297 Soil Suitability Assessment 2014 (Lot 1) P3 lolly/ Iown of norence
—` Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
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A. Facility Information
John Ewing
Owner Name
297 Old Wilson Road Lot # 1
Sheet Address Map/Lot#
Florence MA 01062
City State Zip Code
B. Site Information
1. (Check one) New Construction 0 Upgrade Repair
2. Soil Survey Available? ® Yes ❑ No If yes: USDA-Hampshire CO.-Central part PcB
Source Soil Map Unit
Raynham series High seasonal high water table, slow pert
Soil Name Soil Limitations
3. Surficial Geological Report Available?❑ Yes ® No If yes: Year Published/Source Publication Scale Map Unit
glaciolacustrine deposits (old lake bed)
Geologic/Parent Material Landform
4. Flood Rate Insurance Map
Above the 500-year flood boundary? Z Yes ❑ No Within the 100-year flood boundary? ❑ Yes Z No
Within the 500-year flood boundary? ❑ Yes Z No Within a velocity zone? ❑ Yes ® No
5. Wetland Area: Wetlands Conservancy Program Map Map Unit Name - -
6. Current Water Resource Conditions(USGS): Monet/year - Range: ❑ Above Normal ® Normal ❑ Below Normal
7. Other references reviewed: USDA-Soil Survey of Hampshire County, Massachusetts-Central part
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8
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11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
Deep Observation Hole Number: #1 -Front May 6, 2014 1:O0pm Clear
of Lot Date Time Weather
1. Location
Ground Elevation at Surface of Hole: TBD Location (identify on plan): See plan
2. Land Use Agricultural field None 0% -5%
(e.g.,woodland agricultural Feld,vacant lot,etc.) Surface Stones Slope(%)
Upland trees-grass glaciolacustrine deposits See plan _
Vegetation (old IakebedZ Position on Landscape(attach sheet)
> 100' 150' < 100'
3. Distances from: Open Water Body feet -- Drainage Way feet Possible Wet Area feet
Property Line eet-- Drinking Water Well fNeetA Other feet
Silt loam
4. Parent Material: - - Unsuitable Materials Present: ® Yes ❑ No
if Yes: ❑ Disturbed Soil ❑ Fill Material ® Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
36" _ 72"
5. Groundwater Observed: ® Yes ❑ No If yes: Depth Weeping from Pit Depth Standing Water In Hole
Estimated Depth to High Groundwater: 22
inches elevation
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8
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C. On-Site Review (continued)
Deep Observation Hole Number: - UNSUITABLE E
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix: Color- (mottles) Soil Texture %by Volume Soil Soil
Depth(in.) Layer Moist(Munsell) (USDA) Cobbles B Structure Consistence Other
Depth Color Percent Gravel (Moist)
Stones
0-16" A 10YR/33 N/A SL Friable moist Dk. brown
16"-30" B 5Y 5/4 22" Silty
Additional Notes:
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8
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C. On-Site Review (continued)
Deep #2 May 6, 2014 1:30pm_. Clear
eep Observation Hole Number:
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: TBD--- Location (identify on plan): --- - - -- ------- -
2. Land Use Agricultural field
(e.g.,woodland,agricultural field,vacant lot,etc) Surface Stones Slope(%)
Upland trees-grass glaciolacustrine deposits see elan_
Vegetation (old lake bed) Position on Landscape(attach sheet)
> 100/ —- - >50' > 100'
3. Distances from: Open Water Body feet Drainage Way feel -- Possible Wet Area feet
Property Line 20 Drinking Water Well N/A Other N/A
feet feet feet
Silt loam
4. Parent Material: --- Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ❑ Yes ID No If yes:
Depth Depth Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 22' TBD
inches elevation
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8
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C. On-Site Review (continued)
2
Deep Observation Hole Number: # - -
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture A by Volume Soil Soil
Depth(in.) Layer Moist(MUnsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles Stones
0- 12 A 10YR 3/4 N/A SL N/A N/A Fine Friable DR. brown
12"-24" B 2.5YR 4/4 28" 7.5YR 5/8 > 5% SL N/A N/A Silty Friable Yellowish
24"-96" C 5Y 4/3 VFSL N/A N/A Silty loose Olive
brown
Additional Notes:
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8
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- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
Deep Observation Hole Number: # 4 May 6, 2014 3:00 pm Clear
Date _. Time Weather
1. Location
Ground Elevation at Surface of Hole: TBD Location (identify on plan): See plan
2. Land Use Agricultural field None 0%- 5%
(e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%)
Upland trees-grass -.. - . glaciolacustrine deposits See plan
Vegetation (old lake bed) Position on Landscape(attach sheet)
__-
> 100' 150' < 100'
3. Distances from: Open Water Body -- - - Drainage Way --- - Possible Wet Area -. ----
feet feet feet
Property Line 35 Drinking Water Well NSA Other ----
feet feet feet
Silt loam
4. Parent Material: - Unsuitable Materials Present: ® Yes ❑ No
If Yes: ❑ Disturbed Soil ❑ Fill Material ® Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ® Yes ❑ No If yes: 36" Depth Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 26" TBD
inches elevation
Florence Road-Lot#1-Test pit 4 and Test pit 5•rev. 3/13 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •linglelatEl
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C. On-Site Review (continued)
Deep Observation Hole Number: -#4
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture 70 by Volume Soil Soil
Depth(in.) Layer Moist(Munsell) (USDA) Cobbles S Structure Consistence s(moist)
Other
Depth Color Percent Gravel Stones
0-16" A 10YR/33 N/A SL N/A N/A Friable moist Dk. brown
16"- 32" B 2.5YR 4/4 28" �5/BR > 5% SL N/A N/A Silty yellowish
32"-96" C 5Y4/3 Silt loam N/A N/A massive Firm Olive
brown
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Additional Notes:
Florence Road-Lot#1-Test pit 4 and Test pit 5•rev.3/13 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •PialWEI
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
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C. On-Site Review (continued)
Deep Observation Hole Number: #5 May 6, 2014 3:30 pm Clear
Date Time Weather
1. Location
Ground Elevation at Surface of Hole: TBD_ _ Location (identify on plan): - ---- -- -
2. Land Use Agricultural field
(e.g.,woodland,agricultural field,vacant lot,etc) Surface Stones Slope(%)
Upland trees grass glaciolacustrine deposits see plan —
__.—
Vegetation (old lake bed) Position on Landscape(attach sheet)
> 100/ > 50' > 100'
3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area feet
Property Line eDet Drinking Water Well N/A Other fNe/A
Silt loam
4. Parent Material: — ---- - -- --- ---- Unsuitable Materials Present: ❑ Yes ® No
If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock
5. Groundwater Observed: ❑ Yes ❑ No If yes: 3e" De"
Depth Weeping from Pit Depth Standing Water in Hole
Estimated Depth to High Groundwater: 28 TBD
inches elevation
Florence Road-Lot#1-Test pit 4 and Test pit 5•rev.3/13 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •AyaL9f-0
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number: #5 _
Redoximorphic Features Coarse Fragments
Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soli Soil
Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbles 8 (Moist)
Stones
0- 16" A 10YR 3/4 N/A SL N/A N/A Fine Friable Dk. brown
16"- 32" B 2.5YR 4/4 28" 7.5YR 5/8 > 5% SL N/A N/A Silty Friable Yellowish
32"-96" C 5Y 4/3 VFSL N/A N/A Silty loose Olive
brown
Additional Notes:
Florence Road-Lot#1-Test pit 4 and Test pit 5•rev.3/13 Form 11 —Soil Suitability Assessment for On-Ste Sewage Disposal- 6
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Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used:
® Depth observed standing water in observation hole A. 96" B. 96"
inches inches
® Depth weeping from side of observation hole A 30" B. 36"
inches inches
® Depth to soil redoximorphic features (mottles) A. 22 B.
inches inches
® Groundwater adjustment(USGS methodology) A. 22" B.
inches inches
2.
Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
E. Depth of Pervious Material
1. Depth of Naturally Occurring Pervious Material
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a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
® Yes ❑ No
b. If yes, at what depth was it observed? Upper boundary: inches _ Lower boundary: 96nes
Florence Road-Lot N 1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of S
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igi' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Certification
I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.017. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form,
are accurate and in accordance with 310 CMR 15.100 through 15.107.
May 22, 2014
Signature of Soil Evaluator Date
Timothy_Maginnis SE# 1454 November 1994
Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam
Edward Smith Northampton
Name of Board of Health Witness Board of Health
Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and
to the designer and the property owner with Percolation Test Form 12.
Florence Road-Lot#1-John Ewing-Soil Evaluator Form 11 •rev. Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8
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