Sylvester Road Lot 2011 Commonwealth of Massachusetts
• - City/Town of Northampton
Percolation Test
Form 12
•
Percolation test results must be submitted with the Soil Suitability Assessment for On-site-Sewage
Disposal.DEP has provided this Porn for use by local Boards of Health. Other fors may be used,but
the information must be substantially the same as that provided here. Before using this form,check with
the local Board of Health to determine the form they use.
If in A. Site Information
or,the poroma
us only hetabr' Stanley use to mtheove
tab mes2k0
key to mow your Owner Name
cursor-do net Sylvester Rd. -
usetereNm Street Address of tut tt -
key.
Northampton Ma 01060
Cdyrrom State Zip Cede
Coca Held 41e375-2374
Contact Person(different from Omer) Telephone Number •
B. Test Results •
6-17-11 am 6-17-11 am
Date Time Date Time
•
Observation Hole# 1 2
Depth of Pero 42" 40"
Start Pre-Soak 9:25 10:00
s
End Pre-Soak 9:40 10:15
Time at 12' 9:40 10:15
Time at 9" 9:45 10:18
Time at 6' 9:52 10:21
Time(91s') • 7 minutes 3 minutes
Rate(Min./Inch) 2 minutes per inch less than 2 minutes per inch
Test Passed: ® Test Passed:
Test Failed: 0 Test Failed: 0
Tom Martin(Turkey Hill Field Services)(413-527-5311)
Test Performed By.
Dan Wasiuk
Witnessed 6y.
Comments:
Test 1 conducted between deep holes 1 and 2.Test 2 conducted between deep holes 3 and 4.All
deep holes marked with PVC pipe
—' t5fonn12.doo 06/03 Pers Test•Page I oft
•
9. .._
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Commonwealth of Massachusetts
i .-•-_e--{ City/Town of Northampton
i ^ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
B. Site Information (Continued)
6. Current Water Resource Conditions(USGS): MmH6ivesr— Range: ® Above Normal 0 Normal 0 Below Normal
7. Other references reviewed: BOH records for adjacent property
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
Deep Observation Hole Number: t-4 -- Date
—,— am rain
P Dare nma weather
1. Location
Ground Elevation at Surface of Hole: Location(Identify on plan): - "—
2. Land Use small clearing In wooded 14 acre parcel few _ 0-2
(e.g..woodland,agricultural field,vacant lot,eta) Surface Stones Slope(%)
white pine, birch, red maple outwash plain see attached
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Bodyrase Drainage Way feet Possible Wet Area feet
Property Line roe--- Drinking Water Well hetB Other loot
4. Parent Material: Outwash Unsuitable Materials Present 0 Yes ® No
If Yes: 0 Disturbed Soil 0 Flu Material 0 Impervious layer(s) 0 Weathered/Fractured Rods 0 Bedrock
5. Groundwater Observed: 0 Yes 0 No If yes: Dep yes In all
Depth at shallowestlfres PA Depth Standingholes water In Hale
to High Groundwater. IncInches shallowest
Estimated Depth
8 32'a elevation
aoszko Soil Evaluation•rev.10/07 Form 11-Soil Suitability Assessment for On-Ste Sewage Disposal •Page 2pite
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Commonwealth of Massachusetts u-�_ City/Town of Northampton
s_ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number.
Redoxlmorphic Features Coarse Fragments
(mottles) Sol Texture %by Volume Soil Soil
Depth{In.) Soli Layer Soil Matrix:Color- Consistence Other
Moist(Munson) Depth Color Percent (USDA) Gravel Cobbles& Stmslure (Moist)
Stones
0-24 Fill LS
24-28 A buried 7,5YR 5/2LS
2842 Sw 5YR 4/2 L5
42-72 Cl 7.5YR 612 42' 2.5YR 40 S 40 20 Single Loose
3/6 grain
72-96 C2 7.5YR 5/1 depleted S 10 10 Single Loose
!matrix grain
•
Additional Notes:
)et,\-to\c MNle-49 tJi !VL ?let
eoexko Soil Evaluation•rev.10/07 Form 11—Sell Suitability Assessment for On-Site Sewage Disposal •Pages IAA
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Commonwealth of Massachusetts
rI.—: y City/Town of Northampton
ey: Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number: 2
Rsdoxirriorphlc Features - Coarse Fragments
Depth On.)
Sell Horizon/SoII Matrix:Color- (mottles) son texture %by Volume Soli Consistence 0th
er
Layer Moist(Mansell) (USDA)
Percent (USDA) Gravel cobbles& Structure (Moist)
DepthStones
0-4 A 7.5YR 4/2 LS
4-20 Bw 5YR 5/2 LS
20-60 Cl 6YR 4/2 32" 23�R 40 S 40 20 g a0�^e Loose
60-72 C2 7.5YR6/2 depletedi40 S 10 10 Single
Loose
Additional Notes V
Ote.Aikt OakaD 4 t"C !.1
eoszko Soil Evaluation•rev.IWO? Form 11-SWI Suitability Assessment Mr On-Site Sewage Disposal •Page She A
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Commonwealth of Massachusetts
5,1, City/Town of Northampton
I Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number3
Redoximorphlc Features - Coarse Fragments
Depth(In.) Soil Horizon/Soil Matrix:Color- (m011100 Soil Texture %by Volume Soh Sell
Layer Moist(Munsell)- (USDA) Cobblac8 Structure Consistence Doer
Depth Color Percent Gravel Stones (Moist)
0-4 A 7.5YR 4/2 LS
4-20 Bw 5YR 5/2 LS
20-50 Cl 5YR 3/4 .f t\ 23/9R 40 S 40 20 grain Loose
50-85 C2 7.5YR 5/1 depleted S 10 10 Single Loose
matrix drain
Additional Notes:
NI* ty ,4«9e✓ PVC Re__
Boszko Soil Evaluation•rev.10/01 Penn'II-Soil Suitability Assessment for On-Site Sewage Disposal •Page not' f
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Commonwealth of Massachusetts
r w i `r City/Town of Northampton
• it Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number 4
Redoxlmorphlc Features Coarse Fragments
Depth(InJ 6011 HzoN 6011 M1n olor- (mottles) Solt Texture %by Volume SOU Soil
LaMaroriMoistah(MunaelCI) (USDA) Structure Consistence Other
Depth Color PercentGravel cobbles 8 (Moist)
Storm
0-4 A 7.5YR 4/2 LS
4-30 Bw 5YR 5/2 LS
20-80 C1 5YR 314 40" 25Y 40 S 40 20 Sgm2giein Loose
3/6
80-90 C2 7.5YR 5/1 depleted S 10 10 Single Loose
matrix grain
Additional Notes:
l.krac'11' a co"
tt0A0k n4NW) 14 PVC M?
eoszko Soil Evaluation•rev.10/07 Form 11-Solt Suitability Assessment for On-Site Sewage Disposal •Page*Mrb &
y_
Commonwealth of Massachusetts
City/Town of Northampton
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
D. Determination of High Groundwater Elevation
1. Method Used:
❑ Depth observed standing water In observation hole A B.
Inches Indies -......
N Depth weeping from side of observation hole A 48 at shallower B.
Inches Inches
® Depth to soli redoximorphIc features (mottles) A 32 at shallowest B.
inches inches
❑ Groundwater adjustment(USGS methodology) - B.
Indies inches
2.
Index Well Number Reading Date - Index Well Level
Adjustment Factor Adjusted Groundwater Level
E. Depth of Pervious Material
1. Depth of Naturally Occurring Pervious Material
a. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
® Yes ❑ No
b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: nBnes
Boszko Soli Evaluation•ray.10/07 Form 11—SoltSuileblityAssessment for On-Site Sewage Disposal •Page Wit
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Se‘ Commonwealth of Massachusetts
'? Cityfrown of Northampton
it G. Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Certification
I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience
described in 310 CMR 15.017. I further certify that the results of my soil evaluation,as indicated in the attached Soil Evaluation Form,
are accurate and in accordance with 310 CMR 15.100 through 15.107. /
19111
Signature of Sol Evaluator Date
Tom Martin/SE 1493 2000
Typed or Punted Name of Soil Evaluator/license it Date of Soil EvmWator Exam
Dan Wasiuk Northampton"BOH
Name of Board of Haab Witness Board of Health
Note:In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and -
to the designer and the property owner with Percolation Test Form 12.
Boszko Soil Evaluation•rev.10/07 Form 11-Soli Suitability Assessment for On-Site Sewage Disposal •Page)'c4t $
§4 Commonwealth of Massachusetts
. fgCity/Town of Northampton
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Field Diagrams
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Boszko Soil Evaluation•rev.10107 0i Form 11-Soil SuiabilityAsasumenl for Onsite Sewage Disposal •Page MM6 I