Lot 4 & 5 Soil Assessment (2) CONSULTANTS, INC.
ALAN E. WEISS,M.S.,L.S.P.
Licensed Site Profess orel
Regislcred Sanitarian
Hydrogcologisi
President
350 Old Enfield Rd.
Bcichenown,MA 01007
(413)323-5957&323-4916(FAX)
-Subsurface Investigations
•2 IE Site Investigations
-Pollution Remediation
•PC¢olmion Tests and
Septic Designs
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Commonwealth of Massachusetts
Nor .roues , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Date: 6/zz /ay
Performed By: R-Lt}Fr S S
Witnessed By: eo' c . st-Actifoeu
Date: Co (a4yt
mnon.mts,oe
Loc,
COft'Af( 01--)o9 acy
ks)PsIP.c .e+vd7c3,
New Construction L1 Repair �I
Geri' R..
,. ,�r•
Ic
L a w rr C.2 'Ulf>sLec.-s,..
l� .
ci We`lLa..-p4rn/
6(o6z
Office Review
Published Soil Survey Available: No ❑
Year Published
Drainage Class
Sur icial Geologic Report Available
Year Published
Geologic Material (Map Unit)
Land form
Flood Insurance Rate Map:
Above 500 year flood boundary No
Within 500 year flood boundary No
Within 100 year flood boundary No
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
res
Publication Scale
Soil Limitations
No I Yes ❑
Publication Scale
❑yes L
IJYes ❑
s ❑
Current Water Resource Conditions (USGS)'. Month
Range :Above Normal ❑Normal el.•v Normal H
Other References Reviewed: YG
DEP APPROVED FORM 12/07195
Soil Map Unil
?y
Location Address or Lot No
N a FC
£ftfb
FORM 11 -SOIL EVALUATOR FORM
Page 2 of 3
On-site Review
Deep Hole Number 'ie-f Date: (cIZZ foV Time• 1'3o Weather CtO DS %C
Location (identify on si a plan) _.. .. __ . ..
Land Use Mea dt J/024-54 ,
° Slope (°%) 2- Surface Stones cad
Vegetation 9 cnP$.
Landform AeV-6 Q.4 •
Position on landscape (sketch on the back) . ._.
Distances from:
Open Water Body 10014-- feet Drainage way feet
Possible Wet Area /Gyp+ feet Property Line IS feet
Drinking Water e -1O0 feet Other _. ,... .
DEEP OBSERVATION HOLE LOG•
Depth from
Surface (Inches]
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones.Boulders. Consistency. %
Gravel)
O /Q rr
410
43
(5L
F5C
/
Ls
/Oi '
1°.1'516
Z,SY/Z
36�
by< e
L.S y✓Ir
a616 loo 5p
f �6�, ]005(
/F/1 }
Y' SR � ( lilK¢ S/ff.
It -3Z `/
32 —I�
r3c
� L
S/5
Z.5y
Y�If
1°746/f
Mc 4.4. 100El
%✓wliter 1�5a.
L. {•S F7X1ip.
r/
b -'/Ci
/O - � r/
AS'
e,(4)
Zr
r„
Y�3
ZS7H/,
Sore 0. 5A..1D
0 to
/O- ZLor
Zb-l2.4rl
FIP
3w
C1
F5 t--
i5L
5/x,5
/oyres/4/
royr We
Z.Ty Y/3
r
6
/oy R6/8
Ana bte_, —
r' t looses r
C1.4.'0- C_0.03.52
(MUM UY 3 RULE XLUUIHtO AI tVtXT YHUYUOCU UO/Wna nncn •
Parent Material (geologic]
tac✓+ttK
Depth to Groundwater, Standing Water in the Hole: liD1. /iv ) 16P
Estimated Seasonal High Ground Water: NO—jtae
DEP APPROVED FOR I•12107195
Depdrtoeedrock: /24'4
Weeping from Pit Face: /10 t4
Location Address or Lot No. OFF C tn.M I ICJ Mi
Deep Hole Number
A-Ly
Date
FORM 11 -SOIL EVALUATOR FORM
Page2of3
On-site Review
SJ310S
Time: 10 :ju Weather SUU
Location (identify on site plant -.... .,,..__. ..
Land Use . . . .. Slope (%) Z Surface Stones Rfw
Vegetation ftoefl:aS
Landform Te,.C(a c$L'._ _.
Position on landscape (sketch on the back) -
Distances from:
Open Water Body 100 3 feet Drainage way !WY feet
Possible Wet Area iCO l feet Property Line 3o'. feet
Drinking Water Well TAW& feet Other _.._
Depth from Soil Horizon
Surface (Inches)
DEEP OBSERVATION HOLE LOG.
Soil Texture
(USOAI
r3L
LS
S
SL
Soil Color Soil
(Monett) Mottling
Z.'�y 5L
36
toiRH(
Other
(Structure,Stones. Boulders, Consistency, %
• Graven
rktCIL- L-o0 e
Cn-5b4
Matz-- coScSE S.i--PJ -
UEV- t1Eb
t P,4Jca YSil+
• MINIMUM OF 2 HQLEo REQUIReD A I EVERY PROPOScSDISPOSAEARcA •
Parent Material (geologic) tiEM.NJc St&_
Depth to Groundwater: Standing Water in the Hole: yo Si
Estimated Seasonal High Ground Water: .3e
DepVrto Bedrock: 2.0 a�
Weeping- from Pit Face:
DEP APPROVED FORM-1.11137/95
FORM 12 - PERCOLATION TEST
Location Address or Lot No. Jet >mac,
J
COMMONWEALTH OF MASSACHUSETTS
Nor-ittay.p1br2 , Massachusetts
Minimum of 1 pe colation test must be performed in both the primary area AND
reservz e ar a.
Site Passed
Performed By:
Witnessed By:
Comments: .._..
Site Failed ❑
rl�{ /t't4'/LLYJ.
DEP APPROVED FORM.12/07195
Percolation Test*
Date: .. �6 v Time:,
Observation Hole #
? t
Y2 '
Depth of Perc
' /q �r
i O
/ �,/ 11
't/ O
Start Pre-soak
/:
I++uctO
End Pre-soak
_
�t 5 -
/o'T)
Zgyel$
Time at Ir
Time at 9"
2'110
LS
Time at 6"
L: 3o
/ ; 5Z
Time (9"-6")
Zo
2/ 2
Rate Min./Inch
6 e.,,a
L 2
Minimum of 1 pe colation test must be performed in both the primary area AND
reservz e ar a.
Site Passed
Performed By:
Witnessed By:
Comments: .._..
Site Failed ❑
rl�{ /t't4'/LLYJ.
DEP APPROVED FORM.12/07195
Location Address or Lot No.
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
N3f- rti�hD,i. , Massachusetts
Minimum of 1 pe colation test must be performed in both the primary area AND
reserve area.
Site Passed Li Site Failed ❑
Performed By: A-vi 53
Witnessed By: c. • (nRRbkye .
DEP APPROVED FORM-12/07/95
Percolation Test*
Date: .. .5\ `os Time:,
Observation Hole #
(:\ -05
Depth of Perc
4 '1
Start Pre-soak
10:45
End Pre-soak
IC.00
Time at 12"
II '.no
Time at 9"
11 . 01
Time at 6"
kj.OZ
Time (9"-6")
Rate Min./Inch
LZ
Minimum of 1 pe colation test must be performed in both the primary area AND
reserve area.
Site Passed Li Site Failed ❑
Performed By: A-vi 53
Witnessed By: c. • (nRRbkye .
DEP APPROVED FORM-12/07/95
rvnUYL 11 - J1.U1L Lr ALUArutt FORM
Page 3 of 3
Location Address or Lot No. 642bjti i,Ja cFF- kig gD.
Determination for Seasonal High Water Table
Method Used:
H Depth observed standing in observation hole.... . inches
[r�1 �Depth weeping from side of observation hole .. inches
R 6epth to soil mottles 36-56'linches
n Ground water adjustment . feet
Index Well Number ... Reading Date Index well level
Adjustment factor _ Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring
observed throughout the area proposed for the
If not, what is the depth of naturally occurring
Certification
I certify that on 66195-
pervious material exist in al! areas
soil absorption system? r5
pervious material?
(date) i have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017.
Signature
DEP APPROVED FORM- 11/0W95
Date 64/icy
I a nl
m 3 > �1
IL =I
i9 -1 Alec. bot T' A li
N_•?,
3
.31iUB -b---- 1. -}' mo -
N 83'51' i E 439.32' ' .-.--------1i\\— fi
r-- _ _7-7-1111V -C Q' o
N �M� � 1 _- / 1 �u rle le`c g l of
—/— >> om 4.
a O/ '3io...
PI / do ik:eY a•' pRG oJZ PORTION OE 1 f A�tiee " p44d BOOK 296]AKPAGE o ( CAOORE E 5 a 40,257* SQ. FT.
co
0.9242* ACRES
11
0
w 1_i I1 IP/.ET s
-- 5 S 6331'19' `M 2e9.9e'
"SUBDIVISION APPROVAL NOT REQUIRED"
1P/SET PUN OF LAND IN
--- NORTHAMPTON MASSACHUSETTS
ul SP_SNCURR NTAZ�NNG RED„EM �rsi° a .,,� LAURENCE AND MARY S. CADORETTE
O
mxau SCALE 11. 31:i FEBRUARY 17. 2005
"o [MR HAROLD L EATON AND ASSOCIATES _INC. ".
aeam REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HAD LEY - MASSACHUSETTS '
413-584-7599 413-585-5978 (fox)
i
4 '^^` m
cc
email - hloatoneaoLoo401-14 0' 30' 60' 90'
•
-II: 12:1: --- `42\ --z_ - " --_- -•-• , I,- '•.-f- -.:
IX: . EN ;10% I.*" /Sit iaraL--,a1a,.: - • " " IX c",
- - in - 4 •
iiit I -:: ,zrz a I Eitio, itg)tits 04407/441,1 it.-, • IS .040:14 Iasi IV -Ite,
:_n- 5e :.: 1 Fast-- \ • ‘ Nit sis.r -Ipt i - - -MOW - ' "-
At 1 i: El IEE24ipsii -f-s4 v. ...4 trizie
-::- 1 ::: ramS*441401ktv Ak4Liiiik". N to ...k -
rai-egicloidicri 1 _ - .efamt j: af
ft
. - agen- 00411/40 It
- _
i-J---- - Sae
tam.
ill trig --_- - 411 klitiagenn -\--
gm :ion ---
---. . . - &r : -_ -- -- -- . - --- - - . -- v----f-- \ \-<-zi - _ _ _ rt.:/,- - - :27:- -2: c
1 Northampton Assessors and Zoning Map ea.......Imalifini
: :---- 7 = .7 n- ..... .. .- " 1 'al S
.
Map Sheet
. .-- - .- - -- 36
--- ....—
1 __ -
SITE 3&_022._ . .
pert Test witness Pa/ nt Record
/ 'n n A Li-t Amount: $
Date: -� — �
i
Property Owner
Property Address
Repair
New Construction ,n ,
EEAAp'S PLUMBING&HEATING
14 GILRAIN TERRACE 23431
FLORENCE,MA O
53-1093/2118
pis
DOLLARS 8 ua
MK
C6�A
5205027231' 2874.'
Pere Test Witness P vm t Record
Dare:431e Amount $_437/aLtD
Property Owner
Property Address
New Construction ZRepair
EARL R I WNGSWORTH JR D/B/A
EARL'S PLUMBING&HEATING
14 GILRAIN TERRACE
FLORENCE,MA 01062-3431
ORDER OE
�v � y
ArN 7 tt 0-
S/3/0C
3066
53-7093/2110
msxnis
DATE
$ SC , oc.
WLLLN5 B °u'...
PION
-E SAVINGS-BANK
FOR , t5S nit%i Cuid, iL* 1 Ss L
1: 2L387093 2050 27 230 3066
Septic System Permit Payment Receipt
Permit i Date: 4214s on Repair_
Amount:5 Cash Checkii 45051
Address: e - � -/
�/J�P�y�y� J • O�
Owner:C/ -
EARL R.ILUNGSWORTH JR D/B/A
EARL'S PLUMBING&HEATING
14 RERAN TERRACE
FLORENCE.MA 01062-3431
u-iu 641+t
rnx br
Lux-4.r? �� . _A_P 'Y\
-\ r enAL1k_k i1 --AAtv-
E
SAVINGS AV BANK
`>C 21Ash-
PM( CA'
1: 2ii� 7Ota
COAL
Ck4 3099
aCr
E
I $ /`,Z 00
1E1 IZ■ Q. t..
'}CC(tCG�
3099
53-7001211B
auti
Nr, 20b5--,23
COMMONWEALTH OAF MASSr1CTIUSFTTS
Board ofHeal/h, No(-h C mp4-C`1l Aft
APPLICATION MR DISPOSAL SYSTEM CONSTRUCTION PLRMI
Application for a Permit o Gmstnut(Y) Repair( 1 Upgrade( ) Abandon( ) - Complete System -Individual Compom
I)pe of Building
Dwelling-No of Bedrooms
Other-Type of Building
Other Fixtures
Ps6(lic e
6 y.troe)] n
No of persons
Lot Size 'IC) 2.S7 "- sq.ft.
Garbage grinder(N
Showers( ),Cafeteria ( )
Design Flow (milt.required) c / gpd
Plan: Date 5/G / -005 Number of sheets
SrpInic c75 4 pe5�yrt flu
Description of Soil(s)
Soil Evaluator Form No
Calculated design flow 560
Tide
C /4 $t, I
Design flow provided 5 77 gpd
Recision Date
/� . wo sS Date of Evaluation C/2a /Uzl
Name of Soil Evaluator /�
DESCRIPTION OF REPAIRS OR ALTERATIONS
_Ts — S14 /UP 5 SPp1
The undersigned agrees to install the above
further agrees to not to plac- the system in
Si net
described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
operation until a Certificate of Compliance has been issued by the Board of Health.
Date w ' 1 CC
Inspection
Location
/1 I
l G YC hG
C^x
I w -L� t
Owners Name 7P 11 y�G J �(i vrr $ t~/o/>�
/
Map/Panel \
3< � Q7
Address LI 7 WPSf�'lurp/7:a, 1
/
tick
Lot#
Telephoned 1413 g..< G . I-I c7L)(
install,''s Name!
.�
-
Designer's Name /Y(Gil t&J ``- 5
S.
Add]
.- 'D
Address � f iC/' Pr la W.l
Telephone#
Telephone# y/] . 3 ) -z . S 1
%
I)pe of Building
Dwelling-No of Bedrooms
Other-Type of Building
Other Fixtures
Ps6(lic e
6 y.troe)] n
No of persons
Lot Size 'IC) 2.S7 "- sq.ft.
Garbage grinder(N
Showers( ),Cafeteria ( )
Design Flow (milt.required) c / gpd
Plan: Date 5/G / -005 Number of sheets
SrpInic c75 4 pe5�yrt flu
Description of Soil(s)
Soil Evaluator Form No
Calculated design flow 560
Tide
C /4 $t, I
Design flow provided 5 77 gpd
Recision Date
/� . wo sS Date of Evaluation C/2a /Uzl
Name of Soil Evaluator /�
DESCRIPTION OF REPAIRS OR ALTERATIONS
_Ts — S14 /UP 5 SPp1
The undersigned agrees to install the above
further agrees to not to plac- the system in
Si net
described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and
operation until a Certificate of Compliance has been issued by the Board of Health.
Date w ' 1 CC
Inspection
No 60cK_2 3'
COMMONWEALTH Of M 1SSACWI'ST.TTS
Board of Health. MA.
CEPTIEICATE Of COMPLIANCE
Description of Work: ❑Individual Component(s) 7 Complete System
The undersigned hereby certify that the Sewage Disposal System: Constructed ( ),Repaired ( ),Upgraded ( ).Abandoned ( )
r
EE l
(Lev! l'3699
bv:
has been ii stalled in accordance with the prosfslons of 910 CMR 13.00 (Tide 5) and the approved design plans/as-built plans relating to
application No. t S �2 dated . Approved Design Flow (gpd)
Installer
Designer:
Inspector: Date
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
No 24.7, > 3
COMMONWEALTH OF MASSACHUSETTS
Board of Health i 22 d7tieti r+j✓//) MA.
DISPOSAL SYSTEM LON'STRULTION PERMIT
FEE
jei
Permission is hetebvgranted to; Construct(V Repair( ) Upgrade( ) Abandon( ) anindisidual sewage disposal system
fUe)tiF—. �• c�`ti f � -'C�� c /( '.4/✓I'1 '>'77-s described in the application for
Disposal System Construction Permit So.&C ,dated `s ( )'�.A=.
Provided: Construction shall be completed within three years of the date of this permit All local conditions must be met.
rom:255 Rev 5/ss Am.Sulkin co.Boston MA DatV/ J Board of Health