567 Site Suitability Jeer . .e tiim,e- -
a:rr I ;e'ri=. or ant par I
Land Use
Landfo-!r-
Distance from
ITP
A
Depth from
Surface
(Inches)
0 —
y - 7/
- 4
aetation-
Position of La
Open Water Boy
Possible Wet Area
DtinLring Water Well
J
Soil
Horizon
A
rl
is 17IGE 3
Parent Material(geologic)
Depth to Groundwater: Standing Water in the Role: Depth to Bedrock:
ted Seasonal High Ground Water. Weeping front Pit Face:
Dere
Pe:
Feet
Feet
Feet
Mme.
,+ea:he-
Slope NT
Surface Stoles.
Property Lin-
Other
Feet
Feet
Feet
DEEP OBSERVATION HOLE LOG
Soil Color
(Monsen)
Soil Texture
(USDA)
Soil I Other(Structure,Stones,Boulder
Mottling I Consistency, Y
M r 4-9
s' 4C, CS.,
TP /
Depth from i
Surface
(Inches)
y , 0I �
DEEP OBSERVATION
Soil Soil Texture + Soil Color
Horizon I (USDA) I {Monsen)
i
t» / >,
HOLE LOG
A-721
(r,:9 2-s,
%CJ 5
Soil (Structure, Stones,Boulders,
Mottling
Consistency,A Gravel)
rev
Parent Material(geologic)
Depth to Ground at Standing Water in the Hole: /l/i/i'/-''- / 9
Estimated Seasonal High Ground Water: G G 5 Depth to from Pit �fi --
Certificati : I certify by from ep Face: Noy s
reify that in November performed I passed the soil evaluator examination approved p the Land e Department n Environmental
des o bed in
Protection and that the above analysis was performed by me consistent with the required training expertise and experience described in
310 OVA 15.012 /; Mass Soil Eval.Approval No.SE1543
Signature:
Peter J. McErlain
Date: 4:73 0 V
HORTEWETTY BOARD or EEALTE
9_2 MATH S NDATE+* TOH, M 01050
TEL; 413-537-12i3
Site SuitabiIitu for On-Site Sewage Disposal
$pied Number.
Performed b': /
.X
Health Inq resit k l tU✓u J,�.-
e Site Address
t)/o/-et Q-A tiff
New Comau-et a:
Date: %7
Equipment Operator
ep
Client Name& Address
S-9,1e.fe .r,. 1+U
- v/'&
Office Review
Published Soil Survey Available: No it Yes a
Year Published Publication Scale Soil Map Unit Drainage Class Soil Limitations
Surfdal Geolotc Report Available: No a Yes r
Year Published n. ion Scale Geologic Marais/(tiap Unh) Land/arm
flood Insurance Rate Map:
Above 500 year flood boundary r. Within 500 year flood boundary r Within 100 year flood boundary r
Wetland Area:
National Wetland Invetory Map(Map Unit) Wetlands Conservacy Program Map(Map Unit)
Current Water Resource Conditions RISGS): Month
Range: Above Normal c Normal rr BdowNormal r
Other Rsf i tvices Reviewed:
ion Test Results
Percolation Rate
Bottom of Percolation Test Hole: H
ercOlanon Rate:
Bottom of Percolation Test Hole:
Determination for Seasonal High Water Table
Method Used
7 Depth observed standing on observation hole,inches ❑ Depth weeping from side of observation hole inches
7 Depth to soil mottles inches ❑ Ground water adjustment inches.
ndex Well Number Reading Date Index well level
ldjustmen t factor Adjusted ground water level
)epth of Naturally 0-curing Pervious Material
)oes at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
bsorption system?
ryes, that is the depth of naturally occurring pervious material? TP k TP#
`not,what is the depth of naturally occurring pervious material? TPi. TPm - .
)n-Site Review
T.P. #
Time
Measurcme:.t
— — —
Time i Measurement
Begin SannatiOn
I D,SI
1
BC®Saturation
End Saturation
/1 1
1
Fad saturation
9"depth
Measurement
/I
depth
Measurement
6"depth
Measurement
//
',
7
6"depth
Measurement
Elapsed Time
9-to 6-
(I/
Elapsed line
9-to 6"
Percolation Rate
Bottom of Percolation Test Hole: H
ercOlanon Rate:
Bottom of Percolation Test Hole:
Determination for Seasonal High Water Table
Method Used
7 Depth observed standing on observation hole,inches ❑ Depth weeping from side of observation hole inches
7 Depth to soil mottles inches ❑ Ground water adjustment inches.
ndex Well Number Reading Date Index well level
ldjustmen t factor Adjusted ground water level
)epth of Naturally 0-curing Pervious Material
)oes at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
bsorption system?
ryes, that is the depth of naturally occurring pervious material? TP k TP#
`not,what is the depth of naturally occurring pervious material? TPi. TPm - .
)n-Site Review
T.P. #
No.
FORM 11 - SOIL E\ ALGATOR FORM
Page 1 of 3
Date: • 127208
Commonwealth of Massachusetts
Nei.-'4-0-.,P4-01-. Massachusetts
Soil Suitability Assessment for On-site Sew Ise Dispoaal
Performed By
Witnessed By.
/A.; c,i 0 1 Lateral L
eA-c— (1A. cCp—
Date
GJ3)o8
s—:Y s'ri„«- a-`ko4d
\Jew Construction ❑ Repair X
Office Review
Published Soil Survey Available: No L Yes
r>_2,.„M.
0-ear �f P--/e.r_CcyMoczuet sk;
S-69 f/-/rcr'&.- coact
F/o-etiu. f/ 0 b06 2
yid -r`>-S Y6
Year Published Publication Scale
Drainage Class Soil Limitations
Surficial Geologic Report Available No X Yes LL
Year Published Publication Scale
Geologic Material (Map Unit)
Landform
Flood Insurance Rate Map.
Above 500 year flood boundan No L_✓Yes ✓
Within 500 year flood boundary No 'XYes !-
Within 100 year flood boundary. No gYes -
Wetland ,Area.
National Wetland Inventor) Map (map unit'
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS). Monti
Range 'Above Normal UNormal Below Normal
Other References Reviewed.
a
Soil Map Unit
ENVIRONMENTAL DESIGN IN(
101 OLD FERRY ROAD
FORM ll - SOIL EVALUATOR FORM
Page 2 of 3
FYI
Location Address or Lot r+� V�r�""'�'i-�
On-site Review
Deep Hole Number 4 2 Date 6 )s)O Time:/nern-a
Locanon (identify on site plan) r
Land Use 1 1Lt-AD t— S ope 1%1a - cS Surface Stones r...pl_`
Weather
Vegetation
Landform
Position on landscape (sketch on the clack
Distances from:
Open WE:ter Body 7/OO feet
Possible Wet Area > feet
Drinking Wale- VVedl -.r 6Sr'feet
Drainage way "' 70 feet
Property Line /Sr feet
Other
a. r
DEEP OBSERVATION HOLE LOG.
Depth ftom
Surface(inches)
Son E orison
Sit Testure
(USDA)
Solt Color Soi' ■Other
IMunselll Mottling ($uuwre. Stan,,`i auedr e
ls. Ccnstency. %
O
ME/y/ / o7cc i
/oy'R vh rc%A-t f zice��
/0 y2Y/6 NoA- Le-on"-
/0 YR'y/J G
S-yryi /oy,tS* /yredIth."_
o - 5' A
A� - /o
12- to -3G Cl
3� - .97" c-a
',r- 72 c3
Si- /dvxa/y /✓oti
SL /o yRyik /1/d•-r_-
/ C A9Yty/G 41"-"--
ESL ° ' ', /%70 is
LS Sys/g ier * finzie u.i.,
2 HULk5 LOWED AT kV Re PROPOS U UISWOSAL AREA
DepleoaedrC[k: 1)1--y
� 7q r j 7 d—n q
Weeang from Plt:ace:
Pencil Mea& (geobgkl
Oegth to Groundweter. Standing water in the Hole -hi"'
Estmeted Seasonal Hqh Gro lne %Paler'
/ t
DEP A PRO'ED FORM- i 2/07f95
ENVIRONMENT^.I DESK 14 INC
101 OLD FERRY ROAD
NORTHAMPTON. MA 01010
Luca lion Address
FORM I1 - SOII. EVALUATOR FORM
Page 3 of 3
"' Lot No. S o7 VjeIve+�c.-r-P_me , Fie1--Lh_c_e_
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole inches
U Depth weeping from side of observation hole inches
FiDepth to soil mottles 66 inches
Ground water adjustment feet
Index Well Number
Reading Date Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in II areas
observed throughout the area proposed for the soil absorption system?
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on A/W; 9%/ (date) I have passed the soil evaluator examination
approved by the Departrnent 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.
u!r APPROVED FORM (0E95
ENVIRONMENTAL DESIGN INC
101 OLD FERRY ROAD
NORTHAMPTON. MA 01060
413-5)15-5020
ilORM ERC(LAmION TEST
Location Address or L.ot No. S.67 Vs_N-4-ea---reOztfic,,
COMMONWEALTH OF MASSACHUSETTS
airk_, Massachusetts
Percolation Test'
Date: Gp NO ce3
Time:. /')pt-,ti,�
. Observation Hole #
--P /
Depth of Perc
"/B v
Start Pre-soak
/ 0 -.78
End Pre-soak
f/ . 112
Time at 12"
1/. /3
Time at 9"
.//:/‘
Time at 6"
//...2r
Time (9"-6")
Rate Min./Inch
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed � Site Failed
Performed By:
Witnessed By:
Comments:
,72' c/a r / -2/17 r 9/ca
r7e /77c :—Zt
DEP APPROVED FORM • 11/0V95
ENVIRONMENT fAl- DESIUN INC.
101 OLD FERRY ROAD
NORTHAMPTON- MA 01060