25 Septic Soil & Perc Test 2000 IAA:alion Address or Lot No.
EORJ\I I I - Sou, EVAI t Al OR FORVI
('age 2 of 3
jqa-
Lae_AAy Az/7U
On-site Review
Deep I tole Number )' c9 Date: -96/m lime: /970/'Nr'rl7 Weather V�.kiI 4N�
Location (identify on site plan) C.q;c ta..�ct ita
Land Use icLW Slope l"/010-„2 Surface Stones 1 AA-t_
Vegetation CrAL,VS'
Land for rn
Position on landscape (sketch on the hack) i5 S, YQ')J
Dis t ancos Iron:
Open Water Body 7/00 feel Drainage way > SO feet
Possible Wet Area 7/0o feet f ioperty Line >20 feel
Drinking Water Well 7/00 feet Other
DEEP OBSERVATION HOLE LOG'
Dr nth Porn
Surface Ilnchesl
Soil Horizon
Sea lexwre
(USDA)
Soil Color
IMunselll
Soil
Mottling
Other
IStrucwre, Stones, Boulders, Convisteney,
Gravel,
o -.mac ,,
c> '-Li3"
1)3 r- IF).
/=
Y3
C
r
5L
iCJ
I-
i
icily/h
36YSS/
L
AX)1 p
Ai e,ve.
SLtb3o° I
o Ao"
ao°-Lit"
Ili”-- DI "
i3
C .
S
5L
S0 t.cl
L
ioyRy)4-
R5Vy/y
L
A)otie
Noce
StAbT A 1
MINIMUM OF 2IIDLES IiEOUIiIEU AI EVHIY Pi UVUSFU DISPOSAL AREA \
Parent Mamrinl Ior logld OS- I( l ) Cd mh DenthtoBedrock:? j V di rl t ? )0 1 rt
Depth to Grovntlwa ec Standing Water in Ow HOle'. Vr 1 D- l.( _ Weeping from Pit Pace'. 0 r A� I Qd
Es created Seacnnal Iri"h Ground Waters (I-1 a ryS 1 a 1 f
ArrnovFn F0Nnt- ttmlroa
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
1413) 586-7200
l
0.
FORM I I - SOU, EVALUATOR FORM
Page 1 of 3
No, Dale: 9/2/co
Commonwealth of Massachusetts
Nor} hrnmr,ptw, Massachusetts
Soil Suitability Assessment for On-site Selvage Disposal
Performed Hy: ) 17110)0,t Lct_15 Date: c1/4,/(z)
c
Witnessed By: I-'c?-) e Merr Io . a.-
,5? /5 /3RJberrry
New construction C
to luL m:�.��calid TPeC e,
?r M a5 ewmi bp t 9.
ry lfc T
1170 ri-hn nn pIun r) )00inc0
Repair 58-y-
Office Review
Published Soil Survey Available: No
Year Published
Drainage Class
Yes ❑
Publication Scale
Soil Limitations
Surficial Geologic Report Available: No 1
Year Published
Geologic Material (Map Unit)
Landfonn _........
Flood Insurance Rate Map:
Above 500 year flood boundary No
Within 500 year flood boundary No
Yes ❑
Publication Scale
Yes ❑
Yes ❑
Within 100 year flood boundary No Yes
Wetland Area:
National Wetland Inventory Map (inap unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range :Above Normal ( INomrai El Below Normal ❑
Other References Reviewed:
Soil Map Unit
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
OUP APPROCEIt I0 t-Inmiss (413) 586-7200
Location Address or Lot No
FORM 1I - SOIL EVALUATOR FORM
Page 2 of 3
hl2/vl,yn p.
On-site/) Review
Deep Hole Number )v-c9 Dater/""" 2/00
Location (identify on site plan) S PA/wOt iL)
Land Use 10.lalti. . . Slope 1%) o-2._
Vegetation 9✓-0.SS
Land form
Position on landscape (sketch on the back) S Q V
Distances from:
Open Water Body >/OO feet
Possible Wet Area >/00 feet
Drinking Water Well 7/00 feel
Time:/71OrfUL Mq
Weather TA XTtD ten
Surface Stones lt‘".'a__
P-1CL1il
Drainage way > t
Property Line
Other
>.2.0
feet
feet
DEEP OBSERVATION HOLE LOG•
Depth (tom
Surface I lnchesl
Soil Horizon
Soil Texture
'USDA)
Soil Color
(Monett)
Sail
Mottling
Other
(Structure, Stones, Boulders, Consistency, %
Gravel/
o -ao/r
„-43r1
/ia° 119"
Jr
8
C
s
3L
Sand
L
/OYRyy/6
&Sy yy
L
A)0J--)e
/upL
SLA b50; 1
O-ao"
do''-'0"
[la"- 01 "
i3
C
'S
51_
50-,.d
L
/OYPrl/&,
..R SYLily
L
c o ice
Nil, W
S-kbsc 1I I
MINIMUM OF 2tH-�OLES REQUIRED AI EVERY PROPOSED DISPOSALAREA
Parent Material(ge logic)_OUR A) 0 `": 1"-\ DepthtoBedrock:? 11 ' 1 rl Ta (,- ( 12
Depth to Groundwater: Standing Water in the Hole- i k,j____ Weeping from Pit Face: -6{- l.�
Estimated Seasonal High Ground Water: 2 ( ( H J — I a(
DEP nrrttoVF.n FoRnI- t
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
(413) 586-7200
kiwi" 1 12 - PERCOLATION TEST
Locnlion Address or LOT No. , ,J era kzwi"Alia_
COMMONWEALTH OF MASSACHUSETTS
I nElo ?nt j C57U , Massachusetts
PercOlati0n rICest*
Date: r)/6-'/l'tv
Time:.l 200tAlt i
J
Observation I-InIn 11
9 /
Depth of Perc
'k r
Sian Pre-soak
/D () )
End Pre-soak
/0, 1 3 �>I✓
/
lime at 1T'
U..,1.1d bu _to
Timm at 9°
II//
Time at C"
Time 19"-8"I
hale Min./Inch
L J
" Minimum of I percolation test must be performed in both the primary area AND
reserve area.
Site Passed N1 Site Failed ❑
Perfoi med By 1111 C h jou) LGG��'/ ,
Witnessed By I �-Ck�l, L1 F
Comments:
OFF ArrRotF.0 ream-rvesot
Environmental Field Services, Inc.
P.O. Box 518 Leeds, MA 01053
14131 586-7200
FORM I I - SU11, EVALUATOR FORM
Page 3 of 3
Lor:llinn Adlhrss nr Lar No. .� F�Xi, f,)R�/l�_. Q!r{��,
Determination for Seasonal High Water Table
Method Used:
Li Depth observed standing in observation hole
Depth weeping from side of observation hole
¶XI Depth to soil motilos?1172F)Ilelles
L J Ground water adjustment feet
Index VVRII Number
inches
inches
Raiding Date Index well level
Adjustment facto' Adjusted ground water level
Depth of Natu1_ally Occurring I'etvious Material
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? ' LQ
If not, what is the depth of natal ally occurring pervious material?
Gel liflcation
I certify that on L4 A.)- 7V (dam) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMII 15.017.
Signature re<i% Dale
1141'AIII1p41iI rl111M• Il,011v4
Environmental Field Services, Inc.
P.O. fox 518 Leeds, MA 01053
(413) 586-7200
Location Address or Lot No. j f
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
iamil1G'YYIptc5iL) , Massachusetts
Percolation Test'
Date: 17/6/00 Time:.n'lOr%t>5.27_ I
J
Observation Hole fJ
P 1
Depth of Pere
90»
Start Pre-soak
/0 O c/ 5,
.End Pre-soak
W. / 3 67117
Time at 12"
GM/lab&
Time at 9"
Sor&K
3 gi.yr Qr L/3i,�.,n.
Time at 6"
Time (9"-6")
Rate Min./Inch
L 3
Minimum of I percolation test must be performed in both the primary area AND
reserve area.
Site Passed 41 Site Failed ❑
Performed By: (Y1l CheeU JC.la),/
Witnessed By: f €* _&. Lace ID.-_)
Comments:
Environmental Field Services, Inc.
P.D. Box 518 Leeds, MA 01053
(4131 586-7200
u-
�o .;> .�
A� � C\_ C.
,. Sss.'3s = \a \'
ygS'1.�C♦
.. . ^\�4. \i'o 2S\ . ,, 8\
TO: FIRST MASSACHUSETTS BANK, N.A. &
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INI"ORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENATIN ALL THE GROUTND OAS SHOWN BANDETHAT ^ THTE BUILDINGS ARE ENTIRELY WITH N ARE THE LOT LIN ON
ES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS NOT LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY # 250167
, � Q \ � � • ��.. THIS FIAT FOR MORTGAGE LOAN PURPOSES ONLY
-NOTE-
13.7Li L I
l/ y o�
PERCOLATION TEST(S)
Time: I Time:
Observation Hole #1 Observation Hole #2
Depth of Perc -Tj Depth of Perc
Start Pre-soak //I O Start Pre-soak
Y V
End Pre-soak End Pre-soak
�L iI /9
Time at 12" Time at 12"
Time at 9" Time at 9"
Time at 6' Time at 6"
Time(9"—6°) Time(9"—6")
Rate Min/Inch ‘,'1 Rate Min./Inch
w
'minimum of I percolation test must be performed in both the primary area AND reserve area•° n • ••
Performed by Performed by
Witnessed by I Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Location Address or Lot# H, 9 Owner
Depth from
Surface(Inches)
-
Date l�
��J`�
Time
/' _
' �/ S
!Owner's
Address
— �-7
1 J�`^�
�0 _
Engineer i ff ;.k_ T' Y`
Weather
/
Phoni
Land Use
I Depth to Bedrock I % 117 sv
0%Slope
I Weeping from Pk Face
Surface Stones
Landform
V-•etation
Distances
Start Time
Stop Time
Position on Landscape(sketch an the back)
Open Water Body
feet
Drinking Water Well
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG'
Deep Hole II: I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soa Horizon
Soil Texture
(USDA)
Soil Color
(Murrell)
Sol
MotIGrg
Other
(Structure,Stones,Bathers,Consateray,%Gravel)
d:
l�U\Er
1
k
, r � r
(
/ll 6 N'
I
Parent Matta](geologic) I rt&,'k
I Depth to Bedrock I % 117 sv
Depth to groundwater. Standing Water in the Hole
I Weeping from Pk Face
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
Deep Hole#: xMINIMUMOFTWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Sudace(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(SWcture,Stones,Boulders,Consistency,%Gravel)
d:
l�U\Er
1
'F.''f
v
, r � r
I
Parent Matdal(geobgk) I I Depth to Bedrock I / /61
Depth to groundwatec Standing Water in the Hale
P a Face
I Weeping from I
Estimated Seasonal High Ground Water