21 Soil Evaluation 2016 Commonwealth of Massachusetts
City/Town of NORTHAMPTON
Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal
�fE3u
A. Facility Information
SRS1a.c_
wm.ra.me
21 HATFIELD ROAD _____ 13/48
Steel Address WWLme
NORTHAMPTON --. _..__ 01080
-_. ---
p
City State e Code
B. Site Information
1. (Chad one) 0 New Construction 0 upgrade A Repair
2. Soil Survey Available? N Yes D No If yes: WEB 749A
Source Sell Map Lint
WINDSORSoil Nem Sell Limitations
RIVERENE DEPOSIT --_-_ TERRACE
ceologlaP.am Material Lwrmsm
3. Surflctl Geological Report Available?0 Yes N No If yes:
Year Published/Source Publication Map Uil
4. Flood Rate Insurance Map
Above the 500-year fiord boundary? N Yes 0 No Willa the 500-year flood boundary? 0 Yes N No
ii Y«,continue to 005.
Whin the 100-year flood boundary? 0 Yes N No
5. Within a velocity zone? 0 Yes ® No
8. Within a Mapped Wetland Area? 0 Yes N No MassGiS Wetland Data Layer
WpNMt p
7. Current Water Resource Conditions(USGS): 6/16 ___._. Range: 0 Above Normal 0 Nonni ra Below Normal
MomFNear
8. Other references reviewed
Morrill.l•rev.9114 Form II-Soil SUYabity Acle wnem for On-Site Sewage Disposal •Page I ova
Commonwealth of Massachusetts
n.-a City/Town of NORTHAMPTON
P
l- Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal
. ,
C. On-Site Review(minimum of two holes required at every proposed primary and reserve disposal area)
Deep Observation Hole Number: 1 0/22/16 9AM CLEAR WARM
Date -...... One Wearer
1. Location
Ground Elevation at Surface of Hole: 175 Latilude/Longitude: 42-21-22.85N / 72-38-
rest 13.04W
Description of Location'. FRONT YARD
2. Land Use LAWN FEW _.._ <2
via.wMYlantl epfuulMlflNU vacant lot,Mt) Sinfxa 6lonee(eg.ccdtlee,NonM Solders,etc) thorn l%)
GRASSES TERRACE SU
Vegetation .-._ Leedom ... Position on taManpe(SU,511as FS,IS)
3. Distances from: Open Water Body 200+ Drainageway 100+ Wetlands 100+
feet feel feet —._.._
Property Line 20+/- Drinking Water Well TOWN Other _
feet _.....__ feet feel
4. Parent Material: LOAMY SAND Unsuitable Materials Present ® Yes ❑ No
If Yes: 0 Disturbed Soil 0 Fill Malone] ® Impervious Layer(s) ❑ Wea herediFractured Rock 0 Bedrock
5. Groundwater Observed: 0 Yes ® No If yes: NONE NONE
Depth Weeping from Pit Depth Standing Water In Hole
Estimated Depth to Koh Groundwater: 28 17274-
__...
011ie elevation
61orm11-rev.al14 Form 11-Soil Puna IMO Assessment for On-Site Sewage Disposal •Pg1e 2 ors
A. Commonwealth of Massachusetts
giCity/Town of NORTHAMPTON
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review(continued)
Deep Observation Hole Number 1
Coarse Fragments
RWpTmnryNC Features %Ey Vdume sst
MWn an) SOXlaH„ren/S:MMHsIM:unsMlCo IA Sail TeAure soil yyyceoo conslstenca awe
OIp a Color Peren�t (USDA) Graves Cobbles (Mdst)
8 moms
0-8 A 10YR4l3 - - LOAMY - - SINGLE FRIABLE
SAND GRAIN
8-21 Bw 7.5YR4R -- - LOAMY SINGLE FRIABLE
SAND GRAIN
21-43 C1 7,5YR4f3 28 2.5y32 it SAND SINGLE FRIABLE
GRAIN
43-84 C2 2.5Y312 - - - SILT LOAM - - MASSIVE COMPACT
Additional Notes:
6krmll•rev 904 Form 11-Sall Suaabdiy Msrememfor On-Sae Sewage Dlsaset •Pape 3 me
Commonwealth of Massachusetts
VCity/Town of NORTHAMPTON
Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (continued)
Deep Observation Hole Number 2 6/22/10 10AM CLEAR WARM
Dela Time weather
i. Location
Ground Elevation at Surface of Hole: 175+/- Latitude/Longitude: 42-21-22.55N I 72-38-12.96W
fee
2. Land Use LAWN FEW 42
leg..woodkrd,a9rkunurel Ma vacant W,etc.) Surface Stones(a o.ice,atones,boulders.etc.) Slane l%)
GRASSES TERRACE SU
g tNon
-_�- Lendram Position on Landscape(SU,SH.BS,FB,
3. Distances from: Open Water Body 100+
feel feet Drainage Way 100+/- feet
Wetlands reel
feet
Property Line 354/- Odnking Water We* TOWN Other
Beet fact .-._.
feet
4. Parent Material: LOAMY SAND Unsuitable Materials Present: 0 Yes ❑ No
If Yes 0 Disturbed 501 0 Fl Material 0 impeMous Layer(s) 0 Weathered/Fractured Rock 0 Bedrock
5. Groundwater Observed: ❑ yes O No If yes: NONE NONE
Depth weaving from va Depth Standing Waternnae
Estimated Depth to High Groundwater: 34 172.2+1-
hones elevation
'storm t.rev.9/14 Form 11-Soil Sunabitity Assessment for On-Ste Sewage Disposal •Page 4 ore
14 Commonwealth of Massachusetts
City/Town of NORTHAMPTON
�` Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal
i
-
C. On-Site Review (continued)
Deep Observelion Hole Number 2
Cott*Fragments,
gsOaMnwryMc Features Soil
Del*"
pn.) AONHorizon/BOS Matrix:Cala- ioSTetlw MeY Volume ''Soil Shushan, ConNpance Other
Layer Molar(Mussel.) Depth, Color Fewest (USDA) MnaM comes PQM/
&Mmes
0. LOAMY SINGLE 12 .A 10YR4/3 - - - SAND 0 GRAIN FRIABLE
12-24 Ow 10YRS14 - - - LOAMY SINGLE FRIABLE
SANG GRAIN
24-50 Cl 7.5YR4/4 34 2.5Y4/2 6 SAND - —
SINGLE GRAIN FRIABLE
50-120 C2 2.5Y4/2 - - - SILT LOAM - - MASSIVE COMPACT
Additional Notes:
IMmmt I•rev.9/14 Form 11—Soil SiAWXy AssessmeMkr ONSHe Sewage Dspmul •Paes 5018
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: Obs.Hole#1 Ohs.Hole#?
❑ Depth observed standing water in observation hole
Inches Penes
❑ Depth weeping from side of observation hole - — Inches
-------- - _--
inches
O Depth to SOP nedwdmorphic features (monies) 28
tithes Name .
❑ Depth to adjusted seasonal high groundwaterO+)
(USGS methodology) nohea rvwwa
at
Index Well Numbs.
Readingoare
Sh=Sc-[Ss(0Wc-OWr WOWr)
OPP Hole# Sc Sr OWe OW,ma OWr St,
Obs.Hole# Sc _ Si _ OW, MMus, OW, Si
—
E. Depth of Pervious Material
1. Depth of Naturally Ocouning Pervious Material
a. Does al 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: Lower boundary:
inches laths
c. If no,at what depth was impervious material observed? Upper boundary: 43 Lower boundary: 120
inches lathes
6Porml I•rev.WWI Form 1t-Soil Suitability Aueumenl tor On-Sae Sewage Disposal •Page 8 orB
A, Commonwealth of Massachusetts
City/Town of NORTHAMPTON
k94 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
F. Certification
I certify that 1 am curm try approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil
evaluatlo and that the above finely-is has been performed by me consistent with the required training,expertise and experience
de e.I 1 310• R 15.017. I fu er certify Mal the results of my soil evaluation,as indicated in the attached Soil Evaluation Form.
an accura an acro 'once 310 CMR 15.100 through 15.107.
6/22/19__
'.n., Aeon: Nato;y Date
by OLASM EAT.' __ _ 6/19
Typed DANE WA' d�AlENludor/LlcelreeY NORTHAMEttorelan PTON of License
DANIEL WA' K NOrTR
Nemo of Board AHNX VaIC1Ne
—__..... _.— _ Board Healthor
Note:in accordance xRh 310 CMR 15.018(2)tNs Mme must be submitted to the approving authority v.4Min 60 days of the date of fieldtesting,and
to the designer and the property owner with FercoIaeon Teat corm 1$
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Commonwealth of Massachusetts
City/Town of NORTHAMPTON
Percolation Test
Form 12
Percolation test results must be submitted with the Sal Suitablltty Assessment for On-site Sewage
Disposal.DEP has provided this form for use by local Boards of Health. Other toms 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.
iromt,m.whm A. Site Information
rang out loner
on the commuter, SRS LLC
tree only Nelab
key to move your Owner Name
cursor do not 21 HATFIELD ROAD _.
ummhe return sues Ade�.ar.ar
�' p NORTHAMPTON MA 01060
vt'a V City/Town Stele ..._ aP code
RICHARD THAYER 413-2475534
Colla Pentairffsere from Miner) telephone Number
Q-°Xo B.Test Results
3(22113 9:30
Dye Tine Odle In
Observation Hole* 1
Depth of Pero 28__.
Start Pro-Soak 8:33 _ _...
Ertl Pre-Soak WOULD
Time at 1NOT
2
Time et9' HOLD_.___
Time at 8" SOAK
Time 6K-61
Rate(Mlnllnch) 2
Test Passed: 2) Test Passed: 0
Test Failed: 0 Test Failed: 0
DOUGLAS Mach AV._._
TM Performed By:
DANIEL WASIUK
WAmmud By:
Comments:
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