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HomeMy WebLinkAboutForm 11 - Soil Suitability - Soil Testing Results - 531 Boston Street 10/19/2023 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Mary E. Cohen Trust Owner Name 0 Boston Street 107.D-51 Street Address Map/Lot# North Andover MA 01845 City State Zip Code B. Site Information 1. (Check one) V1,New Construction ❑ Upgrade 2. Soil Survey Web soil survey 422C Canton Fine Loamy Sand Source Soil Map Unit Soil Series Moraines, Hills, Ridges Extremely Stony, 19-39" to restrictive, >80" to water Landform Soil Limitations Coarse-loamy over sandy melt-out till derived from gneiss, granite, and/or schist Soil Parent material 3. Surficial Geological Report Stone, 2020 Thin Till near shallow to bedrock Year Published/Source Map Unit Nonsorted, nonstratified matrix of sand, some silt, and little clay containing pebble, cobble, and boulder. Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes V No 5. Within a velocity zone? ❑ Yes VNo 6. Within a Mapped Wetland Area? ❑ If yes, MassGIS Wetland Data Layer: Yes �No we and Type 7. Current Water Resource Conditions (USGS): 2023-10-19 Range: ❑ Above Normal Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: Massmapper - No Zone II, no IWPA, no Zone A (Zone II,IWPA,Zone A, EEA Data Portal,etc.) t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ���_5,.✓ Y 9 p C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 1 10/19/2023 8:15A Overcast Hole# Date Time Weather Latitude Longitude 1. Land Use Woods Mixed woodland veg Yes 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: In woods NNE of SPK4 2. Soil Parent Material: Glacial Till BS Landform Position on Landscape(SU,SH,BS, FS,TS, Plain) 3. Distances from: Open Water Body >50 feet Drainage Way >50 feet Wetlands >50 feet Property Line >10 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes VNo 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 DepthDe in Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume Soil p ( ) /Layer (USDA Moist(Munsell) Structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-12 Ap LS 10YR 3/2 Cnc G F Dpl: : 12-24 Bw LS 10YR 5/4 Cnc M FDpl: 24-80 C SL 10YR 5/6 40" Cnc :High chroma >5 15-25 M F Some boulders Dpl: Low chroma Cnc Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: Pit depth at maximum reach of excavator t5forml l revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 5 Commonwealth of Massachusetts City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal ?5 C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 2 10/19/2023 8:30A Overcast Hole# Date Time Weather Latitude Longitude 1. Land Use Woods Mixed woodland veg Yes 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: In woods S/SE of SPK4 2. Soil Parent Material: Glacial Till BS Landform Position on Landscape(SU,SH, BS, FS,TS,Plain) 3. Distances from: Open Water Body >50 feet Drainage Way >50 feet Wetlands >50 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 to Weeping in Hole Depth to Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragmentso Soil /o Soil Horizon Soil Texture Soil Matrix: Color- by Volume Soil Depth(in) /Layer (USDA Moist(Munsell) Structure Consistence Other Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0-10 Ap LS 10YR 3/2 Cnc G F Dpl: : 10-20 Bw LS 10YR 5/4 Cnc M FDpl: 20-76 C SL 10YR 5/6 30" Cnc :High chroma >5 25-35 M F Some boulders Dpl: Low chroma Cnc Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: Pit depth at maximum reach of excavator t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 5 Commonwealth of Massachusetts �} City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal '���-5._✓ Y g p C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 3 10/19/2023 9:15A Overcast Hole# Date Time Weather Latitude Longitude 1. Land Use Woods Mixed woodland veg Yes 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: In woods SE of SPK4 2. Soil Parent Material: Glacial Till BS Landform Position on Landscape(SU,SH, BS, FS,TS,Plain) 3. Distances from: Open Water Body >50 feet Drainage Way >50 feet Wetlands >50 feet Property Line >10 feet Drinking Water Well >100 feet Other feet 4. Unsuitable Materials Present: ❑ Yes VNo If Yes: ❑ Disturbed Soil/Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes V'No If yes: Depth to Weeping in Hole Depth to Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil Soil Horizon Soil Texture Soil Matrix:Color- /o by Volume Soil Depth(in) /Layer (USDA Moist(Munsell) Structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-12 Ap LS 10YR 3/2 Cnc G F Dpl: : 12-30 Bw LS 10YR 5/4 Cnc M FDpl: 30-86 C SL 10YR 5/6 44" Cnc :High chroma >5 10-35 M F Some boulders Dpl: Low chroma Cnc Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: Pit depth at maximum reach of excavator t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 2 of 5 Commonwealth of Massachusetts City/Town of 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: 4 10/19/2023 9:30A Overcast Hole# Date Time Weather Latitude Longitude 1. Land Use Woods Mixed woodland veg Yes 0-3 (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: In woods NE of SPK4 2. Soil Parent Material: Glacial Till BS Landform Position on Landscape(SU,SH, BS,FS,TS, Plain) 3. Distances from: Open Water Body >50 feet Drainage Way >50 feet Wetlands >50 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 V'No If yes: Depth to Weeping in Hole Depth to 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) Structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-10 Ap LS 10YR 3/2 Cnc G F Dpl: : 10-34 Bw LS 10YR 5/4 Cnc M FDpl: 34-88 C SL 10YR 5/6 40" Cnc :High chroma >5 10-15 M F Some boulders Dpl: Low chroma Cnc Dpl: Cnc Dpl: Cnc Dpl: Additional Notes: Pit depth at maximum reach of excavator t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 Commonwealth of Massachusetts City/Town of I^ r 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# TP2 ❑ Depth to soil redoximorphic features 40" inches 30" 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 (OWl—OWmax)/OWrl Obs. Hole/Well# 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? VYes ❑ No b. If yes, at what depth was it observed (exclude O,A,and E Horizons)? Upper boundary: 12" Lower boundary: 80" inches inches c. If no, at what depth was impervious material observed? Upper boundary: 10" Lower boundary: 76" inches inches t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal -Page 4 of 5 Commonwealth of Massachusetts } _a City/Town of I Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used (Choose one): Obs. Hole# TP3 Obs. Hole# TP4 ❑ Depth to soil redoximorphic features 44„ inches 40" 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)/OWrl Obs. Hole/Well# 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 (exclude O,A,and E Horizons)? Upper boundary: 12" Lower boundary: 86" inches inches c. If no, at what depth was impervious material observed? Upper boundary: 1011 Lower boundary: 88" inches inches t5form11 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 Commonwealth of Massachusetts �} 0 City/Town of Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal 5 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. 46I. 110V 10/25/23 Signature of Soil Evaluator Date Thomas Schomburq / S E#14779 S/1/26 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License Isaac Da Rowe 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. Field Diagrams: Use this area for field diagrams: Uj T 1 ' ti F n �s Z �J i v,,�naAw t5forml 1 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5