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560 Soil Evail Form 2012 NO. FORM 11 — SOIL EVALUATION FORM Page 1 of 4 Commonwealth of Massachusetts Florence, Massachusetts Soil Suitability Assessment for On—Site Sewage Disposal Performed by: Timothy E. Maginnis R.S. Witnessed by: Daniel Wasiuk— Board of Health Agent Location Address: 260 Sylvester Road Lot # 260 New construction: Repair: YES Office Review Published Soil Survey Available: Year Published: 12/95 Publication Scale: 1/15 840 Date: Dec. 17, 2012 Owner: Estate of Irene Rivard Address: 260 Sylvester Road Florence, MA 01062 (413) 586 —2575 No Drainage Class: Well drained Soil Limitations: rapid permeability — bedrock Surficial Geologic Report Available Year Published: Not referred to Geologic material: Sand & gravel Landform: Glaciated upland Flood Insurance Rate Map: Above 500 Year flood boundary Within 500 year flood boundary Within 100 year flood boundary Wetland Area: Notional Wetland Inventory Mop ( map unit ): Not referred to Wetlands Conservancy Program Map ( mop unit ) Current Water Resource Conditions (USGS): Month —December Range: Above Normal Normal Other References Reviewed: Soil Survey, Hampshire Co. No Soil Map Unit: CrC / CrE (Charlton series) NO Yes Publication Scale Yes Yes Below Normal DEP approved form — 12/07/95 FORM 11 — SOIL EVALUATION FORM Page 2 of 4 ocatlon Address or Lot No 260 Sylvester Road — Florence, MA Jeep Hole Number # 1 Date: 12/17/12 Time_ 10:00 am Weather: Cold ocatlon: ( identify on site plan) — rear of garage, see plan .and Use: rear yard Slope: 0 —5% Surface Stones: few /egetation: grass, decidious trees andform: Glaciated upland 'osition on Landscape ( see plan ) Distances from: Open Water Body: < 100' Drainage Way: > 100'± Possible Wet Area: + 75' Property line: > 100' Drinking Water Well: <100' Other: Depth from Surface ( inches) son Horton Son Texture USDA Soil Color (Munson) Soil Mottling other ( Structure. Stones, Boulders, Consistency, ( % grovel) Parent Material ( geologic ): Sand /grvl_ Weeping from face: N/A Depth to Bedrock: > 120" Depth to Groundwater: Not observed Estimated Seasonal High Groundwater: 108" Indicates ESTIMATED SEASONAL HIGHWATER 4 DEP approved form — 12/07/95 A S / L 7YR 3/2 N/A dk bbrawirne roots wavy boundry 12" — 30° 6 S / L 7YR 4/4 N/A Friable, fine roots w1. brown oundry 30"— 51" C-1 Sand 1OYR 4/6 N/A Loose. wavy boundry small stones 51" — 117" ma. Y C-2 Gravel 5YR 4/4 N/A Loose, single grain stones. cobbles 117" — 120" C-3 Med. Sand 2.5Y 4/4 N/A Loose, single grain stones, cobbles Parent Material ( geologic ): Sand /grvl_ Weeping from face: N/A Depth to Bedrock: > 120" Depth to Groundwater: Not observed Estimated Seasonal High Groundwater: 108" Indicates ESTIMATED SEASONAL HIGHWATER 4 DEP approved form — 12/07/95 FORM 11 — SOIL EVALUATION FORM Page 3 of 4 Location Address or Lot No. 260 Sylvester Roma — Florence, MA. 2HoIe Number # 1 Date: 12/17/12 Location: ( identify on site plan) Time: 10:30 am Weather: Mild — rear of garage, see plan Land Use: rear yard yard Slope: 0 —5% Surface Stones: few Vegetation: grass, decidious trees Landform: Glaciated upland Position on Landscape ( see plan ) Distances from: Open Water Body: < 100' Drainage Way: > 100'± Possible Wet Area: ± 75' Property line: > 100' Drinking Water Well <100' Other: Depth from Surface ( 'mc as) Soil Horizon Soil Texture USDA Soil Color (Mansell) Snu Mottling Omer. ( Structure. Stones, Boulders, Consistency. ( 9 gr vel) Parent Material ( geologic ): Sand /grvl_ Weeping from face: N/A Depth to Bedrock: > 120" Depth to Groundwater: 108" Estimated Seasonal High Groundwater: 96" Indicates ESTIMATED SEASONAL HIGHWATER DEP approved form — 12/07/95 A S / L 7YR 3/2 N/A Friable, fine roots . brown wavy B S / L 7YR 4/4 N/A Friable. fine roots It., brown wavy boundry C-1 Sand 10YR 4/6 N/A Loose, wavy boundry small stones 51" — 117" me. Y C-2 Gravel 5YR 4/4 N/A Loose, single grain stones, cobbles 117" — 120" C-3 Med. Sand 2.5Y 4/4 N/A Loose, single grain stones, cobbles Parent Material ( geologic ): Sand /grvl_ Weeping from face: N/A Depth to Bedrock: > 120" Depth to Groundwater: 108" Estimated Seasonal High Groundwater: 96" Indicates ESTIMATED SEASONAL HIGHWATER DEP approved form — 12/07/95 FORM 11 — SOIL EVALUATION FORM Page ♦ of 4 Location Address or Lot No 260 Sylvester Rood — Florence, MA. Determination for Seasonal High Water Table Method used: Depth observed standing in observation hole: 108" © TP # 2 Depth weeping from side of observation hole: none Depth to soil mottle: 96" 1 T.P. # 2 Ground water adjustment: 8 feet Index Well Number: Reading Date: Adjustment factor Index well level Adjusted groundwater level: 8 feet (96") Depth of Naturally Occurring Pervious Material: Does of least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system ? YES Certification I certify that in November 1994 I hove 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, experience and expertise performed by me consistent with the required training described in 310 CMR 15.017 If not, whot is the depth of naturally occurring pervious material ? Signature: f Timothy E. Moyle DEP approved form — 12/07/95 te: 12/19/12 FORM 12 — PERCOLATION TEST Page 1 of 1 Location Address or Lot No. 260 Sylvester Road — Florence, MA. Florence, Ma . COMMONWEALTH OF MASSACHUSETTS PERCO_ATION TEST Date: Dec. 17, 2012 Time: 10:00 AM Observation Hole # # 1 Depth of Perc: 62" Start Pre—soak 10:00 AM End Pre—soak 25 gallons Time at 12" in Time at 9" less than Time at 6"' 15 minutes Time ( 9" — 6" ) 1 minute Rate Min. / Inch < 2 mpi Site Passed Performed by: Timothy Witnessed by: Daniel Board of x Wasiuk Site Failed ❑ E. Maginnis R.S. te OF "+ssq TIMOTHY N Health Agent ° MAGINNIS w #982 RFarsT#v� ,pp'' A —TiL VICe FORM E. 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