368 Septic Soil Tests 2013 Commonwealth of Massachusetts V/ _
*, City/Town of Northampton Fee: Paid? W
r Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information
Mary Price
Owner Name
368 Chesterfield Road 15-012-001
Street Address Map/Lot#
Leeds MA 01053
City State Zip Code
B. Site Information
I. (Check one) ❑ New Construction ❑ Upgrade ® Repair
2. Published Soil Survey Available? ® Yes ❑ No If yes: 1:1470 3118
Year Published Publication Scale Soil Map Unit
Woodbridge
Soil Name Soil Limitations
3. Sulficial Geological Report Available? ❑ Yes Z No If yes:
Year Published Publication Scale Map Unit
Geologic Material Landform
4. Flood Rate Insurance Map
Above the 500-year flood boundary? Z Yes ❑ No Within the 100-year flood boundary? ❑ Yes Z No
Within the 500-year flood boundary? ❑ Yes ® No Within a velocity zone? ❑ Yes Z No
5. Wetland Area: National Wetland Inventory Map Map Unit Name
Wetlands Conservancy Program Map Map Unit Name
6. Current Water Resource Conditions (USGS):
�ri12013 e:
( Monthnear _ Range: ❑ Above Normal ❑ Normal ® Below Normal
7. Other references reviewed: -- ---------- -- - __
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. . Commonwealth of Massachusetts
_ , City/Town of Northampton Fee: Paid?
ti 1114-------
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
J
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
Deep Observation Hole Number: 4/10/13 2:00 PM overcast
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: g5.44- Location (identify on plan):
2. Land Use woodland yes >24" _ _ 10
(e.g., woodland,agricultural field, vacant lot,etc.) Surface Stones Slope(%)
grass/weeds/trees till outwash
Vegetation LanMOnn Position on Landscape(attach sheet)
3. Distances from: Open Water Body feet Drainage Way fief--- Possible Wet Area Qet
Property Line eel Drinking Water Well fee00 Other feet
4. Parent Material: Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ® Yes ❑ No If yes: 16" Deep
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 0" 94.94
inches elevation
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Commonwealth of Massachusetts
City/Town of Northampton Fee: Paid?
trig Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: -
Redoximorphic Features Coarse Fragments
Soil Horizon!Soil Matrix:Color- (mottles) Soil Texture A by Volume Soil Soil
Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles& (Moist)
Stones
A 10YR3/3 SL tree roots
4"-18" B 10YR4/4 18" 5/5GY >50% SL tree roots
18"-80"+ C 10YR4/3 SL 50%
Additional Notes:
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Commonwealth of Massachusetts
__ City/Town of Northampton Fee: Paid?
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
L e
C. On-Site Review (continued)
Deep Observation Hole Number: 2 4/10/13 2:00 overcast
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: 98.50 Location (identify on plan):
2 Land Use woodland yes>24" 10
(e.g., woodland,agricultural field, vacant lot,etc.) Surface Stones Slope(%)
grass/weeds/trees till outwash
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Body feet Drainage Way feat Possible Wet Area feet
Property Line 60 Drinking Water Well X100- Other
feet feet feet
4. Parent Material: Unsuitable Materials Present: ❑ Yes ❑ No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: Z Yes ❑ No If yes: 12" 42
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 6" 98.00
inches elevation
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.�._ Commonwealth of Massachusetts
City/Town of Northampton Fee: Paid?
' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number 2
Redoximorphlc Features Coarse Fragments
Soil Horizon/Soll Matrix:Color- (mottles) Soil Texture %by Volume Soil Soll
Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles 8 (Moist)
Stones
0-2" A 10YR3/3 SL tree roots
2"-12" B 10YR4/4 16" 5/5GY >50 SL tree roots
12"-60"+ C 10YR4/3 SL 50%
Additional Notes:
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Commonwealth of Massachusetts
City/Town of Northampton Fee: Paid?
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
IL_
D. Determination of High Groundwater Elevation
1. Method Used:
❑ Depth observed standing water in observation hole A. _
inches inches
❑ Depth weeping from side of observation hole A. _ _ B.
Inches inches
® Depth to soil redoximorphic features (mottles) A. 6 in 6
inches inches
❑ Groundwater adjustment(USGS methodology) A.
inches inches
2.
Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
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?
E Yes ❑ No
b. If yes, at what depth was it observed? Upper boundary: Ocher -_... Lower boundary: n605
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Commonwealth of Massachusetts
u City/town of Northampton Fee: Paid?
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
4
F. Certification
I certify that lam 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. I 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.
vt, / /
' t ��,/:_'//O _.._.___- April 10, 2013
Signature of Soil Ev+u+'•r Date
Paul B. Hatch, PE, SE 1023 July 1995
Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam
Daniel Wasiuk Northampton
Name of Board of Health Witness Board of Health
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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Commonwealth of Massachusetts
City/Town of Northampton Fee: Paid?
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
•
Field Diagrams
Use this sheet for field diagrams:
Soil Suitability Assessment Form(Northampton)(form 11).doc•rev. Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8
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UMass
Extension
CENTER FOR AGRICULTURE
TEXTURAL ANALYSIS RESULTS
Customer Name: Paul Hatch, P.E.
57 Munn Road
Monson, MA 01057
Sample ID: TX130411-6
Customer Designation: 576
Agriculture and LEAis 4W rbgam
Soil and Plant Tissue Testing Laboratory
West Experiment Station
682 North Pleasant Street
University of Massachusetts
Amherst,MA 01003-9302
Phone:413.545.2311
Fax:413.545.1931
soilrest.umass.edu
USDA SIZE FRACTIONS PERCENT OF WHOLE SAMPLE PASSING
Main Fractions Size (mm) Percent Size (mm) Sieve #
Sand 0.05-2.0 69.1
Silt 0.002-0.05 25.7
Clay c 0.002 5.3
Total
< 2.0 100.0
2.00
Sand Fractions Size (mm) Percent 1.00
0.50
Very Coarse 1.0-2.0 8.3
Coarse 0.5-1.0 12.2 0.25
Medium 0.25-0.5 13.D
Fine 0.10-0.25 22.1 0.10
Very Fine 0.05-0.10 13.5
0.05
69.1
0.02
0.005
Silt Fractions Size (mm) Percent 0.002
Coarse 0.02-0.05 12.2
Medium 0.005-0.02 10.1
Fine 0.002-0.005 3.3
25.7
USDA Textural Claes = sandy loam
Gravel Content = 9.1%
COMMENTS, pbhatchahotmail.com
#10
#18
#35
#60
#140
#270
20 um
5 um
2 um
90.9
83.3
72.2
60.4
40.4
28.1
17.0
7.8
4.8
UMass Extension is an equal opportunity provider and employer,United Stases Department of Agriculture cooperating.Contact our local Extension office for Info
on disability accommodations.Contact the State Extension Director's Office if you have concerns related to discrimination,413.343.4800 or see
www.extension.umassedulcivirights.