140 Septic Soil & Perc Tests `. i" vb. wvliENYIRCivMENTAL
CONSULTANTS INC.
ALAN E.`NEISS,M g L-
Licensed Site Professional
Registered Sanitarian
Hydrogcologisl
Presidcnl
350 Old Enfield Rd.
acicbcnown MA 0/007
(413)323-5957&323-4916(FAX)
-Subsurface In vestigasions
*21E Site Investigations
•Pollution Remediasion
Percolation Tests and
Septic Designs
FORM 11 - SOIL EVALUATOR'FORM
Pagel of 3
Commonwealth of Massachusetts
kkleny arra , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: 4 (Al e s s Date: 6//z/0 t
Witnessed By: MCEaLAfsJ
Date: 6Azhc
L La,ne&.,■or 140 S tr Flit-
/
New Construction C Repair L7
(SC.'',N..4
Amos ,m
r.tep1orc
Hae,,AQn R YBO Li-
Rid FRIG S7 ExT-
in/6R ri Ayo pro u, MA evo
'4/3 51/5-92&g
O(iice Review
Published Soil Survey Available: No
Year Published
Drainage Class
Yes
Publication Scale
Soil Limitations
Surf-leis! Geologic Repoli Available: No 1P Yes
Year Published
Geologic Material (Map Unit)
Landfomr
Flood Insurance Rate Map: R?-
es500 year flood boundary No UYes
Within 500 year flood boundary No ❑Yes
Publication Scale
Within 100 year flood boundary No _Yes
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map u
Current Water Resource Conditions (USCS): Month
Range :Above Normal ❑Normal R elrw Normal
Other References Reviewed: --
DEP APPROVED PO Rft. ]/07/95
Soil Map Unit
rP-
P_(
FOR11 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No(Yo
i A2 ST EK-(.
On-site Review
Deep Hole Number P Ci-(
Date: z loz
Location (identify on site plan)
Land Use RJ(LI Q1454
Vegetation Pt 3g Slope (%).__L___Surface Stones d_.. 6��
Landform /era re
Position on landscape (sketch on the back
Distances from:
Open Water Body feet
Possible Wet Area _Batt feet
Drinking Water Well (De 4. feet
Time: S:o0
Weather au >5 7p i
Drainage way SDI feet
Property Line W-1 feet
Other
Depth from Soil Horizon
Surface (Inches; Soil Texan e Soil Color Soil
(USDA) IMUnselp Mo¢lin Other
6 (Structure, Sfones, 'Boulders, Consistency, SH
Gravel)
O -z8 " Ap6u ) ,SSG
LS
petpc-,I l it z F-5 L
Parent Material(geologic) w:, -r;;t Af Wft, -g
1f VC
Death to Groundwater- Standing Water in the Hole: /V01
Estimated Seasonal High Ground Water:
DEP APPROVED FORA(-t10A95
OepthtoBedrock: //Z '/ �!
Weeping from Piz Face: P
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
gel t)
Location Address or Lot No. Purr 57 -CA-I
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole
7 Depth hole .. inches
weeping de of observation hole inches 7�e jt nch e 7 Ground watte adjustment feet
Index Well Number Reading Date . Index well level
Adjustment factor Adjusted ground water level
Depth of Naturally Occurring Pervious Material
Does at least four feet of natural) occurring throughout the area proposed for the soilabsorptionr�system?in If 5areas
If not, what is the depth of naturally occurring pervious material?
Certification
•
I certify that on We-Pi 9`i (date) I have passed the soil evaluator examination
approved by the Department of Environmental Protection and that the above analysis
was performed by me consis ent with the required training, expertise and experience
described in 310 CMR 15.0 7.
Signature
DEP APPROVED FORM-12/07/95
ate i/PZ-
Location Address or Lot No. qtr i. r-Y_L.
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
NI" 14 t , Massachusetts
Percolation Test`
Date: cll'L`¢.L Time:. 9,06 Am_
Observation Hole #
Depth of Perc
(Ii"
Start Pre-soak
R: 33
End Pre-soak
4;y`6
Time at 12"
9 W
Time at 9"
loJO
Time at 6"
i 0'A0
r'f
Time (9"-6")
Rate Min./Inch
10-
' Minimum of 1 pe colation test must be performed in both the primary area AND
reserv�a.
Site Passed Site Failed ❑
Performed By: A, Lov1/25
Witnessed By: P. Pit Gillet;.
Comments: ........_ _._..._...
DEP APPROVED FORM-11/07195
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.3m 'S3LYIOOSSV ONY NO1Y3 1 0108`01 J '� C�
£661 'LL naeic 30 '�
rCCI=.l :3'P/3S ''-
VOId M30Y21'13
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5WSON3VSSVN NpiaNVRfON ��
-LYld NOUO3dSNI NVO1 BOYS/SOH-
A3A2IOS ALU3dOUd V 311111 SNOO 10N S300 ONY
A1NO SSOdyfd NYOI 30MJ(tl011 8103 1Yld SIHL � /
-310N- vWs• 1[Yrrrit�1 '.2pA3ANOS
a01 Sdvll 33NYUNSNO 00013 lvaaQ33 NO NMCILS SY 119805 C__/ d 00014
MOM 03LVOO1 SI ALN3d0Nd 31411YHL SUOdiU U3HLUfJ3 1 OXON SY 1d3OX3
'SINI7101 380 NIHLYA 11324LN3 3UY SOM411919 3141. !YHL ONY NMOHS SY 0N11080 3141
NO 031V301 38y SONI01918 ONY S1143113yOj3 Sltai$Y3 11Y NOILV1N3yU1NOM
ONLLSL3 NO 035V8 0NY S3SI1138d 3HL 03NU8W%3 3AVH 1 1YH1 180d381 A83213H 1
ANVaw03 a314VansNI a'ILI3 NV3Ia314Y 1Sald
QNY NOI1VN0d1100 3OV01a0N OYNOISVN SawyIJOSSV +OS
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in U-
N1SNSI13
'030110038 38 011011 SI ONY A3MIOS
3LV31103Y NV 5Y O3f1285NO3 38 01 1014 SI ONV S33 JnQ$
213HWO ONV SNY1d 10330 VWUi 031df03 511Vld SIHI
PERCOLATION TEST(S)
Time: 1 Time:
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
Start Pre-soak - Start Pre-soak
End Pre-soak End Pre-soak
Time at 12" (- Time at 12"
Time at 9" j..� Time at 9"
Time at 6" - Time at 6"
Time(9"–6") Time(9"–6")
Rate Min/Inch Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
SITE SITE , SITE I I SITE
PASSED — FAILED r 1 PASSED FAILED
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH— Title 5—Site Review
i
Donlon onandamape
a�nbok)
sit
feet
feel
feet
Deep Hole#:
DEEP OBSERVATION HOLE LOG*
"Alwr,:uul of n:�Q HOLES �RLOUIHen.a EVLh1 PROPO: o POS.AL APEA
Depth from
Surface(Inches)
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure.Stones,Boulders,Consistency,%Gravel)
dI _
I
—7
7
Parent Maternal(geologic) 1
Parent Material(geoogic) 1
Depth to Bedrock 1
Depth to groundwater. Standing Water in the Hole
1 Weeping from Pd Face
Es Seasonal High Ground Water
Estimaffitl Seasonat,Hgh Ground Wet&-' '`
Deep Hole#: A—
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soil Horizon
Sod Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
..
dI _
I
—7
7
Parent Maternal(geologic) 1
Depth tpptddrMwater,S,tandi(M WaterinUleKHde.:.
. ' from Pit Face:'1
Estimaffitl Seasonat,Hgh Ground Wet&-' '`