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52 Soil Eval Form 2013 NO. /yD�✓'/�/ FORM 11 - SOIL EVALUATION FORM Page: 1 of 6 —Site Sewage Disposal Commonwealth of Massachusetts Florence, Massachusetts Soil Suitability Assessment for On Performed by: Timothy E. Maginnis R.S. Date: July 11, 2013 Witnessed by Daniel Wasiuk — Board of Health Agent Location address: 9 Soverign Way Lot # 9 Owner: Scott Green Address: 7 Ridge View Rood Northampton, MA 01060 Telephone # (413) 586-6278 New construction Yes Repair Office Review No 840 Soil Map unit: AmB-SrB (Amoustown-Sudbury series) permeability, high seasonal watertable No Publication scale O Yes Yes Not referred to ) -December Below Normal Published Soil Survey Available: Yes Year Published 12/95 Publication scale : 15 Drainage doss: Moderately well drained Soil limitations: Severe. wetness, moderate to rapid Surfoiol Geologic Report Avoidable Yes Year published; Not referred to Geologic material; Sand & grovel Landform: Glaciated upland Flood Insurance Rote Map' Above SOD Year flood boundary No Within 530 year Flood boundary O Within 100 year Flood boundary No Wetland Area: Notional Wetland inventory Map < mop unit b Wetlands Conservancy Program Map ( mop unit Current Water Resource Conditions (USGS)- Month Range. Above Normal Normal Other References Reviewed: Soil Survey, Hampshire Co. DEP approved Porn - 12/07/95 Location Deep LOCat'lon, -and Vegetation: Landforro Posit,on ?anent Weeping Depth Estimated FORM 11 - SOIL EVALUATION FORM Page 2 of Address or Lot Nc 9 - Soverlgn 'ay - Florence, MA. 01062 Hole Nurber k 1 Date: 07/11/13 Time: 930 on Weather( Cleor, mild ( identify on Site plan) - Front of Lot Use. Vacant, grassy Slope: 0 -57. Surface Stones None uplano decidious trees, gross Glacal outwash on Landscape ( see pan ) Distances from: Open Water Body, > 100' Drainage Way: > 50'± Possible Wet Area: > 100' Property in 30' Drinking Water Von: > 100' Other, Omer- Dean. Mon Soil Horizon Sail Texture Soil Color Soil l ones,Structure, Swface : :nrne. not Consi s. Boulders. < USDA munseiV a^B Consistency, < i. gra ( X 6 eo 0' - 12' A 5 / L IOYR 3/2 N/A Friable, tine roots dk, brown. smooth boundory 12' - 24' B ESL 2.5Y 5/3 N/A Friable, med roots light olive,fine sand loam, wovy baundry 24'- 45' 26' Y C-I Silty fine sand TO BE REMOVED 25Y 5/4 > 5% 0 25y32"5 1 / Dk. block 7.5YR 5/8 Very fine, silty, grayish olive 45' - 120' C-2 Med. sand (caving) 2,5Y 4/3 Loose, single groin sand, stones, wet, sides caving N/A Material ( geologic ): Sand /grvL Indicates ESTIMATED SEASONAL from face 84' P' 9 Depth to Bedrock. > 120" HIEASONAL to Groundwater. 120' Seasana, High Groundwater: 24' DEP approved form - 12/07/95 Location Deep Location: Lond Vegetat'.on. Landforn': Position Parent Weeping Depth Est'nased FORM 11 - SOIL EVALUATION FORM Page 3 of Address or Lot No. 9 - Soverign Way - Florence, MP. 01062 Hole Number g 2 Date 07/11/9 Tine; 1O:0O on Weather Clear, mild ( identify on site plan) - Front of '_ot Use Vacant, grassy Slope. 0 -5/. Surface Stones! None upland decidlous trees, grass Glacial outwosh on Landscape ( see plan ) D.stances =ran. Open Water Body. > 100' Drainage Way. > 50'± Possible Wet Area. > :00' Property Ine: 40' Drinking Water Well. > IOC' Other o roe., Depth >r ( Structure, SwPoce t riches) soil Horizon Soil Texture Soil Color Soil Stones, Boulders, ( USDA ) (tlunselu Mottllno Cans in ence, ( , grovel) 6 0' - 12' A S / L IOYR 3/2 N/A Friable. tine roots dk. brown, smooth boundary 12° - 21" 6 FSL 2.5Y 5/3 N/A Friable, med roots light olive.fine sand loom, wavy boundry 21'- 54' 24' g C-1 Silty fine sand TO BE REMOVED 2.5Y 5/4 > 5% 24",36",44 2.5y 2.5/1 7.5YR 5/6 Very fine, silty, grayish olive 54' - 120' C-2 Med. sand (caving) 2.5Y 4/3 N/A Loose, single groin sand, stones, wet. sides caving Material ( geologic ) Sand /grvl Indicates ESTIMATED SEASONAL from face: 84- Depth to Bedrock: > 120" HICHWATER to 6roundwoter. 120' Y Seasonal High Groundwater- 24' DEP approved Porn - 12/07/95 Locot,on Deep Location' Land Vegetotion Landforn. Position Parent Weeping Depth Estinated FORM 11 - SOIL EVALUATION FORM Page 4 of Address or Lct No. 9 - Soverign Way - Florence, M.A. 01062 Hole Number If 3 date: 07/11/13 Tine! 10:45 cm Weather: Cleor, Wild ( identify on site plan) - rear of Lot at wooded area Use Vacant, grassy S.ope: 0 -5Z Surface Stones: None upland decidious trees, grass Glacial outwosh on Landscape ( see plan ) DIstorces from Uper Water Body: i 100' Drainage Way: > 50'± Passible Wet Area: > IOC' Property line: 40' Drinking Water Well. > 100' Other: °the, Depth r-om ( ones. B.re. Sure ece [ Inches, Soll Horizon Say Texture Soil Color SoT Stones, ncy, (( USDA > (MUnselo Mottling Consistency, grove S 0' - 12' A S / L IOYR 3/2 N/A Friable, fine roots dk. brown, smooth boundary 12" - 40' 36' F 8 Fine sand 2.5Y 5/3 N/A Friable, med roots light olive,fine sand loam, wavy boundry 40'- 120' C Med / fine sand (caving) 10YR 5/3 > 5% IT 24" 7.5YR 578 Loose, single groin sand, stones, wet, sides caring Material ( geologic ): Sand /grvL Indicates ESTIMATED SEASONAL from Face: 65' Depth to Bedrock: > 120' HIGHWAIER to Groundwater: 1E0' Y Seasonal High Groundwater 36' DEP approved form - 12/07/95 Location Deep Locution. Land Vegetation: bandfcrm Position Parent Weeping Depth Estimated FORM 11 - SOIL EVALUATION FORM Page 5 of Address or Lot No. 9 - Scverign Way - rlorence. MA. 01062 Hole Number a 4 Dote: 07/11/13 Tine 10:45 an Weather: Clear, mild ( Identify on site p'.an) - rear of Lot at wooded area Use: vacant, grassy Slope 0 -57. Surface Stones: None upland aecidicus trees, grass GIocIC] autwash on Landscape ( see plan ) Distances From- Open Water Eody > 100' Drainage Way. > 50'± Possible Wet Area. > 100' Property line, 30' Drinking Water Well > 100' Other, oth Depth (tor ( Structure. Sur4ace ( aches) Solt Horizon Sall Texture Sod Color Soa Stones. Boulders ( USDA ) (Munselu Mooting Consistency, ( grow r. 6 l) 0' - 12' A S / L 10YR 3/2 N/A Friable, fine roots dk. brown, smooth boundary 12 - 4l]' 36' Y B Me sand 2.5Y 5/3 N/A Friable. med roots ight allve,flne sand loam, wavy baundry 40'- t20' C Med / fine sane (caving) tOYR 5/3 > 5R 0 2 4" 7.5YR 5/8 Loose, single grain sand, stones, wet. sides caving Material ( geologic ): Send /grvl, Indicates ESTIMATED From face', 6.5' Depth to Bedrock. > 120' SEASONAL SEASONAL to Groundwater: 120' 9* Seasonal High Groundwater. 36' DEP approved form - 12/07/95 FORM 11 — SOIL EVALUATION FORM Page 6 e1 6 Location Address or Lot No. 9 - Soverign Vay - Florence, MA. 01062 Determination For Seasorol High Water Table Method used Depth observed standing in observation hole: 120' Depth weeping from side of observation hole'. 78' and 84' Depth to sort mottle 24' and 36' around water ad„ustmert: z' Front and 3' rear Index Well Number. Reading Dote. Index welt level Adjustment =actor Adjusted groundwater ''.ever. 2' / 3' feet Depth of Naturally Occurring Pervious Material: Does at least four feet OP roturolly Occurring pervious material exist in all areas observed throughout the area proposed for she soil absorption system ? YES Certification I certify that in November :994 I save passed the soil evaluator examination approved by the Deportment of 'c nvironmenta'. Protection and that the above analysis was performed by me consistent with the required training, experience and expertise performed by me consistent with the required training described in 310 CMR 15.017 If not, what is the depth of naturally occurring pervious material 4 Signature Timothy E. Maginnis Do -: 07/16/13 DEP approved farm - 12/07/95 FORM 12 - PERCOLATION TEST Page l of 1 Locution Address or Lot No. 5 - Soverign Way - Florence, MA. 01062 Florence, Ma, COMMONWEALTH OF MASSACHUSETTS Date; March 26, 2013 Ubservatian hole S Dept of perc test Star' ore-soak End pre-soak Time at 12` Time at 9' Tine at 6° Tine C 9' - 6' ) Rate' minutes / inch PERCOLATION TEST Time Time 50' 10:45 am Could not hold water < 2 mins. < 2mpi Site Passed ,F] Site Failed Performed by: Timothy E. Maginnis R.S. Witnessed by Daniel Wasiuk Board of Health Agent \OTE i foot separation From bottom of SAS to ESHWT DEP APPROVED FORM # 2-rear of Lot 48' 11:00 am Could not hold water < 2 rains. < 2mpi