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Home My WebLink AboutForm 11 - Soil Suitability Assessment for On-site Disposal - Soil Testing Results - 432 SALEM STREET 6/25/2021 _ Commonwealth of Massachusetts City/Town of North Andover meo .' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal R 52p21 A. Facility Information of NCO 2 SNP Robert & Sharon Broussard !O N pPR�MEN� Owner Name - 432 Salem Street _ 37B 52 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: NRCS 420B Canton Fine Sandy Loam _ Well drained Source Soil Map Unft Soil Name Soil Limitations Melt out 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: Welland Type 7. Current Water Resource Conditions (USGS): _ Range: El Above Normal ❑ Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: t5form11 (1).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: 1 5/11/2021 10 am _ 65/clear Hole# Date Time Weather Latitude Longitude: Grassed Rear Yard Grassed None 2-4 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: Melt out Til_I___ Moraine See Sketch Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body > 200 feet Drainage Way > 150 feet Wetlands > 150 feet Property Line 42 feet Drinking Water Well n/a 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: 30" Depth Weeping from Pit 30"Depth Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil Soil Horizon Soil Texture Soil Matrix:Color- ° Depth(in) /°by Volume Soil Structure Consistence Other /Layer (USDA Moist(Munsell) Depth Color Percent Gravel Cobbles&Stones (Moist) 0-12 A FSL 10 YR 3/3 12-22 Bw LS 10 YR 6/8 22-30 C1 Silt Loam 2.5 Y 5/4 30 30-83 C2 SL 2.5 Y 6/4 Additional Notes: Water Weeping at 30 inches;_no refusal t5form11 (1).doc•rev.3115/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 _ Commonwealth of Massachusetts City/Town of North Andover g' 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: 2 5/11/21 10 am 65/clear Hole# Date Time Weather Latitude Longitude: 1. Land Use: Grassed Rear Yard Grass None 2-4 (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) See Sketch Description of Location: - --- — 2. Soil Parent Material: Melt out Till Moraine _ Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body >200 feet Drainage Way > 150 feet Wetlands > 140 feet 4. Unsuitable Property Line 76 feet Drinking Water Well n/a feet Other feet Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:® Yes ❑ No If yes: 32"Depth Weeping from Pit 32" Depth Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil Horizon Soil Texture Soil Matrix: Soil Depth(in) /La er ) /°by Volume Soil Structure Consistence Other y (USDA) Color-Moist (Munsell) Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0-25 Fill 25-30 A FSL 10 YR 3/3 30-40 Bw LS 10 YR 6/8 32" 40-88 C SL 2.5 Y 6/4 Additional Notes: Water weeping at 32", no refusal (Soil sample taken at a depth of 60" and sent to laboratory for soil analysis for soil type and�erc rates_ t5form11 (1).doc•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts 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#1 Obs. Hole# ® Depth observed standing water in observation hole 30 inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 30 inches 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: 30 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: 40 Lower boundary: 88 Horizons)? - ----------- inches inches c. If no, at what depth was impervious material observed? Upper boundary: __ _ Lower boundary: _ inches inches t5forml 1 (1),doc-rev.3/15/18 Form 11 —Soil Suitability Assessment for on-Site Sewage Disposal -Page 4 of 5 Commonwealth of Massachusetts P City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am curr ntly approved b the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has n performe y me consistent with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify that the results of m oil alu as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. _ _ 6-21-2021 Signature of Soil uat Date --- John D. S i n 1 : 2378 _ _ June 2024 _ Typed or Printe Na o oil Evaluator/License# Expiration Date of License Dan Ottenh imer(Agent for Health Dept_ North Andover Health Dept. 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: TH-1 T EX. 0 SHED TAX MAP 378 LOT 51 N/F PETER FRASER #412 SALEM STREET ap TAX MAP 37B LOT 53 N/F TIM ARMSTRONG #444 SALEM STREET � Slab=98. / r'1 EX. 2 CAR EX. R7A15t'D--RANCH,9N W GARAGE SLAB FOUNDATION J �1 EX. 3 BEDROOMS Commonwealth of Massachusetts City/Town of North Andover - Percolation Test Form 12 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: A. Site Information When filling out forms on the computer,use Robert and Sharon Broussard only the tab key Owner Name to move your 432 Salem Street cursor-do not Street Address or Lot# use the return key. North Andover MA 01845 City/Town State Zip Code ± Jack Sullivan (engineer) 781-854-8644 Contact Person(if different from Owner) Telephone Number (�,ew B. Test Results 5/11/21 10 am Date Time Date Time Observation Hole# TH-1 Depth of Perc 60" (Soil sample taken) Start Pre-Soak none...lab analysis End Pre-Soak Time at 12" — Time at 9" Time at 6" --Time (9"-6") Rate (Min./Inch) 30 MPI_Class 2 soil (per lab results) Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ John D. Sullivan III, CSE Lic#: 2378 Test Performed By: Dan Ottenheimer Board of Health Witness Comments: Soil laboratory work called out Sandy Loam- 0.33 gpd/sf loading rate= 30 MPI used. t5form12.doc•08/15 Perc Test•Page 1 of 1 195 Frances Avenue Client Information: Project Information: THIELSCH Cranston RI,)- 6029 7-64 Sullivan Engineering Group,LLC or Salem St-,Pere M Phone:(401)-467-6454 Reading,MA North Andover,MA Fax:(401)-467-2398 PM:Jack Sullivan TEI Project Number:74-21-0002.314 _ thielsch.com Assigned By:Jack Sullivan Summary Page: I of l Let's Build a Solid Foundation Collected By:Client Report Date: 05.19.21 LABORATORY TESTING DATA SHEET,Report No.: 7421-E-178 Identification Tests Proctor/CBR/Permeability Tests As Test Yd Yd Target Received Laboratory g Laboratory LL PL Gravel Sand Fines n � Water MAX MAX(nctl Test Setup CBR @ CBR @ Permeability �boran Lo Source Sample No. Depth(Ft) No Water % % % % % Org. /o G_s unit Content (Dcfl W, / as%of 0.1" 0.2" cm/sec and Content wt.pcf n "`(. Soil Description "/u /o W"p�(%) (Corr.) Proctor D2216 D4318 D6913 D2974 D854 D1557 Client S-1 21-S-1790 16.5 49.1 344 Brown sandy loam Date Received: 05.14.21 Reviewed By: Date Reviewed: 05.24.21 RECEIVED JUN 2 5 2021 TOWN OF NORTH ANDOVER HEEALLTH DEPARTMENT This report only relates to items inspect and/or tested.No warranty,expressed or implied,is made. This report shall not be reproduced,except in full,without prior written approval from the Agency,as defined in ASTM E329. Particle Size Distribution Report ID M N :C l� it ik iR i� R iR i! iC 100 I 1 1 1 I 1 I 1 1 1 I I I I I I 90 I I I 1 I I I I I I I I I t I I 1 1 1 I I I I I I I 1 I I I I I 1 I I I I I I I I I I I 1 1 1 I I I I I I 1 I 1 I I 1 1 I I I I I I 80 1 1 1 I I I I 1 I I I I 1 I 1 I I I I I I 1 I I I I 1 1 1 I I I I I I I 70 I I I I 1 1 I I I I I I I I I I I I I I 1 I I I I I I I I I I I 1 I I I I I I I I Z 6.0LL 1 1 1 I 1 1 I I 1 I I I I I 1 1 I 1 1 I I 1 I I 1 1 1 I 1 I 1 1 I I 1 I I 1 1 I 1 I 1 I 1 I I I I I I I I Z Z 50 1 1 1 1 LLI I 1 1 1 I 1 1 1 1 I I I 1 1 1 1 1 1 V I 1 1 1 1 I I I 1 I 1 1 1 W 40Al I I d 1 I I 1 1 1 1 I I I 1 1 1 1 1 1 I I t l I I I I I I I 30 I I I 1 I I 1 1 I 1 1 I I I 1 I 1 1 I I 1 1 I I 1 1 1 I 1 20 1 1 I 1 1 1 I I I 1 1 I 1 1 I 1 1 I 1 t 1 I I I I I 1 1 1 1 1 I 1 I 1 I I I I I I 1 I 1 I I 10- 0 100 10 1 0.1 0.01 0.001 GRAIN SIZE-mm. %+3„ %Gravel %Sand %Fines Coarse Fine JCoarsel Medium Fine Silt Clay 0.0 1 4.9 11.6 1 5.1 1 15.5 1 28.5 31.6 2.8 Test Results(D7928& ASTM D 1140) Material Description Opening Percent Spec.' Pass? Brown sandy loam Size Finer (Percent) (X=Fail) 1-1/2" 100.0 V 95.9 Atterbeig Limits(ASTM D 4318) 3/4" 95.1 PL= NP LL= NV PI= NP 1/2" 92.3 3/8" 89.8 Classification #4 83.5 USCS(D 2487)= SM AASHTO(M 145)= A-2-4(0) #10 7 .4 Coefficients # 0 71. D 9.7852 D 5.7101 D #40 62.9 90= 8b= 60= 0.3465 #60 55.2 D50= 0.1802 D80= 0.0603 D15= 0.0203 #100 46.9 D10= 0.0135 Cu= 25.67 Cc= 0.78 #200 34.4 Remarks .0412 nun. 23.7 .0303 mm 20.6 0226 nun. 16.5 0126 mm. 9.4 .0091 mm. 7.3 Date Received:05.14.21 Date Tested: 05.19.21 0065 mm 5.8 0046 mm 4.4 Tested By:JM 0033 mm 3.5 Checked By:Steven Accetta .0014 mm. 2.3 Title:Laboratory Coordinator (no specification provided) Source of Sample:Client Date Sampled: Sample Number:S-1 Thielsch Engineering Inc. Client: Sullivan Engineering Group Project: 432 Salem St-Perc North Andover,MA Cranston RI Project No: 74-21-0002.314 Figure 21-S-1790 USDA Soil Classification 0 /VVVcl y $ 4� VVV silty d� la s n lay V V V o4 1 y loam a clay y loam sandy lay loam loam sim and loam loa c loamy sa i sand $ o lo0 0 Y, 0 8 Percent Sand SOIL DATA Source Sample Depth Percentages From Material Passing a#10 Sieve No. Sand - Silt ClayClassification • Client S-1 64.8 31.6 3.6 Sandy loam Thielsch Engineering Inc. Client: Sullivan Engineering Group Project: 432 Salem St-Perc North Andover,MA Cranston, RI Project No.: 74-21-0002.314 Figure 21-S-1790 Checked By: sa