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:
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t5forml 1 revised 1-23-20.doc Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5