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511 Soil Eval Form 1998 1Y FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot Igo. 'S(./5 <<l v( UC '(rLL K d On-site Review Deep Hole Number /) ' %. Date: CP11(2f3 Time: H OM Weather 6C1..L4L Location (identify on site plan) See (J i') Land Use coo-wk Slope (%)0 -a Surface Stones - . Vegetation Fe i Landform Position on landscape (sketch on the back) S4.< _;Lcf C.h Distances from: Open Water Body >/00 feet Drainage way ^"id feet Possible Wet Area >/00 feet Property Line A//4 feet re de Era-vey�. Drinking Water Well '>/00 feet Other DEEP OBSERVATION HOLE _06 Depth (tom Surface (Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling (2 S`- LS i0'1r?3)3 ioN SA, a,;‘i 5)3 &Lore wn /ter, a w 9/6 Other (Structure, Stones, Boulders, Consistency, % Gravel) S(A\) cs)'b lzq.):Sot ) ,o 'C MINIMUM OF 2 HOLES HEUUIHEL A7 VEHY PROPOSED DISPOSAL AHEA Parent Material{geologic) . ,[( 1-1(1 LSLA Depth to Groundwater: Standing Watelln the Hole: 90", '� v Estimated Seasonal High Ground Water: 30 sj�+ IWP APPROVED FORM-11/07/95 DepthtoBedrock:/Oy u /QQ " Weeping from Pit Face:dG c2(Pt. v-cv Teel Lvwel I C1 a y - , No. FORM I1 - SOIL EVALUATOR FORM • Page 1 of 3 Commonwealth of Massachusetts /UOrl'horvlM O, Massachusetts of uitabili Assessment or On- ite ewa Performed By: (' 1 i c h � ,, u\Q{r t Witnessed By: px�� me-EA\6k <}L5 Date: -7»7I 8 eif. load Date: CPR/9:43f 2Ja 1/78 �. /of / 5v16c_ s -er Kd New Construction ® Repair ❑ Ort. ^e7; Zaw�4 cK iekphone 5-ti 5(4/Ve Stilt d. sisti -yi(0a Office Review Published Soil Survey Available: No ❑ Yes ❑ Year Published Drainage Class Publication Scale Soil Limitations Surficial Geologic Report Available: No ❑ Yes ❑ Year Published .............. Geologic Material (Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No ❑Yes ❑ Within 500 year flood boundary No ❑Yes ❑ Within 100 year flood boundary No ❑Yes ❑ Wetland Area: National Wetland Inventory Map (map unit) Wetlands Conservancy Program Map (map unit) Publication Scale Soil Map Unit Current Water Resource Conditions (USGS): Month Range :Above Normal ❑Normal ❑Below Normal Other References Reviewed: DEP APPROVED Fo0.N• 1:mDD9S FORM 12 - PERCOLATION TEST Location Address or Lot No. SUS Sci f l;g Sh A iI a 9. COMMONWEALTH OF MASSACHUSETTS A L- pZoi-- , Massachusetts ' Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ Performed By: `Mx ja .)fc Witnessed By:' R-k_q ti V"ACEn\anti Comments: . ... _.. DFP APPROVED FORM-12/07/95 Percolation Test' Date: gi Q \q H Time:. Q Tr _. . Observation Hole # 1 P-1 P Depth of Perc ,, Lid LII\ Start Pre-soak End Pre-soak lo ' o3 11 . 1 o Time at 12" /O 0 '3 11 18 Time at 9" Time at 6" Ib 11 . 31 Time (9"-6") Rate Min./Inch <3�1 Q nuv., J „nc k � ` 1 'on vin 11 /V1C)i ' Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ Performed By: `Mx ja .)fc Witnessed By:' R-k_q ti V"ACEn\anti Comments: . ... _.. DFP APPROVED FORM-12/07/95 FORM I1 - SOIL EVALUATOR FORM Page 3 of 3 Location Address or Lot No. 595 SyLCCOt.eAirt Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑ Depth weeping from side of observation hole inches El Depth to soil mottles 30,38 inches ❑ 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? �cJ If not, what is the depth of naturally occurring pervious material? Certification QV I certify that on k±x) Q7 (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- 12/07/95 Date 0AA SE E M N N »4 // SEE 0 0 SO 0 �/ s' 0 JO at ^O / HORSE 1�` 3e ,� STALLS ^ -,7 ^) ! / // • O ..,-/,SUGAR / i' ° a o�// V HOUSE i c DIRT DRIVE �y ti '`/ I -_ _ — - -- / 15108' „ E ,'i831 •oe° E N 88° 27' 38 6% LOT 1 W 6.088 ACRES G s % SHED HOUSE J S stool GARAGE P� yb 634.801 N81° 59' 01" W v • N81° 5 N/F JOHN 8 ANDREA SULLIVAN 2779/43 9 44 APPROVAL REQUIRED NORTHAMPTON BOARD SUBDIVISION CONTROL LAW. DATE: 27