589 Septic Soil & Perc Tests Location Address or Lot No. .5 S r I t,c^«
FORM 11 - SOIL EVALUATOR FORM
Page 3 of
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ depth weeping from side of observation hole inches
-1P- I 24"
Depth to soil mottles inches
'rP• Z ZG"
❑ Ground water adjustment feet
Index Well Number
Adjustment factor
Reading Date Index well level
Adjusted ground water level
Depth of Naturally Occurring Pervious 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? Yes
If not what is the depth of naturally occurring pervious material?
Certification
I certify that on 4-29-97 (date) 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 CMR 15.017.
Signature% �^^'^'r""" Date 9.44-i-e. 3, 2003
DEP APPROVED FORM• 13/07/99
HILLTOWN ENVHtONYBNTAL CONSULTING
P. O. BOX 226
NORTH HATFIELD,BA 01066
(4151247 5464
HILL TOWN ENVIRONMENTAL
CONSULTING
P. O. BOX 226
NORTH HATFIELD, MA 01066
(413)247-5464
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date:
Commonwealth of Massachusetts
Nor4 r,P+,„ , Massachusetts
Soil Suitability Assessment for On-site Sewaee Disposal
Performed By: M°"k—T-""f so n
Witnessed By: Ptk '' M` �rluin
Date:7.,e- 3, 2003
Ss9 riDrenre- 2044 —/
New Construction ❑ Repair L�J
CAM el.ll.ne. Ke��9.�r;scoll
Ad."..and 5139 Fiorc„c.. f2„.,4 Rte, Flo,..,« NIA olaz
6537- iota
Office Review
Published Soil Survey Available: No ❑ Yes Etz
T D
Year Published 1981 _, Publication Scale I : 10+0__. Soil Map Unit Pc C Cp K:
Drainage Class Well -)" re-ci Soil Limitations Per s lowly
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit) - - -- - -- - -Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No r❑Yes
Within 500 year flood boundary No ,1,���r//es ❑
Within 100 year flood boundary No L"JYcs ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month M a) Z003
Range :Above Normal ❑Normal aBelow Normal ❑
Other References Reviewed:
DEP APPROVED FORM-13/07/95
rim dnT+:;(;ii:Pl'- r"1II /
PERCOLATION TEST(S)
Time: I y ; / I Time:
Observation Hole #1 Observation Hole #2
Depth of Perc / Depth of Perc
CN) Start Pre-soak ( Start Pre-soak
End Pre-soak End Pre-soak
Time at 12"
///' Time Time at 12"
Time at 9" /() Time at 9"
Time at6" /,q V ( C Timeat6"
Time (9"-6") � ' , Time(9"-6")
/C
Rate Min./Inch /- Rate Min./Inch
'minimum of 1 percolation lest must be performed in both the primary area AND reserve area.
SITE SITE T`:? r$ $.:-^ SITE
PASSED? FAILED ,FAILED
Performed by 01 6.911. , A.,-/-1 Performed by
Witnessed by l w Witnessed by
Comments:
-J
NORTHAMPTON BOARD of HEALTH— Title 5 S"
— !ac rtCVICW
Location
DEEP OBSERVATION HOLE LOG*
*MINI t.Him OF TViO HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA
Address of LOt#,
1( �'v.✓ /_V'
,,
.�, DI✓"4t' ra_ .. /
` y p
'flats
Soil Texture
USDA
( )
9
a v'R��i
Engineer
/ V
—
.Land Use
;-
C
s'y • •�
a£-4 .'.r.:in9 •'='-s
Vegetations -
Parent Material(geologic) I {`[leptl��fo`i3i!dmdc'°�
f»l�ndform'
�55
P($kg0(Cf10 W C) e
Depth to groundwater:Standing Water in theligle-.
Startjlra c
I'V^l�p
Ring from Pit Face I 36
And alinedlt
Esfuj{ated Seasonal Higfi'GrWnd Water 9.-f-t
..: I ,5�0'. .-: `= ? Yew" Fmx j--+•e<a
L--f ns 7r _
I v}'*i" .r-
Open Wafer
. 13004.,
PossibeLeetArea
feet
F
I._
riti
feett
I
feet UranppeWey
eel ly n ..
i
Deep Hole#:
Depth from
Surface(Inches)
DEEP OBSERVATION HOLE LOG*
'MINIMU 1 OF TWO HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA
Soil Horizon
-i
Soil Texture
(USDA)
Soil Color
(Mansell)
LS
-3 • ;- sit r-
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
Deep Hole#:
DEEP OBSERVATION HOLE LOG*
*MINI t.Him OF TViO HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
USDA
( )
Soil Color
(Munsell)
Soil Mottling
Other
(SWC re,Stones,Boulders,Consistency,%Gra
6
i
I
C
7 / - AA
�. ` c �
� � '
p/ rte/e
velL
/
l
L a ?Ar
to
Parent Material(geologic) I {`[leptl��fo`i3i!dmdc'°�
Depth to groundwater:Standing Water in theligle-.
7 0
L
I'V^l�p
Ring from Pit Face I 36
Esfuj{ated Seasonal Higfi'GrWnd Water 9.-f-t
_?
Deep Hole#:
Depth from
Surface(Inches)
DEEP OBSERVATION HOLE LOG*
'MINIMU 1 OF TWO HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA
Soil Horizon
-i
Soil Texture
(USDA)
Soil Color
(Mansell)
LS
-3 • ;- sit r-
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
•
FORM 12 - PERCOLATION TEST 1
Location Address or Lot No. 239 Flo ren<c Roao�
COMMONWEALTH OF MASSACHUSETTS
�or �o,..,e , Massachusetts
Percolation Test'
Date: 613 /03 Time:.
Observation Hole # P- 1
Depth of Perc 4-Z "
Start Pre-soak
q ; 5o
End Pre-soak 10 : 05
Time at 12" 10; 0-1
Time at 9" I
Time at 6" I0 '.29
Time (9"-6") 14 M i a
Rate Min./Inch S M„-1/i ,--1
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed a y Site Failed ❑
Performed By: n" `a.
i' k 1 i ov.pse
Witnessed By: e+er McE.- (a•".
Comments:
REP APPROVED FORM-12/09/95
HD.LTOWN ENVIRONMENTAL CONSULTING
P. 0. BOX 226
NORTH HATFIELD,MA 01066
(413)247- 5464
Ka :,,-1).-..5,- II '
589 Rotencc RoaJ1 rlortr<e.
On-Site Review On-Site Review
Deep Hole Number r(P-I Date: 6/3/o3 Time 9i+5 Deep Hole Number IP'2_ Date: (.0/3/c3 Time 10 i1
Weather 5�-ny bP•o Weather A,,.,..y Go.
Location(identify on site plan) Location (identify on site plan)
Land Use EA'.,e( 'Awe./wooAS Slope (%) 7-8 Land Use \J, J5 Slope(%)
Surface Stone Dec, B0..td.,� Surface Stone Dec. Tao-Ir.V e
Vegetation: Vegetation:
&a-asc , M..ek, A5‘1 G-c,55 MoRIe. ,As L.
Landform: Landform:
Kam- T. e_
Position on Landscape (sketch on back) Position on Landscape (sketch on back)
Distances from: Distances from:
Open Water Body 2n0* feet Drainageway 1°o feet Open Water Body zoo* feet Drainageway loo+ feet
Possible Wet Ares loo• feet Property Line feet Possible Wet Ares ,00 feet Property Line__feel
Drinking Water Well zoo 4 feel Other Drinking Water Well z_. feet Other
DEEP OBSERVATION HOLE LOG DEEP OBSERVATION HOLE LOG
depth from soil horizon soil 'Sore) soil odor soil mottling other degb Worn soil horizon soil textural soil color sal mottling other
surface (USDA) lnanse9 (Structure,stones.boolders) surface (USDA) (sallsel) (structure,stares.boulders)
(lathes) c Consistency %gravel finches / Consistency %graver
AfSL IovR3/z• Nonc +e,Y r^•laic. ,,,.,b 0 _8" A } SL Io YR III Non very -1.sLle•c...6
a61c S 2.SY5/M None -Pr,aL1�
8' 22 Bw SL Z.SY S�Ir Nr ov. I4c.tL ; 8'ZZ,• lo/g•a.,e.1.,,b645
svol
Z2- 108 5 2.cv5 3 22-84'• GI lr5 25y5/3 gv �� .,e-y -�r;Sl>
G Sy 7/‘ ,sidle ` ` I°-� y•a..
__r 0 zb c.661.s, b.-1.t6-c
IoYR 414o 10- 20% 9...e1 89--108"
e.661St Gz c c 3/4 None
e.
.. 5444 I,1ac61
Parent Material (geologic) 6a4..._c r Parent Material (geologic) 0M 4wo et.
Depth to Bedrock None, Depth to Bedrock None_
Depth to Groundwater : Depth to Groundwater :
Standing Water in the Hole 70'' Standing Water in the Hole eb"
Weeping from Pit Face 36,'• Weeping from Pit Face 33•'
Estimated Seasonal High Water 24- Estimated Seasonal High Water Z6"
•