550 Title 5 Review, 1998/1984 No. 4
FORM I I • SOIL EVALUATOR ATOR FORM
Page l of 3
Date: ro- l4'i7
Commonwealth of Massachusetts
AJOR.THkMpTJs1 , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By l IM OTfiy E. » &i NA/I S
Witnessed By PETER MC-tR1-11;10 - &&SC,i
Date: G-t2- `i7
LoT '4 I
AloR-714 FARMS ROAD
vew construction 127Repair ❑
a-, RoRERT i3nTEt
cog S r}€FG; 1-D Lm
Y '' ?
Office Review
Published Soil Survey Available: No ❑ Yes
Year Published 14 Publication Scale I : 1584-0 Soil Map Unit Ca) C
Drainage Class WELL DP—A AOQ Soil Limitations 4401)1Y-4)v Stop& , 5x1206-=
Surficial Geologic Report Available:'No ❑ Yes ❑
Year Published
Geologic Material (Map Unit)
Landform 6-LACt(� i
Flood Insurance Rate Map:
Above 500 year flood boundary No El Yes ❑'
Within 500 year flood boundary No Yes ❑
Within 100 year flood boundary No _Thies
❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Publication Scale
LpL4e,0 — CiLric,r}u ; cL.
Current Water Resource Conditions (USGS): Month
Range :Above Normal Normal • 0BeIctv Normal ❑
Other References Reviewed:
DFP APPROVED FORM-II.Y>■ S
t
On-site Review
Deep Hole Number I. Date: (a-/Q-qg Time: 9:4° AM Weather
Location (identify on site plan)
Lend Use OPLA •D (64-67,7 Slope I%) ° !£'9r Surface Siones S°,lUE
Vegetation O/jtj-_.L, ;7 Pik); - /3,Fcm: - AS.-r .
Landform Tick Rio G-6
Position on landscape (sketch on the back)
Distances from: /
Open Water Body '' /o ° feet Drainage way feet
Possible Wet Area± 150/ feet Property Lint ! /ou 'feet
Drinking Water Well N/A feet Other r 3001 re-r,,-11 R,...41)
DEEP OBSERVATION HOLE LOG
CLEAR/c0oC
doom from Sort .
(IncMsl
Scot Ho,.:on
Soil 71.1108
IUSDAI
Sod Color
.IMunseel
Son Monnne
- IZo'
ti
/3
C
SA.nv
LOAM
Sr\a .A�
Long
CC✓.l..p.
LA AA y
• SA A-0
/C YR 4/6
y 4/3
N/n
Other
IStrucivro. Stones. BMMHs.
Consistency. % Grave/
Rcc7S - $TO,UC 5
F42.AeLE
FRIrFt.t: Mu
r 45y-
i
L tam' r
Parent Material (geologic) ()LAO A C. T L-L.
peoth to Groundwater: Standing Water in the Hole:
A/P
Depth to Bedrock: N �fl
Weeping from Pit Face: Au'7 4
Estimated Seasonal Hrgn Ground Water
f
On-site Review
Deep Hole Number a-. Date: 6- /Z- f'7 Time: 4 30 A 01 Weather C(,CAR/Co 01
Location (identify on site plan)
Land Use L7 toio Fif-657 Slope 1901 Pi( Surface Siones $ca&F
Vegetation OAC._-_ ; .ry .-I p,uc - a c H - As hi
Landform Ti CD. RIDGE
Position on landscape (sketch on the back'
Distances from:
Open Water Body )/0& feet Drainage way feet
Possible Wet Areal-- ISO / feet Property Line! (00/ feet
Drinking Water Well N/IA feet Other Y 300 ' fT dM lip
DEEP OBSERVATION HOLE LOG
Depth from Swrate
(Inch*SI
Sod Hower.
Scl'env.
I1./5D4
So.;Colo.
{Munson)
Soil Mowing
C
l
9
34( - l2C
2)
C
5A.. JV
L.coat AA
5iC7y
5A.-o.
ZA,4A1
2 s y 3/3
2.3 r 5/
SY 474
N/A
"1A
4A
Other
Mtruave. Stones. aculeers.
Consistency. es Grayer
IZal s —5(.. es
Parent Material (geologic' GTLAC1,a L TILL
Deoth to Groundwater: Standing Water in the Hole: �.1I? Weeping from Prt Face:
Estimated Seasonal High Ground Water: Nh
Depth to Bedrock
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. LoTij _ AkIZTH FRR.MS
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole /V
!!!! inches
❑ Depth weeping from sic!? W of observation hole A inches
❑ Depth to soil mottles N rre inches
❑ Ground water adjustment feet
Index Well Number
Adjustment factor
Reading Date Index well level
Adjusted ground water level HOME 6j35eRVED
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring
observed throughout the area proposed for the
If not, what is the depth of naturally occurring
Certification
pervious material exist in all areas
soil absorption system? e)
pervious material? l
I certify that on 11/q{i- (date) I have passed the soil evaluator examination
approved by the Dep rtment 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 it.t,.l;—' Date O-14--gq
DEP APPROVED FORM•12/07/95
FORM 12 • PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
MOPT.-IAMVP0N. Massachusetts
Percolation Test
Date: ,TUNE. 12i 199Q Time: R: OOA0A
Observation Hole #
-
4
Depth of Perc
O /I
53 "
Start Pre-soak
Cf" 0014cM
9'; 0 AM
End Pre-soak
9, IS AM
9 i 3a Aw
"'`
Time at 12"
,n
qS A: V1
9 : 3s aim
Time at 9'
Ai
f ! 44- A V✓,1
Time at 6"
q : 34- AV
(0: 61 AM
Time (9"-6")
12MiPuulaS
17M1niuTE-5
Rate Min./Inch
4 MP-11
5-.6 c Mp L
Site Passed I Site Failed ❑
Performed By: TCs._ Iin
Witnessed By: c)6}---L2 y JAL R-1... — bk±FIlM 6&&Cr
•
Comments:
SA_AT I GN:
J,T I ON I-I'i'S
North Farms Road
Northampton
FAILING ADDRESS:
DATE: 5/31/77 DESERVER: Richard P. Brazeau
OTS 6"
1 ' -3"
Silt
Sandy till
t =r None
nto 5. 0 and 2. 3 min/in.
Croindwater
Perc Rate
Lot e2
T
OTS 6"
Silt
S n+y
till
10'-0"
oFivic
• Garr : a^t ':est
ter None
Perc Atte
6.0 and 10 min/in.
Cr o-on?we ter
P rc Pate
I. JR . & .°.'5 .—IATES, INC.
`V
'th Par s zaad
Horthiseton
'WILING ADr:_'.SS:
_- E: 5/31/77
l0'-o"
US
Silt
Sandy till
R: Richard P. Srazeau
Lot =2
GTS
6"
Silt 1 '-3"
,y
till
,e - ... :None
5. 0 a!_d 2. 3 ¢iniln. 6. 0 and 10 h/in.
i
1 4- 3;S"1S / t d'
7
-
< d
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Address `� q Lot # D[k /�y/J / .
/24-174M-41h 14/A0v-t Owner Engineer Sanitarian Excavator
Perc Rate -4 ;).- min/in
Depth to water Vtj '101'ID
min/in
min/in
min/in
G
.0-r
T
Y( ( L✓ it
1
?L
Sketch of Lot w/ Location of Test Holes
7H rt.
s Ii;
Witness Fee
P 116
Witnessed by
No.
FORM 11 - SOIL EN Ali A FOR FORM
Page 1 of 3
Date: N-2___1161
Commonwealth of Massachusetts
AJC Frrg-W. Massachusetts
Soil Suitability Assessrnent for On-site Sewage Disposal
Performed By: —n o+ky E. "6-1NNtS R•S • Date.
Witnessed By: PETER 1\\c ERLA Ir4 - kasic1, - A&E.l3t
550 tsocrft4 Fptki S aO
N1ci2riot,vc oµv MA
New construction ErRepair ❑
v/tRS.ItJtA SuC.LIVAr
l:M,,..., 52 WARD AIF. - -
Na(zCiV'•� (sa nnq ofooO
(413) 586 - 942-2
Office Review
Published Soil Survey Available: No ❑ Yes
Year Published /4S l.. Publication Scale/t�5Z$'
Drainage Classeliel-(- PAJNQOSoiI Limitations 521®?E
Surficial Geologic Report Available:No ❑ Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landform ..
Flood Insurance Rate Map: ry
Above 500 year flood boundary No ❑�,,Yes U
Within 500 year flood boundary No L`7Yes ❑
Within 100 year flood boundary No Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
CNARcTVN SERI ES
Soil Map Unit CN e_
��PC
Current Water Resource Conditions (USGS). onth
Range :Above Normal ❑Normal Bel.°# Normal ❑
Other References Reviewed:
DEP A?PXOVEX 1.0101-12 01;91.
TP 2
On-site Review
Deep Hole Number .1 t 2. Date:
Location (identify on site plan)
Land Use VAGAtSj Slope I
Vegetation _._G.RPSSE S
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body 7(00 feet
Possible Wet Area /60 feet
- Drinking Water Well N/A feet
9..l O Time:
Page 2
2:G6PM Weather C(_ 9— k
%) 3 Ve Surface Siones
Drainage way 11/41/4 feet
Property Line 3U feet
Other
DEEP OBSERVATION HOLE LOG
Depth from Surface
(Ihcnesl
Sal Horizon
Soil Twins
IUSDAI
Sol Cob,
.(Munnal
Sol Monhne.
dew.
(Strums's. Stones. Boulders.
Cons■ uncr. % Cr,vee
o — 10"
10 - ✓ ` ,
32 - 12o"
A
Q
S /L.
s /L
5/L
r Sk
SAL
IoyR 34
%..5yR4/6
2,5 y 4/3
9.cylz, µ/6
/
25y 43
'2
N/A
NA
7(O% 4)
78" 9 SyR.44.
2.5y 9/1
N/A
; i c `1r a
92
7,SyR-'74.
SY 7 )
(eCSe fi:ab'.e
(post]. ; Fee�<roC<
1-/UUt.1 �,
C0PACES
STCNcS,
Sows e-aLLC _
.e:.Se -y i.
r3wt-Rats,
Cco :e5
jToNE:, •
ScANE 5,
O1 - 43r
(
43 - 26
B -
C
Parent Material (geologic(
Depth to Groundwater:
E
I-1U2r-ZL.r�iS i- E
;;(...AcAtaL T:LL
Depth to Bedrock:
Standing Water in the Hole: N/A Weeping from Pa Face:-
Estimated Seasonal High Ground Water:
78
;o 13E. Rcn,c. Cc r
H/G
N/A
of 43' AN() RE. PWCe`D wi V CLtF.pq �I�C- MATe�zl t
tnl AcCcc2PANCE. v., 7111-) 3iOCfv\R IS .000 -
Location Address or Lot No. 556 /• t'ARMS ROAD
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole N 4 inches
epth weeping from side of observation hole lif inches
{Depth to soil mottles t7e,r� inches
u Ground water adjustment feet
Index Well Number
Adjustment factor
Reading Date Index well level
Adjusted ground water level
Page 3 of 3
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in ail areas
observed throughout the area proposed for the soil absorption system? yes
If not, what is the depth of naturally occurring pervious material?
-rstS I NGOR ON t4 Q45c.D ON fk&ViojS PGRC, f)+4iA
Soh A . C` E S te. io n,\PT
Certification f � .
ay
I certify that on U /14- (date) I have passed :ne sod evaluator exarr na:.on
approved by the Dep rtment of Environmental Protection and that the above era.;sls
was performed by me consistent with the required tra.ning, expertise and exper,e^ce
described in 310 CMR 15.017.
Signature Date
DEP•PPRO 5t0 FOR51• 1:r95