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259 Perc & Soil Test FORM 12 — PERCOLATION TEST Page 1 of 1 Location Address or Lot No 259 Chesterfield Rood — Florence, MA. 01062 Florence, Ma. COMMONWEALTH OF MASSACHUSETTS PERCOLATION TEST Date: May 16, 2013 Time Time Observation hole # # 1 # 2 Dept of perc test 50" 50" Start pre—soak 9: 35 am 10: 25 am End pre—soak 9: 50 am 10: 40 am Time at 12" 9: 50 am 10: 40 am Time at 9" am am Time at 6" 11 : 17 am 11 : 22 am Time: ( 9" — 6" ) 87 minutes 44 minutes Rate: minutes / inch 29 mpi 14.67 mpi Site Passed Performed by: Timothy Witnessed by: Daniel Health DEP APPROVED FORM X Site Failed n E. Maginnis R.S. Wasiuk Agent I l �, a• 3Z� o r oT ASS Oy = TIMOTHY E. ° MAGINNIS #982 RFCisr EiE 1 iTA ft1 � A` N in Le FORM 11 — SOIL EVALUATION FORM Page 6 of 6 Location Address.or Lot No. 259 Chesterfield Road — Florence, MA. 01062 Determination for Seasonal High Water Table Method used: well level Depth observed standing in observation hole: None observed Depth weeping from side of observation hole: None observed Depth to soil mottle: 30" Ground water adjustment: 2.5' Index Well Number: Reading Date: Index Adjustment factor Adjusted groundwater level: 2.5 feet Depth of Naturally Occurring Pervious Material: the above OF 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 Certification I certify that in November 1994 I have passed the soil evaluator examination approved by the Department of Environmental Protection and that analysis was performed by me consistent with the required training, experience and expertise performed by me consistent with the required training described in 310 CMR 15.017 If not, what is the depth of naturally occurring pervious material ? Signature: I:4,'„x I&.c,x-wt Timothy E. Maginnis RS al.e.)05/16/13 i2 TIMOTHY N E. rn o MAGINNIS #982 ,O,'efsr E09 DEP approved form — 12/07/95 1+/7A RAP Location Deep Location: Land Vegetation: Landform: Position Parent Weeping Depth Estimated FORM 11 - SOIL EVALUATION FORM Page 5 Address or Lot No. 259 Chesterfield Road — Florence, MA. 01062 Hole Number # 4 (upper) Date: 05/16/13 Time: 9.30 am Weather: Clear, mild ( identify on site plan) — westerly side of lot, see plan Use: Vacant, wooded Slope: 0 —8% Surface Stones: few grass, apple trees, desidious trees, conifer trees Glaciated upland on Landscape ( see plan ) Distances from: Open Water Body: > 100' Drainage Way: > 100'± Possible Wet Area: > 100' Property line: > 70' Drinking Water Well > 100' Other: Other: Depth from ( Structure. Su race ( inches) Soil Horizon Soil Texture Soil Color Soil Stones, Boulders, ( USDA ) (Munsell) Mottling Consistency, ( % grovel) of 6 0" — 12" A S / L 10YR 3/4 N/A Friable, fine roots dk. brown, 12" — 30" B FSL 10YR 4/6 N/A Friable, med roots yellowish brown wavy boundry 30"— 96" 30• Y C-1 FSL 10YR 5/2 > 5% ® 36 7YR 5/6 grayish. stones, firm, crumbles in hand Material ( geologic ): Fine sandy loam from face: None observed Depth to Bedrock: > 60" Indicates to Groundwater: None observed ESTIMATED SEASONAL Seasonal High Groundwater: 30" HIGHWATER V DEP approved form — 12/07/95 Location Deep Location: Land Vegetation: Landform: Position Parent Weeping Depth Estimated FORM 11 - SOIL EVALUATION FORM Page 4 of Address or Lot No 259 Chesterfield Road — Florence, MA. 01062 Hole Number # 3 (upper) Date: 05/16/13 Time: 9:30 am Weather: Clear, mild ( identify on site plan) — westerly side of lot, see plan Use: Vacant, wooded Slope: 0 —8% Surface Stones: few grass, apple trees, desidious trees, conifer trees Glaciated upland on Landscape ( see plan ) Distances from: Open Water Body: > 100' Drainage Way: > 100'± Possible Wet Area: > 100' Property line: > 70' Drinking Water Well > 100' Other: Other: Depth from ( Structure, Surface ( Inches) Soil Horizon Soil Texture Soil Color Soil Stones, Boulders, ( USDA ) (Munsell) Mottling Consistency, ( % grovel) 6 0" — 12" A S / L 10Th 3/4 N/A Friable, fine roots dk. brown, 12" — 30" - 8 FSL 10YR 4/6 N/A Friable, med roots yellowish brown wavy boundry 30"— 60" 30• Y C-1 FSL LARGE BOULDER 0 60" 10Th 5/2 > 5% ® 36 71R 5/6 grayish. stones, firm, crumbles in hand Material ( geologic ): Fine sandy from face: None observed Depth to Groundwater: None observed Seasonal High Groundwater: 30" loam to Bedrock: > 60" Indicates ESTIMATED SEASONAL HIGHWATER 4 DEP approved form — 12/07/95 NOTE: There is a large boulder at 60" Location Deep Location: Land Vegetation: Landform: Position Parent Weeping Depth Estimated FORM 11 — SOIL EVALUATION FORM Page 3 of Address or Lot No 259 Chesterfield Road — Florence, MA. 01062 Hole Number # 2 Date: 05/16/13 Time: 9:30 om Weather: Clear, mild ( identify on site plan) — westerly side of lot, see plan Use: Vacant, wooded Slope: 0 —8% Surface Stones: few grass, apple trees, desidious trees, conifer trees Glaciated upland on Landscape ( see plan Distances from: Open Water Body: > 100' Drainage Way: > 100'± Possible Wet Area: > 100' Property line: > 70' Drinking Water Well: > 100' Other: Other: Depth from ( Structure, Surface ( inches) Soil Horizon Soil Texture Soil Color Soil Stones, Boulders, _ ( USDA ) (Munsell) Mottling Consistency, ( 9, Duel qr 6 ) A S / L 10YR 3/4 N/A Friable, fine roots dk. brown, 12" — 30" B FSL 10YR 4/6 N/A Friable, med roots yellowish brown wavy boundry 30"— 96" 30. 7 C-1 FSL 10YR 5/2 > 5% 0 36" 7YR 5/6 grayish. stones, firm, crumbles in hand Material ( geologic ): Fine sandy loam Indicates ESTIMATED SEASONAL from face: None observed Depth to Bedrock: > 96" HIGHWATER V to Groundwater: None observed Seasonal High Groundwater: 30" DEP approved form — 12/07/95 Location Deep Location: Land Vegetation: Landform: Position Porent Weeping Depth Estimated FORM 11 - SOIL EVALUATION FORM Page 2 of Address or Lot No. 259 Chesterfield Rood — Florence, MA. 01062 Hole Number # 1 Dote: 05/16/13 Time: 9: 00 am Weather: Clear, mild ( identify on site plan) — westerly side of lot, see plan Use: Vacant, wooded Slope: 0 —8% Surface Stones: few grass, apple trees, desidious trees, conifer trees Glaciated upland on Landscape ( see plan ) Distances from: Open Water Body: > 100' Drainage Way > 100'± Possible Wet Area: > 100' Property line: > 70' Drinking Water Well: > 100' Other: Other: Depth from _- ( Structure, Surface ( inches) Soil Horizon Soil Texture Soil Color Soil Stones, Boulders, ( USDA ) (MUnsell) Mottling Consistency, ( % gravel) 6 0' — 12" A S / L 10YR 3/4 N/A Friable, fine roots dk. brown, B FSL 1018 4/6 N/A Friable, med roots yellowish brown wavy boundry 30"— 96" Y C-1 FSL 10YR 5/2 > 5% 7 R36 6"/6 grayish. stones, firm, crumbles in hand Material ( geologic ): Fine sandy loam Indicates ESTIMATED SEASONAL from face: None observed Depth to Bedrock: > 96" HIGHWATER 7 to Groundwater: None observed Seasonal High Groundwater: 30" DEP approved form — 12/07/95 NO. 2013 - SP FORM 11 — SOIL EVALUATION FORM Page: 1 of 6 of Massachusetts Montague, Massachusetts Assessment for On—Site Sewage Disposal Soil Suitability Performed by Timothy Witnessed by: Daniel Commonwealth E. Maginnis R.S. Date: May 16, 2013 Wasiuk — Health Agent Location address: Lot # 259 New construction Chesterfield Rd. Repair Owner: Patrick Melnik Sr. Address: 259 Chesterfield Road Florence, MA. 01062 Telephone # (413) 586-4825 Yes Office Review Yes Publication scale : 15:840 drained Peres slowly, slope, high seasonal Avoidable Yes to No Soil Map unit: ReB (Ridgebury series) watertable No Publication scale O Yes Yes to December Below Normal Published Soil Survey Available: Year Published 12/81 Drainage class: poorly Soil limitations: Severe, Surficial Geologic Report Year published: Not referred Geologic material: glaciofluvial Landform: Glaciated terrace Flood Insurance Rate Map: Above 500 Year flood boundary Within 500 year flood boundary Within 100 year flood boundary Wetland Area: National Wetland Inventory Map Wetlands Conservancy Program Current Water Resource Conditions Range: Above Normal Other References Reviewed: Soil deposits No ® ® ( map unit ): Not referred Map ( map unit ) (USGS): Month — Normal Survey, Hampshire Co. DEP approved form — 12/07/95