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Home My WebLink AboutSoil Suitability, Perc Test Results and Field Notes - Soil Testing Results - 805 JOHNSON STREET 5/12/2022 RFpF��o ar"A' Commonwealth of Massachusetts City/Town of North Andover 4Y I �J TOWN pF 2?4�2 M Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal H��T NORr A. Facility Information ^ '�A �°R William Utley - Owner Name 805 Johnson Street Map 107.A Lot 67 __ Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ® Upgrade 2. Soil Survey On Line_ 421C Canton Fine Sandy Loam Source Soil Map Unit Soil Series Ground Moraine none Landform Soil Limitations Ablation Till Soil Parent material 3. Surficial Geological Report _ 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): 03/22 Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: (Zone II,IWPA,Zone A,EEA Data Portal,etc.) 805 Johnson Street t5formll.docx-rev.02/26/2020 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5 Commonwealth of Massachusetts a G Cityrrown of North Andover 4 ,. 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 4129/22 9:00 Sunny 40 degrees 42.6589 -71.05876 Hole# Date Time Weather Latitude Longitude 1. Land Use lawn grass non 5% (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: Front Left 2. Soil Parent Material: Ablation Till Ground Moraine Mid Slope Landform Position on Landscape(SU,SH,BS,FS,TS,Plain) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 50' 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 to weeping in Hole Depth to Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil o Depth(in) Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume Soil Consistence Other /Layer (USDA Moist(Munsell) Cobbles& Structure (Moist) Depth Color Percent Gravel Stones Cnc 0-16" Fill/old A Varies Varies Dpl: Cnc 16"-36" Bw SL 10yr 4/6 Dpl: 36"-64" C LS 5Y 5/6 42" Cnc :10YR 5/8 >15 10 M F Dpl: Cnc Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: SOME LARGE STONES; NO REFUSAL; NO WEEPING; NO OBSERVED WATER-shallow depth due to small machine 805 Johnson Street t5forml l.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 Commonwealth of Massachusetts -G City/Town of North Andover ili Assessment for On-Site Sewage Disposal Form 11 - Soil Suitability 9 p C. On-Site Review(minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number:TP 2 4/29/2022 9:00 Sunny 40 degrees _ 42.65895 -71.05876 Hole# Date Time Weather Latitude Longitude 1. Land Use: lawn grass none _ 5% (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: Front right _ 2. Soil Parent Material: Ablation Till Ground Moraine Landform Position on Landscape(SU,SH,BS,FS,TS,Plain) 3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet Property Line 45 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 to Weeping in Hole Depth Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil o Depth(in) Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume Soil Consistence Other /Layer (USDA) Moist(Munsell) Depth Color Percent Gravel Cobbles& Structure (Moist) Stones 0"-12" Fill/old A Varies Varies Cnc Dpl: 12"-24" Bw SL 10YR 4/6 Cnc Dpl: 24"-60" C LS 5Y 5/6 38" Cnc :10YR 5/8 >15 10 M F Dpl: Cnc : >15 M F Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: NO REFUSAL; NO WEEPING; NO ONSERVED WATER 805 Johnson Street t5form11.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts a G City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used (Choose one): Obs. Hole#TP1 Obs. Hole#TP 2 ® Depth to soil redoximorphic features 42" inches 38" inches ❑ Depth to observed standing water in observation hole inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches (USGS methodology) Index Well Number Reading Date Sh=Sc—[Sr X(OWc—OWmax)/OWr] Obs. Hole/Well# Sc Sr OWc OWmax OWr Sh E. 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. ►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 15.1.07. L. _,../ 5/10/22 ligature of oil Evaluator Date enja , E#1818 Bmin C. Osgood, Jr, June 2022 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Dan Otenheimer, Representative North Andover Board of Health 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. 805 Johnson Street t5form11.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 Commonwealth of Massachusetts r� —[ City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams: Use this area for field diagrams: 805 Johnson Street t5form11-docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5 RECEIVED Commonwealth of Massachusetts City/Town of North Andover MAY 12 2022 Percolation Test TOWN OF NORTH ANDOVER 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, use only the tab William Utley key to move your Owner Name cursor-do not 805 Johnson Street use the return Street Address or Lot# key. North Andover MA 01845 � City/Town State Zip Code Contact Person(if different from Owner) Telephone Number B. Test Results 4/29/22 9:12 Date Time Date Time Observation Hole# PT 1 Depth of Perc 33/16 Start Pre-Soak 9:12 End Pre-Soak 9:27 Time at 12" 9:27 Time at 9" 9.38 Time at 6" 9:55 Time(9"-6") 17 Min Rate(Min./Inch) 6 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Benjamin C. Osgood, Jr. Test Performed By: Dan Otenheimer, North Andover Health Department Representative Board of Health Witness Comments: t5form12.doc•08/15 Pere Test•Page 1 of 1 Location f ! i Projer? r Clipr)?. �" i r _r_ � i i i - 4p'ft I I c- i i