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Lot 2 Soil Suitability Assesment 2003 No. FORM II - SOIL EVALUATOR FORM Page I of Commonwealth of Massachusetts Massachusetts e t Date: Performed By: .. Witnessed By: ... Office Review Published Soil Survey Available: No ❑ Yes Year Published Drainage Class Publication Scale Soil Limitations Surftcial Geologic Report Available: No ❑ Yes ❑ Year Published Publication Scale Geologic Material (Map Unit) Landform _. . Flood Insurance Rate Map: _..._ Above 500 year flood bounduy Na ❑Yes ❑ Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range:Above Norma Normal ❑Below Normal ❑ Other References Reviewed Soil Map Unit. r*mn,manartt.tfarm On-site Soil and Groundwater Review Deep Hole Number Date: Time: Weather _ocation (identify on site plan) and Use Slope (%) Surface Stones tegetation andform 'osition on landscape (sketch on the back) )istances from: Open Water Body •-.. feet Drainageway .... feet Possible Wet Area feet Property Line 7 feet Drinking Water Well , ,- feet Other DEEP OBSERVATION HOLE LOG Depth from Surface (Inches) Sod Horizon Soil Texture (USDAI Soil Color (Monselll Sod Mottling Other (Structure. Stones, Boulders, Consistency. %Gravel) ent Material (geologic! 3th to Groundwater: - Depth to Bedrock: Standing Water in the Hole: , _ Weeping from Pit Face: Estimated Seasonal High Ground Water: Location Address or Lot No. FORM 11 -SOIL EVALUATOR FORM T t4bf3 DeternunafL for Setsconal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole _.. inches Depth to soil mottles - inches ❑ Ground water adjustment _ feet Index Well Number Adjustment factor Reading Date Index well level 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? If not, what is the depth of naturally occurring pervious material? Certification I certify that on ' ' (date) I have assed the soil evaluator examination rn approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required taming,expertise and experience described in 310 MR 15.017. Signature Date • asAIROVpraax-MIAs • eternzination 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 inches C Ground water adjustment feet Index Well Number Adjustment factor Reading Date Index well level. ._... Adjusted ground water level Percolation Test DATE- - TIME Observation Hole # -, Depth of Perc Stan Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch Soil Suitability Assessment: Additional Testing Needed Witnessed by- - ` - Passed n Failed Comments: S.� • y ©tilW0y PERCOLATION TEST(S) Time: Time: Observation Hole #1 Observation Hole #2 Depth of Perc 5l7 �, Depth of Perc Start Pre-soak I � /O Start Pre-soak End Pre-soak 1 J C /0 . 6 End Pre-soak i C Time at IT �� � , Timeatl2" itr ,.q ,p Time at 9" - 4 Time at 9" 1p Timeat6° Time at 6" � - � Time(9"-6') � LIrI _z Time (9"-8") I i Rate MinJlnch Rate Min./Inch 9-%-, 9-O L^^ v 'minimum of 1 percolations test must be performed in both the primary area AND reserve area. SITE I . ` let it:sTE SITE° SITE PASSED; a'_'E 1P 'SED - FAILED Performed by I I Performed by Witnessed by Witnessed by Comments: I I NORTHAMPTON BOARD of HEALTH— Title 5—Site Review -Start3lml: End }; OpenWaterea}y-,. '%SPosslbleWetkea}j IDeep Hole#: Depth from Surface(Inches) DEEP OBSERVATION HOLE LOG` MINIMUM OF 1V:70 HOLES REQUIRED J EVERY PROPOSED DISPOSAL Soil Horzon Soil Texture (USDA) Soil Color (Munsell) Other (Structure,Stones,Boulders,Consistency,%Gravel Grad HOLE LOG* EVERY PROPOSED DISPOSAL AREA Deep Hole#: I 'I DEEP OBSERVATION I 'MINIMUM OF TIVO HOLES REQUIRED hT Depth from Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Stru cture,Stones Boulders,Consistency.%Gravel) irfSurface(Inches) IJ 1V 1" ��]],� / I _ S C _._ _._r_ —2./ 7. I ,-- I `J g✓ / / � M -) Parent Material(geologic) (h Jam/'""(t/�-- pm'tu ""De `Bedrock I S Depth to9r%!ndxaler. Standing w�ter,;rnlhelva;� �T}^MeWng Pit Face Estmated Seasonal High:Grwner r`• . IDeep Hole#: Depth from Surface(Inches) DEEP OBSERVATION HOLE LOG` MINIMUM OF 1V:70 HOLES REQUIRED J EVERY PROPOSED DISPOSAL Soil Horzon Soil Texture (USDA) Soil Color (Munsell) Other (Structure,Stones,Boulders,Consistency,%Gravel Grad