HomeMy WebLinkAboutSoil Suitability Assessment - Miscellaneous - 83 ACADEMY ROAD 2/17/2026 °ter
Commonwealth of Massachusetts
City/Town of
Form I I = Soil Suitability Assessment for OnmSite Sewage Disposal
A. Facility information Town of Nofth aover
Kathy Stevens
Owner Name
83 Academy Road FEB 17 2026
Street Address Map/Lot#
Noah Andover MA i lr%gallfh r),nnnrtMent
City State Zip Code
B. Site Information
1. (Check one) El New Construction [ Upgrade
2. Soil Survey nla
Source Soil Map Unit Soil Series
Landform Soil Limitations
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 (K] No
8. Within a velocity zone? ❑ Yes ® No
G. Within a Mapped Wetland Area? El Yes ® No If yes, MassGIS Wetland Data Layer:
�� Wetland Type
7. Current Water Resource Conditions (USGS): Range: El Above Normal ❑ Normal El Below Normal
Month/Day/Year
8. other references reviewed:
(Zone II,IWPA,Zone A,EEA Data Portal,etc.)
x
t5forml 1 revised 1-23-20.doc Form'I I—Soil Suitability Assessment for on-Site Sewage Disposal •Page 1 of 5
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Commonwealth of Massachusetts
C ity/Town of
Form I I - Soil Suitability Assessment for On-Site Sewage Disposal
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C. on-Site Review (minimum of two holes required at every proposed primary and reserve disposal area)
Deep observation Hole Number: —1 - 1112512025
Hole# Date Time Weather Latitude Longitude
1. Land Use lawn grass _ no
(e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope
Description of Location: backyard
2. Soil Parent Material:
Landform Position on Landscape(SU,SH,BS,FS,TS,Plain)
3. Distances from: open Water Body >20 feet Drainage Way >,0 feet Wetlands >20 feet
See site plan Property Line >20 feet Drinking Water Well >100 feet other feet
4. Unsuitable Materials Present: ® Yes El No If Yes: ® Disturbed Soil/Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater observed:K1 Yes El No If yes: 60 Depth to Weeping in Hale 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) Gobbles Structure Moist
Depth Color Percent Gravel (Moist)
Stones
0-1 4 Fill nc :Dp l:
14--29 Bw LS 1 oyr514 22 nc :1 o rG15 >5 M F
Dpl.
7/3 nc : F
29-11 D SlL y ❑pl. M
nc :
pl:
nc :
pl:
nc :
jDpl:
Additional Notes:
t5form1l revised 1-23-20.doc Form 11--Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5
Commonwealth of Massachusetts
.VI. C ity/Town of
_ _j Form I I - Soil Suitability Assessment for On-Site Sewage Disposal
C. On=Site Review (minimum of two Dotes required at every proposed primary and reserve disposal area)
Deep Observation Hole Number: _ 11/25/2025
Hole# Date Time Weather Latitude Longitude
1. Land Use lawn grass no 9�5
(e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%)
Description of Location: backyard
2. Soil Parent Material:
Landform Position on Landscape(SU,SH,BS,FS,TS,Plain)
3. Distances from: Open Water Body >20 feet Drainage Way s feet Wetlands >20 feet
See site plan Property Line >20 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:KI Yes El No If yes: 35 Depth to Weeping in Hole 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 8r Structure (Moist)
Depth Color Percent Gravel
Stones
0-1 2 Fill nc
Dpl:
12-40 C1 SL 10yr514 20 nc :1 oyr6l6 >5 M F
Dpl:
��� nc
C�
40-100 S l L 5 Y Dpl: M F
nc :
pl:
nc :
Dpl:
nc
Dpl:
Additional Notes:
t5forml 1 revised 1-23-20.doc Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5
40 Commonwealth of Massachusetts
Q 19 City/Town of
Form I I 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 - 1/125/2025
Hole# Date Time Weather Latitude Longitude
1. Land Use lawn rass no 5-15
(e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope °Iv}
Description of Location: backyard
2. Soil Parent Material:
Landform Position on Landscape(SU,SH,BS,FS,TS,Plain)
3. Distances from: open Water Body >20 feet Drainage Way feet Wetlands >20 feet
See site plan Property Line >20 feet Drinking Water Well >100 feet other feet
4. Unsuitable Materials Present: ® Yes ❑ No If Yes: ® Disturbed Sail/Fill Material ❑ Weathered/Fracturied Rock ❑ Bedrock
5. Groundwater observed:91 Yes El No If yes: 50 Depth to weeping in Hole Depth to Standing Water in Hole
Soil Log
Redoximorphic Features Coarse Fragments Soil
Depth(in) Soil Horizon Soil Texture Soil Matrix: Color- /a by Volume Soil Consistence other
/Layer (USDA Moist(Munsell) Cobbles& Structure (Moist)
Depth Color Percent Gravel Stones
o-'I nc� Fill Dpl:
Gnc :�oyr�l�
'12-4o C'i S L 5Y?'11 20 >5 M F
Dpl.
Cnc
40--100 C S L 5y713 Dpl: M F
nc :
pl:
nc :
Dpl:
nc :
Dpl:
Additional Notes:
t5form'l'l revised 1-.23-20.doc Form I I—Soil Suitability Assessment for Can-Site Sewage Disposal •Page 2 of 5
Commonwealth f Massachusetts
'� City/Town of
Form I I 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. 11/25/2025
Hole# Date - Time Weather Latitude Longitude
. Land Use lawn grass no -1
woodland,agricultural field,vacant lot,etc. Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc. Slope
Description of Location: backyard
2 Soil Parent Material.
Landfarm Position on Landscape ..1,SH,
3. Distances from: Open Water Body >20 feet Drainage Way 22D feet Wetlands >20 feet
See site plan Property Line >20 feet Drinking Water Well >1 00 feet Other feet
. Unsuitable le Materials Present: Yes El No If Yes: Disturbed Soil/Fill Material El Weathered/Fractured Rock EJ Bedrock
5. Groundwater Observed:KI Yes El No if yes: Depth to Weeping in Hole Depth to Standing Water its Hale
Soil Log
Redoximorphic Features Coarse Fragments Soil
Soil Horizon Soil Texture oil Matrix: Color �b Volume Soil
Depth in L er US Moist Mune[1 Structure Consistence Other
Depth Color Percent Gravel Cobbles (Moist)
Stones
;
-12 Fill Cnc
Dpl:
Cnc :1 y
Dpl:
Cnc
Dpl:
Cnc
Dpl:
Cnc
Dpl:
Additional Notes:
SAMPLE TAK-N A-!___ 55'_ BELOW GROUND SURFACE, COULD NOTPERC DUE
t5fcrm 1 revised - -2 .do Form 11—Soil Suitability Assessment for Ors-Site Sewage Disposal Page 2 of 5
Commonwealth of Massachusetts
City/Town of
Form I I - Soil SuitabilityAssessment for OnmSite Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used (Choose one): Cbs. Hole# 1-•4 obs. Hole#
Depth to soil redoximorphic features 20 inches inches
❑ Depth to observed standing water in observation hole inches inches
❑ Depth to adjusted seasonal high groundwater(Sh) inches inches
(U SGS methodology)
Index Well Number Reading Date
Sh=Sc—[Sr X(OW.—Cwmax)/owr]
Qbs. HolelWell# Sc Sr t]WC oWmax OVVr 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?
. Of Yes El No
b. If yes, at what depth was it observed (exclude a,A,and E Horizons)? Upper boundary: 1 2-14 Lower boundary: 96-100
inches inches
c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary:
inches inches
t5forml 1 revised 1-23-20.doc Form 11-Soil Suitability Assessment for on-Site Sewage Disposal •Page 4 of 5
} Commonwealth of Massachusetts
City/Town of
4�is�_. Form I I Soil Suitability Assessment for OnmSite Disposal
F. Certification
certify that I am currently approved by the Depa t of Environmental Protection pursuant to 310 CMR 15.017 to conduct sail evaluations and that the
above,analysis has been performed by me s st nt with the required training, expertise and experience described in 310 CMR 15.017. 1 further certify
that the resin _ of my soil evlutio indicated in the attached Soil Evaluation Ferro, are accurate and in accordance with 310 CAR 15.100 through
1 - .
02/02/2026
Sgrtueo-7 96�valuator Date
lk Chongris Se14554June 2027
Typed or Printed Name of Soil Evaluator License# Expiration Date of License
Daniel Ottenheirrier North Andover BOH
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.
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t5 e ml l revised 1-23-20,d c - _ ment for On-Site Sewage Disposal Page 5 of 5
�► HYDRO TITLE V
sewoco ASTM D422
� .�ENGINEERING, INC.
Project Name: North Andover MA-83 Project#: 25-2426
Academy Road Laboratory Lab 1D: 33654M
Testing Services Date Received: 12/22/2025
Client: Chongris Engineering LLC Date Completed: 1/6/2026
Sample Description_ Gravelly Sand and Sift Tested By: Daniel Jack
Material Source: On-site
Skve Awlysh Hydiot dn*sis
5tarrd
• bunt spedfiwion e mount P irig
Siem S`rae Dmignation Parting 3 (tarn) (%)
(Murle)
Nm 10 2 100 0DWS6 n.2
No.20 0.95 90 D.03733 27.5
NcL 40 OA25 79 0.02643 26.9
NcL 60 02S 66 0.0187.5 2 S.7
Nam..w U DS 46 0.01385 2"
No..203 �Dy Dn 36.2 aw9sa 17A
No.270 V: S3 293 D D 162
O h 77 15.0
0,.003 S3 12.6
O2;50 12.0
0..0014S 10.2
fill I
..
No
30%
20%
MOM 1D OW0 1 ww a 001 U010
Par6de Distributk: Sand(WL 14-No 270) 703% Silt(0.0s- 18.3%
Cory (<O OD2) 11.2%
Richard Smith
Reviewed By
The S,W.COLE field representative is on�s#e at the request of our client to provide construction materiels testing and to observe and document construction activities.The Contractor has sole
responsibility for schedule,site safety,methods,completeness and quality control.
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