165 Soil Eval Form 2003 FORM 11 - SOIL EVALUATOR FORM
Page 1 of 4
No. Date: August 25,2003
Commonwealth of Massachusetts
Northampton, Massachusetts
Soil SuitabilityAssessment for On-site Sewage Disposal
Performed By: Timothy E. Maginnis RS
Witnessed By: Peter McErlain - Health Agent
Date: Aug. 25, 2003
Location Address or
Lot# 165
New construction X Repair
Office Review
Published Soil Survey Available:
Owner's Name: Todd Cellura
Address and Telephone #
135 Southampton Rd- Westhampton,Ma.
No Yes
Year Published: 1981 Publication Scale Soil Map Unit: Hga..
Drainage Class- Severe Soil Limitations: poor filter
Surficial Geologic Report Available: No Yes
Year Published Publication Scale
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)
Current Water Resource Conditions(USGS): Month
Range : Above Normal Normal Below Normal
Other References Reviewed:
DEP APPROVED FORM- 12/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 4
Location Address or Lot No. 165 Westhampton Road
On-site Review
Deep Hole Number 1 Date: 8/25/03 Time:9:OOam Weather clear
Location(identify on site plan)
Land Use Front lawn Slope 1 %-3% Surface Stones none
Vegetation grass -pine trees-oak trees
Landfonn Glacial outwash kame
Position on landscape(sketch on the back) See plan
Distances from:
Open Water Body < 100.feet Drainage wav 40 feet
Possible Wet Area 100'feet Property Line 35 feet
Drinking Water Well NAt Other
DEEP OBSERVATION HOLE LOG*
Depth from
Surface(inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Other
Mottling (Structure,Stones,
Boulders,
Consistency,%Gravel
0 - 16"
16" -66"
66" - 126"
FILL
C-I
C-2
N/A
FSL
Silt loam
N/.A
2.5Y 5/3
2.5 y 4/3
N/A
>5% @
51"
7.5YR5/8
Friable, fine sandy,loose
Firm,moist,blocky
A&B HORIZON HAVE BEEN REMOVED AND REPLACED WITH FILL
MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material (geologic) SILT LOAM
Depth to Groundwater: Standing Water in the Hole:N/A
Estimated Seasonal High Ground Water: 51"
DEP APPROVED FORM- 12/07/95
Depth to Bedrock: > 120"
Weeping from face N/A
FO RM 11- SOIL EVALUATOR FORM
Page 3 of 4
Location Address or Lot No. 165 Westhampton Road
On-site Review
Deep Hole Number 2 Date: 8/25/03 Time 10:OOam Weather clear
Location(identify on site plan)
Land Use Front lawn Slope 1 %-3% Surface Stones none
Vegetation grass -pine trees-oak trees
Landfonn Glacial outwash kame
Position on landscape(sketch on the back) See plan
Distances front
Open Water Body < 100.feet Drainage wav 40 feet
Possible Wet Area 100'feet Property Line 35 feet
Drinking Water Well NAt Other
DEEP OBSERVATION HOLE LOG*
Depth from
Surface(inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure, Stones,
Boulders,
Consistency,%Grave
0 - 14"
14" -69"
69" - 122"
FILL
C-t
C-2
N/A
FSL
Silt loam
N/.A
2.5Y 5/3
2.5 y 4/3
N/A
>5%@
51"
7.5YR5/6
Friable, fine sandy,loo
Firm, moist,blocky
A&B HORIZON HAVE BEEN REMOVED AND REPLACED WITH FILL
MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Parent Material(geologic) SILT LOAM
Depth to Groundwater: Standing Water in the Hole:N/A
Estimated Seasonal High Ground Water: 51"
DEP APPROVED FORM- 12/07/95
Depth to Bedrock: > 120"
Weeping from face N/A
FORM 11 - SOIL EVALUATOR FORM
Page 4 of 4
Location Address or Lot No.
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole: N/A inches
Depth weeping from side of observation hole: N/A inches
Depth to soil mottles 51 & 66 inches
Ground water adjustment: 4.25 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? YES
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on November 1994(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.
L � h
Signature: Timothy E�
Maginnis RS
DEP APPROVED FORM- 12/07/95
Date: 8/28/03