207 Soil Eval Forms 2002/03 FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Lard +o +Inc nor+t,, of
Location Address or Lot No. Z07 Cylvesle/ Road
On-site Review
Deep Hole Number I P" / Date: M•EcH
Location (identify on site plan)
Land Use ✓-(c Jo( Slope
Vegetation CTrasseS , P'.,<. Og k
Landform 01-0{wy5L.- PI^`^
Position on landscape (sketch on the back)
Distances from:
Open Water Body 200 t feet
Possible Wet Area 2430+ feet
Drinking Water Well 2m+ feet
2-DJ 14°7- Time: 9 o
(%) Z-3
Surface Stones
Weather 5;70 w, 30s
Mah/ 43‘)(de es
Drainage way 2DO+ feet
Property Line -1 Be let feet
Other
DEEP OBSERVATION HOLE LOG
Depth(torn
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munselg
Soil
Mottling
Other
(Structure,Stones, Boulders, Consistency. %
Gravel)
0 - 7 "
A
45L
IOYR3/1
Mont.
TriAW< <r....-.b qkrH6i-
7' 1Z "
-8/'W
SL
IoY25/�
N PAC
triable , to- 20/ frcaveI
2Z - 120 "
C
9 5
I oYA5/3
NJ nit
�oo5er 5rn9(e y ra in
So yo yr. v<I� co Lb l. S C
- .......
M.... a uric ca. ucnInuw AT ivtHY PH87155115UIPO5AL AHLA -
Parent Material (geologic) OO+wcs S L
Depth to Groundwater: Standing Water in the Hole:
Estimated Seasonal High Grouts Water: 120 1/
1 DepthtoBedrock
30 AC- Weeping from Pit Face:
Norte
None..
DEP APPROVED FORM. (2107/95
MILLTDWN BNVBtONIMATAL CONSULT!
P. O.BOB 226
NORTH HATFIELD,MA 01066
(413)347-5464
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date:
Commonwealth of Massachusetts
�o✓#%a Mp�„ , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: /V lnn,,k 1 "°'"'P50„
Witnessed By: Pt ice- Mc Fro
Date: //4,-41 tan
-
Lenten wales
w, Pro.eriy -f+. 44e. nn,d-h of
207 Sy/Vs$+er Road
Vasty Construction ERepair ❑
D•"a+,Wx. Mark LA ✓4 (ley
Wet.and
^J
Tekgent1 Z07 Sylve$4ar /[°9Q I
Florence Al 0106z
586 - 3779
Office Review
Published Soil Survey Available: No ❑
Year Published
Drainage Class
Yes LO
1951 Publication Scale I : 15846
FeeeerveLt___ Soil Limitations Pee' F- I4P-✓
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published __,.._.:..._
Geologic Material (Map Unit)
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes ❑
Within 500 year flood boundary No 0-Yes ❑
Within 100 year flood boundary No 'Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Publication Scale
Soil Map Unit
G-
Current Water Resource Conditions(USGS): Month ✓=e6 . 2002... . ....
Range :Above Normal ❑Normal 0 Below Normal Q"
Other References Reviewed:
DEP APPROVED FORM.12/07/9
HILLTOWN ENVIRONMENTAL CONSULTING
P. 0. BOX 226
NORTH HATFIELD, MA 01066
(413)247—5464
FORD? 11 - SOIL EVALUATOR FORD
Page 2 of
Land 4-o +l+c rear+k of
Location Address or Lot No. Z07 SyIJesicr Rood
On-site Review
Deep Hole Number 11 "3 Date: M•rck 20,1(02 Time: 1D:10
Location (identify on site plan)
Land Use Feld Slope (%) Z-3
Vegetation Grasses , Pne , Oa Ic
Landform .04 {wAS‘.-...
Position on landscape (sketch on the back)
Distances from:
Open Water Body 20°1
Possible Wet Area 2°04
Drinking Water Well 200+
feet
feet
feet
Surface Stones
Drainage way 2°D + feet
Property Line To&rat feet
Other
Weather Sow, 30s
Met Ai -Bat)la.,5
DEEP OBSERVATION HOLE LOG'
Depth from
Surface(Inches)
Soil Horizon
Soil Tenure
(USDA(
Soil Color
(Munich)
Soil
Morning
Other
(Structure.Stones,Boulders, Consistency, %
Gravel)
0 -7 u
A
cSL
101R 3/1
Nenc
TriA6le cr.....-.L ,4br164-
7-21 II
BW
Si_
IoYAS//o
fJone
trfo6le., W- Zo/ yravcl
21-120 l
9 5
IoYAS/3
Nipple
loose, Siny(e grain
So% yravel, COLLteS f
bo..(deri
--- .1.n15rnlslnc
r tin
1.(111114 A I k Clty YMDYU$EU DISPOSALAREA -
Parent Material Ige logic) O V+was k
Depth to Groundwater: Standing Water in the Hole'
Estimated Seasonal High Ground Water: 120rr-le
DE?APPROVED FOMat- t2107/55
I\lonc
DepthtoBedrock:
Weeping horn Pit Face:
None
t.I6ne
MILLTDWN ENVLRONNZNTAL CONSULT,
P. O.POE 226
NORTH HATFIELD,NA 01066
013)247-5464
FORM I • SOIL EVALUATOR FORM
Page 2 of 3
Land +G 44c nar+h 6T
Location Address or Loc No. 207 SyWestet_Reod
On-site Review
2- Date: 1\14"gI W)1101-W)1101- Time:
Deep Hole Number I�r tf�"
Location (identify on site plan)
Land Use Fie I d - Slope MI
Vegetation G-raSS" , P;nc 0g k
Lendform . O� w4$
Position on landscape (sketch on the back)
Distances from:
Open Water Body 200 t feet
Possible Wet Area 7-004- feet
Drinking Water Well 4004- feet
Depth from Soil Horizon
Surlsce (Inches)
,; 4b
2-3 Surface Stones
Drainage way 290T feet
Property Line r Br-flit feet
Other
Weather Sow, 30s.
nnr -Boy fiche r5
DEEP OBSERVATION HOLE LOG'
Soil(USDA) (Munsell)
Soil
Monling
5L
SL
IO TR3/2 Nonc
Other
(Structure.Stones. %
Boulders. Consistency,
Gravel)
'Fr Cyvr.+6 ,gbrs. 64-
04.54 Nonc
-Pria6le , w . ZOY 5eon I
-- --- .—.r-II. s-- - -- .e • •- . -:—i . • . • • - - A ,n
i W s L Depthto&6rock: 1` 1
Depth OGro fldW ogid ••! Weeping horn Pit Face: we Nonc
D th Gr ndwater Standing Water in the Hole: ��
Estimated Seasonal High Ground Waters i /+
PEP APPROVED FORM•11/07/fl
MILLTOWN SNVMozasrNTAL CONSULTING
P. 0.10X 226
NORTH HA SPLlLD,MA 01066
(413)24T•5464
FORM 12 - PERCOLATION TES
Location Address or Lot No. LZo- S° lve` er RA of
i ve 5}e,� ($oqd
COMMONWEALTH OF MASSACHUSETTS
No'f1'ampia•■ , Massachusetts
Percolation Test'
Date: .r,'acck 20, 2.002- Time:,
Observation Hole #
Depth of Perc
P- 1 P- 2- P-3 P-4 P-5 P-6
Start Pre-soak
End Pre-soak
Time at 12"
Time at 9"
Time at 6"
40" 4Z " 40" 4 1" 45 " 43 "
9: 37 9.55 10: 21 10:32 I I :04
9:52 to:lo 1036 1o;47
II , lq
11 :26
9;52 1040 10 ;36
10 :47 11 : 19 II ;26
9;57 1013 ID :40 1o; 50
11;23 1110
Time (9"-6")
lo ;o( long 10:4.4 10 ;54 II 27 11 :35
Rate Min./Inch
4- mod £ t-1J ( MINI 4MW 9-Mw
S MW
< Z < 1 Z < Z
< Z < Z
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed " Site Failed ❑
Performed By: Nark I 'lDmps-oh
Witnessed By: Pe far I " ,CErla��
Comments• . IRecon,,.,.rd 4-Lc ._ y;€ °C ,n k
DEP APPROVED FORM-I2/O7N5
HILLTOWN EN[TOIOSE TAL CONSUL:
P 0.BOX 126
NORTH HATFIELD,MA 01066
(413)147-5464
Location Address or Lot No.
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Land -fn nor+ts of 207 Sylvastt RA.
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
120+
[Depth weeping from side of observation hole inches
[Depth to soil mottles f2-°-r,. inches
❑ Ground water adjustment feet
Index Well Number Reading Date Index well level ....
Adjustment factor . Adjusted ground water level
De th of Natural) Occurrin 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? *5
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 4-29-97 (date) I have passed the soil evaluator examination
approved by the Npartment of Environmental Protection and that the above analysis
was performed by me is
consisten
t 7 t with the required training, expertise and experience
described in
Signature
DEP APPROVED FORM-12/01/95
Date 3-20-02-
HILLTOWN ENVIRONMENTAL CONSULTING
P. 0.BOR 226
NORTH HATFIELD,HA 01066
(413)247-5464
•
Mey... L(r.��.v41lley
Sy1Ves4cv- k'044) Flefence.
On-Site Review On-Site Review
Deep Hole Number <V- I Date: May f Zoo3 Time Z:00 Deep Hole Number 1 V-Z Date:Mar S,ldoj Time Z: 45
Weather 1-le ay 70° Weather
Location (idengy on site plan) Location (identify on site plan)
Land Use Field Slope (%) z -3 Land Use ri o l d Slope(%) ■ -Z-
Surface Stone Milt..Y B...t4a s Surface Stone Maw./ Bo„tde.-s
Vegetation: Vegetation:
lNki+c rim<-, Maple Pir,e_ vv)aple 9vasse3
Landform: Landform:
C tjc L, PIa4", au+wa.t, Pi4:,,.
Position on Landscape(sketch on back) Position on Landscape(sketch on back)
Distances from: Distances from:
Open Water Body ZZ IO' feet Drainageway OD . feet Open Water Body 220 feet Drainageway I oo+ feet
Possible Wet Ares Zto' feet Property Liner 8.$4 feet Possible Wet Ares Z10 feet Property Line 50± feet
Drinking Water Well 1503- feet Other Drinking Water Well 1500 feet Other
DEEP OBSERVATION HOLE LOG DEEP OBSERVATION HOLE LOG
depth From soli horizon soil teethes soil odor soil n,onung other depth Iron, soil horizon soil Sure soil color sa mottling an„
surface CJSDA) Penn.O (structure.stones,boulders) P os
ace (USDA) Worn** I (structure,Pones,boulders
(inches) Consistence %graver Gashes) )
04 A A r+ FmPeuiwv %
PSL !Glitz/a_ None laes<er.....ls D -S" A �'SL I6I11.3/Z Norte toosc,c-r)mb
c, - 13 Bw 1,5 loK5/4 None faille., SoxJr..IC1 S -IC $v+ L S toy&SA i Norte rr able,
"� q So%3 t..v.l
13- 132" Cam' 9S Iou4/3 Nent Isosa,s: k It- (3 C- 9 S loyg /3 None- Oe$f s
ny y 9kyrA;n
507. cobbles + 50%yravcl,
eewl e(r ,K cebL tat .b..,ld..s
Parent Material (geologic) 0E4-4--/As 1, Parent Material (geologic) Ott}e.asill
Depth to Bedrock Wont Depth to Bedrock tJonc
Depth to Groundwater: Depth to Groundwater :
Standing Water in the Hole Nor... Standing Water in the Hole Nowt
Weeping from Pit Face rV fang_ Weeping from Pit Face Non.
Estimated Seasonal High Water 132."' Estimated Seasonal High Water 138"1
L TOWN ENVIRONMENTAL
CONSULTING
P. 0. BOX 226
WORTH HATFIELD, MA 01066
(413)247—6464
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date:
Commonwealth of Massachusetts
, Massachusetts
Soil uitabili�Assessment or On-site Sewa; e Dissosal
/h nmPSO n Date: 5/5/03
. ..
Performed By: ac.
Witnessed By: - Pe ley M c Erie C?
I°°•°"Add"'
'°'• NeNei., /d/ arlj4,enf ao 207 S/vaic✓ oa 4
o.°,.x.... Megan Va
AdsU..,N
2o7 Sy/v.-lie, Road
ibren[e. AM OIb62
566- 3779
TRW.:r
ew construction E?Repair ❑
Office Review r-t/
Published Soil Survey Available: No l�
Yes / : (59 i-D
Year Published 198 I -. Publication Scale
Drainage Class Fxleuty ly Soil Limitations
Surficial Geologic Report Available: No EY Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landfortn
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes
Within 500 year flood boundary No @Yes ❑
Within 100 year flood boundary No ❑Yes
Wetland Area: unit)
National Wetland Inventory Map (map
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal Below Normal ❑
Other References Reviewed:
Gx 3 (id0desae.-)
Soil Map Unit
fil nr 2003.
DEP APPROVED FORM 12107195
FORM 12 - PERCOLATION its
�o+ AJjc,a„+ +o
Location Address or Lot No. 20-7 Sy/vas-rer Bad
COMMONWEALTH OF MASSACHUSETTS
, Massachusetts
Percolation Test'
Date: May 5- 2003 Time:,
Observation Hole #
P-I
P- 2
Depth of Perc
3Z "
34"
Start Pre-soak
2 : 7.0
Z ; 22
End Pre-soak
2 ; 32 (• C.II-s)
1 :35 (Z4a.(Lod
Time at 12"
2 '.32
2 :35
Time at 9"
Z :33
2 : 37
Time at 6"
2 : 35
Z ; 4o
Time (9"-6")
2 mu-)
3 ^n (ti
Rate Min./Inch
.< 2- MINAeJ
I MAN ii IJ
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed [a Site Failed ❑
Performed By 11a. k
Witnessed By Ped r M Erb,;„
Comments:
DEP APPRO Vm PORM•12/01/95
HILL TOWN ENVIRONMENTAL CONSU,
P. O. BOX 226
NORTH HATFIELD MA 01066
(413)247- 5464
FORM 11 - SOIL LVALUATOR FORM
Page 3 of 3
NawLol t4Ijn:id TD za7 S//yes er And
Location Address or Lot No. Florence, MA
Determination for Seasonal High Water Table
Method Used:
❑_, Depth observed standing in observation hole
l��, Depth weeping from side of observation hole
(� Depth to soil mottles )38» inches
❑ Ground water adjustment feet
Reading Date
Index Well Number
Adjustment factor
De
inches
/3S+ inches
Index well level
Adjusted ground water level
th of Natural) Occurrin 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
pervious material exist in yeareas
soil absorption system?
pervious material?
Certification
I certify that on `}-29-97 (date) I have passed the soil evaluator examination
was performed r the y me consistent with then Protection and that the above
training, expertise and experience
was performed by
described in 310 CMR 15.017.
S
Date 5- 4003
Signature """
DEP APPROVED COEN. WOVE
HILLTOWN ENVIRONIOINT LL CONSULTING
P. 0. BOX 226
NORTH HATFIELD,MA 01066
(4131 247 5464