310 Soil & Perc Tests 2014 COLD SPRING ENVIRONMENTAL
CONSULTM Tngt
ALAN E.WEISS,M.S.,R.S.,L.S.P.
Licensed Site Professional
Registered Sanitarian .Wetland Consults
H ologtst -Soil and Water Testing
President .21E Site investigations
Afield Rd. Percolation Tuts and
wn,MA 01007 Septic Designs
-5957&323-4916(FAX) -Title 5 inspection'
aeweiss@cliarier.net
QR1✓i d-1 SOIL-Ev-AL4MTQR-FeRM
Page 1 of 3
Commonwealth of Massachusetts
blur .y , Massachusetts
Soil Suitability Assessment for On-site Sewa e Disposal
Date: 42/N
Pet-fanned By- 1\N-4, kilet J t R-S.I St_ s
Witnessed By • Sr ' Jon
9 n !�
J
p Ada
tol30
Lae �✓
clew construction ❑ Rep& Lh,
3 ft cXdz UJ Su.3 ti
Office Review
.Published Soil Survey Avalz!e: No
Year Pablithed tecmttif
(� Publication Scale
Drainage Cass Yooc I'A, on Uri,taations �' /
S_r_ c<': Geolo=gic Reza.'. - e: Nol Yes 'y
Published C -e-enlic- Publication Scale G-S-
Geoioe_fe I ciat, (AZ? Unit)/r
Cfut
__,d_o ,
Flood insurance Rate Map:
Above 500 year flood boundary No __Yes
Within 500 year flood boundary No Eh(5 U
Within 100 year flood boundary No Likes
Wetland Area'.
National Wetland inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
ue1
Range :Above Normal vormal l�Jlielci Normal
Other References Reviewed:
Date: 5l/Z'1`if
§dro=tt (reef
3ioc 6W /- /-an "RI
/-%onto, MIL o/06"2
os Mao
DEP APPROVED FORM• 12107195
-r?
On-site Review
zlo DJ citte,o, (25
Date. .5)L2.11L1 Time.
151.-c
Weather
site plan)
Slope 1%) . Surface Stones Lie,
(Tat-AS--
Pe (sketch on the back)
Body
lac) 11-feet
it Area /0° feet
ter Well . . feet
d taigirt_r
Drainageway CR?4.- feet
Property Line CO (4- feet
Other
DEEP OBSERVATION HOLE LOG
Soil Horizon
Soil Texture
(USDA)
Soil Color
((Aimee III
Soil Mottling
other
(Structure.Stones,Boulders,
Consistency %Gravel'
nTC??
...
C 5 L-
V\S
10•10311_
7-CH 712
., tt
LI
7 gICA
(200-1s, set-5 k
C.
cS
24c/ 4/q
• 041(
ec_56-4
OS•
ao ogic) clui46‘-‘:
algt:
Standing Water in the Hole: .1114
Estimated Seasonal High Ground Wate
\ Depth to Bedrock:
\111;efeiCng from Pit Face:
r:
it$14" (t)
BD • tor
-4
?-o C1 °
Determination for Seasonal High Water Table
hod Used•
❑ Depth observed standing in observation hole _____ inches
❑ epth weeping from side of observation hole _._._... _. inches
Depth to soil mottles ' '0) inches I10' (2)
❑ Ground water adjustment feet
ex Well Number — Reading Date .._._ Index well level --
justment factor _...._...__. Adjusted ground water level
Percolation Test
Date-
Observation Hole #
Depth of Pero
Time: ..._1 ..
Start Pre-soak
33`1
End Pre-soak
IC'
Time at 22"
4 ; o1
Time at 9"
1
Time at 6"
Time (9"-6")
Rate Min./Inch
2/
/ E2C
DEPn(
6o"
iite Suitability Assessment: Site Passed L'1 Site Failed ❑ .
Additional Testing Needed:
°erformed By AAA U%rsS SC, 25 Certification Numb '
Nitnessed By:_ Fa_ 5PA^-.__.._- 9)0 ff _..__.__.__.._------
Comments: ...._._._..._._.._..........._._.._ .......__._....
:alien Address orLolNo. ;0 r,L RD_
Determination for Seasonal High. Water Table
thod Used:
J Depth observed standing in observation
Depth weeping from side of observation hole...
✓epth to soli mottles (ZY)!... inches tillt 7
I Ground water adjustment feet •
iex Well Number .-..__
inches
inches
Reading Date _ index well eve
ijustment factor -_. ...._.. Adjusted around water level
in*: of Natura'iv Occ_■i.na ?en•;ous Material
Does a- least four feet f naturally occurring pervious material ? ._a
: ,. 'Ali' cc2,id Xis:
observed throughout the proposed for s0.. absorption system? 4PHc
it not, what is the depth of natuiaEiy occurring pervious material?
! certify that on (date) ; have passed fly) soli evaluator examination
approved by the Depa:;,, ent of Environmental Protection and that the above analysis
was per or Tied by me consistent with the required training,expertise and ezpe'ience
described in 310 CM 75.037.
Signature
aka APPROVED FOR;t•12/0119S
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• �`�� MASSACHUSETTS
m;. NORTHAMPTON, von n
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♦♦ JOHN W.EWMG Cur •
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