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72 Soil/Perc Test 2001 FORM I I - SOIL EVALUATOR FORM Page I of 3 No. Date: Commonwealth of Massachusetts • Massachusetts Soil Suitability Assessment for On-site Sewage Disposal Performed By: /jC%GLIA' 97 J/it"J�Uirii �(/xIL Date: /a/10 Y� p_ Witnessed By: A1Ct ,c "tic ,t c-LA/&) �•°�'�.` S 72.- 4-UlZ'fliI ' /0 6.12 4-10 Let Ww Construction 0 Repair Office Review Published Soil Survey Available: No ❑ Yes fi- Vine Published Publication Scale Drainage Class Soil Limitations Surficial Geologic Report Available. No ❑ Yes L�- Fri— v— ef:12 • in.. T,�l-4(//j2�.�3l 4- %lgt/KP • ••, ee Ai eSm f /ow And Year Published Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes Within 500 year flood boundary No aYes ❑ Within 100 year flood boundary Na..a ❑ Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Progreso Map(map unit) Publication Scale Current Water Resource Conditions (USGS): Month Range Above Normal aNcrmal ❑Below Normal ❑ Other References Reviewed: DIP Arnim/en'ORM•II/V/11 Soil Map Unit FORM I I - SOIL EVALUATOR FORM Nee 3of3 92_ / '7Z' c.ti g12-14"C Landon Address or 1.e1 No. __ AjGe„..th ,‘" Determination fur Seasonal Ilia Water Table Method Used. Epepth observed standing In observation hole __ �spth weeping from side of observation link 5 Depth to soli rnottlea Maine El Ground water ediuennant fnn, 7-1;I' at,_ Inches _ Inches 'enoY/ 7g , Index Well Number flooding Onto Index well level Adjustment teeter Adiuererl ground water level Depth of Naturally Occulting Porylove Materiel • Don at least four feet of naturally occurring pervious msterial exist In all • observed throughout the area proposed for the soil absorption system? If not, whet is the depth of naturally occurring pervious material? Certification I certify that on f %S" (date) I have passed tJ II evaluator ex approved by the [leper ment of Environme al rot and that the above was performed by me consistent with th. j�� ed jrbl nu, expertise and ex described In 310 CMR 15.017. ® Signature Uhl eta Ay%22/s PERCOLATION TEST(S) Time: I Time: J I Observation Hole #1 Observation Hole #2 Depth of Perc Depth of Perc Start Pre-soak p Start Pre-soak End Pre-soak _ End Pre-soak Time at 12° „. Time at 12' Time at 9” . Time at 9' Time at 6" 7-1 Time at 6" Time(9"-6") Time(9"-6") Rate Min./Inch Rate Min/Inch 'minimum or 1 percolation test must be performed in both the primary area AND reserve area. Performed by I Performed by Witnessed by Witnessed by Comments: NORTHAMPTON BOARD of HEALTH- Title 5- DEEP OBSERVATION HOLE LOG` y.,.,._Jr. Location Address or Lot# 7 \ / Owner U /l.;rr Date Time �, Depth from Surface(Inches) Owner's Address Sol Texture (USDA) Engineer <1-/A-Tv.' . ^ Weather Phone# Land Use l,/Ji %Slope �o Surface Stones ��, Landform Vegetation tart me Position on Landscape(�on the badW Distances Drinking Water Well Stop Time Open Water Body feel feel Property Line feet Possible Wet Area — feet Drainage Way feet Other feet DEEP OBSERVATION HOLE LOG` y.,.,._Jr. MINIMUM yr my nu¢sxtUUWEDATEVERYPROPOSED DISPOSALAREA Depth from Surface(Inches) Sal Hommn Sol Texture (USDA) Sod Color (MunseR) Sol Moans Other (Shur/lure.94nn....Boulders,Catsntmy,%Grav2p ^) ` r l,/Ji �`//iii �o Iry ��, / 3 Parent Mahial{gmkgic) I I Depth bBndmd I Depth to groundwater Standing Water a the Hole I Weeping from Pit Face Estimated Seasonal High Ground Water Deep Hole#: Depth from Sedate pndres) 1Horvon DEEP OBSERVATION HOLE LOG* 'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA sd Texture Sol Color (USDA) (Monad) Sae r.IStareng Warn the waIHigh Ground Water Other (Sine=,Sbnes,Boolders,Consistency,%Gravel) aemrea .Weepip Yam Pd Farm PERCOLATION TEST(S) I Time: I I Time: I Observation Hole #1 Observation Hole #2 Depth of Pero _ Z S/Li Depth of Perc Start Pre-soak I 7 Start Pre-soak End Pre-soak ; \ End Pre-soak Time atl2' rte- > Time at 12' Time at 9' Jfl Time at 9' Time at 6' 4 -D (; 7 Time at 6' Time(9"—6") q T/� Time(9• 6") Rate Minilnch 3 / - Rate Min./Inch 'minunian ot 1 percolation test must be performed in both the Primary area AND reserve area. Performed by Witnessed by IPerformed by Witnessed by Comments: Location Address or Lot No. FORM 12 - PERCOLATION TEST 72- Ate"n n?it) ,(%1Zlccp COMMONWEALTH OF MASSACHUSETTS /4/0/70,0/0 u, Massachusetts Percolation Test Date: _/3/42/0 / Time: 700 Observation Hole # Depth of Perc `, Start Pre-soak 907 9. 0.2_ 67 y 4 0/ End Pre-soak %y Z Time at 12" 92 L Time at 9" 9Z8 Time at 6" % 3 7 Time (9"-6") 7/3 = 3' 6 Rate Min./Inch 2PS/7f io Le is;ci • Minimum of 1 percolation test must be performed in both the primary area AND reserve are Site Passed 'Q Site Failed ❑ Performed By: it)/ ci-/ /v7 v//S K!/.,r79 Witnessed By: �• 41c-X/2-G#/'f/ 90/7 Comments: S DEP APPROVED FORM.12/0125 Percolation fesL Test No . /Mee / Tnnt IL . Reeding Time 907 9.ZZ nrndlnp. Tim' Saturation ( 15 min / Saturation ( 1.5 min /7 /6 7 7 /P Pere Rate Ground Elev . Depth of Role ,SD Mln/ inch 2 i. g� 7-Ai/ ✓ , Deep 'l eat Pit is 7`7' . MNItnnPit rw►a t♦ nIiPAI '' i M t tsru Z.?,—Z? f e_ ry s�d✓o sa zz- +4-4o //B Z9-4/ cYnil scal zy-9/ flft'O /mod 3 rosin water Depth atiElev . (:COUwater Dept l E ev. Bedrock Depth / Elev . Bedrock Depth Elev. Ground Elev . on/l(�T -7 Ground Kiev. 78 ry / 4( -may 0/1 I'PIT . Iinte Ground Elev . Depth of hole Min/inch S .C . S . Soil Description 5,29.4,-22 Seasonal High Water Table? Bench Mark : Elev . — Descriptluu - /Pt 4/0 6/ COMMENTS : 773 Pr i XP, Date : 40/110 f d/z!-N/1.P7/!%«c/ Engineer : Gc>.Tr5//sy�" /��Y/7 Witness : ,,v fl1G,/LC /Z/H/ Incatl.ou of Pere : 21 4/ '/bar- 4O.Iv _ Z'°°C- leen..�Q C , Sm.ISM _._G 1S1n Se - .uCc(i_-,-- ,abM Paarrary'on nail - see Dr An G( s.re us,st arl.a.Moms -�^- ° .n�.Gr✓ wDw.eea ram, tem.. nv/ sv ma / sem o t __ Mem home MAIM pMraa.W.I� Ise . hea.ral"ha b . .f 044 . Jo 2/�/C Dear Was Mav / DPW Vier IMO Q,QIs. praral.w.v "1 Jo Pea a.Wx*rn//////NM Astor L * .1__i�t /-Z.C.SwLC( Pee W.1 Ana Sr Pete um .... IM FT Si cc,: Drrahr0 Wala W.I r.a pWa . • w 6h C /12 0 //t v DEG? OBSERVATION HOLE LOG' DEEP OBSERVATION HOLE LOG' Ds.Wan yrN * SS Taira YOM Sr aw. Oars Ina Sal legman I Sr Tara Sr Car I Sr Ome s .a ear MOM PYY WOO, Ws .Star Ma .Crrnina.11 See wash a®.r OYei larding Dnmk SIN .arra Gant 11 lea ` a-ez /1/ / V o-a2 / 1 0_ zL` va-�q 8, 1 ys 5--3 saws j z9 9/ ! ' /o J194/4 y? /ter /mod j ;.� s _ �i-/aa c �,� � t,p`a , .< O S e,- ( 7'-/z/I GL. I /-0 r�J, z s• i G L.syi.P 7g 11 F A/�I,C,� I Cal ,T-L � ;1.//.tGC-�cc? S LI E.ywr J1„vG t-12 . . Li .,wtP 76 " .., . •rms,o w a wuS was aaaa.LL.rV. r...mews,r..arr QU Y-W/{S�f�/ " a.ara+.m Di n .. ...mss,wniar --1,(2/0'5/ O.rrlras .Q/f/Q D®s�>E n.+WWa.mMrr: /L�`. .+.....enre .(fat_l.- ;.wmaaw.ana Surma Was neat Q///y w•aawsnls /- -1-4 trwarl Sad 110 Omni War G �) T areal Saar WO Omni War / /Z '<Zit�/ ,� F.:.=. �� iii rni.�m pprTyemlpa.MM •