350 Septic Soil Tests 1999 D H- I
DNj
Location Address or Lot No. 5.j() i'.oJp
kra-
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Rd
On-site Review
Deep Hole Number i cg Date:SPE/C9 Time:4/)ff1 IOC('Li
Location (identify on site plan) -e a.ri.) _.
Land Use 1 31_- Slope (%) CJ - 2 Surface Stones '-e'
Vegetation 9r&S'
Landform
Position on landscape (sketch on the back) S0-e `� LJ--{.0))
Distances from:
Open Water Body > /00 feet Drainage way >St' feet
Possible Wet Area >/cc' feet Property Line >�° feet
Drinking Water Well .>/0e feet Other
Weather
CC°>ov
Ali _r &RA
S VrO-1
DEEP OBSERVATION HOLE LOG* r w
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
IMunsell)
Soil
Mottling
Other
(Structure, Stones, Boulders, Consistency, %
Gravel)
O -6-'7
6;" i5n
as - 1■7"
f)
1,3
C
Si-
SL
St-
ioyk'f#,3
/bYKyJy
5%alll3
Ail 7)t_12-
firte.
.Th) . a.
21-07,S0 /
S-ire/%
v (I;;
- 1t)"
L/OJ
- 1.)3"
I'I
b
C
_t
St
sL
lay,' 3/y
love. e16
,a,iVW43
AJOAK,
gars_
JISyR
(-
4 S 1
1J0//
s(4 �
Parent Material 1 eolo c) C I a C) C/I I III n r �a
g gi DepthtoBedrock: 11 ' ! = I //
Depth to Groundwater: Standing Water in the Hole:\--)21 00)tQ Weeping from Pit Face:Iv y f f LI U
Estimated Seasonal High Ground Water:6:)0/( /il
J
UEP APPROVED FORM-12/07/95
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: ;50)cjcj
Commonwealth of Massachusetts
llbr-t-h""10ir`n; Massachusetts
Soil Suitability Assessment for On_site Sewage Disnoal
Performed By: ill c hae c iLc
Witnessed By: 7eact _. In7° Cr ICS 7.-1/4—)
Date: 6/1g/99
mibo Aea',a 3SO Co/ems Three deco Pd
LOt
New construction ® Repair ❑
Office Review
Published Soil Survey Available: No ❑ Yes ❑
Year Published
Drainage Class
Publication Scale
Soil Limitations
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published
Geologic Material (Map Unit)
Land form
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes ❑
Within 500 year flood boundary No Oyes ❑
Within 100 year flood boundary No ❑Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Publication Scale
ow..,R.�.Sco+-r tiro-100-)
Aane...m 336 cok' TPodooRd
T.•9inre, .vo1-*11orflptc3r) mn
5867 -oy&5
Soil Map Unit
Current Water Resource Conditions(USGS): Month
Range Above Normal ❑Normal ❑Below Normal ❑
Other References Reviewed:
DEP APPROVED FORM-12/07/95
Location Address or Lot No
FORM 12 - PERCOLATION TEST
5.Y) Coles Pleackw kd
COMMONWEALTH OF MASSACHUSETTS
kJO)Mop9f) I , Massachusetts
Percolation Test.
Date: 5118/99 Time:,aJ }e r�scctU
v
Observation Hole #
P 1
P.-02
Depth of Perc
. ) 1/
/ iD h
Start Pre-soak
/o,' S3
I , • 11
End Pre-soak
Il ` 08
\3 ; aG
Time at 12"
it OS
Ia r c)11
Time at 9"
11 , 3a
i ; 0/
Time at 6"
13 , I j
1 1 119
Time 19"-6")
Li
b/
Rate Min./Inch
IhMtir -- IUnCh
'
ILfniCin- / (mc-1J
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed ❑
Performed By: {17); ChQ C) Q °I er- 0
Witnessed By: V7-C'\-€r VV't° ( 1101--t./1'U
Comments: .
DEP APPROVED FORM-I2/07/95
FORM I1 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. 3,7) CO/es /tie%/dos d ) Pte)
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)i.60 /inches
❑ 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 pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? r v
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on )) _91 (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.
DEP APPROVED FORM-12107195
Date A 7x6799
I L u7viiii? a Bbl ' ;14 I I
.c-/i rig 4
PERCOLATION TESTS)
I Time: I I Time:
Observation Hole #1 Observation Hole #2
Depth of Perc 3 i• Depth of Perc
Start Pre-soak ? ? c Start Pre-soak i
End Pre-soak End Pre-soak
L
- - Time at 12' I ? / 73�y Time at 12' ? 7
/ `-
Time at9' I I , 32- Time at9' D /
Time at 6' ' I [( Time at 6'•� � L
Time(9'—6") '\v /7> Time(9•_6•)
Rate Min./Inch \ G Rate MinJnch
'minimum of t percolation lest mud be performed in both the primary area AND reserve area.
■ ■ ■ ■
Performed by ' Performed by I
Witnessed by Witnessed by
Comments:
1
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
C--; 2et fna-a-gmuJ f85 Mit Scot( F
e _
Date I
�I 1�� ✓ S
Time
7C /S
Owner's
Address
/' n �
_3co Col-(ten_ hl-i-&_.,: ”_,M (.
En.Meer
Weather rte' <) it? Phone it
Land Use
}ce,,.--
%Slope
Surface Stones
Landform
Depth to groundwater. Standing ater in the He
Ve!etation Start Time /U ,/3
Position on Landscape(sketch
Open Water Body
on he back)
feet
Distances
Drinking Water Well
Stop Time
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG*
Deep Hole p: I *MIN/MUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Indies)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Mansell)
Soil
Mottling
Other
(Structure.Stones,Boulders,Cansstenoy,%Gravel)
- - (
II-1
/�
Pi
((f�
L.
2
�.
Parent Mahal(gedogb) I 0.-e-A--cl T Depth b Bedrock
Depth to groundwater. Standing ater in the He
A- .1 ' I Weeping from Pit Fax I NGY .
Estimated Seasonal Hgh G nd Water
"^nthlogroundwater Standing Wa In he Hole
DEEP OBSERVATION HOLE LOG`
Deep Hole it: r;— *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Mies)
1 Sol Horizon
Sod Texture
WUSDA)
Sot Color
(Mansell)
Sal
Molting
Other
(Structure,Stones.Boulders,ConSlency,%Graven
-cf
/(T sib
I7
Parent Matrial(geologic) I tot A A. ILA I Depth lo Bedro I `j / d d-
"^nthlogroundwater Standing Wa In he Hole
eaping from I W 1 Pit Face I //`i
'-
tad Seasonal High Ground Water