289 Septic soil & Perc Tests COLD SPRING ENVIRONMFN"FAL
CONSULTANTS, INC_
ALA';G. WE1SS, .S.,L.S,P,
61cesc,i she Professional
Registered sanitarian
Hydrogeologist
President
350 Old Enfield Rd.
Belchenown,MA 01007
(413)323-5957&323-4916(FAX)
•Subsurface Investigaions
•2I E Site In vesrigations
*Pollution Remediation
*Percolation Tests and
Septic Designs
Commonwealth of Massachusetts
gG({k""t ` , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: A wPl��S Date: 8I6 �o
✓S1c �(�t<ll+J
FOP'A II - SOIL h:VALU .TJR'FORM
Page 1 of 3
Date: g/6 103
Witnessed By:
torten Aee.a,w
Zr11 G17 EL
New Construction ❑ Repair E>
Office Review
Published Soil Survey Available: No I I Yes
Year Published
Drainage Class
Publication Scale
Soil Limitations
Sufcial Geologic Report Available: No LJ Yes
Year Published
Geologic Material (Map Unit)
Land form
Flood Insurance Rate Map:
Above 500 year flood boundary No I Yes
Within 500 year flood boundary No Yes
Publication Scale
Within 100 year flood boundary No �'es
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map un
Current Water Resource Condi ions (USGS): Month
Range :Above Normal [ Normal IJ Relc-v N.trmal
Other Refcrc: u., reviewed:
Soil Map Unit
f_ 1
Location Address or Lot No.
POPlAi 11 SOIL EVALUA: O'd FOg;,1
Pagr 2 of 3
2 J-10 ci f lc( ST
On-site Review
Deep Hole Number 17 2 Date: S 6 D3
Location (identify on site plan) _
Land UseC j
Vegetation °'.Z55"
Landform
Slope (%)
Position on landscape (sketch on the back)
Distances from:
Open Water Body /oo'fleet Drainage way hod i— feet
Possible Wet Area /d% t feet Property Line /5 '
Drinking Water Well OG' feet
1_._.t feet Other
2.
Time:
30
Surface Stones
Weather u✓ ]5-r
(AP
C
C
DEEP OBSERVATION HOLE LOG.
Sou Texture
(USDA)
;-5L
2
a 1----SC
Soil Color Soil Other
'Moment Moaning (S✓uaore. Stones. Boulders, Consistency, %
Gravel)
/eye/2
10.42312
!OyoEs-
sa w .'1 R
H. [� Et..u•. _- —jPOSALA'[A
Pare.Ht M 3tanal (c-clogi(c—clog Od iLic•S`t
Dept-Ho. hack: /Z
Ce_ n ,an nc Water in the Hole: Fire
Weeo!ng from Pit Face:__<%
•••
7sJr13,J Rtscrc 411
Est:hated Seasonal H.gh Gourd V'a:er /Z['rr
DEP APPROVED FORM-C/07/95
FORM 11 - SOIL EVALUATOR FORM
.Page .3 or3
Location Address or Lot No. 20 li4 {OP 10 sr
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole..... inches
Dth weeping from side of observation hole.. inches
-r Uepth to soil mottles /Zs- 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? e5
If not what is the depth of naturally occurring pervious material?
Certification
I certify that on 3-'-4 , ? (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.
Signature
DEP:3r12o RM-:L0)/95
Date S
7 ��a\ rI OF e's\,
/ 9 i�cs-
(O ALAN P. WEISS ALE:
Location Address or Lot No. 257
FORM 12 - PERCOLA'TION TEST.
COMMONWEALTH OF MASSACHUSETTS
rf44�fp
, Massachusetts
Observe
Date
on Hole #
Depth of Perc
Start Pre-soak
End Pre-soak
Time at 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate Min./Inch
Percolation Test`
T16 (03
3S"
9 .s/
,%51
7:53
5, SS
O, &7 rnnlnitk
Time:
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed
Performed By:
Site Failed n
Witnessed By: �5, t/2/inj
Comments:
_I....._ )(pi:4�1 c�1 " ' I P/Jpnf'h( .4 /0/, I,..
A )fOo( Pes'+&tho,i `gAfecI- . -
DEP APPROVED FORM-U107/95
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Location 7/ r I t i 'Owner
Address or Lot a i yti tic�.� _. ��_1—'.< Ic- • ., -r-
Date ('/ / ' < is ( - •
ZJ Address
Engineer ,y " •�. I + . �_ I FM1One#: '
Land Use .' '�"_ N % I Surface Stoned ,I _
Vegetation . .,: :: • Landform
,:
Position on landsoalpe; Start Time
(Sketch on back) 11, End
Open Water Body feet HOnnk nO Water W feet Property Line set
Possible Wet Area feet °OraliraOeWa�('f" feet Other feet
DEEP OBSERVATION HOLE LOG*
Deep Hole#: I I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other
Surface(Inches) (USDA) (Monsen) (Structure,Stones,Boulders,Consistency,%Gravel)
)
L
o
j
( J
Parent Malone!(geologic) I i-+, I Depth to Bedrock I / -I
Depth to groundwater. Standing Water in the Hole , - I Weeping from Pit Pace 1
Estimated Seasonal High Ground Water 7
DEEP OBSERVATION HOLE LOG*
Deep Hole#: �) 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other
Surface(Inches) (USDA) (Munsell) (Structure,Stones,Boulders,Consistency.%Gravel)
c11
Parent Material(geologic) I Depth to Ba fti&.I
Depth to groundwater. Standing
Watee Hole Wapping from Pit Face I
Estimated Seasonal High Ground Water
t'es
PERCOLATION TEST(S)
Time:
I Time:
Observation Hole
#1
Observation Hole
#2
Depth of Perc
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 at6
r
Timeat6"
Time (9"-6")
, �j , -
Time (9"-6")
Rate Min./Inch
Rate Min./Inch
'minimum of 1 p lation test must be performed in both the p maw area AND reserve area.
SITE
PASSED
V
SITE
FAILED
I SITE
PASSED
SITE
FAILED
Performed by
/- ! / Performed by
Witnessed by
J ' iw._c
I Witnessed by
Comments: 1'n " 7'F r < ; -