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
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//
SEE
0
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0 �/
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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