HomeMy WebLinkAboutSoil Suitability - Soil Testing Results - 50 JAY ROAD 3/20/2022 Commonwealth of Massachusetts
tj G City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information
Allan Markus
Owner Name
50 Jay Road Map 98.a Lot 59 H ANDOVER
Street Address Map/Lot# HEALTH DEPART
North Andover MA _ 01845
City State Zip Code
B. Site Information
1. (Check one) ❑ New Construction ® Upgrade
2. Soil Survey On Line 651 Udorthents
Source Soil Map Unit Soil Series
N/A N/A
Landform Soil Limitations
N/A
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 Il, IWPA,Zone A, EEA Data Portal,etc.)
50 Jay Road t5form11.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5
Commonwealth of Massachusetts
G 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 3/15/2022 9:00 Sunny 45 degrees 42.66843 -71.10321
Hole# Date Time Weather Latitude Longitude
1. Land Use lawn grass none 3%
(e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location: Front
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 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: 77" Depth to Weeping in Hole N/A due to cave in Depth to Standing Water in
Hole
Soil Log
Redoximorphic Features Coarse Fragments° Soil
/°
Depth(in) Soil Horizon Soil Texture Soil Matrix:Color- by Volume Soil Consistence Other
/Layer (USDA Moist(Munsell) Cobbles& Structure (Moist)
Depth Color Percent Gravel Stones
Cnc
0-5" A SL 10YR 5/2
Dpl:
Cnc
5" -32" FILL SL Varies
Dpl:
Cnc
32" - 55" FILL Varies Varies
Dpl:
55"-77" C1 Loam Gley 1 5/5 GY @ 55" Cnc :10YR 5/8 >15 M F
Dpl:
Cnc
77"-108" C2 Loam 2.5Y 5/4
Dpl:
Cnc
Dpl:
Additional Notes:
NO REFUSAL; WEEPING@ 77
50 Jay Road t5form11.docx-rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5
Commonwealth of Massachusetts
i
[ City/Town of North Andover
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Y 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 3/15/2022 9:00 Sunny 45 degrees_ 42.66843 -71.10321
Hole# Date Time Weather Latitude Longitude
1. Land Use: lawn _ grass none 3%
(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, 13S,FS,TS,Plain)
3. Distances from: Open Water Body >100 feet Drainage Way >100 feet Wetlands >100 feet
Property Line 15 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: 74" Depth to Weeping in Hole 106" Depth Standing Water in Hole
Soil Log
Redoximorphic Features Coarse Fragments° Soil
/°
Soil Horizon Soil Texture Soil Matrix:Color- by Volume Soil
Depth(in) /Layer (USDA) Moist(Munsell) Cobbles& Structure Consistence Other
Depth Color Percent Gravel (Moist)
Stones
0"-5" A SL 10YR 5/2 Cnc
Dpl:
5"-24" FILL SL Varies Cnc
Dpl:
24"-60" Fill Varies Varies Cnc
Dpl:
60"-76" C1 Loam Gley 1 5/5 GY 60" Cnc :10YR 5/8 >15 M F
Dpl:
76"-108" C2 Loam 2.5Y 5/4 Cnc :
Dpl:
Cnc
Dpl:
Additional Notes:
NO REFUSAL; WEEPING AT 74", STANDING @ 106"
50 Jay Road t5form11.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5
Commonwealth of Massachusetts
[ City/Town of North Andover
i
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 55" inches 60" 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. 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
1547.
l/ 5/18/22
ature df Soil Evaluator Date
Benjamin C. Osgood, Jr., SE#1818 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.
50 Jay Road t5form11.docx•rev.02/26/2020 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5