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Home My WebLink Aboutsoil suitability assessment - Soil Testing Results - 1761 SALEM STREET 10/28/2021 Commonwealth of Massachusetts �l City/Town of North Andover �r Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Jose Viera Owner Name 1761 Salem Street 106.13/89 fHANDD�R Street Address Map/Lot# HEp�SN DEpAR 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: USDA NRCS 711 C Source Soil Map Unit Charlton-Rock outcrop-Hollis complex N/A Soil Name Soil Limitations Friable coarse-loamy eolian deposits over friable Ground Moraine coarse-loamy basal till Landform 3. Surficial Geological Report Available? ® Yes® No If yes: MassGIS Oliver Year Published/Source Map Unit Till or Bedrock 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): 10/6/2021 Range: ® Above Normal ❑ Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: t5form11 (33)•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 6 Commonwealth of Massachusetts Im 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: 21-1 10/6/21 10:00am Sunny, 65 42.642880 -71.057830 Hole# Date Time Weather Latitude Lonqitude: Single family home Grass None 3-8% 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: Friable coarse-loamy eolian deposits Ground moraine SH over friable coarse-loamy basal till 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 10+ 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- %b Volume Depth(in) /Layer (USDA Moist(Munsell) Cobbles& Soil Structure Consistence Other Depth Color Percent Gravel Stones (Moist) 0-12 A FSL 10YR 3/2 12-21 Bw FSL 10YR 6/8 21-40 C1 Md. Sand 5Y 6/4 40-70 C2 SL 5Y 5/3 Additional Notes: Refusal @ 70". C2 dense layer-very unlikely to perc. t5forml 1 (33)•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 6 Commonwealth of Massachusetts �l City/Town of North Andover 1= I 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: 21-2 10/6/21 11:00am Sunny, 65 42.642880 -71.057830 Hole# Date Time Weather Latitude Longitude: Single family home 1. Land Use: g ) g ( g ) p (° ) (e.g.,woodland,agricultural field,vacant lot,etc. Vegetation Surface Stones e. cobbles,stones,boulders,etc. Sloe /° Description of Location: 2. Soil Parent Material: Friable coarse-loamy eolian deposits over Ground moraine SH friable coarse-loamy basal till 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 10+ 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) 0-16 A FSL 10YR 3/2 16-30 Bw FSL 10YR 6/8 30-55 C1 Md. Sand 5Y 6/4 55-80 C2 SL 5Y 5/3 t5form11 (33)-rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 3 of 6 Commonwealth of Massachusetts �1 City/Town of North Andover Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Additional Notes: Refusal @ 80". ESHGW @ 60". C2 dense layer-very unlikely to perc. D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#21-1 Obs. Hole#21-2 ❑ Depth observed standing water in observation hole inches inches ❑ Depth weeping from side of observation hole inches inches ® Depth to soil redoximorphic features (mottles) N/A inches 60" 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: 12 Lower boundary: 55 Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: 55 Lower boundary: 80 inches inches t5formll (33)•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 6 Commonwealth of Massachusetts �l 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. /iZ62dQ.,r� 416110/25/2021 Signature of Soil Evaluator Date Thorsen Akelrey/#14016 6/30/2022 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Isaac DaRowe North Andover Health Department 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 (33)-rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal -Page 5 of 6 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:When filling out forms A. Site Information on the computer, use only the tab Jose Vlera key to move your Owner Name cursor-do not 1761 Salem Street use the return Street Address or Lot# key. North Andover MA 01845 City/Town State Zip Code IL Williams&Sparages LLC 978-539-8088 Contact Person(if different from Owner) Telephone Number B. Test Results 10/6/2021 10:00am Date Time Date Time Observation Hole# P-21-1 Depth of Perc 18"=18"=36" Start Pre-Soak 9:48 End Pre-Soak 10:03 Time at 12" 10:03 Time at 9" 10:08 Time at 6" 10:15 Time (9"-6") 7 minutes Rate (Min./Inch) 3 MPI Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Thorsen Akerley Test Performed By: Isaac DaRowe Board of Health Witness Comments: t5form12.doc•08/15 Perc Test•Page 1 of 1