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Home My WebLink AboutSoil Testing & Results - Soil Testing Results - 1230 SALEM STREET 3/28/2017 TOWN OF NORTH ANDOVER •. Community & Economic Development HEALTH DEPARTMENT G�� 1 120 Mainn Street p ,�cQ , NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone 978.688.9542—FAX 4 healthdept@northandoverma.gov (1,44 www.northandoverma.gov APPLICATION FOR SOIL TESTS DATE:m K(a4 ?i MAP& PARCEL: LOCATION OF SOIL EST S: '3U wk� QU pro z wZy CZM` �j )T OWNER.L l IZ SC� Contact#: �9 `I APPLICANT: SA" ,V//��6y y E Contact#: Q ADDRESS: 31� �I�� T, �i2�U C (Cv�) A�-Mws KI c a UU j ENGINEER: L�`1�� ( � Zyf. � 1; Contact#: O u — I J5 L CERTIFIED SOIL EVALUATOR: �0 c44 G6Z-SCAE ) S--i- Intended Use of Land: Residential Subdivision Single Family Ho e Commercial Is This: Repair Testing: Undeveloped Lot Testing: Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership (Tax bill, or letter from owner permitting test) p� ➢ 8.5"x 11"Plot plan& Location of Testing(please indicate test pit sites on the plan) Z� J ➢ 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. 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 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 N.A. Conservation Commission Approval Date: Signature of Conservation Agent: Date back to Health Department: (stamp in): Residential Property Record Card#1 of 1 Parcel Year:2018 PARCEL-ID: 210/106.A-0041-0000.0 MAP 106.A BLOCK 0041 LOT 0000.0 PARCEL ADDRESS: 1230 L-13 SALEM STREET as of:4/4/2017 PARCEL INFORMATION Use-Code: 130 Sale Price: 1 Book: 14234 Tax Class: T Sale Date: 5/22/2015 Page: 0181 Tot Fin Area: 0 Sale Type: L Cert/Doc: Tot Land Area: 3.01 Sale Valid: A Owner#1: NORTH ANDOVER REALTY TRUST ESSEX Grantor: NITZSCHE Owner#2: EDITH M. NITZSCHE,TRUSTEE Address#1: 310 PINEY MOUNTIAN DRIVE K1 Inspect Date: 5/4/2006 Road Type: T Exempt-B/L%: 0/0 Address#2: Meas Date: Rd Condition: P Resid-B/L%: 100/100 ASHVILLE NC 28805 Entrance: Traffic: M Comm-B/L%: 0/0 Collect ID: SGC Water: Indust-B/L%: 0/0 Inspect Reas: Sewer: Open Sp-B/L%: 0/0 RESIDENCE INFORMATION LAND INFORMATION NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1 Style: Tot Rooms: Main Fn Area: Attic: Seg Type Code Method Sq-Ft Acres Influ-1/2/3 Value Class Story Height: Bedrooms: Up Fn Area: Bsmt Area: Roof: Full Baths: Add Fn Area: Fn Bsmt Area: 1 P 130 S 43560 1 N 213444 Ext Wall: Half Baths: Unfin Area: Bsmt Grade: 2 R 130 A 2.01 N 15276 Masonry Trim: Ext Bath Fix: Tot Fin Area: 0 Foundation: Bath Qual: RCNLD: Kitch Qual: Eff Yr Built: Mkt Adj: Heat Type: Ext Kitch: Year Built: Sound Value: Fuel Type: Grade: Cost Bldg: Fireplace: Bsmt Gar Cap: Condition: Att Str Val 1: DETACHED STRUCTURE INFORMATION Central AC: Bsmt Gar SF: Pct Complete: Att Str Va12: Str Unit Msr-1 Msr-2 E-YR-BIt Grade Cond %Good P/F/E/R Cost Class Att Gar SF: %Good P/F/E/R: 1H Porch Type Porch Area Porch Grade Factor VALUATION INFORMATION SKETCH Current Total: 228700 Bldg: 0 Land: 228700 MktLnd: 228700 Prior Tot: 228700 Bldg: 0 Land: 228700 MktLnd: 228700 PHOTO kr oo � � a 1�1� �;,, 41 .0 Tix s ►-�� a✓I � gS Eau"-- — E Aa�.e }7-3 t Z uri c /o; -- lO //,t r 4/19/2 17 Town of North Andover Mail-1230 Salem St NORTf'I ANDOVER Massachusms Toni Wolfenden <tolfenden@northandoverma.gov> 1230 Salem St 1 message Isaac Rowe <irowe@millriverconsulting.com> Wed, Apr 19, 2017 at 3:37 PM To: Brian Lagrasse <baagrasse@northandoverma.gov> Cc: Toni Wolfenden <tolfenden@northandoverma.gov>, Michele Grant <mgrant@northandoverma.gov>, Pam Lally <plally@millriverconsulting.com>, Isaac Rowe <irowe@milldverconsulting.com> Brian, Attached are the soil testing results for the additional test pit and perc test conducted today. Erich will add these and submit the revised design plan. Let me know if you have any questions. Thanks, Isaac Rowe Project Manager fF MILL RIVER CONSULTING (ar4di�c FAihitiot{s for 1atut lkirh►pnnrtif 6 Sargent Street Gloucester, MA 01930-2719 Phone: 978-282-0014 ext.804 www.milldverconsulting.com 1230 Salem St-soil testing results 4-19-17.PDF 1015K https:Hm ai I.google.com/mai I/u/O/?ui=2&i k=aOc6f4e4cf&view=pt&search=i nbox&th=15b87b849ffe6364&si m 1=15b87b849ffe6364 1/1 Al M, Ai " C � t t t 4 P�' P T, a Z3 4Jr { 11 ,15 T A- �x M6d •s,� y+y f� _X4 A 7L Jk s q �;y - t r 4, . . r 4f - a ---- � 61 co C�R t j A � r t I n E { i fi w Commonwealth of Massachusetts City/Town of North Andovero Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ��Ge �p1� ,i L6 oy� A. Facility Information Edith Nitzsche, North Andover Realty Trust of Essex County Owner Name 1230L Salem Street 106A/41 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-web soil survey 421 C Source Soil Map Unit CANTON FINE SANDY LOAM seepage at bottom for absorption fields. Foundations with Soil Name basements are "somewhat limited" Glacial stratified deposits Geologic/Parent Material Landform 3. Surficial Geological Report Available? ® Yes ❑ No If yes: 6/24/16- NRCS Glacial Year Published/Source Publication Scale Stratified 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: NWI; PFO1E Wetland Type 7. Current Water Resource Conditions (USGS): 5/2016 Range: ❑ Above Normal ❑ Normal ® Below Normal Month/Year 8. Other references reviewed: Per USGS; Andover well #462, Georgetown well #168, Wilmington well #78. DEP form1l -TP1 &2.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 - 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: 1-16 5-18-2016 8:00am-- sun, dry - - Date Time Weather 1. Location Ground Elevation at Surface of Hole: 108.0 Latitude/Longitude: N42-39-35 / W71-04-06 feet Description of Location: East of lot 12AA and north of cart path 2. Land Use woodland none 8.7 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) pine and oak trees Vegetation Landform Position on Landscape(SU,SH, BS, FS,TS) 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 120+ feet feet feet Property Line 45 Drinking Water Well 100+ Other feet feet feet 4. Parent Material: Glacial sand deposits - 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: 100 99.7 inches elevation DEP form 11 -TP1 &2.doc-rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal g p C. On-Site Review (continued) Deep Observation Hole Number: TP 1-16 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 0-8 A 10YR3/4 --- --- --- SL --- --- MOD. FRIABLE 8-24 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 24-100 C1 2.5Y5/4 100 7.5YR5/8 10 LS --- 10 WEAK FRIABLE Additional Notes: ►J0 W��i C I - - � SSA D f n.) q W Iitl2 DEP form 11 -TP1 &2.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: 2-16 5-18-2016 8:30AM sundryDate Time Weather 1. Location Ground Elevation at Surface of Hole: 105.8 Latitude/Longitude: N42-39-35 / W71-04-06 feet - -- - - 2. Land Use woodland none 5.7 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Pine and Oak trees Vegetation Landform Position on Landscape(SU,SH, BS,FS, 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 93 feet feet feet Property Line 76 - Drinking Water Well 100+ Other feet feet feet 4. Parent Material: 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: 84 84 Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 75 99.6 inches elevation DEP forml1 -TP1 &2.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP 2-16 4fq) 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 0-7 A 10YR3/4 --- --- --- SL --- --- MOD. FRAIBLE 7-24 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 24-93 C1 2.5Y5/4 75 7.5YR5/8 10 LS --- 10 WEAK FRIABLE Additional Notes: ------- -- --- - ---- o ccoU ` DEP form 11 -TP1 &2.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal �M D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#1-16 Obs. Hole#2-16 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) 100 75 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) _ (USGS methodology) inches inches Index Well Number Reading Date Sh =Sc-[Sr X(OWe-OWmax)/OWr1 Obs. Hole# Sc Sr Owc OWmax Ow, 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: 100 - Lower boundary: 24 inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches DEP form 11 -TP1 &2.doc•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 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: 3-16 5-18-2016 8:00am sun, dry Date Time Weather 1. Location Ground Elevation at Surface of Hole: 107.4 Latitude/Longitude: N42-39-35 / W71-04-06 feet Description of Location: East of lot 12AA and north of cart path 2. Land Use woodland none 10 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Pine and Oak trees Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 80+ feet feet feet Property Line 100 Drinking Water Well 100+ Other feet feet feet 4. Parent Material: Glacial sand deposits 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: 85" 85" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 85 100.3 inches elevation DEP forml l -TP3&4.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover x Form 11 - Soil SuitabilityAssessment for On-Site Sewage Disposal 9 p C. On-Site Review (continued) Deep Observation Hole Number: TP 3-16 ANC] 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 0-8 A 10YR3/4 --- --- --- SL --- --- MOD. FRIABLE 8-32 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 32-66 C1 2.5Y5/4 S --- --- WEAK FRIABLE FINE SAND 66-92 C2 2.5Y4/3 S 10 20 WEAK FRIABLE MED. SAND Additional Notes: r 15�101 IN)C, U) = DEP form 11 -TP3&4.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: 4-16 571872016 8:30AM sun,dry Date Time Weather 1. Location Ground Elevation at Surface of Hole: 107.5- Latitude/Longitude: N42-39-35 / W71-04-06 feet — - ---- -- 2. Land Use woodland none 11 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Pine and Oak trees Vegetation Landform Position on Landscape(SU,SH,BS,FS, 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 110+ feet feet feet Property Line 80 Drinking Water Well 100+ Other feet feet feet 4. Parent Material: 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: NONE NONE inches elevation DEP form11 -TP3&4.doc•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 9l Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP 4-16 4iND• 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) 8 Stones 0-8 A 10YR3/4 --- --- --- SL --- --- MOD. FRAIBLE 8-24 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 24-74 C1 2.5Y5/4 --- --- --- LS --- 50 WEAK FRIABLE large boulders A ditional Notes: Z•q it - -- - --- --- DEP form 11 -TP3&4.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#3-16 Obs. Hole#4-16 ® Depth observed standing water in observation hole 85 inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) none inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh= S,—[Sr X (OW,—OWmax)/OW) Obs. Hole# Sc Sr OWE OWmax OWr Sh Obs. Hole# S, Sr OW, 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: 92 Lower boundary: 24 inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches DEP form 11 -TP3&4.doc•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 - Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal M C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 5-16 5-18-2016 8:00am sundry_ Date Time Weather 1. Location Ground Elevation at Surface of Hole: 109.1 - Latitude/Longitude: N42-39-35 / W71-04-06 feet -- - — _ Description of Location: East of lot 12AA and north of cart path 2. Land Use woodland none 10 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope-M) Pine and Oak trees Vegetation Landform Position on Landscape(SU,SH,BS, FS,TS) 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 125_+ feet feet feet Property Line 23 Drinking Water Well 100+ Other 37' to septic feet feet system 4. Parent Material: Glacial stratified deposits 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: NONE NONE inches elevation DEP form 11 TP5&6.doc•rev.8/15 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of North Andover 9� Form 11 - Soil� Suitability Assessment for On-Site Sewage Disposal g p wt s 3° C. On-Site Review (continued) Deep Observation Hole Number: TP 5-16 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 0-8 A 10YR3/4 --- --- --- SL --- --- MOD. FRIABLE 8-24 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 24-70 C1 2.5Y5/4 --- --- --- LS --- 10 WEAK FRIABLE A ditional Notes: - --- - 19 DEP form 11 -TP5&6.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: 6-16 5-18-2016 8:30AM sun,dry Date Time Weather 1. Location Ground Elevation at Surface of Hole: 108.0 Latitude/Longitude: N42-39-35 / W71-04-06 feet 2. Land Use woodland none 6.5 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Pine and Oak trees Vegetation Landform Position on Landscape(SU,SH,BS, FS, 3. Distances from: Open Water Body 100+ Drainage Way 100+ Wetlands 145+ _ feet feet feet Property Line 27 Drinking Water Well 100+ Other feet feet feet 4. Parent Material: Glacial stratified deposits 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: NONE NONE inches elevation DEP form 11 -TP5&6.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP 6-16 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 &Stones Depth Color Percent ravel Cobblestones (Moist) 0-8 A 10YR3/4 --- --- --- SL --- --- MOD. FRAIBLE 8-24 Bw 10YR5/6 --- --- --- SL --- 5 MOD. FRIABLE 24-38 C1 2.5Y5/4 --- --- --- LS --- 20 WEAK FRIABLE Boulders Tnal Notes: S AMD!k C;- DEP form l l -TP5&6.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#5-16 Obs. Hole#6-16 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) none none_ inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh = Sc—[Sr X(OWE—OWma),)/OWr1 Obs. Hole# Sc Sr OWE OWmax OWr Sh Obs. Hole# Sc Sr OW, 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 M No b. If yes, at what depth was it observed? Upper boundary: 24 Lower boundary: 70 inches inches c. If no, at what depth was impervious material observed? Upper boundary: 38 Lower boundary: 70 inches inches DEP form 11 -TP5&6.doc-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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Isaac-Rowe Mill River Consulting Inc.- - - - - ------- ---- -- _ -- - --- - - -- _ -- - - 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. ___'_ -� -1 ignature of SotNameof Date Erich R. Nitz949 June 30, 2018 _ -- -Typed or Printevaluator/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 Porcglatiun l est F orni 12. DEP form 11 -TP5&6.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 C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 1-17 4-19-2017 10.00am sun, dry_ Date Time Weather 1. Location Ground Elevation at Surface of Hole: 106.5 Latitude/Longitude: N42-39-35 / W71-04-06 feet Description of Location: East of lot 12AA and north of cart path 2. Land Use woodland none _ _ _ 8.7 (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) pine and oak trees _ Vegetation Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body 100 ft+ Drainage Way 100ft+ Wetlands 100ft+ feet feet feet Property Line 68 Drinking Water Well 100ft+ Other feet feet feet 4. Parent Material: 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: 80" 95" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 76" _ 100.2 inches elevation DEP Forml 1 -TP1-2017.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 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: TP 1-17 F11•l0 fl .'5) 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) 8 Stones 0-8 A 10YR2/2 --- --- --- SL --- --- 8-36 Bw 10YR4/6 --- --- --- SL --- 10 36-106 C1 2.5Y5/4 76 7.5YR5/8 10 LS --- 25 Additional Notes: jt DEP Form 11 -TP1-2017.doc•rev.8/15 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 IN, 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#1-17 Obs. Hole# ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole _ inches inches ® Depth to soil redoximorphic features (mottles) 76 inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) (USGS methodology) inches inches Index Well Number Reading Date Sh = Sc—[Sr X(OWE—OWmax)/OWrl 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 yes, at what depth was it observed? Upper boundary: 36 Lower boundary: 106 _ inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches DEP Form11 -TP1-2017.doc•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 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Board of Health Witness Isaac Rowe Mill River Consulting Inc. 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 d in accordance with 310 CMR 15.100 through 15.107. -- JE April 21, 2017Signature of Soil Date Erich R. Nitzs49949 June 30, 2018 Typed or Printedl 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. DEP Form11 -TP1-2017.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 Field Diagrams \ i GRASS TP2-15 �� \ `I I I I I I \ ' TP41,16 �` \ L500 GALLON 107x0 �' w SE-PTLC TANK o I TP3-15 z / \ WOODS 01 CA 7- I ' (o 0 U � � 0 TP1 -15 /�� / / / . /�I TP3-16 o "' O -t // WOODS A / 10 )(3: ;/ ;`l V \ / 100' m � � Y Of 0 > � zor / J i TP 2 // TP2-16 WF D10 3 \ \\ P�✓�`:.0 4" 1 E PORT 18 J / GRASS 1\�• / / TP 10-115 P` \ WOODS EXISTING 1 ` \1 TPS \16 So LEACHING 1 `� \\ / \ l TP9-15\ �� \LD\NG/ �/ // / i WF Di 1 DEP Form 11 -TP1-2017.doc•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 i ` 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:When A. Site Information filling out forms on the computer, Edith Nitzsche; North Andover Realty Trust of Essex County use only the tab key to move your Owner Name cursor-do not 1230L Salem Street, Assessors map 106A Block 41 use the return Street Address or Lot# key. MA 01845 North Andover :1 Ciry/Town State Zip Code tab Erich R. Nitzsche, PE 978-578-1352 Contact Person(if different from Owner) Telephone Number B. Test Results 5-18-2016 9:30 am 5-18-2016 12:00 pm Date Time Date Time P-1 P-2 Observation Hole# 50" 44" Depth of Perc 10:06 12:22 Start Pre-Soak End Pre-Soak 10:23 12:22 10:23 12:40 Time at 12" 10:45 12:43 Time at 9" Time at 6" 11:15 12:49 30 MIN 6 MIN Time (9"-6") 10MP1 2 MPI Rate (Min./Inch) Test Passed: ® Test Passed: Test Failed: ❑ Test Failed: ❑ Erich R. Nitzsche, PE Test Performed By: Isaac Rowe - Millriver Consulting Inc. Board of Health Witness Comments: Backhoe operator; Daniel Giard Weather; sunny, dry, 70 degrees. t5form12.doc•08/15 Perc Test•Page 1 of 1 Commonwealth of Massachusetts City/Town of North Andover Percolation Test Form 12 �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, use only the tab Edith Nitzsche; North Andover Realty Trust of Essex County key to move your Owner Name cursor-do not 1230L Salem Street, Assessors map 106A Block 41 use the return Street Address or Lot# key. North Andover MA 0 „y City/Town State Zipp Code Erich R. Nitzsche, PE 978-578-1352 Contact Person(if different from Owner) Telephone Number B. Test Results 4-19-2017 10:00am Date Time Date Time Observation Hole# P-3 Depth of Perc 53" Start Pre-Soak 10:07 End Pre-Soak 10:23 Time at 12" 10:23 Time at 9" 10:52 Time at 6" 11:23 Time (9"-6") 31 MIN. Rate (Min./Inch) 11 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Erich R. Nitzsche, PE, SE Test Performed By: Isaac Rowe - millriver Consulting Inc. Board of Health Witness Comments: Backhoe operator: Daniel Giard. Weather; sunny, dry, 55 degrees. t5form 12.doc•08/15 Perc Test•Page 1 of 1 MOAT., I 8 U 2 10 9 Town of North Andover HEALTH DEPARTMENT �ss�cNust4 CHECK#: DATE: LOCATION: 12,30 Sea ,/Pm 5 , H/O NAME:_1/4. %rO5-1 CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ i ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: VSeptic-Soil Testing $� ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other(Indicate) $ Health-Agent Initials White-Applicant Yellow-Health Pink-Treasurer