155 Soil Eval Form 2003 10.
FORM 11 - SOIL EVALUATION FORM
Page 1 of 3
Commonwealth of Massachusetts
Northampton, Massachusetts
Soil Suitability Assessment for On-Site Sewage Disposal
ormed by: Timothy E. Maginnis R.S, Date: August 25, 2003
e ssed by: Peter McErtain, Health Agent
ation Address: Westhampton Road - Northampton, MA. Owner's name'. Todd Cellura
#: # 165 Address: 135 Southampton, MA
construction epah Telephone # : (413) 527 - 8001
f Tice Review
ubtished Soil Survey Available:
ear Published: 12/81 Publication Scale
No
1/62500 Soil Map Unit: Mc
irainage Class: Excessive
:oil Limitations: percs fast, poor filter
Iurficial Geologic Report Available: Not referred to
Year Published
3eologic material ( Map Unit ): Sand
_andform: Glacial out wash plain
Flood Insurance Rate Map:
Above 500 Year flood bo.+rdary No
With,n 500 year flood boundry No
With:n 100 year flood boundary No
Wet land Area:
Naf,onat Wetland inventory Map ( map unit )
Wetlanos Eorservancy Program Mao ( map unit )
Current Water Resource Conditions (USGS): Month
Range: Above Normal Normal
Either References Reviewed: Soil Survey
Publication Scale
DEP approved form - 12/07/95
NO Yes
Yes
Yes
Below Normal
FORM 11 - SOIL EVALUATION FORM
Poge 2 of 3
Lcca tion Address or Lot No Lot # 165 - Westhampton Road - Northampton, MA,
Deed Cole Nanber # 1 Date 8/25/03 Time 10:00 AM Weather: Clear
Location( Identify on site plan) See plan dated August 28, 2003
Land hse: Existing hc,se
Si.ope; 1'L - 3" Surface Stones': Nore
Vegeta ion White oine, upland Hard wooa
Landform
Position on Landscape ( sketch of the back )
Distances from
Open Water Body > 100'
Poss c:e Wet Area: > 50'
Drinkng Water Well: N/A
Depth iron
( Hi
SOIL Horizon
DEEP OBSERVATION
Soil Texture
HELE
Drainage Way: > 50'
Property Line: 50' _t
Other. N/A
LEG
Sot Color SOIL
(MunseR) Mottling
Other.
( Structur6tones, Boulders,
ConsistencyM Gravel )
0"
tc
16"
O
Fill
N/A
N/A
riable, fine roots,
dark brown
16"
to
66"
C-'
FSL
2.5 Y
5/3
N/A
Friable, loose,
Rine
Silt Loam
2.SY
4/3
> 5% @
51"
firm, blocky
66"
to
1126"
2-2
7.5YR
5/8
@ 66"
M1NTMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material ( geologic ) fine sand, silt Depth to Bedrock: > 126"
Depth to Groundwater: No water Weeping from face: None
Estimated Seaso W High Groundwater.
DEP approved form - 12/07/95
FORM 11 - SOIL EVALUATION FORM
Page 2 of 3
Locat'.on Address or Lot Sc. Lot # 165 - Westhampton Road - Northampton, MA.
Deer Hole Number # 2 Date: 8/25/03
Tine: 1030 AM Weather: Clear
L ocation( identTy on site plar) See plan dated August 28, 2003
Lard Use Existing house
Slope: 12/. - 3" Surface Stones: None
Vegetaticr. White pine, upland hard wood
â–ªandf crm
Position or. Landscape ( sketch of the beck
Distances from
Open Water Body > 100'
Possible Wet Area: > 50'
Drinking Water Well: N/A
Depth From
rfp:e ( HD
Sod Horizo
Drainage Way > 50'
Property Line; 50' ±
Diner: N/A
DEEP OBSERVATION HOLE LOG
Sol: Textere
Soil
(MUnset)
or Sol.
Mottling
Other
( StructurStones, Boulders,
Consistency Grovel )
0"
to
14'
O
Fill
N/A
N/A
Friable, fine roots,
dark brown
14"
to
69'
C-1
ESL
2.5 Y
5/4
N/A
Friable, loose,
fine
59"
to
122"
C-2
Silt _oa'n
2.5"
4/3
> 5% 2
7.5YR
2 66"
51"
5/B
.inn, blocky
MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Par Ent, Ma ter ial ( geologic > =He sand, silt Depth To Bedrock: > 122"
Depth to Groundwater: No water Weeping from face: None
Estimated Seasonal High Groundwater: 53"
DEP approved form - '.2/07/95
FORM 11 - SOIL EVALUATION FORM
Page 3 of 3
Locator Address cr Lot No. Lot # 165 - Westhampton Road - Northampton, MA.
Deternlnatior for Seasonal High Water Table
Method used:
observed standing in obsertvation hole. N/A
weeping from side of observation hole N/A
to soil mots e: 51" & 53"
D water adjustment: 425 feet
ell NGnoer
Reaming Date Index well level
stnent factor Adjusted groundwater level
of .Naturally Occurring Pervious Material
it least four feet of naturally occurring pervious material exist in all areas observed
3htout the area proposed for the soil absorbtion system 2
sed for the soil absorption system 2
t, what is the depth of naturally occurring pervious material ?
Certification
ti=y that A .November 1994 I have passed the so4, evaluator examination
iveo cy the Lepertrrent oF Ecvironmenmal Protection and that the above analysis
lerformed by me consistent with the required training, expertise and experience
)rmea by me consistent wiir. the required training,
-i'bea Ir 310 CMR 15.017
to
Thoth E, Ma.lnnis RS
-Goroved form - 12/07/95
FORM 12 - PERCOLATION TEST
.on Address or Lot No. 165 - Westhampton Road ( Rt. 66 ) - Northampton, MA
C OMM \WEALTH OF VASSACHUSETTS
percolation test allowed by Board of Health Agent for this REPAIR
Site Passed n
Site Failed
rformed by: Timothy E. Maginnis R.S
tressed by: Peter McErlaln - Health Agent
,mments: Design for 5 MPI - Local up-grade requseted
.P APPROVED FORM
PERCILATIIIN TEST
Date:
August 25, 2003 Time: 10:00 AM
ervation Hole
#
1
th of Perc
50'
rt Pre-soak
1015 AM
Pre-soak
10:30 AM
at 12'
10:30 AM
r at 9'
10:35 AM
at 6'
10140 AM
9, - 6, )
5 Minutes
e Min. / Inch
1.67 MPI
percolation test allowed by Board of Health Agent for this REPAIR
Site Passed n
Site Failed
rformed by: Timothy E. Maginnis R.S
tressed by: Peter McErlaln - Health Agent
,mments: Design for 5 MPI - Local up-grade requseted
.P APPROVED FORM
FORM 12 - PERCOLATION TEST
ion Address or Lot No. 165 - Westhampton Road ( Rt. 66 ) - Northampton, MA
CEM '1ENWEAL_ TH EE MASSACHUSETTS
percolation test allowed by Board of Health Agent for this REPAIR
Site Passed
x
Site Failed
rforrned by: Timothy E Maginnis R.S.
tnessed by: Peter McErlcln - Health Agent
imments: Design for 5 MPI - Local up-grade requseted
:P APPROVED FORM
PERCELATIIN TEST
Date:
August 25, 2003 Tine: 10:00 AM
ervatlon Hole
#
1
th of Perc
50'
rt Pre-soak
10:15 AM
Pre-soak
10:30 AM
at 12'
10:30 AM
at 9'
10:35 AM
at 6"
10:40 AM
( 9' - 6' )
5 Minutes
e MIn / Inch
1.67 MPI
percolation test allowed by Board of Health Agent for this REPAIR
Site Passed
x
Site Failed
rforrned by: Timothy E Maginnis R.S.
tnessed by: Peter McErlcln - Health Agent
imments: Design for 5 MPI - Local up-grade requseted
:P APPROVED FORM