1095 Soil Suitability 2006 Nyc ental 1095 Wesl4tan p}or. Ra IJorkk%mp4ovL
Bureau of Resource Massachusetts Department Protection of Environmental- Wastewater m Permitting PrProtection ogram Site Address or Mapflot Number
k. Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed disposal area)
Deep Observation Hole: Date. 1 -4-e6 Time 3 :00 Weather: O./G./taro+ 40° _
1. Deep Hole Number 1-l7-I Location(Identify on Plan ). Sea_ Scp-4;23)esl',.._
2. Land Use: 1.--aW1\ Surface Stones: Plor■e Slope (%): 6 Vegetation Cnr.SS
(e g. woodland. agricultural field.vacant lot,etc
Landform I e rr+u_ Position on landscape.
3. Distances from. Open Water Body 100+ ft. Drainage Way foot ft. Possible Wet Area loot ft.
Property Line 50 ft. Drinking Water Well 100+ ft. Other/ ft
I
4. Parent Material: Kgyes ilma.sL. Unsuitable Materials Present Yes ❑ No ly
If Yes: Disturbed Soil,: Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock ❑ Bedrock ❑
5 Groundwater Observed. Yes No ❑
If Yes: Depth Weeping from Pit 50" Depth Standing Water in Hole ?4 N Estimated Depth to High Groundwater: 50
Redoximorphic Features Coarse Fragments
Depth Soil Soil Matrix: (mottles) %by Volume
(In.) Horizon/ Soil Texture Color-Moist Depth Color Percent Gravel Cobbles Soil Structure Soil Consistence
Layer (USDA) (Munsell) &Stones (Moist) Other
o -a" A c51_ I0YR4w
8 5o° C1 5L 2 .5y5/3 , 5% z/° mart;Ve ce,alola
50 -Io$ Cy 5 5YR5/4 50" I°1RS/b 5% 10% 10% 515Itjr.,w loam
1
Additional Notes
Massachusetts Department of Environmental Protection Io95 Wes}l,a..,ab.. god �°�+l+aw,p-b.,
Bureau of Resource Protection -Wastewater Permitting Program Site Address or Map Lot Number
1
L Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
A. Facility Information *1
Owner Name. --)‘454 I V I.44C Mir5 HILLTOWN ENVIRONMENTAL CONSULTING
P.O. BOX 314
1 CHESTERFIELD, MA 01012
Street Address. 13$ \i‘.1 oo0.laWVS Ave- Map/Lot: (413) 296-4499
City: /Jork4na,Anplbfl Slate: MA Zip code: 01 D40
B. Site Information _//
1. (Check one) New Construction ❑_,/ Upgrade❑ Repair 13 1- I
2. Published Soil Survey available? Yes Ls] No ❑ If yes. I 9b1 1 15840 Wa W AI PO I`
1 D C I Year Published Publication Scale Soil Map Unit Soil Name
1
Soil limitations W d4hc55 oo✓ r ;Prey"'
3. Surficial Geological Report available? Yes ❑ No ❑ If yes:
Year Published Publication Scale Map Unit
Geologic Material Landform
4. Flood Rate Insurance Marc ,,/ �/
Above the 500 year flood boundary? Yes L� No ❑ Within the 100 year flood boundary? Yes ❑ No L.0
Within the 500 year flood boundary? Yes ❑ No I/ Within a Velocity Zone? Yes ❑ No ❑
5. Wetland Area: National Wetland Inventory Map
Map Unit Name
Wetlands Conservancy Program Map
Map Unit Name
6. Current Water Resource Conditions(USGS) IZ(65 Range: Above Normal g Normal ❑ Below Normal ❑
Mon 1UYear
7. Other references reviewed: -
LikMassachusetts Department of Environmental Protection /D 9S iVesh gn11041 ka . Aioch grv,�n
Bureau of Resource Protection -Wastewater Permitting Program Site Address or Mapael Number
4 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
13. Determination of High Groundwater Elev.
levation I z
1 Method used ❑ Depth observed standing water In observation hole A B
❑ Depth weeping from side of observation hole A B
Depth to soil redoximorphic features (mottles) A. So" 9 42 /1
❑ Groundwater adjustment(USGS methodology) A. B
2. Index Well Number Reading Date Index Well Level
Adjustment Factor Adjusted Groundwater Level
E. Depth of Pervious Material
1 Depth of Naturally Occurring Pervious Material
a. Does at least four feet of naturally ccurring pervious material exist in all areas observed throughout the area proposed for the
soil absorption system? Yes ZNo❑
b. If yes, at what depth was it observed? Upper 7 Lower boundary 108 "
pper boundary.
F. Certification
I certify that 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
/�/'J/q // �fl. 4, 2006
S rayr,.o� r i° HILL TOWN ENVIRONMENTAL CONSULTING
v ux SO:Evaluator- Dale "
P.O. BOX 371
Mark Thompson April 29, 1997 CHESTERFIELD,MA 01011
Typed or Printed Name d Soil Evaluator 'Date a Soil Evaluator Exam (413)296-1099
Ernest Mg-tiliern AA,,..,.L .4,. A I,..1J_..._.L._
Massachusetts Department of Environmental Protection ID95 WesYllaynp4vb Roacl
Bureau of Resource Protection-Wastewater Permitting Program s ite Address or Map/Lot Number
\ Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal
C. On-Site Review (minimum of two holes required at every proposed disposal area)
Deep Observation Hole: Date: 1- 4 -D6 Time 3.3o Weather: CA/U(40- 419°
1. Deep Hole Number 11-2 Location (Identify on Plan ): See_ Se Irk c. "bes j.--
2. Land Use: I-°-^'^ Surface Stones: hime Slope(%): 2- Vegetation: 6`"°s5 -1P__.<
(e.g.woodland.agricultural field,vacant Id,etc
wt
Landform: KaCl•(vracs- Position on landscape: •'s'�)=iP-I
/L
3. Distances from: Open Water Body 100; ft. Drainage Way 100. ft. Possible Wet Area loo+ ft. 45'
Property Line 2.5 ft. Drinking Water Well Zoo+ ft. Other ft.
4 Parent Material: p u+Wct51, Unsuitable Materials Present: Yes❑ No L�
If Yes: Disturbed Soil❑ Fill Material❑ Impervious Layer(s)❑ Weathered/Fractured Rock ❑ Bedrock ❑
5. Groundwater Observed: Yes d No ❑
r
If Yes: Depth Weeping from Pit 41 Depth Standing Water in Hole 0" Estimated Depth to High Groundwater: 42—
Redoximorphic Features Coarse Fragments
Soil Soil Matrix: (mottles) %by Volume
Depth Horizon/ Soil Texture Color-Moist Depth Color Percent Gravel Cobbles Soil Structure Soil Consistence
(In.) Layer (USDA) (Munsell) &Stones (Moist) Other
7 ° A -1-SL 10 Yft42-
.
7-46 i, 6, St- Z.sy 5/3 w1AS51v e- CI aL la- r=P °
ls ko 36
46-IDr C C . .5 5 YR 5/4 42" 5 ylz 4/6 5% IS% 15% ;tile far), loose
e AAUlnnol Ah.ue
( Massachusetts Department of Environmental Protection 1095 Wcs4-h4n,p4,,, Road
Bureau of Resource Protection-Wastewater Permitting Program Site Address or Map/Lot Number
\ 12 - Percolation Test
HILLTOWN ENVIRONMENTAL CONSULTING
P.O. BOX 314
A. Facility Information CHESTERFIELD, MA 01012
t Facility Informations (413)296-4499
T5-liv 1 k.4#kmnv
Owner Name
135 Woocilmwt, Ave . Map/Lot
Street Address
N e r+-I,gvv,P-1,h NIA 01060
City State Zip Code
Percolation Test
Date: 'x,. 4 ,2.000
Observation Hole # p-I
Depth Of Perc 37"
Start Pre-soak 2'.51
End Pre-soak i;Sl
Time at 12" 3:of,
Time at 9" 3 :24-
Time at 6" 3 '4'e
Time (9"-6") 24 MM n.,! _
Rate - Min/Inch 8 r w-t/f
Minimum al 1 Percolation lest must be performed in both the primary area AND reserve area.
Site Passed ® Site Failed, ❑
Performed By: Mark. I� nna,4IlpsOtl
Witnessed By S�re.S� M^i'hieN
Comments: