106 Soil Eval Form 1997 fr
•■•
FORM II - SOIL EVALUA
4
4 .
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Dates •
Commonwealth of Massachusetts
, Massachusetts •
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knitted By: / C / /9 tr./ ./....* .▪ --i: t ,—77 Date: ' . 1.11.00 .1,9Zt4
wiped Br t 77/C AC/e C / 4 ,C. 4d / 7 ibel likiiiipatao..if:,
•S
W en Aaron
./ ", 2 cc*/ 7,7 ///"Cr. .5 C
i 04 ,r
•
wWnstruction El Repair
7
iSardiaiti
btishe4 Soil
Survey Available: No 0 Yes 0-
41 ilfrIhed Publication Scale
•stian4 Clan Soil Limitations
itlIcittl beide& Report Available: No 0 Yes
ear Published
sabigio,Material (Map Unit)
andforra
Icalniursece Rate Map:
tboVe SOO year flood boundary No 0Yes
Albin SOO year flood boundiry No la Yes 0
lo 140 year flood boundary No Dyer 0
hind Ards:
OW Wetland Inventory Map(map unit)
Sing Conservancy Program Map(map unit)
• +rt)* 41.1“:::•• •I ;•
dt111.0111.11ter Resource Conditions(USGS$: Month
Ittit)fliAboVb Noma! •0Normal 013iisw Nonnel 0
0(bee References Reviewed:
O•alri.")". /C.e44.197.)1' E. A1
*atom,sod
/7-k-on /L)'.
I•lertom
Ul
Publication Scale ,,.. •
•1.41
Still Map Unit
••'t Ma.
DEP APPROVILD FOLD•12/01/13
p.
•
II
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atax
•t`
t. .?••• •
mti 't 'lit*. • I
' .1!
'• I. 410 nolita
• 610-i itt
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•
tl,td
Location Address or Lot IJo.
,1„1 ,
*ORM 11 • SOIL EVALUATOR FORM
te
//' el? // / ;V:' -5 /7.
/174 /;4c: „ /,yc AL,
.
On-site Review
' / Tlme: / Weather 5 L /
Deep Hole Number / Date: �- ; ���.;/
hiaelllontilderiA(Won alte plop j
//4. /Slope 1P6.1 '>/' Surface Stones , YJ' "{`, / C1/-C
Lend Use /1-,-5/•-(e” �
Vegetation
.,.,1. y- P5,/Y/ i .-e_ ' .r::
Lendform _... , ULe:re- "l,% i-/ / ;7 t ,1C .
Pobftion on landscape (sketch on the beck'
Distances from: �?.� /1
Open Water Body 47/[,//J feet Drainage way "feet
Possible Wet Area /rL /! feet Property Line ,,r2/ d feet /-
Drinking Wetor Well / feet Other
Depth from
..Sur/ea IIntMPl
v - 7
DEEP OBSERVATION HOLE LOG'
6011 Horlxon 5011 SDA) 5011 Color Soil
Other
IUaDAI (Munson) Mottling (Structure,hones.Grell s' Consistency. %
C.5—/LA:
/11e
It
)Ci/L o .
///' 5 O
C 't
/c-7.7
! /21114 Postern Mrrlsl Igwlpplel� — AUZ% Jc`'
�-a� Weeping lam Pit Face,
peDth to Groundwater; Standing Water in lha Hole: ti
Estimated Seesarul High Ground Water._ ✓"7/'/��,-/-z- /��,
)2'c) ///✓7;/- Let 4-2—/-..7/ / /7a
DEP APPROVED FORM-Y2/07195
Location Address or Lot I.o. /&
1„tI
r•:..
e__
Deep Deep Hole Number Date:
lafgtlont'lldentihnon site glen)
Land Use Goss t f is Slope 1^.4
Vegetation -r,•,
Landlorm 7-le.-1 5
Position on landscape (sketch on the back)
Dlstences from:
Open Water Body /20 tO feel
Possible Wet Area it/a-sleet
Drinking Water Well or f`eet
/' /-its
FORM 11 - SOIL EVALUATOR FORM lt 7
Page 2 of 3 k
i
t
IL
G!/ l Y” /"-/idd S7
(97/9/Time:
Depth from
Surface finches)
Soil Horizon
A
/qw
13
96"
Surface Stones
Drainage way b�pfcot
Properly Line 667 feet
Other
.j!"7 tie
Weather l�D(
se) n LC/
DEEP OBSERVATION HOLE LOG.
Soil TiraNu
USDAI
Soil Color Sell
IMunsalll Mottling
Omer
(Structure,Stones, Boulders, Consistency. %
Duvdll
33' 7g'
5 �
101-kn
f
,*7/v 5 t
5
//
"sec • - •
/(' €-
Ir/D 574"tcG'
5/7/-1 e � l£5
,,//9 (z
.e tliC Jj ,S%1 _.S DepmMOBeboeky
Intent Materiel Igwlppicj 6Un- �D.�O
�//7 .f% Weeping from Pit Fees:lht O ultdwatsr: SundingWatarinlNNele:_�—
Es(Mlated Seasonal High Ground Water:_-
Efl
itCl
4 fa-
PEP APPROVED FOIDA. 11,01195
FORM 12 - PERCOLATION TEST
address or Lot No. /d 4 /C '/ 7 .7
COMMONWEALTH OF MASSACHUSETTS
AUOr%IK/42,4,4-at, Meeeeohwetls
Percolation Test'
•
y: . Delos ...
Neon. Hole N
bl Pero
Oi ibek
Ire-soak
c5/L'. 7/V 7 flow. /C) .
J 7
el 12"
.atir
!At d
irs
O
FMK/inch L5;O Hn> rti.- h�5O "" `z / = . ..
I, mum of 1 percolation test must be performed In both the printery ums'AND',
MUM area. • .
id L4 811e Palled ❑
,gyp Br . /7-w
rll a thrl •
1MT
1.1 DV AMMOrm TOM•0111111
t
Ii
er
1'etculgtluu 'keel.
/WY / C ,%-%
Time
ou ( 17 min)
d(i
I
EIA 4-Co
4ev .
Ilule
7
Bon's Ueeuri tiun
Gr< 777177
__ ,Sif-Yvf yrett A
; flcfc/ S/06t1e'
sciz
it
Deop
n ft I. Ile .
11.•11.11111% . .. .'I:/me
''p tor n1. I . l ( I i Nile)
I'.n'u . nnln
uruund K Iov .
Ua pl It 111 Ilolr
Teel 19.t(It 1 .•
Uep 111
/7r Crs ij cc_if.e ';j% /0.1,c'17/0.1,c'17
Ster ' Uspt — v .
_.st"r'_
7$
�zG
•
elan/hell
Dui". Ueeurlutioq
_sea 5-/1-4.4-.b sae
C
,4'
4rouit-llwnter
. _ Depth — Illev . Ileiruek Depth
IYev. ,€'P /',1-11-7;12 % 11 round Ulev .
zt. / 1z `//
8.011 Description 2 $neune1 111g11 Wnter Table? //'f
I4111 glee . — Description
Ini
I
.11 j cis
man : G '57-- 017 /797
Client ! e4267.G/e/- E .4ghrcy etiaa
•
/ ff �rr11 ri z.t Fr
/2)0,4.-rn/1-,V.y U • ,:
1(Ilgineerl . /iJ TES/-1--fL✓fl' vL
Iltoeen l p /ylr;Star-a-r rJ •
Lunet lull or—Pe re I c.
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rots Address or Lot No.
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
/d% GU//YpX-0c sr
/t%O/Ly11/i/=
Determination for Seasonal High Water Table
thod Used•
I Depth observed standing in observation hole .. ._
L�G-6�pth weeping from side of observation hole
EckDepth to soil mottles inches --
❑ Ground water adjustment feet
inches
Inches
lex Well Number Reeding Date Index well level
ttUdtment factor Adjusted ground water level
yth of Naturally Occurring Pervious Material
9
t .
Does at least four feet of naturally occurring pervious material exist in all areas
observed throughout the area proposed for the soil absorption system? e
• If not, what is the depth of naturally occurring pervious material? tie
lrtificatlor
j ;certify that on i 9"5--- (date) I have passed the soli.evaluator examination
approved by the Deps ment of Environmental Protection and that the above analysis
was performed by me consistent wit he raft • edyaining, expertise and experience
described In 310 CMR 16.017.
signatur Date
oar&MOVE roes+-rY l lln
w • &f.
,V ^..,•--
Rates I.Eau...a Tr^.a ra
Tv..e a.,Lea 2' )OS au 35'Lama
\'m 2'a Ere.Naa^ee
GROUNDWATER
(2aen.0 ms w.o+ovo)
OXIDE:
PERC. RATE
1 o ela. floraem.. ban
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