Lot 1 Septic Soil & Perc Tests FORM 3-CERTIFICATE OF COMPLIANCE
Commonwealth of Massachusetts
NORTHAMPTON, Massachusetts
Certificate of Compliance
This is to Certify, that the On-site Sewage Disposal System installed (X)
or repaired/replaced () on by
for ROY GIANGREGORIO at
LOT 1 COLES MEADOW ROAD
has been constructed in accordance with the provisions of Title 5 and the for
Disposal System Construction Permit Na dated
Use of this system is conditioned on compliance
with the provisions set forth below.
The issuance of this certificate shall not be construed as a guarantee that
the system will function as designed. The Certificate expires on
Date Inspector
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Address
Owner
Lot #
Engineer/San
Date
Perc Rate
min/in
Depth to water
min/in
min/in
min/in
Sketch of Lot w/ Location of Test Holes
Witness Fee
Witnessed by
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
� '
Address
Owner
Lo
Date
Perc Rate min/in
Depth to water
min/in
Excavator
min/in min/in
Sketch of Lot w/ Location of Test Holes
Witness Fee Witnessed by
T
. riot if ca °Viiria41 e)r7 iiii";l 1 (-o-12CSG1uet--A )/
( /
PERCOLATION TEST(S)
I Time: I I Time: I
Observation Hole #1 Observation Hole #2
Depth of Pere 0 Depth of Perc 331 t/
liti
- t 'Start Pre-soak Start Pre-soak _
g
l End Pre-soak ` End Pre-soak SS /-' 1 I-
J ,�� /, ; 1 5
1 Time at 12" Time at 12"
V ` Time at 9" Time at 9"
Time at 6" Time at 6"
Time(9"-6") Time(9" -6")
Rate Min./Inch -&\fr l V- Rate Min./Inch La \-v\l .----
"minimum of 1 percolation test must be performed in both the primary area AND reserve area
Performed by 1, ^ N(�,-- Performed by - -
Witnessed by P �.... I Witnessed by
Comments:
�, .. . . - 73
S�
V
I
Location Address or Lot#
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Owner
Date 41 //
/!J
Time
-
Owner's
Address
3 �, z J2-y- -
1- 4-w
En ineer
^_ c
Weather 4�--
Phone ft
Land Use
A
%Slope
Su ace Stones
Parent Matdal(geologi) 1 1 Depth to BedrW 1
Landform
1 Weeping from Pit Face 1
Ve!etation Start Time 'arj
Distances Stop Time Orr
Position on Landscape( ketch on the tract)
Open Water Body
feet
Drinking Water Well
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
(( DEEP OBSERVATION HOLE LOG*
Deep Hole#: r-t? —) 3- 'MIN/MUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Deep Hole#: I
f
I DEEP OBSERVATION HOLE LOG*
.n-4 1— I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sol Horizon
Soil Texture
(USDA)
Sol Color
(Munsell)
Soil
Motdvg
Otter
(Structure.Stones.Boulders.Consistency.%Gavel)
0 — `,1
H _ H
RI
Id12
A
9 I_-
chinfr,
//,\ ^ •
U/I b
S "rsly
Parent Matdal(geologi) 1 1 Depth to BedrW 1
q
1 Weeping from Pit Face 1
—
Parent Mabal(Aeologic) 1 1 Depth to Bedrock 1
Death to mundaater Standi •Water in the Hole
Wee. •from Pit Face
Estimated Seasonal High Ground Water
(( DEEP OBSERVATION HOLE LOG*
Deep Hole#: r-t? —) 3- 'MIN/MUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sol Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gavel)
_--11
Q
3 i'
1 <
WJL
t .
�-.S � sly---
Parent Matdal(geologi) 1 1 Depth to BedrW 1
Depth to groundwater Standing Water in the Hole
1 Weeping from Pit Face 1
'-stmated Seasonal High Ground Water
rc7,;trrt x :osTWijj
- c'mr-
PERCOLATION TEST(S)
Time: Time:
Observation Hole #1 Observation Hole #2
Depth of Pere Depth of Perc
Start Pre-soak Start Pre-soak
End Pre-soak End Pre-soak
Time at 12' Time at 12"
Time at 9" Time at 9"
Time at 6" Time at 6'
Time(9"-6') Time(9" -6")
Rate Min/Inch Rate Min/Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area
d_E ■ ■ ■
Performed by I Performed by
Witnessed by Witnessed by
Comments:
•
NORTHAMPTON BOARD of HEALTH- Title 5-
Deep Hole#:
Location Address or Lot# /p Owner r..
C.oQ3� -'-�-0''">!_ tom' .. . . ,
._.
Date y '•-•„,.
r
Time
Owner's
Address
Soil Color
(Munsell)
En•sneer •
_
Weather I,{J ••
' Phone
Land Use
i+q..,
..j..
%Slope
Surface Stones
Landform
Vegetation Start Time
Position on Landscape( ketch on the bad)
Distances
Drinking Water Well
Stop Time
Open Water Body
feet
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feel
Gjn ..r
Deep Hole#:
DEEP OBSERVATION HOLE LOG'
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Deep Hole#: 1—
DEEP OBSERVATION HOLE LOG'
'MIN/MUM OF?}WHOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Color
(Munsell)
Sol
Mottling
ng
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Sol Color
(Munsell)
Soil
Mottling
Other
(SWcture,Stones,Boulders,Consbtency,%Gravel)
9 —
11 ,r
1-1`
L—
SL
< p>t- 9 lik_
!G y417
G , .a.�
�, c ; y '
57 S/
Parent Mahal(geologic) I 1 Depth to Bedrock
1
C
, s.,__ >`..
Parent Mabixl(geologk) I Depth to Bedrock
1
Weeping from Pd Face
Depth to groundwater Standing Water in the Hole
1
Weeping from Ph Face
1
Estimated Seasonal Hgh Ground Water
Gjn ..r
Deep Hole#:
DEEP OBSERVATION HOLE LOG'
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soh Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Sol
Mottling
ng
Other
(Stiuclure,Stories,Boulders,Co
tansy.%Gravel)
Parent Mahal(geologic) I 1 Depth to Bedrock
1
Depth to groundwater.. Standing Water N the Hole
1
Weeping from Pd Face
Estimated Seasonal High Ground Water
FORM 11 • SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. Co (E V'9 EAlJeto 9
On-site Review
Deep Hole Number _ Date:9'.4' P°o Time:.lU:30-9^' Weather C t
Location (identify on site plan)
Land Use FR>1 VT'zE Slope (%) `� Surface Stones 2_ >t
Vegetation P&YftM ... ..
Landform 1 .C.aL3 P /71P'•c, n/kte
Position on landscape (sketch on the back) - __ _ _,. •, ,.
Distances from: - •
Open Water Body. YBO feet Drainage way Ann t' feet
Possible Wet Area• tfeeT . feet Property Line 921 feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG'
Depth from
Surface (Inches)
Soil Horizon
Soil Texture
(USDA(
Soil Color
(Munselp
Soil
Mottling
Other
(Structure.Stones,Boulders. Consistency. %
Gravel)
D Tb
-to)
-FD
A
A
5
- -
C
Utc.2l, g'tEt>
Yv".,t D
..5A
t"/
5
7�
1--ILLY
get €
CoP� 3
7.59y L
5 i= lv
4
^P
a•SV %�
No
Moir(/'
043sa2vc�
rep
Fiem RooTS InRNVI tz
�
ParR •1t C0991ES Re S�
Fj rin C2.s...lfi2
VErc-j LaoSE n7L'T7ttr^j.
&,t. ' U�.ty.tTE-b LoPy£os
o 1= 4).ef E 59w+.>sf 4C.g.p
m41-4.>1ue
r.
5T4-e;
A Ter i2
ROLea acGUIRCD AT EVErIY PROPOScQ DISPOSAL
Parent Material Iv logic) QLJ.t Nth •19
Deoth to Groundwater: Standing Water in the Hole: %117¢1 t
Estimated Seasonal High Ground Water:' 12e, h
DepthroBedrock: 1),D
Weeping from Pit Face: Al t'
DEP APPROVED FORM(-190 l95
Location Address or Lot No.
1
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Ca 1 e-, nia'F'1)A7 -9
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole inches
® Depth to soil mottles dam' inches
❑ Ground water adjustment feet
Index Well Number
Reading Date Index well level
Adjustment factor Adjusted groundwater level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? �
If not, what is the depth of naturally occurring pervious material? /.__
Certification
I certify that on // t;ti (date) I have passed the soil evaluator examination
approved by the Dep tment of Environmental P •tection and that the above analysis
was performed by me consist-nt with a • training, expertise and experience
described in 310 CMR 15 y( .
, wr►:�
Signature //. iJi /2✓SI.
r
DEP APPROVED FORM-12/07/95
Date y- 6 • an-D
FORM 12 - PERCOLATION TEST
Location Address or Lot No. --1-- Cn Lt . flte4 k) " -S
COMMONWEALTH OF MASSACHUSETTS
(∎,,,.-t-nLe.tiprea , Massachusetts
Percolation Test`
Date:'-( •. L- Lott) Time:.;ag,g.-...? ..
Observation Hole #
.T
Depth of Perc
•-
y '{
Sa
Stan Pre-soak
End Pre-soak
P6(,"at t7 �-</ tam'/'
11 '7EM Pz E,',
r.tr.s 1' >'t &^tI(evs
IN tq elf a„1•
Time at 12"
Time at 9"
Time at 6"
Time (9••-6")
Rate Min./Inch
< a
K
( 1)
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed V Site Failed ❑
Performed By: 1--V nut; ' 44cptt2S<
Witnessed By: f 7£2 P2,. En In,'.9
Comments: __. .
DEP APPROVED FORM-12/07/95
LYE! rn Q, 2-y(
N N�
•
57 Y
y vrd z wad
SIM
p o
£}�
1- T
7 id -LS-V- ld 1531 t 1.Jl 454
�c�H � Qc7 c7 l
On-Site Review
Deep Hole Number 2- Date 4 to • -bt& lime 1 AN-yet, Weather celsuD y
Location (identify on site plan)
Land Usepu9vb1-1-w1i v flint Slope (%) ,5 Surface stores Z %
Vegetarian 794`YuaE
Landfcrm (4i tee Lmw7 .zrA. rt+.14-
Distances from:
Open Water Body X100 feet Orainageway NBUE feet
Possible Wet Area yBB1— feet Property Line 7r feet
Drinking Water Well 2'1e161- feet Other
Parent Material (geologic): O1,i UR f2.2 Depth to Bedrock l
Death to Groundwater: Standing Water in the Hole: Pt ' Weeping from Pit Face: r°
v
1
Estimated Seasonal High Ground Watero
DEEP OBSERVATION HOLE LOG
:nom from Surface
finches
Scil e_nnn
Sall Texture Scil Color Sod Mottling
(USDA) iMunseia
Other
(Structure.Stones.Boulders.
Consistency, %Graven
C a
/ t—t ) BOOTS
/J
✓�fotri c5
BRis2u� F41931 1---lt 7
epa'ts t 2AAn44-e
Tb
14
/5 7•SYe .
cetglk MA $0:W
tJ
bee-11 lobSC
%
ell-E I v77 Sd9uk.
iL T6
t-o
5
V E2ts
L4 c'e-7 ��
'ieti Y
r
ea 6 V
x/
\
U E2. ,yitE >
��ll
L?yCr(t.5 ber,
'-itq
rmr/, RT. �/>
(
Y 7 ck)
SAnPp
Parent Material (geologic): O1,i UR f2.2 Depth to Bedrock l
Death to Groundwater: Standing Water in the Hole: Pt ' Weeping from Pit Face: r°
v
1
Estimated Seasonal High Ground Watero
On-Site Review
Deep Hole Number = Date 4 '" i,' w�Time el ' O RM Weather cep oj'y
Location (identify on site plan)
Land Use Wool,Ilt faNb/Arsivtc Slope(%) S Surface stories a %
Vegetation Pe ,TU.cc
Landform 42,4-bl,^..7 Ms/a/E9r ME
Distances from:
Open Water Body 4tav1- feet Drainageway New& feet
Possible Wet Area 4 Bo* feet Property Line 1c% feet
Drinking Water Well 2-tot feet Other
DEEP OBSERVATION HOLE LOG
Deptn from Surface
(inches)
Soil Horizon
Soil Texture
(USDA)
Sail Color
(Munseil)
Soil Mottling
Other
(Structure,Stones,Boulders.
Consistency,%Gravel)
7ji
F72"r (2eoT y
0 TB `-
(,
61
A
J/
1 t)y12
! t' 3
�'.iR✓✓lR�t.
N o.Jc
µ
Fe [4'34/Es
1y
11
f3w
ys
7.5viz 1e
DPI ye2u EP 12OO1'j S t,
re G,�12VE1,S4yg1B
tr
Ii
lb
9 L. UE/2y LOOS tt
not 27 ev r+i SniiM
lyp
C
4
17 ��
Ue25.4TED
J- AyMi of > rr
1..,47 7.k TO
I Zo 'I
Wei 11-.t
Parent Material (geologic): OuT t✓R 54 Depth to Bedrock 12t)
Depth to Groundwater' Standing Water in the Hole: NON)= Weeping from Pit Face: tvo
4
Estimated Seasonal High Ground Water:«*
No.: Date: April 1,1996
Commonwealth of Massachusetts
Noe e} „?,,7 .,) Massachusetts
Site Suitability Assessment for On-Site Sewage Disposal
Performed By Ero,n; ? _ Lg COU2 SE
Witnessed By -1---e/2, fir CLgi,c�
Certification Number. ////95
Location Address or Lot No.: (,Le Ps1E7
Coles oz'E.q,otoo ;Zip,/
Owner's Name,Address and Tel.#:
Roy\ -cSAme
'a€ slv;o \+C9hrfc
\-1oakv,,y AA 01°39
New Construction Repair ❑
Office Review
Published Soil Survey Available: No ❑ Yes K.
Year Published 2) Publication Scale /.') S g91, Soil Map Unit LLD /Cc
Drainage Class ].r7e&cD2,rw< L7 Soil Limitation SLeta"
Surficial Geologic Report Available: No Yes ❑
Year Published Publication Scale —
Geologic Material (Map Unit) --
Landform GtZsur' /arA/zizsit nee.
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes 2
Within 500 year flood boundary No i; Yes ❑
Within 100 year flood boundary No pj, Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range: Above Normal ❑ Normal Below Normal ❑
Other References Reviewed: