card or mail a $440.00 check to: Town of North Andover Attention Health Department, 120 Main Street North Andover, MA 01845 Toni Wolfenden June 15th 2020, 3:07:31 pm Hi Ben, you are correct the price is$585.00 thank you so much. It has been corrected per Brian. ElConservation Approval Status:Completed June 19th 2020, 12:18 pm Assignee:Amy Maxner Amy Maxner June 19th 2020, 12:18:17 pm Soil tests shall not be conducted in the 25' NDZ to any wetland. ❑ Soil Test Permit Status: Issued June 19th 2020, 12:18 pm Unofficial Property Record Card - North Andover, MA General Property Data Parcel ID 104.D-0037-0000.0 Account Number M_235428_935265 Prior Parcel ID — Property Owner GRASSO,KENNETH,R.JR. Property Location 101 FOSTER STREET GRASSO,CHERISE,A. Property Use ONE FAM Mailing Address 101 FOSTER STREET Most Recent Sale Date 12/2/2013 Legal Reference 13718-0054 City NORTH ANDOVER Grantor GRASSO Mailing State MA Zip 01845 Sale Price 1 ParcelZoning R1 Land Area 2.160 acres Current Property Assessment Card 1 Value Building Value 242,100 Xtra Features 1,700 Land Value 273,000 Total Value 516,800 Value Building Description Building Style RAISED RANCH Foundation Type CONCRETE Flooring Type HARDWOOD #of Living Units 1 Frame Type 1 Basement Floor NIA Year Built 1960 Roof Structure GABLE Heating Type FORCED H/W Building Grade AVERAGE+ Roof Cover ASPHALT Heating Fuel OIL Building Condition Avg-Good Siding TEX 111 Air Conditioning 0% Finished Area(SF)2963.19995 Interior Walls TYPICAL #of Bsmt Garages 2 Number Rooms 6 #of Bedrooms 3 #of Full Baths 2 #of 314 Baths 0 #of 1/2 Baths 0 #of Other Fixtures 0 Legal Description Narrative Description of Property This property contains 2.160 acres of land mainly classified as ONE FAM with a(n)RAISED RANCH style building,built about 1960,having TEX 111 exterior and ASPHALT roof cover,with 1 unit(s),6 room(s),3 bedroom(s),2 bath(s),0 half bath(s)- Property Images Ilk 101 FOSTER STREET Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. Town of North Andover,MA June 15,2020 \ F.. 5�8 Fo / '-. 104.0-00 7 .0 -iW.D0028-OfIOBQ� \ // Vol ma .600svnnoo.e e ) REFERENCE ONLY NOT A LEGAL DOCUMENT Town of North Andover,MA makes no claims and no warranties,expressed or implied,concerning the .o-oon aoeo.o < validity or accuracy of the GIS data presented on this map. 005000000 Geometry updated 018 Data updated 10/31/2016/2018 TEST LOCATION g� . 101.0-0DW-0OM.O A t Map Theme Legends FEMA Flood Zones Wetlands ❑ FIRM Panels Shoreline Cross-Sections /Hydrologic Connection Mean Lew Water Line Coastal Transects Wetland omit .•'Closure Line — Limit of Moderate Wave Action Reservoir(with PWSID) Q Coastal Barrier Resources System Area ®Marsh/Bog /,:Wooded Marsh Base Flood Elevations Cranberry Bog Flood Hazard Zones Salt Marsh t%Annual Chanty Flood Hazard Tidal Flats Regi,wory Floedway Beach/Dune Speoal Fioodway Massachusetts DEP, Area of Undetermined Flood Hazard 0.2%Annual Chance Flood Huard Future Conditions 1%Annual Choice Flood Area win Reduced Risk Dw to Levee FEMA Map Service Center-See FEMA FIRM Panels theme for Effective Date Town of North Andover, MA $585.00 Paid via Check #1156 Note: 101 Foster Street Thanks for using the Online Service Center Ranger Engineering Group Inc. Soil Testing Permit#54115 June 19, 2020 New Construction Fee $585.00 Total Paid $585.00 0 Powered by the ViewPoint Cloud platform Receipt number#20401 y Date:June 19,2020 Soil Testing Permit #54115 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/#/records/62407 COMMONWEALTH OF MASSACHUSETTS �❑� TOWN OF NORTH ANDOVER r BOARD OF HEALTH4io E3 i ., 1 �•I benjamin osgood 101 FOSTER 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: 35-1324 Owner Contact Number#:978-500-300-3389 Engineer Contact Number:978-435-1324 FRANCIS P.MACMILLAN,JR.,M.D. Conditions: BOARD OF HEALTH CHAIRMAN Commonwealth of Massachusetts RECEIVED City/Town of North Andover ,lUt 2 8 202t) w Percolation Test TDWWOFt4059 iAND(�VER Form 12 HEALTH DEpARTMENT 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, Kenneth Grasso use only the tab — key to move your Owner Name cursor-do not 101 Foster St use the return Street Address or Lot# key. North Andover MA 01845 �y City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 7/8/2020 19:45 7/8/2020 9:45 Date Time Date Time Observation Hole# PT1 _ PT2 Depth of Perc 24/18 21/18 Start Pre-Soak 9;53 10:09 End Pre-Soak 10:08 10:24 Time at 12" 10:08 10:24 Time at 9" 10:15 10:34 Time at 6" 10:24 10:45 Time (9"-6") 9 Min _ 11 Min Rate (Min./Inch) 3 MPI 4 MPI Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Benjamin C Osgood Jr Test Performed By: Isaac Rowe Board of Health Witness Comments: t5form12.doc•08/15 Perc Test•Page 1 of 1 Commonwealth of Massachusetts City/Town of North Andover 1 r` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ?rim r s 2 A. Facility Information Keneth Grasso Owner Name J� 293 101 Foster Street Map104D parcel 37 p0 Street Address Map/Lot# North Andover MA 01845 City State Zip Code N� B. Site Information 1. (Check one) ❑ New Construction ® Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: Web Soil Survey 253C Source Soil Map Unit Hinckly Loamy Sand none Soil Name Soil Limitations Ablation Till Moraine Soil Parent material Landform 3. Surficial Geological Report Available? ❑ Yes® No If yes: Year Published/Source Map Unit Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No 5. Within a velocity zone? ❑ Yes ® No 6. Within a Mapped Wetland Area? ❑ Yes ® No If yes, MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): 05/2020 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Day/Year 8. Other references reviewed: t5form11 (1)101 foster(002).doc•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5 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 reserve disposal area) Deep Observation Hole Number: TP 1 07/08/2020 10:00 sunny/warm 42.667062 -71.068034 Hole# Date Time Weather Latitude Lonqitude: lawn grass none 5 1. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: 2. Soil Parent Material: ablation till moraine BS Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 60 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Redoximorphic Features °Coarse Fragments Soil Soil Horizon Soil Texture Soil Matrix:Color- /°by Volume Depth(in) /Layer (USDA Moist(Munsell) Cobbles& Soil Structure Consistence Other Depth Color Percent Gravel Stones (Moist) 4" A SL 10YR 3/2 72" C LS 2.5Y 5/63 30" 10yr 5/8 .15% M F Additional Notes: t5form11 (1)101 foster(002).doc•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 _ 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 reserve disposal area) Deep Observation Hole Number: TP 2 7/8/2020 10:00 SUNNY/WARM 42.667062 -71.068034 Hole# Date Time Weather Latitude Longitude: LAWN GRASS NONE 5 1. Land Use: (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Rear Yard Description of Location: 2. Soil Parent Material: Ablation Till Moraine BS Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 60 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Coarse Fragments Soil Horizon Soil Texture Soil Matrix: Redoximorphic Features °/° Soil Depth(in) by Volume Soil Structure Consistence Other /Layer (USDA) Color-Moist Cobbles& (Munsell) Depth Color Percent Gravel Stones (Moist) 5' A SL 10YR 3/2 80" C LS 2.5y 5/6 30" 10YR 5/8 >15% M F Additional Notes: t5form11 (1)101 foster(002).doc•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts w City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#TP3 Obs. Hole#TP4 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 30 inches 30 inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches (USGS methodology) Index Well Number Reading Date Sh= Sc—[Sr X(OWc—OWmax)/OW,l Obs. Hole/Well# Sc Sr OWc OWmax OWr Sh 2. Estimated Depth to High Groundwater: inches 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 (exclude A and O Upper boundary: 4 Lower boundary: 80 Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 (1)101 foster(002).doc•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 _ 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. 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. Signature of Soil Eva lu Date benjamin c osgoo jr 06/2021 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Isaac Rowe North Andover BOH Name of Approving Authority Witness Approving Authority 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. Field Diagrams: Use this area for field diagrams: t5form11 (1)101 foster(002).doc-rev.3/15/18 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal -Page 5 of 5 Commonwealth of Massachusetts City/Town of North Andover A .° Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal .3s C, A. Facility Information RECEJVEp Keneth Grasso Owner Name 101 Foster Street Map104D parcel 37 Street Address Map/Lot# OF 140'T North Andover MA 01845 loo ZtID� 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 253C Source Soil Map Unit Hinckly Loamy Sand none Soil Name Soil Limitations Ablation Till Moraine Soil Parent material Landform 3. Surficial Geological Report Available? ❑ Yes® No If yes: Year Published/Source Map Unit Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No 5. Within a velocity zone? ❑ Yes ® No 6. Within a Mapped Wetland Area? ❑ Yes ® No If yes, MassGIS Wetland Data Layer: pp Wetland Type 7. Current Water Resource Conditions(USGS): 05/2020 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Day/Year 8. Other references reviewed: t5form11 (2)101 foster.doc-rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 1 of 5 X Commonwealth of Massachusetts City/Town of North Andover A 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: TP 3 07/08/2020 10:00 sunny/warm 42.667062 -71.068034 Hole# Date Time Weather Latitude Lonqitude: lawn grass none 5 1. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: 2. Soil Parent Material: ablation till moraine BS Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 60 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Redoximorphic Features °Coarse Fragments Soil Soil Horizon Soil Texture Soil Matrix:Color- /°by Volume Depth(in) ,Layer (USDA Moist(Munsell) Cobbles& Soil Structure Consistence Other Depth Color Percent Gravel Stones (Moist) 5" A SL 10YR 3/2 76" C LS 2.5Y 5/6 30" 10yr 5/8 .15% M F Additional Notes: t5form11 (2)101 foster.doc•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 Commonwealth of Massachusetts City/Town of North Andover r` 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: TP 4 7/8/2020 10:00 SUNNY/WARM 42.667062 -71.068034 Hole# Date Time Weather Latitude Longitude: LAWN GRASS NONE 5 1. Land Use: (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Rear Yard Description of Location: 2. Soil Parent Material: Ablation Till Moraine BS Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 60 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Redoximorphic Features °Coarse Fragments Soil Soil Horizon Soil Texture Soil Matrix: /°by Volume Depth(in) Soil Structure Consistence Other /Layer (USDA) Color-Moist Cobbles& (Munsell) Depth Color Percent Gravel Stones (Moist) 6"' A SL 10YR 3/2 76" C LS 2.5y 5/6 30" 10YR 5/8 >15% M F Additional Notes: t5form11 (2)101 foster.doc•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 _ Commonwealth of Massachusetts W City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#TP3 Obs. Hole#TP4 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 30 inches 30 inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches (USGS methodology) Index Well Number Reading Date Sh= Sc—[Sr X(OWc—OWmax)/OWrl Obs. Hole/Well# Sc Sr OWc OWmax OWr Sh 2. Estimated Depth to High Groundwater: inches 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 (exclude A and O Upper boundary: 5 Lower boundary: 76 Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches t5form11 (2)101 foster.doc•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 _ 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. 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. 07. C W2 ignature o1 Soil EvaI r Date benjamin c osgo d jr 06/2021 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Isaac Rowe North Andover BOH Name of Approving Authority Witness Approving Authority 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. 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