255 Soil Eval Form 2002 1/16/2902 16:47 4135861933 DAVID MCCUTCHEON
No.
PAGE 01
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Commonwealth of Massachusetts
, Massachusetts
As itsent I I •e "LP
Date:
Performed By AZ"'k
Wimessed By: efrisr__
erngtom
Ertl,fon
Date: yea_
lardia Kinn
lag Perterly /I• Me nor+A of
1.01 cylVAHee Ra,at
Vew construction agepalr 0
Mark La lit 14
— c-o7 y yes iar
Flonmcc Mn otoez
nc -3779
Office Review
Published Soil Survey Available: No 0 Yes
Year Published ..... ..... Publication Scale • I 1158:40.... Soil Map Unit
Drainage Class ainess■v47 Soil Limitations Peer E..!4er"
SurficMI Geologic Report Available: No 1:1 Yes 0
Year Published Publication Scale
GeOlOgie Material (Map Unit)
Lapdfonn
Flood Insurance Rate Map:
Above 500 year flood boundary No 0Yes 21
•
Within 500 year flood boundary No ElYes
Within 100 year flood boundary No ErYes
Wetland Area
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water-Resource Conditions(USGS): Month FL , 2002„.. .
Range:Above Normal 0Nomuil 0 Below Normal a
Other References Reviewed:
DEP APPROVED FORM-11/0705
HILLTOWN ENVIRONMENTAL CONSLIATING
P.0. BOX 226
NORTH HATFIELD,MA 01056
(413)247-5464
116/2002 16:47 413586i933
DAVID MCCUTCHEON PAGE 02
FORM 11 • SOIL EVALUATOR FORM
Page 2 of 3
IAM io -fiat not-S1 o+
Location Address or Lot No. 207 Syldea• ot Road
r�
On-site Review
,r
Deep Hole Number 1 P'. I. Date:tiI4, k`.20,2101 Time:. 9:00 Weather o o+,.30S.
Location(identify on site plan) - —-
Land Use .F -M - Slope (%) Z-3 Surface Stores Meng. Boulds S
Vegetation &,asset., Rn. , 04 k -Landform P Itni■. _... - _..�. . . .,._... ._
Position on landscape (sketch on the back) ..
Distances from:
Open Water Body 200 t' feet Drainage way �°°+ feet
Possible Wet Area 2004 leer .Property Line T teflit fest _
Drinking Water Well 2 ,e feet
DEEP OBSERVATION HOLE LOG'
Depth from
Surface iindwt
Soil Horton
Soil Texture
IUSDwt
Sea Cola
IMUneem
Soo
Mote
Oaw
euuawe.Steam S S.Continency. %
0 _7 "
A
C6L
10YR3/Z
N.nc
.(,t. LL , Irf'
cr.s, abru
7-22"
BW
SL
101/154
None
cr;a61e, ID- zoy.9 reed
21-/20 r
.G
9 5
IayRSP
(Jane
mat, Sing% 9•n in
50% yearei, coil 1.s
La.-aces
ATEI4RYpaoPOStO DI p6 AL AR .
e■olfaiWiellIrrefiltentEnilliRED
Parent Materiel(geologic) u4 tea S I.
centhc°Groundwater: Sending Water in the Hell:
Fit.net.d Seasonal Won Ground Water I20"+
DEP A/PROVED FORKS•WOO,
D.pnu,bN,m: Nene_
Weeping from Ph Face; T�Iane
xd.LTDWN a:NFIRON1mIwr4L CONSDLTDMI
P. a SOX 226
NORTHMAflsLO.Mit 01066
(413)247.5464
16/2002 16:47 4135861933
DAVID MCCUTCHEON PAGE 03
FORM 11 - SOIL EVALUATOR FORM
Page 2 of3
Lao to +Lc nar+Is of
Location Address or Lot No. 207 Sylvester Peal
On-site Review
Deep Mole Number " Z Date: M■+ 9p1La1 Time: 9:. "fD Weather S2toe-A, 3S.
Location Ildre�ntlly on site plant ,-_._
Land use .Ca'c(.i ,.... . Slope (%) 2-3 Surface stones agr. ay Li";
Vegetation CreadScl , Pinc I De k .. .. . .
Landferm _Oy&Yak cr....PIHamm .. .
Position on landscape (sketch on the back) _...-.
Distances from:
Open Water Body 200+' Net Drainage way ?°D+. feet
Possible Wet Area 240 t. feet Property Line Ts Sefrt feet
Drinking Water Well 20c4 feel Other _.
DEEP OBSERVATION HOLE LOG'
Depth item
SWlace lmch.$)
Sae Holitan
Son Tenure
IUSDAI -
Soil Color
IMWAem'
Sll
MenUne
0*1W
IStatetae,Stones,I.dare,CeaLewacy,%
CEng
0-6 'r
46L
19.03/t Io3/t
Nene
.. ralarM4-
cri44. Cr.a6 b
B/'w .
Si-
.Io1A5/6
NPnc
-rr:a61e, b-2ey '9ra.d1
y6-ZO"
z0 -(zoe
G
9 5
Ioyas/3
I.../me
%ooscAs n'It 9min
50% 9,...I, c.b4l.s 4.
Lo..{eltes
MUM Uh 2 HULL
PPent Meter411owlaelt) 4/V t Wa S1, ` 1
Dwwihto GrowMWa er: Standing water in the Hop: 'vne
Estimated Seasonal High Ge oun4 water: 120 I
PEI A mOV[n FO .M.124Ve1
Dndnoeeeack: None_
weeping Iron Pit Fete: ryonc
MILLTOWN SIVITROIACENTAL CONSVIIINw
t.a 103 226
Norm MAT72E215 MA aloes
(423)247*5444
1E/2002 16:47 4135061933
DAVID MCCl1TCHEON PAGE 04
FORM ll - SOIL EVALUATOR FORM
Page 2 or 3
L A.4 +o +Lc net+I.of
Location Address or Lot No. 207 Vyf•16sitt Reed
r� On site Review
,r
Deep Hole Number IE-3 Date: M 4611 %p12.02" Time:, to;ID Weather Stow, 301.
Location(identify on age plant ..._ . ... _ - ....
Land the Rah( Slope 1%I z-3 Surface Stones MAny Bould..rs
Vegetation rrnssa P . 04 k,
Landtorm t'a v. w0.a'. ._.P L"M . ... _
Position on landscape (sketch on the beck) .. : .. _.. :
Distances from:
Open Water Body 200a feet Drainage way ?OD t feet
Possible Wet Are. ..a... feet Property Line 1 13s t feet
Drinking Water Well Z# tnt Other
. DEEP OBSERVATION'HOLE LOG'
Depth pent••
Stelae*Monad•
Soli Hansen
Sae Torture
(PEW
sail color
(Munnle
sea
/asnlitly
OeMt
(Spats*.Stenos.Detuktitue,Consistency,76
o -7" •
A
45L
IOYR3/z
N.nc
•Frio/(. ,cr..a.-.b,aLr.a6t
7-Z1 tt ,
.Byd
SL—
I ISA
None
i'rAsiley io•toga 9rwvc-(
21"120"
9 5
IoY4S/3
IJent
loosc,Sin'te grain
50% g ravel, coli.1.s 4
6oa.ccrs
.,.eReew.....e.....
,tr
Rut
Parent mewlet teeobekl Qu+wa S L.
D.othto Gtouaow.Itt Suntan,water inIht Hale
Eath■atc4 Scannell wet, Ground water: 120 +
an Al/MOVED rOK M•ttrvonr
Non&
aonueawao: NJ bnt
W..eingrleVPh FICC Ont.
N71lroWN iNVIRONNOINTAL'CONSOLII.yd
P.O.PDX 226
norms US fl LD.MA 01066
(423)247.5464
16/2002 16:47 4135861933 DAVID MCCUTCHEUN
PAGE e5
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. 207 yiVe,sttr Rood
Deep HON Number 1i-4'
Locution(identify on site plan)
Lend Use FielA Slope (%) Z-3 Suttees Stones
Vegetation ClA Pine.Cigc ,otk.
Landtorm C?..tr &th,_P
Position on landscape (sketch on the back)
Pittances from:
Open Water Body 200 t• feet
Possible Wet Area 700+ feet
Drinking Water Wall $ao+ Net
On-site Review
one: M.s h ze,1101 Time: 10:3o
Weather ;e u,. 30s,
May --6PV(d.rs
Drainage way LnP+ reel
Property Line';&.SS+feet
Other .. . ..
DEEP OBSERVATION HOLE LOG'
Depth from
Sudan finches) .
Sal Horton
Sae Tenure
N SDAI
PAC.*
fr ame.
_ SW
otteno
Ourr
(Seunve.Stenes.` %
s.CAnsietedcv.
o-9 °
A
(SL
I0YR/ft
Went
-crin6lc ,cr......6,ab.u6i-
9-23"
Bw
SL '
IoYRS/G
NI PAC
-re u.Lk i, )0• ton 1ea.cI'.
23-I2o "
Cj
9 5 •
Ioy*5/3
Mint
best,s(n'le rein
5o% r rant ceLLIcs •'
Lo,olcrs
py PNOYW EU DISPOSAL ARFA
Parent Material lgeaogicl Ottwc s
paetn to GrounCwl rr: S1.neif*Wen/M Ik Hot.: `�At
e.r.r. ■.d s....w High Cr Wild WOW: 12011+
ecr..rr.ovm rokm.up.+nr
D•oeeoaeaocr NOVUc
W4aing Iton Pit Face; NonL.
xrrsTOWN sewn OnlettflAL COn6ULTI G
P. 0.Bann
BMW K.4T1;LD.MA 01065
K.13/347.2164
16/2002 16:47 4135861933
DAVID MCCUTCHEUN PAGE 06
FORM II • SOIL EVALUATOR FORM
Page 2 of 3
LA 64 +o +t■c nar+I. of
Location Address or Lot No. 267 Sybresk.e Road
On-site Review
Dnp Hole Number IP-5 Date: M.r<\.20,lot Time:. /0:50 Weather sno'-, 3c4. .
Location (identify on site plan) __._ .-- . ,. __... _.
Land use Fief:4 Slope PA) Z-3 Surface Stones Many. B9.dders
Vegetation &ra SS CS„ P:Rt. , Oak....
Landform ..Ov*i'' k...!I.. . _ . .
Position on landscape (sketch on iht back) ..
Distances from:
Open Water Body 200 r feet Drainage way 2O0+ feet
Possible Wet Area 21;2+ .let Property Line T•&Sat feet
Drinking Water Well PO 4 Net Other .._ . . ...
DEEP OBSERVATION HOLE LOG'
Daptn(rem
Surface retched
Sell Harban
Soil Texture
tuSON
Sea Cnar
Nunnet
SO4 e
Wean;
Other
ISOUmur..Stuns s.Cwinency.%
0-9 'r
A
(5L
IOYR3ft
Nan.
CriaSlc ,u......b,abr.. bi-
9-24"
SL
Ions/4
Non,
-re:441e Nl-Zoy, g.avcJ
24 -120"
G
9 5
loya5/3
Mine
loet.,sin'(e 'win
50/ grove-1, cob[fes 4
bo..ac.-s
nvnnn=Te[a
` MINIMUM Ur[HOI^ESS HtUUmeV ar wcnr rnw-.
Parent Means;foe halal Vu4 o.s I.
pe th GroWMwe•tL SPndine Walt(m me Holm: None.
esdm.Hd S.a.anal Hen ovum watt': 1'70"+
D.alao8.e ck:
uv Oar ROVED royal-n•VVu
N oat
wooing ROT n.rate: 1J o nc
mTOWN zNVUawf6xrec CONSULTING
P.a Pia 026
NO101/ laLD.JL.01066
4413)24T 5464
16/2002 16:47 4135861933
DAVID MCCUTCHEDN PAGE 07
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Land +o the ner+M of
Location Address or Lot No. 207 Syloesier Pond
.rD
On-site Review
Deep Hole Number 1P-6' Date; M._" 20114t Time: /I: 15 Weather Sio w,.30s. .
Location(Identify on site plan) ..._._ _.. . .. . .. . .
_re Surface Stones Mo -Boulder5
Lend Use �" Id ._ Slope (%! 2-$ �y
vegetation 4snSScS_ Pfne , O.k..
P(
Landform .0 NtN45�+..-. aj... .. -.
Position on landscape (sketch on the back!
Distances from:
Open Water Body 200 r feet Drainage way ?°O+ fen
Possible Wet Area .2004 feet Property Line Ti 9eSet tnt
Drinking Water Well 2004 feet Other _
DEEP OBSERVATION HOLE LOG'
Own nem
Stefan IMM.I
Sea Harlon
_
Sok Tenw.
....IUSD14
boll Celw
.:0114/M.41
Soil
M*Mlq
Other
(Sraaawy Stores. *wider..CaeiewneVi I'
treuell
0-7 "
>'55L
IoY23/7
Nene
ft-ie6te,cr..e..6 a/.iabA-
7- 21 e
BA
LN
sL
toYASxi
N ..
-Prc.6le, ID- ZDy yr vs.i
21- ii0"
G
5
icy*SP
(Jane
oast,sin, e 9 i min
50X, raoe(r eabL 1.s 4
bo.44crs
PN.nt M.wial le.ala
peach p9.oundwRar• StaMJAQ WOW n IM^Hole: NO
is nu.d S.asoN! Nigh Ground Watts; 120'1+
OF I HULts HEUUIntQ Ar cvem rnurwchJ wrv.......�..
virJ Ou{wa s L. D.Pae6Beer.ca: None` t
H nc Wuwnaean Pit Face: Na nG
S
ov arreoVED TOW" u.an+
rrRl1OWN ENPIRO,oaat COKCLJINO
P.O.POP 226
NORM MAIHMLD.M4 01064
(4297 247.464
16/2002 16:47 4135661933
DAVID MCCUTCHEON PAGE 08
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
L,.,{ Iv ner+k of 7.177 Sylv.s+Pr
Location Address or Lot No.
Determination for Seasonal High Water Table
Method Used-
0 Depth observed standing in observation hole._..._........... inches
Depth weeping from side of observation hole:,J?o! inches
Depth to soil mottles Jaat inches
❑ Ground water adjustment..... feet
Index Well Number--. Reading Date - Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Qccurrinc 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? *s
If not, what is the depth of naturally occurring pervious material'
Certification
I certify that on 4-2,47 (date) I have passed the soil evaluator examination
approved by the Department 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.
Date -20-oa
Signature 3
% + �.
D P APPROVED FOP01-13/0]Ifl
11614•70117N LN7H1010esNnAL CONSOL7240
P.O.BOX 226
NORTH HATi1ELD,HA 01066
(413)247.5464
•
16/2002 16:47 4135861933
DAVID MCCITCHEON
PAGE 09
iP-L - .re-3 1P-5
0-1 (P 4 fP.L ifF
175' 175' 175'
6vLVE57ER ROAR
16/2062 16:47 4135061933 DAVID MCCOTCHEON PAGE 10
(/CC G Ccoitl 5a 41 1/ 73
FORM 12-PERCOLATION TEs r
La..d , #h. No.+f of
Location Address or Lot No. 207 S'ylvcs+er Road
COMMONWEALTH OF MASSACHUSETTS
Norfha."4-0., Massachusetts
Percolation Test'
Date: .L96!e, .19,Zoos- Time:. _. _.
Observation Hole a
p_l
P-2
P4
-P-4
P-s
P-6
Depth of Pero
40"
4Z"
4,p..
42"
45".
4-3 "
Start Pre-soak
9:37
9;55
16,21
10:32-
ti :o¢
-I l 11
End Pre-soak
9;52
101(0
103G
10;47
I I :I t
I I :Z4
Time at 12"
9;52
10;10
10:36
1047
1( :19
11 ;26
Time at 9"
9;57
10:13
. ID:40
,10: s6
Ib23
11130
Time at 6"
10:01
10116
10:46
10;54-
'I I :27
1i s35
Time 19"-6"1
4 M1ri
.5-1:111-i
6 MvJ
4MW
4 MIN
5 &AIN
Rate Min./Inch
< Z.
< a
2
< Z
< Z
<Cl
• Minimum of 1 percolation test must be performed In both the primary area AND
reserve area.
Site Passed [ Site Failed ❑
Performed By: Mark I inorhpseh
Witnessed By: Pe Ear MCEr14 LI,
Comments: Beco!,. mnc + +t_. uss °C. ear . L
k S. Ays_-.__,
Du APflOV W rOxm-umns
,aa,o PNSM7R0101IP.NTAL C08s0LIThO
P.O.80r226
NDamH BATI/eLD,MA 01066
014247-5 4ss
PHOTOS OF 225 SYLVESTER ROAD
DAVID PRIMO, OWNER
OCT. 17, 2005
3:10 P.M.
BY ERNIE MATHIEU
Subject: Straight pipe from house to septic tank.