709 Septic Soil & Perc Tests F COLDSPRING ENVIRONMENTAL
CONSULTANTS, INC.
ALAN E.WEISS,
Licensed S;e Professional
L.S.P.
Hydr geol Sanitarian
Hysiden1 ogist
President
350 Old Enfield Rd.
5olchenown,MA 01007
(413)3234957&323-4916(FAX)
-Subsurface Investigations
21E Site Investigations
Pollution Renedation
*Percolation Tests and
Septic Designs
FOR11 II - SOIL EVALUATOR-PORN!
Page 1 of 3
Commonwealth of Massachusetts
Na2TNflw-P7aa , Massachusetts
Soil Suitabili Assessment or On-site Sewn e Dis i osal
Performed By: A UI ele"
Witnessed By_ P. N'c B2-U .M
Date: �131f(
to o0/1 Aee.ET;or
La r
` et Ptcrtrg va Q i
on A;
Vew Construction (_I Repair Ly'
Office Review
Published Soil Survey Available: No
Publication Scale hediea`Io
Stave Soil Limitations SP-4&.v°( Nt CA)
Surficial Geologic Report Available: No Ff S es
Year Published Publication Scale
Geologic Material (Map Unit)
Landfomt
Flood Insurance Rate Map:
Year Published
Drainage Class
Date: Csi13iot
cam. bEOQ(c,NIJ qq,t.�.+ )(ha FL:4NDp¢S
Rldreav
/
Tekp ore i 76 tZe&'cc /Ln
Wefn-I4MercLi, Ater..
010 ‘C
Yes 217
Above 500 year flood boundary No _
Within 500 year flood boundary No
Within 100 year flood boundary No
\Reiland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS) Month
Range :Above Normal 1 iNormal �rt�pelr..T Normal 1
Other References Reviewed:
Yes
L1��es
"Yes
DLP APPROVED FORM- '2107195
Sod Map Unit tPG C-
FORM 11 -SOIL EVALUATOR FORAM
Page 2 of 3
Location Address or Lot No. Req
Fri,cAcike-e. RD-
On-site Review
Deep Hole Number k 41- Date: �'1I'slol
Location (identify on site plan)
Land Use _ .a-1- _
Vegetation Slope (%),S_____Surface Stones 5001.6
. .t r
- Time: y`-cc
Weather SJN °:°ct
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body Welk feet
Possible Wet Area I6 '+ Property Drainage way (O' feet
C
Drinking Water Well IDO it feet Property Line /�/ feet
eet Other
il2w'.a
DEEP OBSERVATION HOLE LOG'
Sail Horton Soil Tema
(USDA)
Soil Color Soil
(Mansell) Mauling
(Structure, Stones. 3ulders Consistency, %
Gravel)
ic¢i4bC,
(.kr io,nnle,
SY2SI ��. FtK. MED -54. / c .ntc
tette,rciobLec tS1ors
Frslo Lt.
-10. °
fccd.4
noes/6
- (LH Keb . 58HDfTcc_
% C.vubd S-5 51tns
Parent Material (geologic) (p JILL.
Depth to Groundwater- S landing Water in the Hate: )7Z. t I le "
Estimated Seasonal High Ground Water: IoC f Gjz
rn ruse
DEP APPROVED FOA\I-12107195
Dephtoeedmck: /06i+
Weeping from Pit Face:
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. '70°1 FRorc.uz_ 49,
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole..... inches
H�
Sleuth weeping from side of observation hole .. . inches
"I Depth to soil mottles ba9*?vfnches
I Ground water 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 naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? ye 5
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on J°re Ss (date) I have passed the soil evaluator examination
approved by the Departrhent of Environmental Protection and that the above analysis
was performed by me consistent with the required training, expertise and experience
described in 310 CMR 15.01 .L
Signature
DEP APPROVED FORM- 12/07/95
Date L' /o
rm ALAN E.KISS
<, io REG. #933
Location Address or Lot No.
FORM 12 - PERCOLATION TEST
76? I e.ke& c e;
COMMONWEALTH OF MASSACHUSETTS
, Massachusetts
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed ❑
Performed By:
Witnessed By:
Comments:
P. ,KcEYLt✓"ni
DEP APPROVED FORM-12/01/95
Percolation Test'
Date: . (0/3J6t Time:,
Observation Hole
Depth of Perc
q(Ok 1�
Start Pre-soak
i6, 11
End Pre-soak
IC'.SS-
Cj V
Time at 12"
IC) 35-
Time at 9"
/O .S3
IL 27_
e
C '.
L
Time at 6"
Time (9"-6")
2'1 on, a
Rate Min./Inch
( D�
��
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed Site Failed ❑
Performed By:
Witnessed By:
Comments:
P. ,KcEYLt✓"ni
DEP APPROVED FORM-12/01/95
PERCOLATION TEST(S)
Time: lime:
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
Start Pre-soak R.? Start Pre-soak
End Pre-soak End Pre-soak
Time at 12" Time at 12"
- L
Time at 9' , ( Time at 9'
Time at 6" - Time at 6'
Time (9"—6') _ lime(9'—6')
Rate Min./Inch ( 0 i, i - Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
". ■ • • •
Performed by ,
Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5-Site Review
Location Address or Lot#
Owner
Date / 2 ,,
Time
Depth horn
Surface(Inches)
Owner's
Address
oo
/ G)7.
. .
Engineer
1
Weather
m r
Phone
Land Use
%Slope 1
Surface Stones
Parent matt(geologic) I 1 Depth to Bedrock 1 w r
Landform
1 Weeping from Pit Face 1 l .',
etation
Start Time -
PosNdhon (nkotontebacLJ
Distances Stop Time
Open Water Body
feet
Drinking Water Well
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
Deep Hole#:
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth horn
Surface(Inches)
Sal Hdimn
Sera Texture
(USDA)
Son Color
(MUrtw1�
Sod
Mottrg
Other
(Structure,Stones.Boulders,Consistency,%caved
m r
J '-
Parent matt(geologic) I 1 Depth to Bedrock 1 w r
Depth to groundwater, Standing Water in the Hole
1 Weeping from Pit Face 1 l .',
Estimated Seasonal High Ground Water
(--(,- •
DEEP OBSERVATION HOLE LOG`
°--r••°•°^•
MINIMUM Or trio UULESREQVIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sol Hearne
Sol Texture
(USDA)
Son Color
(Munson!)
Son
WON
Other
(Stnicture,Stones.Boulders,Consistency,%Gravel)
Parent Ma&ial(geologic) 1 1 Depth to Bedrock 1 > V
Depth to groundwater. Standing Water in the Hole
1 .Weeping from Pd Face i -'r.
Estmated Seasonal High Ground Water
"----- , ,