64 Site Suitabilities FOlthl II - SOIL EVALUATOR FOIL
rule 5: Dnpjf Printed September 20, 1993 Appendix 4 Page 2 .Page
Qn-site Review
DeterrnTh tiwt.,j'uL- song/ Hi /z Waty. Table.
Deep Hole Number .. //..L Date: i2/2/204,rime:..) '00 44 Weather
Location (Identify on she plan) Method Used;
Land Use . A/A/L Slope l%I ...0 Surface Stones 0-
Vegeudon .441441/ r ❑ Depth observed standing in observation hole inches
Landform OG *' piste(/ ❑ Depth weeping from side of observation hole inches/���-y.
' Position on landscape (sketch on the beck) -- ❑ Depth to soil mottles Inches /V delta YllLA/'J�S5"+�'bd7•
Distances trom: re !T w I Sze
❑ Ground water adjustment feet
Open Water Body- ./P0 feet Dralnegeway>/tw feet
Possible Wet Area /VU feet Property Line .. feet Index Well Number Reading Date Index well level
Drinking Water Well C/ryfeet Other Adjustment factor Adjusted ground water level . •
• Depth of Naturally Occurring Pervious Material
DEEP OBSERVATION HOLE LOG
Depth from s.d... soil Hereon Soil r.n... sae emir Soil Motong ether
Does at least four feel of naturally occurring pervious material exist in all areas
amnia, 'USDA) wswa.lII IStructurs.St en.Soule.,.. observed throughout the area proposed for the soil absorption system? Va,
,e�p � r x m.e•J)
/9rX1-i F/Na/ eti:sr
—/z h SL /°Y^3/s - u'yg.s/ .yllyrl vJ
_ 2 ¢ :'a✓ 2U,/,u,/ / - V.Goa I//.weal- jU/ If not, what is the depth of naturally occurring pervious material?
;a-
/2- MA.AILO( °y f/e /1rtYr f r rte"
Z4- Gf 'trt/- ctP L"05e-
Z.5-fr. .Ger(ifioaUon
04 -¢( c_/ 3/3 t,Lor�'-e<e,n/ do
4 a5eda�acl L,w.oj�-44,Yr/C�
,I�� �%/r(/� coo`✓#,s/NG[e—d; w9 I certify that art (date) I have passed the examination approved by tl
I b
Tti ' /Q4- C�— go yay+,f/� Department of Environmental Protection and that the above analysis was
ariP 2.*-413 N0, ilRUr77/Ar performed by me consistent with the required training, expertise and experience
?) (J — l¢ ,} 5L /Q YR 3/3 /¢/fit_ described in 310 CMR 15,017.
/ /Yarn-_ri-.iV 'L-5 /eye 9�G '- al-net Signature/ - " � ' Date 1/ 70/4
% c-/ c s 7.513/3 -- /r.dt---
/32- C-2 FiS 2,9Y 9fr — rJ6 2
/s
Parent Material !geologic) dr_4-e/.'/— e1A 1 0> Depth to Bedrock: /7z
rlenth to ornundwater Standing Water in the Hole:4.q/aa Weeping from Pit Face:iv.0/uc
Estimated Seasonal High Ground Water:
1/Yn-r / - /14 4
711 lt 5: Drat Printed September 20, 1993 Appendix d Page 1
No Dale /��9 v f- FORM 12-PERCOLATION TEST
. YU ,r l� ,
Commonwealth of Massachusetts 'ZD{L Location Address or Lot No. a f Wr3rf9'hf4 IfdoPp
4/04771si n4/ , Massachusetts
Site ,Suitability Acsecsment for On-site Sewage Disposal COMMONWEALTH OF MASSACHUSETTS
/e / / r.+�yq , Massachusetts
Performed By: ./F! !f Z ^✓ � Certification Number:5—T/°/r? '4/Jr`rr r/}1,��
Witnessed By 4.44//4z- W'.1/l/....._.C/O/3 ee 5St 4 . 4/11/441e,..... Percolation Test'
f� 7Yf mfr. •
•Lenten MOMS et W.No. orm.,Y Wasik Address end Tn.r Data /Wit, Time:, Iii:ozaAnt,
61-
War rnirt 7e4)r', M/of.6-2 dr.ivi, Observation Hale p /
¢/s'g3g0— %[v0/ Depth of Perc /
New Construction ❑ Repair AO eActr t4T/4/D6 Start Pro-soak : 2
g'
Offire Rnvlew / - End Pre-soak 9" 4/ .
Time at 12"
Published Soil Survey Available: No ❑ Yes �/, 91¢3 •
Year Published ivet Publication Scald/ /Ti' Soil Map Unit ry9 4 . Time at 9"
Drainage Class .../. Soil Llmitatlonsa112C atit• —.04cf. ."="P V' ��
1C1� Time at 6"
Surficlal Geologic Report Available: No ❑ Yes 91-iG •
Year Published Publication Scae • `` Time (9"-6") / ���
Geologic Material (Map Unit) /GA :( Yd/c*ar/ - - - - L 2 11 <
Rate Min./Inch
Landform . ..Q,t/��/�H...Pl✓t"/ry _ ...
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑ Yes re • Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Within 500 year flood boundary No Li Yes ❑
Within 100 year flood boundary No Ll Yes ❑ Site Passed rr Site Failed El
Wetland Area:
National Wetland Inventory Map (map unit) Performed By: nett �d-/rl✓a'«
Wetlands Conservancy Program Map ,map unit) ... . Witnessed By:. prig, ui9S/l/4C1 C'4/("IS /i/syV t Halefir A41 !
Current Water Resource Conditions (USGS): Month e/C7OSaii '2c'/r6� Comments: .�4L$ ( ._,'..Strict -44 it 4 !--L1.F--k9e4 '
Range : Above Normal ❑ Normal ❑ Below Normal LtJ /11/<Y{we2 n teng eliv,/'--'7C'
Other References Reviewed: - -
meV -
YSTRUCTLON NOTES SUMMARY:
64 West Farms Rd,Northampton
ting Septic tank: to be pumped of its contents, crushed and filled in place.
ding sewer: Confirm structural integrity and intercept to connect to new septic tank. If replacement is needed new
ding sewer pipe shall be cast iron,Schedule 40n PVC solid, or better.
Septic Tank:Install 1500-gallon 2-compartment Underground Supply septic tank as shown. Install Schedule 40 PVC
on inlet and outlet centered within manholes. Install manhole risers to within six inches of final grade to provide air
for tees.. Install gas baffle on outlet.. Pipe from septic tank to distribution box shall be four inch SDR 35 solid PVC
watertight joints.At owner's discretion an effluent tee filter may be substituted for gas baffle:ace recommend Oust co 4
i FT S0444-36[Contact Bob Johnson,Atlantic Solutions, Ltd [401-293-0176)). be
fished to owner.
v distribution box:to be Underground Supply DB-6 or approved equal with minimum 6-inch sump. Set level on we -
,pacted base of crushed stone. Minimum inside dimension of d-box must be at least twelve inches.Install speed levelers
out lets. Four outlet lines to be utilized;distribution lines must be set level for minimum of24 inches from d-box.Pipes
m d-box to bed shall be SDR 35 PVC 4"solid with watertight joints.
ch bed: Dimensions= 16'x 30'total area=480 square feet. Remove all topsoil and subsoil as encountered in leach
!area. Total excavation= 16'x 30'. (Approximate total depth =27
sand inches,actual free depth
h organic and deleterious
).If needed,fill
,avated areas to bottom-of-bed elevation 94.2 with clean,granular
',stances, must not contain any stones larger than 2 inches. Up to 45%by weight of a representative fill sample may be
fined on a#4 sieve. Total sand fill depth will vary with existing onsite materials,as encountered. Compact in six-inch
's. Pipes in SAS shall be SDR 35 PVC 4"perforated set at 0.005 slope. Excavated materials may be used on side slopes
meet breakout requirements. Finish grading offinal leach bed cover to be crowned to 2%slope for runoff Site to be
eded immediately upon completion of work by owner or contractor
fisting failed SAS materials may be encountered within specified area of new leachbed. Remove all subject materials as
eded until original "C"layer is reached and fill as specified above to new bottom-of-bed elevation 94.2. Old SAS
aterials to be removed offsite in accordance with Board of Health protocol.
wise location of all distribution laterals must be documented either by placement of magnetic tape along top surfaces,
bar at both ends of all lines, or by accurate as-built distances in sketch provided to owner, BOH and Designer
bservation port must be placed in approximate middle of SAS. Four-inch perforated PVC may be utilized, set into sand
meath 6-inch stone brought to 3 inches below finish grade with removable cap.Precise location from two fixed points to
documented in as-built drawing.
omporary Bench Mark = 100,0 =bottom step of stairs to rear deck, as shown.
iENERAL NOTES:
I pre-construction conference is required. Installer must contact Designer(413-527-3648)at least 72 hours prior to
ommencing onsite construction.
,'ontractor must contact DIGSAFE 1-800-344-7233 prior to starting any subsurface excavations.
'ehicular traffic must be precluded from travel over all system components to prevent damage to the system.
"his drawing is not a survey;the owner or agent is responsible for ensuring that the septic system is installed on the
subject parcel.
percolation test and deep hole locations are as indicated on plan.
4B construction shall be in strict compliance with Title V of the Massachusetts Environmental Code.
System as designed is not for disposal of wastes from a garbage grinder.
Installation of a lint filter on washing machine discharge line is recommended.
To help ensure the optimal functioning and longevity of the system, the septic tank should be pumped every two(2)years.
or drainage easements are unknown. Any related problems incturred during construction are the responsibility of the
ures
owner or his designated agent.
System is for the disposal of sanitary sewage only. All storm water, cooling water, chemicals or other objectionable wastes
must be excluded.
If field conditions(ledge, mottling,groundwater, etc.)are encountered other than as indicated on the plan, Designer and
Board of Health shall be notified immediately and construction halted until resolution is reached
No changes to the plan will be allowed without the prior authorization of the Designer or Board of Health. a
No warranty shall be made by the Designer as to the installation,functioning or longevity of the P�i OF M s'1Q
system. Rather, the plan is in compliance with all applicable rules and regulations as are in og
effect at the time of plan submittal.
ti�,� _ oicsr
Dumb -incising-ails Carton°Pervious
Does at least four feel cif naturally
absorption system? 125
If yes, what in the depth of naturally
If not,what is the depth of naturally
eccumne prrnous:9
Deep Hole Number: 1/L
Location(identify on site plan):
Land Use/Vegetation:Lawn/grans LawA
Jandform: hottiorgA Pion n
Position ofLandscape:
Distance from:
eeat exist m all
magma_pcnriout r terra!?
occurrmg pervious material?--
Ort-Site Review
obson.'edd tvnu hnUt ei
Date_ l(/272dL, 'Time: lies m Weather: Cool&Overcast
Slepe(%): .
Surface Stones:
Open Water Body >106
Possible Wet Area Fen
Drinking Water Well x(00 Feel
C1I-y rent
Depth from Soil
Surface Aorizan
Cinchesl
C2
Drainageway
Property Line
Other
DEEP OBSERVATION HOLE LOG
OBSERVATION
Soil Texture Soil Color
(USDA) I Soii.
(Mansell) Mottling,
5""
loam
iot1R 3
i
' N bawl I id �ay/6O
a
z 5''('373
7,SY573
Parent Material(geologic) 6i&ez.,e pc+wask
Depth to Groundwatec
Standing Water in the Role:ni°
Estimated Seasonal High Ground Waver > l L L(I
3
141‘,'",-:,e,,:i-
d for tl-
T.P.p I
Feet
Feet
Peer
Other(Structure, Stones,Bon
Consisteu cy, % Gravel)
F"ab(e am wah rnas
J,4tpSe s;"SleSiu•rl
t+ka^45, d5 kve5
A.
I 16o5e5rx'1k lfLi-14, isn
�h mss,
iv;sdn w e
Depth to Bedrock >. %t 47
Weeping from Pit Face: (\b
ARD OF HEALTH
MEMBERS
TMAN,M.O.,ACTING CHAIR
UZANNE SMITH.E5.0.
)ONRA C.SALLOOM
:TOR Or PUBLIC HEALTH
SCRIMGEOUR,MHEd,
(413)587-1214
FAX(413)587-1221
CITY OF NORTHAMPTON
MASSACHUSETTS 01050
Site S
afoi1
Number. (�
led ec (1/4, Sew Y IJOSN .
Inspector Q
GLI , i Fec_,S.
Site Address
Da 6
OFFICE OF THE
BOARD OF HEALTH
212'MAIN STREET
NORTHAMPTON,MA 01060
#/3'f pert
or On-Site Seance Dissosai -�
New Construction O
Date: I1(the'
Equipment Operator:
Client Name& Address
4_ci\eL Q.n_k Alai\ Cu35i5
epa): J� �e
Office Review
No 0 Yes 1
led Soil hervey Available: Drainage Class
ar published Publication Scale Soil Map Unit / '
No 0 Lw Unit) Landform
al Geolohic Report Available: ublication Scale Geologic Material(Map
Sr Published
Insurance Rate Map: Within 100 year food boundary 0
ove 500 year flood boundary Within 500 year flood boundary 0
Soil Limitations
1d Area:
tional Wetland Invetory Map(Map Unit)
it Water Resource Conditions(USGS):
nge: Above Normal 0
References Reviewed:
Saturation
aturation
>tb
rreme
)th
arement
ad Time
Month
Normal 0
Wetlands Couservacy Program Map(Map Unit)
Below Normal ki2/4( .4 &
Percolation_Test Results
lation Rate <-2 min:/m & z H`
m of Percolation Test dole: 6,6 'I
erco a on Rate'
Bottom of Percolation Test Hole:
Dote rminatiorforSeasonal-Hi I,{
YW
p inches
to Used I 0 Depth weeping from side of observation hole
tepth observed standing on observations- 0 Ground water adjustment_ inches vwt-2-
>epth to soil mottles inches �wE
Index well level
Well Number Reading Date