255 Septic Soil & Perc Test 1999 •
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FORM II - SOIL EVALUATOR Fog3,/ •
Pagt 3 or 3
Location Address or Lot No. Zj j cat - oz2�9asu
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hale_ : inches
L Depth-weeping from side of observation hale inches
Depth to sail mottles ..... .. inches
Li Ground water adjustment _— feet •
Index W=° Nun^er
Reading Date ____ Index well level _..__.
Adjust.—.,--`ac'or Adjusted creund water level
De__tr. iatr=_!Iv G_p_. _drops
„,cps at least four feet y f naturally occurring pervious material exist in ail :Pea_
cps-rd thrd chcut the a.area proposed for the scii abscrpttcn system? y `7
If nc:, what is the depth of naturally occurring pervious nate_riai?
Ce. _.fica-.:a
carry that on "au' t9 etc (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 17.
Sicnatur
DE?A)9ROtID FOR-NE- 11;07:95
Date q I • �7j
Location Address or Lot No
FORM 12 -PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
tvo.crry R.'prq,, Massachusetts
•
Percolation Test'
Date: 9-1 - RA rrn=. R:oo .9--r
Observation Hole .+`
f
Oeoth of Pero
Lf Lt u
Star Pre-soak
?." Li
D v ,
Er : re-scak
s:oo
Ti-._ at
II 0-4
Time (F-5")
Pate :Min./Inch
< izt2
' Minimum of I percolation test must be performed in both the primary area AND
. reserve area.
Site Passed E Site Failed ❑
Ferrer-.__ Ey: ✓GNNID
Witnessed.Sy: r 2 »7
� c- LL• 2• Cf.J
Comments-
FORM 12-PERCOLATION ns
Location Address or Lot No. '7- b 5 colE> r7gy,Do1✓
COMMONWEALTH OF MASSACHUSETTS
1Uaz1144,777;», Massachusetts
' Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ❑ Site Failed Lr!-
Ferfcr-.ed !y: r✓•vt S C 219CDU'?Ft
• Witnessed 3y: SS
Cornren-s: Qu zr-,rbbjT `i > t2e,aj `F:;a Rm• %D 7,s. fit '/i`J(_.._.
Or ALMOV=FORM :=77115
Percolation Test'
Data:'
R- 17- 95 lime 4.UORr
OCseria:ion Hole it
Dpnt..- of Per:
I+11
St_- F.e-soak
I
R. L5
End F.e-soak
1 D;007
Time _: 1Z,
10 .7)D
_,m_ :_ 9"
Ia: 5- Li
-_ _. :
3:s '�.,*s ""
Time (c.•-O'')
Fo frct.' -. Lviii Lt.*
r'D2 Nri✓ Le c.v7ja✓
Rate ivtin.;Inch
' Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ❑ Site Failed Lr!-
Ferfcr-.ed !y: r✓•vt S C 219CDU'?Ft
• Witnessed 3y: SS
Cornren-s: Qu zr-,rbbjT `i > t2e,aj `F:;a Rm• %D 7,s. fit '/i`J(_.._.
Or ALMOV=FORM :=77115
FORM 122 - PERCOLATION TF.st
Location Address or Lot No. ..2-S5 Cale-3 htc /?p#_>
COMMONWEALTH OF MASSACHUSETTS
/Urn 4mp .a , Massachusetts
Minimum of 1 percolation test must be per'orned in both the primary area AND
reserve area.
Site Passed ❑ Site Failed Cl
2er-formed Ey: N,.Sr 2S�
Witnessed 3y: c C✓L /.J
Cornmen•s•
Dr,A 7ROV=TO22•1•U.'77175
•
Percolation Test`
Date:
• 3 'H Tim,•
1
Observation Hole
- -p`^ _; ?erc
Loa-44/ ` I LIOlr
---• - r. e-soak
4( ` 50 03
1 �
Eric ?,e-soak
5 ; 1 3 13 ')p
Time -: is
q: i 3 /9 't- 17
Time a: V.
/AO • Y7 I to yo
Time a: e"
P.4llt> z.Jrr.L iO iref.te7 1.,` .T/4 L
,arrr• )20 it- !30 /krv; ,ev/
Time 9"-5")
WI)I mue.2.vrg4t- % ..k- twill 0 ne2r, 4 r ie.[lr
Faze Min.flnch
•
Minimum of 1 percolation test must be per'orned in both the primary area AND
reserve area.
Site Passed ❑ Site Failed Cl
2er-formed Ey: N,.Sr 2S�
Witnessed 3y: c C✓L /.J
Cornmen•s•
Dr,A 7ROV=TO22•1•U.'77175
C6'Q ( rnQQ6324 6 -- ) ° p
\ .
6175 - c1 io6u
sre #
I
-
FA1 G 1c�1
- .
■ G+'L ,
i
00/
I
?1!S lsal ?and
t r 'd 1r'1
,�1 pi
TIF41 --- -,-9-ly
On-Site Review
Deep Hole Number 7 Date t • I • Ti Timej3° 9^r Weather
Location (identify on site plan)
Surface stones -z %G-
Lantl Use QrS rDt «TA L Slope(%) a-
Vegetation Wee 7+-/N 7
Landform /e.r+.T7 "retat.r.wrE
Distances from: i
Open Water Body 3 00 * feet Drainageway No t-'t feet
Possible Wet Area /0 D ' feet Property Line_ I D feet
Drinking Water Well L nv feet Other
L✓9 TE'e-
Parent Material (geologic): /l9 5E c 77 L C. Depth to Bedrock /l/� •
Deoth to Groundwater: Standing Water in the Hole: ✓aor Weeping from Pit Face: a'nnrF
-Estimated Seasonal High Ground.Water:1Y
.4
DEEP OBSERVATION HOLE LOG
Depth from Surface
(inches)
Sail Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mealin3
Other
(Structure,Stones.Boulders.
Consistency.%Gravel)
0 t°
Li %°
MCP 10
Li
21�
I t b
A
_ I,J
_
S��
c,
L/
/ r�/
, a y C. /1.)..
10 a
y �40
%.S/ 2
e Li
- 14y',
7sye /
7.5YT lel
/
t
C64•5',r5 LIe/E Fa.ue.
rt°a7s Art-is 0194.
!e5'g'Es W-est
Lk-Cy r2"71 pal-
/44 42,9 on 4.
Ce 44./i 5'
e
Parent Material (geologic): /l9 5E c 77 L C. Depth to Bedrock /l/� •
Deoth to Groundwater: Standing Water in the Hole: ✓aor Weeping from Pit Face: a'nnrF
-Estimated Seasonal High Ground.Water:1Y
.4
On-Site Review
Deep Hole Number 3
Date ` .9f Time C/,-69AML Weather Ot.l b f•[ST
Location (identify on site plan)
Land Use %Lei (pc.,T 4 L Slope (%) h Surface stones Afa....E
Vegetation 1—%9 tr./&
Landform /s re.err"17 P7fr a keirw e
Distances from:
Open Water Body 2tD feet Drainageway NO,✓t feet
Possible Wet Area / bp feet Property Lire SO feet
Drinking Water Well C41 v feet Other
DEEP OBSERVATION HOLE LOG
Caotn from Surface
(inches)
Soil Horizon
Scil Texture
(USDA)
Sod Color
(Mussed)
Soil Mottling
Other
(Structure. Stones. Boulders.
Consistency, %Gravel)
d -m Z
�L
t;
I D Z 1
FPrcrc f Lett sc
g,07 '7/ &LENVfpg,
/ 1
? Tb jai
J/
(�
illy e L9/
! 4
a.o7► en-
yl9 'y
Finn,, �Z OCrt
624 idyl y2
f<i.rgtf
4J54
Tp
i 3 �t/
Cc
C
�5
7,S y li
t bArt 7
%
Ganti Ce.t�4b
4 aa) 4•e fo,<c
Cr tS) S
()sty Pie.n/
L6.tm
Parent Material (geologic): 1 / 1- - Depth to Bedrock
Depth to Groundwater: Standing Water in the Hole: 74. " Weeping from Pit Face' 74.
r!
Estimated Seasonal High Ground Water.egLJ
On-Site Review
Deep Hcie Number Date 2 . 3.1? Time Bret etW Weather o✓c ee?s'
Location (identify on site plan)
Land Use tar Sr 77CNTgl Slope(%) 6 Surface s•ones AJOarc
Vegetation G„fWA)
Landform G e:-er.. T> r7n.entnr..sc
Distances from:
r
Open Water Body a-at feet Drainageway ,UO4)E feet
Possible Wet Area /00 -feet Property Line IO - - - 'feet
Drinking Water Well C,YY feet Other - - - - -•
Parent Material eolo ic): i3. YEL 77/7 Depth to Bedrock
3.
(g g t �2
Depth to Groundwater: Standing Water in the Hole I 2`e Weeping from Pit Face:/ale,
Estimated Seasonal High Ground Water.2y if
as
DEEP OBSERVATION HOLE LOG
Ceem rrn Surace
(inc-esi
Soil Horizon
_' "'
Soil Texture Sod Color
(USDA) I Munseip
. —
Soil Mottling
Other
(Structure.Stones. =
Consistency,%CraveiL
o rg q
H Ts 13
7 Td `7y
J 4 TO f 3A
A
kl
`
5
x
-5/1_
s��
(L
(o. Z
/ 3,
lb yK %O
y
a.s> �y
!J ye l`/
St A, of'-/-
.I/
to ye
/O/3 G,/
C.cc re/ etejg
r`.t,.r3re Eerauu/e .
11-r7) 2Ge 7"/
6312-nt)U ion, Felec9
thrc f Fre Relit
To la; crnsu.+7Et7
cOe$8Zy fer .sre
Ely rim sr, £Oqe
rttl Fsue"- c03-
Parent Material eolo ic): i3. YEL 77/7 Depth to Bedrock
3.
(g g t �2
Depth to Groundwater: Standing Water in the Hole I 2`e Weeping from Pit Face:/ale,
Estimated Seasonal High Ground Water.2y if
as
Owner's Nan, Address and Tel 0: .yf .»Y 7ya2
GrrL CONNOc
t6
Wain 0 i7,
in2atur,EJt-Q ram. 0130+
No.:
Date: April 1,1996
Commonwealth of Massachusetts
Nparfr4rsp7B4). , Massachusetts
Site Suitability Assessment for On-Sue Sewage Disposal
Performed By:. 77tN Nt s P- d,rQZ-42114-St
Witnessed By: -a J27c L2Lr.Ar
Certification Number: 2/S:
Location Address or Lot N�9:
JcsSCO(VS Vfteadl u P.
New Construction ;It Repair
riffles Review
Published Soil Survey Available: No ❑ Yes $
Year Published g/ Publication Scale %'/,54 t/0 Soil Map Unit in ca i
Drainage Class Er et s s rtr 1.f Soil Limitation_.J . t
SurficiafGeologic Report Available: No 0 Yes ,_
Year Published • Publication Scale
Geologic Material (Map Unit)
Landform erten.✓a M owl./are
Flood Insurance Rate Map:
Above 500 year flood boundary No 0 Yes S
Within 500 year flood boundary : No p Yes '
Within 100 year flood boundary No '% Yes 0
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit) t �gq 4
Current Water Resource Conditions (USGS): Month_. I
Range: Above Normal 0 Normal ❑ Below Normal czr
Other References Reviewed:
( t �z Ir�_di rt>ax.6(; rat .,1) a5S (A-CA �
i rr I r / I I
PERCOLATION TEST(S)
Time: J Time:
Observation Hole #1 Observation Hole #2
Depth of Perc /, Depth of Perc
Start Pre-soak .`/I ; — Start Pre-soak
End Pre-soak End Pre-soak
Time at 12" � I Time at12"
Time at 9' q Time at 9'
Time at 6' , Time at 6'
Time(9'-6") 3w g � Time(9"-6')
Rate Min./Inch L 3 I Rate Min.Anch
•minimum of 1 percolation test must be performed in both the primary area AND reserve area.
• • - • < •
Performed by -Performed by
Witnessed by Witnessed by
Comments:
t� � r
1
NORTHAMPTON BOARD of HEALTH-
. 7 k
Deep Hole#:
3
lion Address or Lot If C)
Depth ken
(Indies)
Sal Haimn
Sal Texture
(USDA)
ate /i I i/t�//i�
Time
Other
(Structure.Stones.Boulders,Consistency,%Gavel)
Owner's
Address
1 1 l//Lk J l�'-t_, ! _
�-1��I�
Engineer ,A&A, _
ifii--.^ -
Weather Phone#
Land Use
k
�� (,
%Slope 1 Surface Stones d ,6,--‘,.
Landform
�j���. I Weeping Iran Pit Face I ^/gyp_ _.
Vegetation Start Time VV (
F Poation on Landscape(sketch
Open Water Body
on the bead
feel
Distances
Drinking Water Well
Stop Time
— feet Property Line
/J feet
Possible Wet Area
feet
Drainage Way
_ feet (tither
feet
. 7 k
Deep Hole#:
3
DEEP OBSERVATION HOLE LOG* rib
•MINIMUNOF FWD HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth ken
(Indies)
Sal Haimn
Sal Texture
(USDA)
Sad Color
(Munseln
Sd
Mottling
Other
(Structure.Stones.Boulders,Consistency,%Gavel)
/Suurrface
Ir
Parent Mahal(geologic) I I Depth to Bedrock
arsecil
I Weeping from Pit Face
k
�� (,
Parent Mabial(geologic) I I Depth b Bedtak C
Depth b groundwater Standing Water n the Hole
�j���. I Weeping Iran Pit Face I ^/gyp_ _.
Estimated Seasonal High Ground Water
it L/ 4
DEEP OBSERVATION HOLE LOG*
Deep Hole#: %AIN/NUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sd Horizon
Sal Texture
(USDA)
Sal Cow
(Munseln
Sol
Mottling
Other
(Structure,Stones,Dodders,Consistency.%Graven
Parent Mahal(geologic) I I Depth to Bedrock
Depth to groundwater. Standing Water In the Hole
I Weeping from Pit Face
Estimated Seasonal High Ground Water
v--
.. ( ,-nWiiClai :v7fri J,'5 TIi f Li'ir�7 "2. �' u 1
-- �-„ - I q' (7 61 1
PERCOLATION TEST(S)
I Time: I I Time: I I
Observation Hole #1 Observation Hole #2
Depth of Pere I Jt r. Depth of Pero 0
Start Pre-soak L Start Pre-soak ^„
el End Pre-soak z, End Pm-soak
Time at 12' �� • Time at 12' V-,
?
/ Time at 9' I I Time at 9' r '
Time at 6' lime at 6'
Time(9'-6') Time(9'-8') /D ;Ji 1� '�° � �
Rate Min./Inch Rate Min./Inch
'minimum of 1 percolation test must be perfomred in both the primary area AND reserve area.
• • • •
Performed by - I Performed by
Witnessed by Witnessed by
Comments:
I. '
' 'e
,�
A
NORTHAMPTON BOARD of HEALTH- TiUe 5 S't R •
- r e evl�rr
Location Address or Lot#
r Owner
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Date r/I 5 5 Time
6
� -�J
Owners
Address
I,(� U,� Btj 3 ° F _
irila�
Land Use
r/
■
Weather tillar aa
•hone#
2,1-,
%Sloe
Surface Stones
5G ;
i/
Landform
ye!station Start Time
Position on Landscape(
0 e Water Bod
ketch on the back)
aro feet
Distances Stop Time
Drinkin. Water Well v Pro Line
�.O feet
Possible Wet Area
0� feet
Drainage Wa � Other
Other
feet
,� �
Deep Hole#:
i
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sod Hatton
Sod Texture
(USDA)
Sol Color
(Munseo)
Sol
Mowing
Other
(Structure,Stones,BoiMers,Consistency.%Graver)
fO -
U I
5�
- V .Thi
n y
G, I
S
2,1-,
Sal Color
(Munseli
. /� r
-4
5G ;
i/
X14 f..„,,‘_..-- -. a :> L
ParentMabxl(geobgk) I I Depth to Bedrock I
Depth b groundwater: Standing Water in the Hole
I Weepkg from Pit Face I /ha
Estimated Seasonal High Ground Water
2 Y y '
Deep Hole If:
2----
DEEP OBSERVATION HOLE LOG*
VINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sod Hagen
Sol Textore
(USDA)
Sal Color
(Munseli
Soy
Mottling
Other
(StrucWre,Stones,Boulders,Consstency,%Graver)
r��
i� ' uy
4 -\ < .
3 L
� �
Car °s
Sero L X�
5-14 lr
10 °� S)/r
�
� f
l�
(7-5-
I
10 �^ '/b
��,_ P �.,
h
F , _
� r
< .
,� �
Parent Mahal(geologic) I j Depth to Bedrock
I
Depth to groundwat er. Stabling Water in the Hold
I
Weeping from Pr)Face
il. y
Estimated Sensorial High Ground Water
V x
/ K, .