Lot -Syvester Rd-6-17-11 Commonwealth of Massachusetts
City/Town of Northampton
Percolation Test
:,;;11.14 Form 12
Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage
Disposal DEP has provided this form for use by local Boards of Health. Other forms 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.
Im'°"anh1 ilen A. Site Information
Sling out fomes
on the computer,
use only the tab Stanley Boszko
key to move your Owner Nome
cursor-do not Sylvester Rd. -
usedrerealm Street Address w Lot it
key.
Northampton Ma 01060
, 1111
ctyRown State Zip Code
Julia HPld 413-575-2374
Contact Person CddineranL from Owner) Telephone?lumbar
B. Test Results
6-1741 am 6.17-11 am
oats rine Date nn1e
Observation Hole tk 1 2
Depth of Pero 42 40
Start Pre-Soak 9:25 10:00
s
End Presoak 9:40 10:15
Time at 12' 9:40 10:15
Time at 9' 9:45 10:78
Time at 6" 9:52 10:21
Time(9'S') 7 minutes 3 minutes
Rate(Min.Anch) 2 minutes per inch less than 2 minutes per inch
Test Passed: ® Test Passed:
Test Failed: ❑ Test Failed: 0
Tom Martin(Turkey Hill Field Services)(413-527-5311)
Test Performed 13)g
DanWasiuk
Witnessed By:
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
t5t im12.doc•06/03 - Pegg Test•Paget of I
Commonwealth of Massachusetts
kis rCity/Town of Northampton
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
B. Site Information (Continued)
8. Current Water Resource Conditions(USGS): Momwrea� Range: ® Above Normal 0 Normal 0 Below Normal
BOH records for adjacent property ---
7. Other references reviewed: •
•
•
C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area)
1-4 6-17-11 _ am rain
Deep Observation Hole Number: -- Data Time Weather .
1. Location
Ground Elevation at Surface of Hole: Location(Identify on plan): _--
small clearing in wooded 14 acre parcel few — 0-2
2. Land Use le.p..wood?nd,agricultural rind,vacant lat.etc.) Surface Stones Slope(%)
white pine, birch,red maple outwash plain see attached
Vegetation Landform Position on Landscape(attach sheet)
3. Distances from: Open Water Bodyfeat Drainage Way feet Possible Wet Area leaf
0
Property Line 18t — Drinking Water Well feett Other feet
4. Parent Material: Outwash Unsuitable Materials Present 0 Yes ® No
If Yes: 0 Disturbed Soil 0 Fill Material 0 Impervious Layer(s) ❑ Weathered/Fractured Rock 0 Bedrock
48"at shallowest yes In all holes
5. Groundwater Observed: 0 Yes ❑ No If yes: Depth Weeping from Pk Depth Standing Water in Hole
32"at shallowest
Estimated Depth to High Groundwater. Inches elevation
Boszko Soil Evaluation•rev.10107 Fenn 11—Solt Suitablllty Assessment for OnSke Sewage Disposal •Page 204
Commonwealth of Massachusetts
5 tr
-:., City/Town of Northampton
TrIta Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number1
RedoximorphIc Features Coarse Fragments Sal
Solt HadzoayerN Soil Mist(Nuatrix:nal)Col (mottles) Soil Texture %by Volume Soil Consistence Other
Deem tin.) LMo (USDA) cobbles& Structure (Moble
Depth Color Percent Gravel Stones
0-24 FBI LS
24-28 A buried 7.5YR 5/2 - LS
28-42 Bw 5YR 4/2 LS
42-72 Cl 7,5YR 6/2 42" 29/8 40 S 40 20 Si
Loose
72-96 C2 7.5YR5/1 depleted S 10 10 Single Loose
matrix grain
Additional Notes:
)eQVA(. n eJiaw( 'MC ?;�
Boszko Soil Evaluation•rev.10107 Form 11-Soil Sullabally Assessment for On-Site Sewage Disposal •Page 3 gat
Z. Commonwealth of Massachusetts
_' City/Town of Northampton
aForm 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole Number: 2
Redoxlmorphle Features Coarse Fragments Soil
Soil Horizon/Sall Maltz:Color- (mottles) Soil Testate %by Volume Soil Consistence Other
Depth lin.) Layer Motet(Munaell) (USDA) Cobbles& Structure
Depth Color Percent Gravel (Moist)
9tprreS
0-4 A 7 5Y 4/2 LS
4-20 Bw 5YR 5/2 LS
20-60 Cl 5YR 4/2 32" 2'3 R 40 S 40 20 SingleLoose
/6 grain
60-72 C2 7.5YR 6/2 depleted 40 $ 10 10 Single Loose
matrix grain
Additional Notes:
W+ilIN\ I Co"
oeoikt , o*aDvi VC rq
eoszko Sul Evaluation•rev.10/07 Form 11—Soil Suitability Assesamentfor On-Site Sewage Disposal -Pages iii e A
Commonwealth of Massachusetts
,- Citylrown of Northampton
-: ii- , Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (Continued)
Deep Observation Hole.Number - 3
Redoximorphle Features - Coarse Fragments
Soil Texture Sell Soil
Solt HodzoN Soll McMx:Color- (moWae) %br Volume
Depth an.) Layer Moist(MweelO
(USDA) es Structure Canca Other
Depth Color Percent Gravel
Stones
(Moist)
0-4 A 7.5YR 412 LS
4-20 Sw 5YR 5/2 LS
20-50 Cl 5YR3/4 n 238R 40 S 40 20 grain Loose.
50-85 C2 7.5YR 5(1 depleted S- 10 10 Single Loose
mabix grain
Additional Notes:
Wet.un a Q$(t
bets* okocia w Pk ?qc.
Boszko Soll Evaluation•rev.10/07 Form 11-Sell Suitability Assessment for On-Site Sewage Disposal •Page"At S
•
. Commonwealth of Massachusetts
klikiw 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
Redoximorphlc Features Coarse Fragments
Soil Horizartl 3011 MMrIr Color (mottles) Sall Texture %by Volume Soil Soli
.Depth(In.) Layer Molst(Munaell) (USDA) Structure Consistence Other
Depth Color Percent Gravel Cobbin6 (Moist)
Stones
0-4. A 7.5YR 4/2 LS
4-30 Bw 5YR 5/2 LS
20-80 _ Cl SYR 314 40" 23/6R 40 S 40 20• gr�a'm Loose
80-80 C2 7.5YR 5/1 depleted S 10 10 Single Loose
matrix grain
Additional Notes:
wtse-sti a dot,
' ttylblt m46014 t' vt or
Bouko Soil Evaluation•rev.10/07 Form 11-Soll Saltabisfy Assessment(or On-Site Sewage Disposal •Page*orb 6
Commonwealth of Massachusetts
`fi City/Town of Northampton
II 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 ' B.
Inches Inches
' A.48 at shallowest B.
El Depth weeping from side of observation hole Inches Inches
® Depth to soil redoximorphic features (mottles) A 32 at shallowest B.
inches Inches
B.
❑ Groundwater adjustment(USGS methodology) .
Inches� 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 0 No
96
b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: indies
Boszko Soil Evaluation•rev.10/07 Fain 11-Solt Suitability Assessment for OnSite Sewage Disposal •Page 00
Commonwealth of Massachusetts
,w City/Town of Northampton
i,®2. 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 16.017 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 Soli Evaluation Form,
are accurate and In accordance with 310 CMR 15.100 through 15.107.
_ o. _ _ 6119/rr
Soil
Signature of Soil Evaluator Data
Tam Martin/SE 1493 2000
Typed or Printed Name of Soil Evaluator/license Y Date of Soli Evaluator Exam
Dan Wasiuk Northampton"BOH
Name of Board of Health Witness Board of Health
Note: In accordance with 310 CMR 15.016(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 Evatuatton•rev.10/07 Form 11—Solt Suitability Assessment for OmSl a Sewage Disposal •Page awl. $
sL� Commonwealth of Massachusetts
t:w _ City/Town of Northampton
TrForm 11 - Soil Suitability Assessment for On-Site Sewage Disposal
Field Diagrams
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Boszko Soil Evaluation•rev.14/07 ' �' Form 11-Soil SL tablliy Assessment for OnSile Sewage Disposal •Page SAMM
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