666 Soil Survey Documents 1997 No.
1
C
FORM 61 - SOIL EVAL ATOR FORM
Page 1 of 3
Commonwealth of Massachusetts
v2ia-timnp7O0 , Massachusetts
abi ' Assessment or On-site Sewa
Performed By: —7 ,uJt&y E.MFICW.WAI+S jS ,
Witnessed By: PEJER
M e 6P-LA N —HEA°T 1 4603?
- m Lo74
w. 666 AJCGLTH ems PG
No27HRnp7f�).) NIA
New construction [C3J Repair ❑
Office Review
P bl� h d Soil Survey Available' No ❑ Yes 2"
Date: 3--14- 9/
Dis osat
Date j'/3- `��
� , •^ . t - RILC,- 6o& S, -S -
666 / &7+i' ricros /2O,
A 'Ol �fl ny)%Ow, Mfg (2/ak '
E11) 5)6C - 0257
u ISe or
Year Published /98
Publication Scale t =a'mit< ,Soil M u
;,p Up
ii
Class m+ 0. nrt /11t�
/4-?I . Soil Limitations 2-cc a AA✓r-6;V
Surfcial Geologic Report Available'No ❑ Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landform p f G - ,` C..
Flood Insurance Rate Map: r/
Above 500 year flood boundary No ❑Yes I�
Within_SOO year flood boundary No 2/Yes ❑
Within 100 year flood boundary No ❑Yes ❑
Wetland Area:
National Wetland Inventory Map (map unit)
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range :Above Normal Normal • ❑Belc'v Normal ❑
Other References Reviewed: --
UFY AYYKOVEO FORM 11.0719S
FOR\I 11 - SOIL EVALUATOR FORM
Page 2
On-site Review
Deep Hole Number /- Date: ± )/10°P44 Weather LTL�R/i,obP
3-13 -% / llme:
Location (identify on site plan) _ /5 ' 5orT4 aT 5P " Fu4rek
Land Use VgCanii Slope 1%g'-/4 /°Surface Siones F&c3
Vegetation UPLryup I2(zc-;1 — o(tK , p,ut x his T?-c.c .Ca.)f(.,_6/ZASSGTS:
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body 7/00 feet
- Possible Wet Area 7/00 feet
Drainage way feet
Property Line -` 15 feet
Drinking Water Well ' Zoo ` feet Other
•
DEEP—
OBSERVATION HOLE LOG
Depth nom Surla •
_ -
Sod Horizon
Sol Tenure
IUSDAI
Sml Color
.IMunsele
Sol Mottling.
(Stmctuu, Stones. aouWUS,
Conssreency. % Greve(:
il
O ' / /
r,
/i a(
af 132
A
a
d
$Ridgy
Loo
SRUp
Lo R
��
/°v -312
loy���G
/Dy24/s
ti/,4
Njr9
till(
/ede/jy • 026PenL
ntR77•R
�flu) s f,ti< <
F24ACr-
/u `7, Rye,
Parent Material (geologic)
�s LLi
Depth to Bedrock: N /A
peoth to Groundwater: Standing Water in the Hole: NOA)L Weeping from Pit Face: /4/1,L)
Estimated Seasonal Hign Ground Water: % /o / CAIOAJE ✓(;SCR VE12)
FORM 11 - SOIL EVALUATOR FOR\1
Page 2
On-site Review
Deep Hole NumberI/`Z Date: -(, - q7 Time: 't 1;CO ('/ l Weather eLCFrIC7,,L{0
Location (identify On site plan) 05' fgn+4 C& jTeR- aF 3j6AJ6. (in(L
Land Use _VRGAN 1 Slope 1%)(3. 10 /UBurface Siones FE 0-)
Vegatiiion UPLA'O flRt�l�rT- dairy PiME, CLOAK, X-M4:c$ ll2F.v5J 6:e 4555
Landform
Position on landscape (sketch on the back) NU-15:3020,Q °F `O
lc) FP
Distances from: /
Open Water Body feet Drainage way feet
Possible Wet Area 2/6)D feet Property Linel27-y feet
Drinking Water Well >Zpp r feet Other
DEEP-OBSERVATION HOLE LOG
Depth from Sullac•
[Inches]
SOd Horizon
Sod Te[lula
IUSDAI
Sod Coil.
,IMunselll
5011 Monhna
Other
(Structure, Stones. Booker*,
GODS■SIenCV. % Gravel:
O — la "
12 -,20, ,,,
aa ' '-ZO 1
A
a
C
1
SRUpr'
5aet41
do/hp,
SILT'"
6 hul
/° %1z 3/z.
fp VA 346
3
/0 /A I
Aikt
M7,1
Ad/
/loafer (f2E,AAA C
FE.LJ JloNcs
AX CsRRvzC,
A'Li L Dc- ZS,
i
Parent Material (geologic)
�LL
Depth to Bedrock: N,/,41
pepth to Groundwater Standing Water in the Hole: %11 Weeping from Pit Face:
00
Estimated Seasonal H1gn Ground Water: /40/'+G c) 7SEK t2 )
FORM 11 - SOIL L.A ALL .-ATUIR FORM
Page 3 of 3
Location Address or Lot No. t'O r f - 66,(I, ktl.27 -/ iP.PfrC R'p/)c - A/cf—zTe n J
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole /1/ inches
ILI Depth weeping from side f observation hole /OS "inches
El Depth to soil mottles NR inches
Ll Ground water adjustment feet
Index Weil Number
Adjustment factor
Reading Date Index well level
Adjusted ground water level /U8
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? acs
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on ///qy- (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. -
DEP APPROVED FORM-12107/95
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
NORrl4M270TJ
, Massachusetts
Site Passed C✓ Site Failed ❑
Performed By: -
Witnessed By:
Comments:
E.
PAAGINNIS
No.987
HEtEt
NIT AP
—ITA..of ky E . MAkiNIJIS IBS
P R MC au..1)w - I-1ECE1-H A&DTA .
Es/c Mr JtK cit /Q 'tiFT
Cl.✓tSS 11L Sol u- /SMP-I- Rtuo ew&D
Percolation Test
Date:
3- 13 -97 Time:
L
/ 70 Pvl
Observation Hole #
Depthof Perc
� r
U// r
Start Pre-soak
/.. 10 f41
End Pre-soak
/.:25.-PM
Time at 12"
/ ; ZS PM
Time at 9"
/ _ 64 S FM
Time at 6"
2 /6 PM
Time (9"-6")
S IllikhilES
Rate Min./Inch
S 33
N Of
Jr/
a
nn7 Y n
Site Passed C✓ Site Failed ❑
Performed By: -
Witnessed By:
Comments:
E.
PAAGINNIS
No.987
HEtEt
NIT AP
—ITA..of ky E . MAkiNIJIS IBS
P R MC au..1)w - I-1ECE1-H A&DTA .
Es/c Mr JtK cit /Q 'tiFT
Cl.✓tSS 11L Sol u- /SMP-I- Rtuo ew&D
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
Noiz onproN , Massachusetts
Site Passed Site Failed ❑
Performed By: - Ath ki C 60,thj 1< ie 3' ._
Witnessed By: ps�� !MC"ERL6 /t3 — h&9C I f Abill
Comments: D6.-5/6,10 /S 44 PL - C U955ig �/ L
Percolation Test
Date: 3 '/3 - iQ Time: 2:00 Picli fi
Observation Hole #
:ff 9__
Depth of Perc
6 0 r'
Start Pre-soak
/ : 4OPM
End Pre-soak
/; 55-IM
Time at 12"
/: 55—PA/1
Time at 9"
o2 L c2O Pm
- -
Time at 6"
Time 19"-6"1
34' rn',UliTC&-
Rate Min./Inch
// 33 MP.Z
0, m ibottp
KA
Site Passed Site Failed ❑
Performed By: - Ath ki C 60,thj 1< ie 3' ._
Witnessed By: ps�� !MC"ERL6 /t3 — h&9C I f Abill
Comments: D6.-5/6,10 /S 44 PL - C U955ig �/ L
__kit FORM 12-PERCOLATION TEST
Location Address or Lot No.
COMMONWEALTH OF MASSACHUSETTS
,Massacbusens
Percolation Test'
Date: _._z. L t41
Observation Hole e /
Depth of Pere
Sten Pre-soak /V V
End Pre-soak V - r��
Time at tz• �� ,�,30 � w
reneat9 'a� I SAS /U / ; S $
lime et6' if 14
"� 1 ` b � ;
O Time f9•-6-1 �j( r it) D
Hate Min./Incb � ��' �
•reserve Mi umuem alt percoMtion test must be performed In both the
primary area AND
Site Passed ❑ Site Felled ❑
Performed By .
Wrorossed By:
Comments:
urenrm ar
/r
ii t
1
--_ _
On-ate Review
■ddress or Lot# w 'WtO 'J'---+,i - '0-'4 ,-.,
Number bze
3 I S 9- Time W -•(her ( %,. , { � '
on(identify on site plan)
Soil Texture
(USDA)
id Use
1 Slope(%) I I Surface Stones
etabon
Other
(Structure,Stones,Boulders,Consistency,%Gavel)
idform
A-
t Landscape(sketch on the back) I
Distances from:
later Body
feet
Drinking Water Well
feet
Property Line
feet
!Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
IN: - I MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
n
hes)
Sol Horizon
Soil Texture
(USDA)
Soil Color
(Mansell)
Sc il
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gavel)
A-
SL
SL
ii
)
,t, :ti
rd-
yb yi 4
4y /
Lt .
r
. . _
d't
'trial(geooglu)
1 1 Depth to Bedrock
I
1
Pi to groundwater Standing Water in the Hole
I
Weeping from PR Face
1 V*`!'
Estimated Seasonal High Ground Water
/h to omundwatec Standing Water in the Hole
10 1/46
DEEP OBSERVATION HOLE LOG*
e M: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Im
tes)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munson)
Sod
Monfort
Other
(Structure.Stones,Boulders.Consistency,%Gravel)
J
nn
e
r ,
j-W.VP4-
{ 14 ` ^�4�NA'
U�
/f . (
li '
atrial(geobgic)
1
I
Depth to Bedrock
1
1'
/h to omundwatec Standing Water in the Hole
10 1/46
1
Weeping from PR Face 1
1 t)Y
Estimated Seasonal High Ground Water
( Jr')