471 Septic Plans & Tests 1997 rl n• .
111S•11
FORM I I - SOIL EVALUA!
No. Dhlel
Co nnronwealth of Massachusetts
, Massachusetts. „ i , t t
. Soil Suitability Assesunent for On-site 'Sewage„ i4 .
Perforated $y: /1!),_, ci-f/4"7 ✓2Iri/Z-U7? .-f-' % Date: •'°It:9)0 4
Withepied'By: TGr. :/1 4t7c Z /7,,et_,/ g q i• i 11N1�a��.,�.
r...r......'- LLTy -... _ IC, If/G/f f 5'i[i1jy'/[/
F7/ Co/ f Xcc-92 •.:::: 547/ Gabs. ift�,+�c<-'.✓XO,
4/x4'7W 5'A yo/C-ti K1,
' eW QonstrUction Repair ❑ • �%
Idea Rola* U//' A"'3
'•Publbtiat Soil Survey Available: No ❑ Ye. Q---
• 1•011)Yak Pbrr hied Publication Scale Soil Map Unit 21 t1::1:a,
• • Dralnlgi Clait Soil Lb tlletlomra t "'t Iaka. 44
k.' Sutfiolaf&eologlo Report Available: No Li Yea I.3
Year Phbllahed Publlcaliuu Scale
Geologic Material (Map Unit)
Landforra
flood Ilisurance Rate Map:
Above 500 year food.boundary No Dios r1,1*-----
Wlthih 560 year flood boundary No 9'S es ❑
*IIhld 160 year flood boundary No Sfe:, ❑
Wetland Aida:
:NatlidadoWettand Inventory limp (map milt) ,
1�6tIYilAa doraervanoy Progryun Map (nap unit)
t •
• 4,. durrbnl,Water Resource Copditlons (USG;‘A: Month
RangetAboVb'Nonnal •Intgrmal ❑l rlcw Normal ❑
' Other References Reviewed:
1.1. y.41■'ll I.oil ' 'i^.'
• e141'0M •,.vh
r I •Su.i(1.Altl4 ' •
• •. a ,q,bri401
aV APVaOVW VUMM•n1O !'
. AAHt; f fi ) t
f la I I?IfI
FORM I1 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No 9 7/ . -2'7% li'/-�.Ot-e&J J/o
I•.51
Deep Hole(Number ���/ Date:
LoCeilont lltdentlry on site/plan) / . ,. .
Land Use _/Le,S, CL e>4/u Slope 1^.
Vegetation /2ZLt s1PG/
Landtorm are./.0-1 /./
Position on landscape (sketch on the back)
Distances from:
Open Water Body /vd Coofeet
Possible Wet Area4or,feet
Drinking Water Well ,9eld
On-site Review
Time:
Cat
2/ Surface Stones
AL.HA
' - We
ather
DeptMoBedrock: 7
cG.'"?//
GLai- d
spP
Drainage way ✓'vlfeet ��
Property Line feet 7a 4• .jrj Y.rq.
Other
DEEP OBSERVATION HOLE LOG'
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
IMunitell)
Soil
Mottling
Other
(Structure,Stones.Boulders,Consistency, %
Gravel)
a- 51
-Zs-
75.:- S7
• g7
/Yon-7-
,€o d/IIrd
�/�
• MINIM OF 2 HOLES
!Parent Material Igeologicl
so/
tor»Ta
4e
EUUIREUAI VARY 11 PJN am/+yUB tU UIS pf5
to epee,u-�!
7d /Coma's
/ /0 ,t',L.PZ_n '
S' hot/ //v s
/5 c -t
M,F,(s/t---c.
7'
iDeathto Groundwater' Standing Water In the Hole: /(//12-/ Weeping from Pit Face: /ifd •C( ®
Estimated Seasonal High Ground Water:
DEP APPROVED FORM- 12W/9S
jfd
FP'
, i111 { 9t, I
f Yo 1 'Rte'i
Location Address or Lot No.
• Jnl l
/"T L
FORM 11 - SOIL EVALUATOR FORM
Page 2 or 3
On-site Review
Deep Hole Number Z-Z- Date: .Cl/r!F'/9� Time
erilihnon a��ltgg glen)%
f1Q S/G(�r�ylet�/Slope I'M Sur
Vegetation
Coeetldm tea
Land Use -
r/
Landform dro'n-y Z. -L*
Position on landscape (sketch on the back)
Distances from:
Open Water Bodyr0'U9 feat
Possible Wet Area ,d'v47 fez
Drinking Water Well/ta faet
9°0
Weather ,s'r/n/7,
ile r
face Stones Li-On Z e
.6 O O I,.,L7J'
Drainage way 6:74/41 eat /
Property LIne7D feet 2k /I,'n i'teU
Other
• MINIMUM OF 2 notes n c•.-• - -- --
'Parent Material lge loald j " 4_--
peothtoGroundwater: Stan ing Water In the Hole: /✓a fetes
.e ty-tiT /1,
^^ /771o//ry F%.�/t/S •
'Estimated Seasonal High Ground Water:_
IIEP APPROVED FORM 1,07195
DeptMoaedroCI(
Weeping nom Pit Face: 4.2d t�l
DEEP OBSERVATION HOLE LOG'
Depth from
Surface'Inches'
Soil Horizon
Soil Tit sluts
IUSDAI
Soil Color
(Mongol')
SoII
Mottling
Other
(Structure,Stones.Gaoulldders. Consistency. %
v ._ 4( .
—ZS
zs— $g
7:C X),a.4_20
_ 9Z
7
/9,
S&L)
G,
C z_
c,
41
50041/
S p" •t
s/07r.,
5-A an
/lie-. s �
P° /.L
, 6 Vie
S-&
yK
'q s-s/
/47
2' S
/n6/7/�
40 yin
5---8
1�/
0
/�G4�l S
% i�i
r7-7/95 5-itt-eal
7IrCYii7 . ' IC/2. /+7
[1204 OnnDIIIin IilepfSAL
aaA
• MINIMUM OF 2 notes n c•.-• - -- --
'Parent Material lge loald j " 4_--
peothtoGroundwater: Stan ing Water In the Hole: /✓a fetes
.e ty-tiT /1,
^^ /771o//ry F%.�/t/S •
'Estimated Seasonal High Ground Water:_
IIEP APPROVED FORM 1,07195
DeptMoaedroCI(
Weeping nom Pit Face: 4.2d t�l
FORM 12 - PERCOLATION 7Efl
Location Address or Lot No. Go,d &/5t5 fZPgtocj -te
COMMONWEALTH OF MASSACHUSETTS
Weir/40-171/41.4 Messeohusetts
Percolation Test'
.; Dete: ... :,0/.. 7 Thnet, 9 °U
Obuervetlon• Hole M
7/2 7
%�z - z
Depth of Piro
.. .
_> 7>
Start Pre-soak
9 Sell /0 ' 03.
/U.'/7 /O 3z--\
End Pre-soak
/O '63
/0 •1z
Time at 12"
/U 03
/0 3 L
Time et tit"
/D 2 3
/0 S3
Tlm.,it d"
/0 /13-3/
1/ 09
Tims to awl
,3//3 ; /o, 33
(34// ; /2. G
. Ruts Min./Ino)i
/3.6 jr / u
/1 0
` Minimum of 1 percolation test must be performed In both the primary afilr'AND'.'•y
MOM area.
elite Passed D Bite Felled ❑
I
r,
Performed By: i cc /0)79 LJ//r /1077
ME
• Wlirtaned Byt ' /2. Mc. j2t.9/LJ i5o ea
Comtn,nts: - .
,Y
S
sss*nPQPm FORM•11111701
Unit no, /ere /
leading J 3.1 me
{atucatian ( 17 min)
9• Y6
1//
/O
9
7
/p
Peru Retw, e'
leound glee .
lepth - or Hula
I'eteululluu Teal
'rent. I I o . /7-terO
IlonJlnp `'rl me
/003 !a, lII nil ion ( l i min) /0 ./7 — /0 it
O . /Z /0 ,37
7 /4) 273 /0 as 7. 0
Zf;_a / 7-3
/0 nln/ lm+ah
3�+
CO
roro Moto
Ill I p. lnv .
11,41.1h or nol ,4
.��Z—/ Deup__t.tat I'll /e 7/JZ
rest Pit. ii ini" 111 . —2
Depth But),-Ueeurlu Lion Depth Uull Uaauclptlun
org ..o.-Y_ �/-s «a
52-.C . . 0?au-t../ WA YO LAS S'iz-rf! .f/-2S: (c r- j s"O•t /O flJ S
1�8 7 �/�c.v��/IaIt- Ya.c c/ .577-1.-,0 ..es___G(Q sitwo. it/4.
R7 ,tj—C(Jo, CO £7 le ono /dr er:/ %v% tL S /1.pc/o TtL
groundwater ' Uepth_/g7 NIA v ._,Foic., IreuTiAentel
Depth (n/ Il1ev.' le 'cp' -- : •
Bedrock Depth glee , Iledruek Depth - Slay .
Ground: Blev . ground glee .
OS '0/7
£p
HiH/mall
S.C.B . Soil Description 5": 7ti'J2�9ene win 1 111 11 tinter Table?
Z/ Lc
Bench Hark: Elev . Description
OoHHBHTS1
Ile In :
cI lent. :
C1!/'t/4" ,&,
/9-Ad,
xi 7/ tnC
Engineer l ) .
ul lneenl
hoc at low Lou urile rel
/997 •
3-4cs410t)
h_7.1
..r
1
•
FORM 11 - SOIL EV ALUA
No. Date:
Coiiaiiiuiiwealth or Massachusetts
• Measechusetta IA
Soil Suitability Assessment for On-site.SewageoDlig
n%HUI
Perforated By: 4-4--//9,77 a /-7-7 - Date: ' • Ir".00144
Withipeai By: yec "F7C eC, n.1
^
Leleriell An-.e.
/
7:7a";
•
yew'conatructIon 0 Repair 0
Ofildi
'
n Wei
Published lid;Survey Available: No 0 Yes
Publication Scale
braliibai Soil Limitations
Soffit:4a °vi
; ola& Report Available: No 0 Yes
•,
Yee.Published „ „. Publication Scale
Geologic Material (Map Una)
LeittiForal
Flood Maumee Rate Map:
Abram SOO year flood boundary No 0---
womb 500 year flood boundfry No Ehci.i El
*Mild 160 year flood boundary No Elcer
'Wetland Aid.:
• :NatialtidAiletiand Inventqw.Ltep (map uoii)
tad& tonaervsney Program Map(map mill)
• Garrard;Water Resource condition§ (USOZiOdoeill
RatigtlAboVIENormal .13Nonnal arainv Normal 0
' .
• Otheilieferenees Reviewed:
l•
5611 Map Unit
I ••• I brit.
• •
DIP/MOM IURAI•11/010/5
••1
's 4-1
• ' —•,*(do •1,400
I auiRriut
.*••rs 111
'... '01M4).( ;), U
f'hl I 9:16.1
Location Address or Lot No
1
FORM II • SOIL EVALUATOR FORM
Page2or3
On-site Review
>Q /
Deep Hole Number ✓/S / Date: b/'
nLoccatlornirlidentilyion site plan)/ ,
Land Use y/IC'S>.�� ✓ Slope (%
Vegetation ,,,.,.CFO.t.—e SKP }+�
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body lat
,y�
Possible Wet Area /'/ 4"—leet
Drinking Water Well / feet
`700 r._
9 Time:
p DO
Weather
z Surface Stones rj ,n-c..P%Q.„
tboli
A-4 <-
Drainage way eel
Property Line SO feet
Other
• MINIMUM OF 2 Mutts ncumnc:9.. c.c•
Parent Material Igeologlci 17" —"la
,yapih to Groundwater: Standing Water in On Hole: /s A/ey Weeping from Pit Face:
:Estimated Seasonal High Ground Water:
DepthtoBedroek:
OLP APPROVED Fatty' 12101195
/f /7i"%e9% '
Nom
DEEP OBSERVATION HOLE LOG'
Depth from -
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
IMunselll
Soil
Monling
Other
(Structure,Stones,Boulders, Consistency. 96
GraveII
o _ V
44' - ZG
Zo �L
A
860
C f
/°y,
....3 -- c:
/o ;,', '
S to
�/
S_ V
s�o4-r.-,
`-c- n;
sLorr
2
4/0
nor
-U
f 9 ,__
/°� 7'y'
J
/4 Cl/1 �iP
`o/ '5.14 k.,
`77 /9-Sf ! c
CiL/ ° C�C
/
• MINIMUM OF 2 Mutts ncumnc:9.. c.c•
Parent Material Igeologlci 17" —"la
,yapih to Groundwater: Standing Water in On Hole: /s A/ey Weeping from Pit Face:
:Estimated Seasonal High Ground Water:
DepthtoBedroek:
OLP APPROVED Fatty' 12101195
/f /7i"%e9% '
Nom
1`44,404 ill •
C 'IH I n;ffi't
Location Address or Lot No.
.1.:1 r
FORM 11 - SOIL EVALUATOR FORM ^s ,
Page 2 of 3
/of- .3
On-site Review
Deep Hole Number 7 3- L Date. .Y/�G/�J Time: Weather ,$-U/7/7 G'
w' a Land Use Slope I%) ✓ Surface Stones 120!.Z",C/
Vegetation ./�yL-/�S-74/4
�
landform ,._, 1Z_019-a-
�..,
1, Position on landscape (sketch on the beck)
Distances from: ' `'` / ' /o-•.��
Open Water Body Ain?leer Drainage way feet
Possible Wet Area�jp�rfeet Property Line / c feeVd £4'
Drinking Water Well,.' / feet Other
ori
• MINIMUM UFR HOLES HEUUmnr r
Patent Materiel lgeologlc) YAW-et-one L
peoth to Groundwater; Standing Water in the Hole: "C V+
Z- —97-----
DeptMoaedrock:
Weeping from Pit Face:
Estimated Seasonal High Ground Water:
IIEP APPROVED FORM i2/07195
DEEP OBSERVATION HOLE LOG'
Depth from
Surface Ilnchhess))
Soil Horizon
Soil Texture
(USDA)
Solt Color
!Munson)
Soil
Mottling
Other
(Structure.Stones.Oa,�ers,Consistency, %
5'- Ljt
2V— $L
L- ��
e <J
Gy
G L
S -L
,fin,(
nor-:/
tea ttr
S/ r�0
X e
imirmRSIISTIVMSELGrin
ioyC
Co
/O
67
6y�
7-3
fro
rr_ e/
/O
ce o//Zr
/O S'/a/
/o J/Ov_l`�
• MINIMUM UFR HOLES HEUUmnr r
Patent Materiel lgeologlc) YAW-et-one L
peoth to Groundwater; Standing Water in the Hole: "C V+
Z- —97-----
DeptMoaedrock:
Weeping from Pit Face:
Estimated Seasonal High Ground Water:
IIEP APPROVED FORM i2/07195
Locution Address or Lot No.
FORM 12 - PERCOLATION UM'
Zc/
COMMONWEALTH OF MASSACHUSETTS
, Messeohusetts
Percolation Test'
Date: .., (�/0 Y/q 7 Time:. /// ' 30
Obpsrvellon, Hole M I 77:5- /
J
/ /v-
3 - a
Depth of Pero
07-
37
Start Pre-.oak
// ,- 3 a
././.' «9
End Pre-mask
i. 1/7
/ z, D
Mae at 12"
// r7 24
/L 047
Time at 9"
_ �—
/2 05 3 -
"
/Z ,./ e-,
Tlme,at d"
p .39
f
Tlna. (f�•-B•)
, '13 /) r- V /3
/ c3 3 t
• Rate•Mln./Inch s'2,
/2 • 6 /17/As
// 0 , ,U
n / L4.
• Mhilmum of 1 peroolellon test must be performed In both the primary afili ANDtj
re ns are,.
t date Paned Mt Palled
PsfonnW By:
Witnessed Bys
Comtnentat _..
f /trUJ/ ,
//0//
•
• t
ty
•
e at No.. J��p-��`'c
e nding T' Time
•turn ion ( 17 min)
40
G. '
•
e ra Rates'
round elev .
■ptu or Nut.
I'ei'uuiallui Teel
//•'JL // 7
�� 7// V7
/7 ;•
/Z.3
, ,
film/ Loeb
e et vit %,•7 -
• th 8o1' 'Ueecriptiun
ev _ � r• Lo � � ��rvo
Yet -Y3.r- y4r •ntg �/cc_
�Ooc tff
ea It
1'nrv . Ilnln
n
• rnuul I Inv .
Ill,PI Is el 1 1101Ir
�•nnl. Ito .
Il /4' r[ Z
•1 we%,1.11 1111
J1t1 't, nl tun 11i in
/L
roundweter
edrook
round Slav
.C.S . Soil
Depth flue R1ev .
Depth elev ._--
Deecription ' /57"4/r57
lench Mark: Elev .
Intl t Ili ,•
/T. 0 7
L 0
•
• / 7
/7_ z/
e.- 2-Ci •
OS
S;d &wino
Uel .th Hui! Ueeurlptiun
GC: 4.1,it wl
Sly 52L
vi -
SUB
/Son//¢_L
drunul ante l.• Depth Elev.
lied ruck Depth Elev.
Uruund Elev . pawl 9 e■
'C
./.16 6/1'
Seneunnl High Noter Table? /1i ticiLle
lie e : 1.11 tun
' MMUSTS :
Doan : 72,/t '-f 4;16 /997
1; 11
ell I. . ./77,4/ � ,aCa4 milt/
' 0
Engineer '
Witneent a4mmamier
hoeul. loa' oche ret
0
End Pre-soak
/? cc=
Location Address or Lot No.
FORM 12-PERCOLATION TEEr
COMMONWEALTH OF MASSACHUSETTS
,Massachusetts
Percolation Test'
Time
Observaton Hole
Depth of Parc
Start Pre-soak
Tuna at 12
Time at B- /t
� a
Time a s-
rd-
Time 1B'-e1 I
� C�3 114/-4
Rate Min./Inch 1 / J/rte / -
w
•Minimum of 1 percolation test must be performed in both the prime area AND
reserve area. primacy
Site Passed
Performed By:
Witnessed By:
Comments: _
Site Failed ❑
i J -
0n-Fife Review
Location Addressor Lot# I r-I 1 / - F!
Deep Hole Number I I `Date
����7//{/
�1� q r�—/ (Time I /( { 0( /-I" I Weather I .1-/--I" ,,-' '!
Location(identify on site plan)
Sal Texture
(USDA)
Land Use
y) , .- J-,i. - -- I Slope(%) I I Surface Stones _I
'✓ti" „ ' %
Vegetation
Landform
Soil
Mottling
Position on Landscape(sketch on he back)
Distances from:
Open Water Body
feet
Drinking Water Well
, ,/
i
location Address or Lot No.
FORM 12-PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test'
Date: L.'
Observation Hole e
Depth of Pere
Start Pre-soak
End Pre-soak
Time at 12'
1) 6'3
lime at 9'
Time at s•
2
Time 18•-6•1
Rate Min.MCh
I
f
•Minimum of 1 percolation teit must be performed in both the rime
reserve area. P rY area AND
Site Passed ❑
Performed By:
Witnessed By:
Comments
S
Site Failed ❑
, V1.
0n-site Review
Location Addressor Lot# I '7 I
—A)
i l 1 r k)-
✓Q TY
Deep Hole Number I I Date
(C y 7 Time
I
Sal Color
(Munsell)
I Weather] /s--1A-:1,. Ica--r-
Location(identify on
ite plan)
`11
Other
(Structure,Stones.Boulders,Consistency.%Gave()
(S udur%Stones.
Land Use
,� C, ( ',2•,, I Slope(%) I ��
I
Surface Stones I J
Vegetation
^rf.ci,.r/ A l.�fr�
1
/.°
r;/rIl✓
lF
Landform
/✓
Parent Mxblal(genlogk) I I Depth to Bedrock
I
Position on Landscape(sketch on the back)
Distances from:
I
Weeping ham Pd Face
Open Water Body
4,„) feet
Drinking Water Well
�f p'5
'-
feet
Property Line
,> C,-,e "feet
Possible Wet Area
ir. a-,/.. feet
Drainage Way
feet
Other
feet
Deep Hole#:
DEEP OBSERVATION HOLE LOG'
� 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Intlles)
Sol Horizon
Soil Texture
(USDA)
Sal Color
(Munsell)
Sod
Mottling
Soil Color
(Munsell)
Sat
Mottling
Other
Boulders.Consistency.%Gavel)
Other
(Structure,Stones.Boulders,Consistency.%Gave()
(S udur%Stones.
'-
S c
I �
rr
/`
rill
) d
JL
"C I
_
i 5 &
N-[
1
/.°
r;/rIl✓
lF
P 3
/✓
Parent Mxblal(genlogk) I I Depth to Bedrock
I
77
Depth to groundwater Standup Water in the Hole
I
Weeping ham Pd Face
Estlmated Seasonal H'eh Groan Water
'-
,
Deep Hole#:
cy —
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Sat
Mottling
Other
(Structure,Stones.Boulders,Consistency.%Gave()
il� _
\,
OX
rr
/`
rill
) d
�_ /
C
U
(tl
C(
?%
/
r;/rIl✓
lF
/
L
y
Parent MaMal(geologlc) I I Depth to Becht*
Copt to groundwater. Standing Water in the Hate
///''/ ! I
Waepitq Rom Pd Face
Estim lee Seasonal High Ground Water
'-
'Ng