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297 Soil Suitability Assessment & Perc Test 2014 (Lot 3) Commonwealth of Massachusetts a City/Town of Florence ra tr._AI' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information John Ewing Owner Name 297 Old Wilson Road # 1 Ad Street Address Map/Lot# Florence MA 01062 City State Zip Code B. Site Information 1. (Check one) Z New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: USDA-Hampshire CO.-Central part PcB Source Soil Map Unit Raynham series High seasonal high water table, slow pert Soil Name Soil Limitations 3. Surficial Geological Report Available?❑ Yes ® No If yes: -- — — - Year Published/Source Publication Scale Map Unit glaciolacustrine deposits(old lake bed) Geologic/Parent Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ® No Within the 500-year flood boundary? ❑ Yes ® No Within a velocity zone? ❑ Yes ® No 5. Wetland Area: Wetlands Conservancy Program Map Map Unit Name 6. Current Water Resource Conditions(USGS): Monthnear Range: ❑ Above Normal ® Normal ❑ Below Normal 7. Other references reviewed: USDA-Soil Survey of Hampshire County, Massachusetts-Central part _ _ Commonwealth of Massachusetts ll -_ v City/Town of Florence hdt Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: # 1 -Front May 6, 2014 1:00 pm Clear of Lot Date Time Weather 1. Location Ground Elevation at Surface of Hole: TBD Location (identify on plan): See plan 2. Land Use Agricultural field None 0%-5% (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Upland trees-grass glaciolacustrine deposits See plan Vegetation (old lake bedL _ Position on Landscape(attach sheet) > 100' 150' < 10.0' 3. Distances from: Open Water Body feed -- Drainage Way feet Possible Wet Area feel Property Line 35' Drinking Water Well N/A Other - — feet feet feet 4. Parent Material: Silt loam Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ❑ Fill Material ® Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ® Yes ❑ No If yes: Depth De" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 22 inches elevation Commonwealth of Massachusetts 9 City/Town of Florence • A Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: F UlTt # 1 -UNSUITABLE Redoximorphic Features Coarse Fragments Soil Horizon!Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist lMunsell) &(USDA) Cobbles Structure Consistence Other Depth Color Percent Gravel (Moist) Stones 0-16" A 10YR/33 N/A SL Friable moist Dk. brown 16"- 30" B 5Y 5/4 22" Silty Additional Notes: Commonwealth of Massachusetts City/Town of Florence ti' Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal FI- Jz C. On-Site Review (continued) Deep Observation Hole Number: 2 __ _ May 6, 2014 _ 1:30�m Clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: TBP---- - Location (identify on plan): - - ----- - 2. Land Use Agricultural field (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Upland trees-grass glaciolacustrine deposits _see plan Vegetation (old lake bed) Position on Landscape(attach sheet) > 100/ > 50' > 100' 3. Distances from: Open Water Body feet Drainage Way feet Possible Wet Area feet Properly Line 20 Drinking Water Well N/A Drinking N/A feel feet feet Silt loam 4. Parent Material: — - - -- - -- ------- Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes 111 No If yes: Depth Depth Depth Weeping from Pit Depth Standing Water in Hole 22 TBD Estimated Depth to High Groundwater: _ inches elevation SN Commonwealth of Massachusetts T r, City/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 2 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture Y.by Volume Soil Soil Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0- 12 A 10YR 3/4 N/A SL N/A N/A Fine Friable Dk. brown 12"-24" B 2.5YR 4/4 28" 7.5YR 5/8 > 5% SL N/A N/A Silty Friable Yellowish 24"- 96" C 5Y 4/3 VFSL N/A N/A Silty loose Olive brown • Additional Notes: Commonwealth of Massachusetts City/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) Deep Observation Hole Number: 4 May 6, 2014 3:00 pm Dear Date Time Weather 1. Location Ground Elevation at Surface of Hole: TBD Location (identify on plan): See plan 2. Land Use Agricultural field None 0%- 5% (e.g.,woodland,agricultural field vacant lot,etc.) Surface Stones Slope(%) Upland trees-grass glaciolacustrine deposits See plan Vegetation (old lake bed) Position on Landscape(attach sheet) > 100' 150'_ _ < 100' 3. Distances from: Open Water Body feet Drainage Way feet -- Possible Wet Area teat Property Line 35 Drinking Water Well N/A Other feet feet feet Silt loam 4. Parent Material: ----- Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ❑ Fill Material 0 Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ® D Yes ❑ No If yes: ep De" Depth Weeping from Pit Depth Standing Water in Hale 28 TBD Estimated Depth to High Groundwater: inches elevation Commonwealth of Massachusetts Ck ity/Town of Florence —: Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal a C. On-Site Review (continued) Deep Observation Hole Number: #4 - - Redoximorphic Features Coarse Fragments Depth(in.) Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles 8 (Moist) Stones 0-16" A 10YR/33 N/A SL N/A N/A Friable moist Dk. brown 16"-32" B 2.5YR 4/4 28" 7.5/8 > 5% SL N/A N/A Silty yellowish 32"- 96" C 5Y4/3 Silt loam N/A N/A massive Firm Olive brown Additional Notes: Commonwealth of Massachusetts City/Town of Florence 1 e Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: 5 May 6, 2014 3:30 pm Clear Date Time Weather 1. Location Ground Elevation at Surface of Hole: TBD Location (identify on plan): - - -- ---- - - --- 2. Land Use Agricultural field (e.g.,woodland,agricultural field,vacant lot.etc.) Surface Stones Slope(To) Upland trees-grass glaciolacustrine deposits see plan Vegetation (old lake bed) Position on Landscape(attach sheet) 3. Distances from: Open Water Body ' 100/ Drainage Way 50 Possible Wet Area f 100' feet feet feel Property Line ket Drinking Water Well eetA Other feetA-- - Silt loam 4. Parent Material: — - -- Unsuitable Materials Present: ❑ Yes 121 No If Yes: ❑ Disturbed Soil ❑ Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed: ❑ Yes ❑ No If yes: 36" _ 96" Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: 28 TBD inches elevation Commonwealth of Massachusetts City/Town of Florence FI= Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: _ # 5 Redoximorphic Features Coarse Fragments Soil Horizon/Soil Matrix:Color- (mottles) Soil Texture %by Volume Soil Soil Depth(in.) Layer Moist(Move//) (USDA) Cobbles& Structure Consistence Other Depth Color Percent Gravel Stones (Moist) 0 - 16" A 10YR 3/4 N/A SL N/A N/A Fine Friable Dk. brown 16"-32" B 2.5YR 4/4 28" 7.5YR 5/8 > 5% SL N/A N/A Silty Friable Yellowish 32" -96" C 5Y 4/3 VFSL N/A N/A Silty loose Olive brown Additional Notes: Commonwealth of Massachusetts City/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: ® Depth observed standing water in observation hole A. 96" B. 96" inches inches N Depth weeping from side of observation hole A. 30" _ B. 36" inches inches ® Depth to soil redoximorphic features (mottles) in 22 in nches inches A. 22" Groundwater adjustment(USGS methodology) inches in es —- B. 28 -– 2. Index Well Number Reading Date Index Well Level Adjustment Fodor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. 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 ❑ No b. If yes, at what depth was it observed? Upper boundary: inches Lower boundary: 96nes Commonwealth of Massachusetts ll.Q, `i VCity/Town of Florence Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. May 22, 2014 Signature of Soil Evaluator Date Timothy Maqinnis SE# 1454 November 1994 _. Typed or Printed Name of Soil Evaluator/License# Date of Soil Evaluator Exam Edward Smith Northampton Name of Board of Health Witness Board of Health Note: In accordance with 310 CMR 15018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and to the designer and the property owner with Percolation Test Form 12. Commonwealth of Massachusetts a City/Town of Florence f Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: • 2 tegii 1 ,iy DoT 4-I TC 61 I I - _ U ,�� Commonwealth of Massachusetts City/Town of Florence jPercolation Test Form 12 ant: 1lling out in the ter, use 3 tab key e your -do not return Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. A. Site Information John Ewing Owner Name Lot# 1 -Florence Road Street Address or Lot# Florence MA 1 City/Town State John Ewing (413) 326-3510 Contact Person(if different from Owner) Telephone Number B. Test Results Observation Hole# Depth of Perc Start Pre-Soak End Pre-Soak Time at 12" Time at 9 Time at 6 Time(9°-6") Rate (Min./Inch) Timothy Maginnis Test Performed By: Edward Smith Witnessed By: Comments: This perc test to accompany previous pert test by Michael Mocko Environmental Consultant 05/12/2014 Date #5 32" 1:30 pm 1:45 pm Time 01062 Zip Code Date Time 1:45 pm 1:51 pm 2:00 pm 9 minutes 3 mpi Test Passed: Test Failed: ❑ Test Passed: Test Failed: n12.doc•06/03 Perc Test•Page 1 of 1