517 Soil Eval Forms Location Address or Lot No.
FORM 11 - SOIL EVALUATOR FOR.
Page 2 of
(. ) esIL/AAP40:., 'Pi .
On-site Review
Deep Hole Number R 73 Date: J/-1-S- 9 9 Time: n9"-A-1.“, Weather
Location (identify on site plan) S e-C- p/lLQ.r-
Land Use /a-s,3l` Slope 1%) 0 - a Surface Stones &e1--._
Vegetation fzt rPS S'
Landform I
Position on landscape (sketch on the back) S-1.-c...— Ski+U-
Distances from:
Open Water Body ?/o0 feet Drainage way >S-1D feet
Possible Wet Area >(OC feet Property Line >/ feet
Drinking Water Well >10 C) feet Other
DEEP OBSERVATION HOLE LOG*
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders, Consistency, %
Gravel)
C.) --/2 "
42' --awl
c79"-/a6. "
A
8
C
r. L.
S'.L
Sm.. L .
/oyR_.z/s
c2-SVy/v
?.SYy/3 ,2a"'7R'y
/Vo.--a_
/Vow
o/
/6
e/OD"
7-6,73.5-6,-/
S'i..tzSro,/
F,tif_
o /a "
/a"-ay`
"
av /aoC
A
S
S' L .
r L_
C. L .
/Oyz /
as yy/y
a-S`Y9/sa.&
/1/00`1_
A/0 4---t_
/0%
-y A
e/aa "
Tprr,:/
S war,:/
`Ci ,�_(,_
MINIMUM OF 2 HOLES REDUIREO Al EVERY PRUPDSbD DI\P(B.At ARIA
Parent Material (geologic) O -41 kri"tom [\
Depth to Groundwater: Standing Water in the Hole: 1>Qy
Estimated Seasonal High Ground Water: /0.a '
Depthtoaedrock: '' /Q6 f; >/,2 0 '
Weeping from Pit Face:
DQy
UEP APPROVED FORM-11/07/95
No.
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3
Date: 3ks/97
Commonwealth of Massachusetts
r—t/a..,{ati; Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: %n' 4 c v'�_/-<�
Date
/9%
Witnessed By: P e tes— e &✓ CC i.
Leaden Address or
Loi
•
S'7Ca L,3
New construction ❑ Repair El
mom 1-&-rf Ee//e t
Address.ard
T
I —,V-p .
1 4y-/608° tl� ,.� in"7
aiad0
Office Review
Published Soil Survey Available: No ❑ Yes ❑
Year Published Publication Scale
Drainage Class Soil Limitations
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)
Soil Map Unit
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal El Below Normal ❑
Other References Reviewed:
DEP APPROVED FORM- 12/07/95
FORM 12 - PERCOLATION TEST
Location Address or Lot No. 1/6 ( T es R arvriniCe_o( .
COMMONWEALTH OF MASSACHUSETTS
Mo`_ - p >`Massachusetts
Percolation Test'
Date: 3%as197 Time:, jylo;—hitir
Observation Hnie #
— r
Depth of Perc
Start Pre-soak
/d - 3s,
End Pre-soak
/0 : S O
Time at 12"
/6 - S-O
Time at 9"
/p '.Sc�
Time at 6"
//-' /0
Time (9"-6")
%7
Rate Min./Inch
/
Minimum of 1 pe colation test must be performed in both the primary area AND
reserve area.
Site Passed CO Site Failed ❑
Performed By: /2/74e .
Witnessed By: /'c /Ct— /rcEi—�ts.��
Comments:
DEP APPROVED FORM-1210795
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. J /6 L
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole .. inches
Depth to soil mottles /02 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? yes-,
If not, what is the depth of naturally occurring pervious material? (.__
Certification
I certify that on /L/oV/9Y (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.
Signature // Date 3/02,92
DEP APPROVED FORM-11/07/95
FORM I I - SOII, EVALUATOR FORM
Page I of 3
Date: 6/414e_
Commonwealth of Massachusetts
, Massachusetts
Sail Suitability Assessment _site Setvaee Dice
Performed By:
;;:.Witnessed By:
( 12/G / le.�'k7 •12/t /te"722 Date: 07/A
°ear /I•/lc,g/ZGr'I/.(,- 6,1h/
la .... .._ _ eta/4�4'J1�f 0M106-eiv s ! 4),e/4-41 /-0 7'41
rt. GOT (Se( c # 4 , 5As4r roan;
evo constructuC entail l 0 D //creect X/ 9M j J4e,/
t/
dime Review
Published Soil Survey Available: No ❑ Yes
Y•cv Published Publication Scale
Drainage Class Soil Limitations ./�
Stands! Geologic Report Available: No ❑ Yes h1.
Year Published Publication Scale
Geologic Material (Map Unit)
Landform ..
Flood insurance Rate Map:
Above 500 year flood boundary.No ❑�,,Y/�ees
Within 500 year flood boundary No ,L,{Q'Y0—•❑
Within 100 year flood boundary No UYes ❑
Wetland Area:
it. sauna' Wetland Inventory Map (map unit)
ithWetlands Consmancy Program Map(map unit)
i:fiCurrent Water Resource Conditions(USGS • onth
}`Jlitge:Above Normal
❑Normd Below Normal ❑
.'ltl art References Reviewed:
nrr Arraovm'io.M.mmy
V%) .. �7
C3 fv !
Soil Map Unit
ee-foSr aey
- FORhI II -SOIL EVALUATOR FOINI Page 3
Page 2 of l -v �+// w f/�C,) Al
f 1 o anion Address or Al No. �P c "«�. "
j°d�i ftc�S /I I.xe die.4..) IZ- Q /vorj� tiu."Ala>
pcalioi. Address or Lql No. A ,i r rj p ) -
,✓ /„ rf,;I On-site Review
an.np Review
�y
�f'd o..e,_ II ► � Deep Hole Number„i'Zoem to O z Time 9°0 Weather fUn�
Number ./ Time:I /O G Weenier f y�7 Location(Identify on.n.pHnl °P �G G
•eep Hale N Ada�t�
�W�t Bu:ea/l ..__-.
Land Use /•.QStr—.- - slope MI surface stones
n Ilan nllY en LI pl 1 Bt nn
.9 ua. Jae tA•e e. le, 41- ' :d1 Vegetation but v • cien J
epsnetlon Q f, y� Lanalorm GUY'Leilgf// D/U/'17C.4-`•
enalorm a aich hi k) - /]121.,n1�../Y / Position on landscape(sketch on the back) /
coition on Isnefoape Nkemn on the beck) •-. v I� `� V >> r f Oiauncss Irom: 'M
nau ea tram: `0 ' t L Open Water Body C-/-C/ lest Drainage way I00 feet /
nO Open Weer *,.u1OO ism Drainspe prey tee' F'j.°ode Possible Wet Ala✓/ • feet Prupanv One teen /S `1-0•'/r
Possible Wet re ell ' feet Prpperty Line. lee' Drinking Water Ws lost Other
Drinking Wow feet 3e _ _u6/t c / 4 A. LL- ei u/l Y7t /N 9
O Y DEEP OBSERVATION HOLE LOG.
■
DEEP.OBSERVATION HOLE LOG'
' •• own..m. sw Mseen Sou tenure WI Cole Soli amp
on. n«• samarium Soil Tenure ax CS •� Sal...lM.l.sn lwoAl lMwe• Monism o..w.aw...�W✓..c.nu...nee
sul.e.peewit !USDA,/ Pews.Y rune obww.sw.ee.wWWWro. loamy. �eJ
0 -10 A fi'lG ' � s O ,a 40 / Z3 +t
Sy Z. S- 2 9t e/ a /c9 s"P
y-A�® Gi ` zf y�'�ls /dG C� 5 2's" s her el.ssou
/ -26 v 7
N ii/4 4.4%, /
•MPInP.o.axo Wt ;�' P6 nPUVVLas01/� " S n
f✓vM Ilu IWb 0£A . f N Q OWeeee.•W 1///A/
-
n.MMe le.1. e.b-a0Va " .: r,' /�y E ••.WeaY a m l gel
�,; a ✓Ml Me , Comm pn.ma.nen steMn9 Witte In in.HIS: r0." Weo*.p Inf
mO
W BeersM r welt: Ser.nM HT word wasp Evwr 3z . :
+ t. g. j m {Y
N �• y
Ilf ___...4.4.0..---- k .u. Cam+ 3•x.2. ^ - ChY >
--
.__. 'a`-- - € -.'ss x : ,.,r t"T'F'.I'- x e:' .
Location Address or Lot No.
FORM 12 - PERCOLATION TEST
Lor Sad u esgu-t-724.c, Xi)
COMMONWEALTH OF MASSACHUSETTS
o eyt , , Massachusetts
Percolation Test'
Date: Time:
Observation Hole #
it / V l
/ / / • L.
Depth of Perc
-
G/t3
Start Pre-soak
9 KZ_
10 3/
End Pre-soak
qq
/7s- y
a 9 ?
Time at 12"
9C
r/9
/0 Y
Time at 9"
/0 / 9
/U n
Time at 6"
/0 V4.
// /0
Time (9"-6")
'Z 7/3 y, o
5/3 = 0. 33
Rate Min./Inch
/D O
/D a
4G8 "S-e,0 4*-4 h era-) to d 8/0
• Minimum of 1 pe colation test must be performed in both the primary area AND
reserve area.
Site Passed
assed Site Failed ❑
Performed By: Alt 4" ,�/ of-!Lr'4,Gp-/t"'%2' - ,`-
Witnessed By: L` • Me itca? j? dy
Comments: .
PEP MMPROVED FORM-umns
kikOgL Time
ttion ( 15 min)
elate
and .Elev.
th.'..f Hole
Percolation Test
0
Z7/ 9 °L
3
`6.. Min/inch
r9Pi1 Descri Lion
4•wek.e,[ ;.Depth
ro k?; t ,Depth
i9 4'
�.s . So& , Description
nch Mark: Elev .
Test no. / ("c/
Mending Time /0 Viy
Saturation ( 15 min) / N
�a._._.. °oy3 Z d.
9 -
13/
Perc . Mate
Ground Elev .
Depth of Bole
Deep Test Pit/s
Test Pit
Depth Soil Description
ea
41 0
/�. C Min/inch
Groundwater Depth
Bedrock Depth
Ground Elev .
Seasonal !Ugh
Description
Elev.
Elev.
Water Table?
Date :
Client :
Engineer :
Witness :
/ Ioration
/
�- '�✓
a r �U�
35'
VI t-
r�
d or Let No. _01-74' ter/
FORM 11 - SOQ. EVALUATOR FORM
Pete 3.13
. . .
A4 •
iv,F777iln7, 9 /°c/. ty,g
'Delermina[lianf¢r_Seasantl.High Water Table
w J qapth observed standing In observation hole
I. r ,
--be weeping from side of observetlon bole
i'1cT Vepth to soil mottled Inches
•k)in Wound water editntmenr feet
ell Number
1Eleeil rsmtor
Inches
inches
P-, /7/3 -:
70 r�
9u 90
U 3z/t -r r^ 3z
needing Oere Inrlsd well level
Ad/meted around water level
1++ :1i; e;
ibo eH et least four feet of naturally occurring
observed throughout the area proposed for the
IX not, What Is the depth of naturally occurring
pervious materiel exist In WI orate -
sob absorption system?
pervious materiel? /
*proved by the
1 Amity.that on eats? I hens paned the soil evaluator
t Envkonmsmel of than and that the above
wee performed by me consistent with the r rsningr expertise and en
dInodgd In 310 CMR 16.017.
1 . l .r1
;fir;
Date 4/0 L
i - - . -
- - -
MI
>AREA ABOUT: 2,270 S0. fT.
:WILLARD� $ILL, INC._
I 1
PARCEL NO. 1S-TS-23
DIGG/NS -d9HF;�l.: -AMRION K. AN
AREA ABOUT• 3,383 S0. Fr
1
DIGGINS, JOHN J. & MARION K.
/ WETLAND
i TOP OF" PR61. SLOPir)
.P �I t� (��`v 01Prk o
•`" C BOT. OF PROP.
��/j �lJ �� '`' SLOPE.'
a - 227 / AB ' --
_ le ..s ,v __ m. ____ Ma»v_^'"• ".
L =320.8 0' 134,. - 72.30 135, — _ 13f
p 1 ' _
a' ...mwv �m..m "`�T�mr ...mmrtmmw _.mm..•. . t ' SxY.Siiils:.n',uaeue.v ....++«ew.� exeetrt�c' �.t,W.�wss�.:+3 '.. .fe.wwu. �. w..u.ir�:.mr
v-- 4 ,_,i� ,. u• - m AN' � - ,
//{{�' 1 J, r
/� T UL�/� •' ��(I �•::I�CTf./�O RtI-Rl O / �,��F7 Y
FORM 11 - SOIL EVALUATOR FORM
Date:
Commonwealth of Massachusetts
1.5DR--r4io7DIJ , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
formed By: gif.S./162.glia.2 A.COCteiriS Date: eh
nessed By ,ncentattic
a Means
SA me_
N construction 0 Repair IZI
ice Review
dished Soil Survey Available: No 0 Yes El
v Published J.36.1 . Publication Sale [< 8 9O Soil Map Unit acuii
,inage Class Ilia Soil Limitations PP fid.ci A re, z4A4.6 LinegociaL)
ficial Geologic Report Available: No 0 Yes 0
LooiS TACY
"'a" CM) WeSTA64,11:37610 kbi
TaImpl■I
A)okri44filArntO,
586 ei
ir Published --
Magic Material (Map Unit)
idform
Publication Scale
od Insurance Rate Map:
ove 500 year flood boundary No 0Yes
thin 500 year flood boundary No [ Yes
thin 100 year flood boundary No [ Yes 0
Aland Area:
none! Wetland Inventory Map (map unit)
xlands Conservancy Pro gram Map (map unit)
anent Water Resource Conditions(USGS): Month
vtge :Above Normal EINorrnal 0 Below Normal 0
her References Reviewed:
S
DO APPROVED FORM-LIMM
-W., 2 en FS"
FORM 11 - SOIL EVALUATOR FORM
acion Address or Lot No. 53? tut1TMAnkTea cilll Al0P-7TIBMPTO00/MA
On-site Review
ip Hole Number Dste:. _Li1l44 Time:_. Weather LL(Ate
*don (identify on site plan) -.
4 Use k4SJ(hOSTLA L Slope (%) Surface Stones /QOM
;station CLASS . _- . . .
ldform .jCe,!MSS4l) .SLR» - _.._ . . .. ........ ._. . .__.
titian on landscape (sketch on the back)
tenets from:
Open Water Body TOot feet Drainage way .. test
Possible wet Area 66 test Property Line .!.s._._ feet
Drinking Water Well 1110+ feet Other .._..
DEEP OBSERVATION HOLE LOG
DATE: AUGUST 14,2003. BACK YARD
HOLE HORIZON DEPTH FROM SOIL SOIL COLOR MOTTLING OTHER
NUMBER SURFACE INCHES TEXTURE MUNSELL
1 A 0-12 LS 10YR4,2
Bw 12-22 LS 25YR4/4 WAVY INTERFACE
C 22-124 IS 25Y42 554 @46" PACKED LOAMY
7.5YR5M SAND,SMEARS
ELEVATION AT GRADE:92.16
ELEVATION OF BOTTOM OF HI:SI.82
WEE INC=46" ; ESTIMATED GROUND WATER=46" ELEVATION=8832
LEDGE=>124" NOT IN FLOOD PLAIN
OF 2 HOILalhauviw n Rnikny Pnugq®
went Mame loeoloaiel TEL
IMfedsedwatr: Standing Wow en H.te:
£..tee Somme Iayl drawl[ Water: 466
a
ov APPaovae POSH-12197/91
oq+seatueti= > 12"/
wwakghwatkF.a Y6"
rA6L 3 oPS
FORM 11 - SOIL EVALUATOR FORM
ion Address or Lot No. 539 toisT9flron) »(5/111 AIotTHAmProA),MA
���O� n-site Review
Hole Number z._ Date:.ektt!' Time:...
ion (identify on site plan)
Use sttS.iDFATq.L Slope (%) _. - Surface Stones A O,uC
tation 64+iSS
form )9OM4A) SLotti
ion on landscape (sketch on the back)
nces from:
Open Water Body IOOf feet
Possible Wet Area /00+ feet
Drinking Water Well 100+ feet
Weather cu( is
Drainage way ._.... _ feet
Property Line —Q.... feet
DEEP OBSERVATION HOLE LOG'
DATE: AUGUST 14,2003. FRONT YARD
HOLE HORIZON DEPTH FROM SOIL SOIL COLOR MOTTLING OTHER
NUMBER SURFACE INCHES TEXTURE MUNSELL
2 A 041 LS 10YR3/3
Bw S-35 LS 25YS/4 WAVY INTERFACE
C 35-136 LS 25Y52 5%50 51^ PACKED LOAMY
75YRS/6 SAND,SMEARS
ELEVATION AT GRADE:100.11
ELEVATION OF BOTTOM OF 112:80.77
WEEPING=110^ ; ESTIMATED GROUND WATER-51" ELEVATION=95.86
LEDGE_>136" NOT IN FLOOD PLAIN
EYMMUM OF 2 BOLES Lama)ea k T MRUPDD®
if
It lintel leeeeael --r76c gpUaose6,ee r436
lliaetaBsim Standgwnr in the Nee: Weeping frail Pit Fon: 1IO "
teed Seawall Kt &m d W. 57
DCP APPROVt POW•121117M
—tA6L 'to PS
FORM 11 - SOIL EVALUATOR FORM
ion Address or Lot No. 537 wf17N amilmfo ?AAA /Uoe749mP78,0
Determination for Seasonal High Water Table
pd Used:
❑ Depth observed standing in observation hole inches HI H x
El Depth weeping from side of observation hole inches y6" /10
0 Depth to soil mottles -- _._ inches tit" Sl "
❑ Ground water adjustment __ feet
Well Number Reading Date .... Index well level ___ _
ttment factor Adjusted ground water level ______
s of Naturally OccurrinstPervious 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? Ye'S
If not, what is the depth of naturally occurring pervious material?
9cation
I
I certify that onZiLy /999 (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.
Dv.ertOVWD row. vmry
Date 8114 10.}
7:/l 3cP-5-
ration Address or Lot No. S34 wesmicip7aA3 Rapp
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
,ckti-yst), Massachusetts
Percolation Test'
Date: _ e/iylo3
Observation Hole #
1
$Actynoth
2
FectorYnR,h
Y-3„
Depth of Perc
IS1
Start Pre-soak
902,
936
End Pre-soak
917
9s/
Time at 12"
417
9S1
Time at 9"
921
/ooz
Timeat6"
927
/016
Time (9"-6")
I6
Rate Min./Inch
• Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
e Passed ® Site Failed ❑
-formed By: R.F. Stalin x.) "sot_ /NG
tressed By: -9nre, mcf<ta
mments: JILL- RLQ.ua"
ov.vnov®row-uinm
LEI ol3