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1 Soil Eval 2017 J Commonwealth of Massachusetts 7 City/Town of Northampton Fee: Paid? Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information Maya Tal&Brien Baker Owner Name 1 Juniper Street 16B/21 Street Address Map/Lot It Northampton MA 01060 City State Zip Code B. Site Information 1. (Check one) ® New Construction ❑ Upgrade 0 Repair 2016 1:15,800 253A 2. Published Soil Survey Available? ® Yes ❑ No If yes: Year Published Publication Scale Soil Map Unit Hinkley Loamy Sand None Soil Name Soil Limitations 3. Surficial Geological Report Available? 0 Yes 0 No If s: 2010 1:24,000 Coarse Dep. 9 PYe Year Published Publication Scale Map Unit Sandy/Gravelly Fluvial Depoits Terrace Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? 0 Yes 0 No Within the 500-year flood boundary? ❑ Yes 0 No Within a velocity zone? ❑ Yes ® No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program Map Map unit Name 3/2017 6. Current Water Resource Conditions(USGS): Month/YearRange: ❑ Above Normal ❑ Normal 0 Below Normal 7. Other references reviewed: No Zone II 2017-04-141 Juniper St-Soil Suitability Assessment.docx•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts --p City/Town of Northampton Fee: Paid? Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) TP-14/14 9:00am Sunny, 50°F Deep Observation Hole Number: .. Date Time Weather 1. Location 288.5 20'off rear lot line Ground Elevation at Surface of Hole: Location(identify on plan): Vacant — 0-2 2. Land Use field,vacant lot,etc) Surface Stones Slope(%) (e gas woodland,agricultural Grass Terrace SU Vegetation Landform Position on Larddrape(attach sheet) 3. Distances from: Open Water Bodyfeet Drainage Way het Possible Wet Area feet 15Drinking Water Well Other Property Line feet feet feet 4. Parent Material: Glacial Outwash Unsuitable Materials Present 0 Yes ® No If Yes: S Disturbed Soil 0 Fill Material 0 Impervious Layer(s) 0 Weathered/Fractured Rock 0 Bedrock • 5. Groundwater Observed: i] Yes ® No If yes: papth Weeping from Pit Depth Standing Water in Hots • >120 <278.5 Estimated Depth to High Groundwater: inches elevation • • 2017-04-141 Juniper St-Soil Suitability Assessment.docx•rev.1/10 Form 11—Soil Suitability Assessment for OnSlte Sewage Disposal •Page 2 d8 • Commonwealth of Massachusetts !LT! City/Town of Northampton Fee: Paid? Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP-1 --- Redoximorphic Features Coarse Fragments Soil Horizon/Solt Matrix:Color- (mown) Son Texture %by Volume Soli Soil Depth(in.) Layer Moist(Munsell) (USDA) Structure Consistence Other Depth Color Percent Gravel Cobbles& (Moist) Stones 0-12 AP 10 YR 3/4 -- — --- Sandy --- -- Granular Friable -- 12-18 Bw 10 YR 4/4 — — — Sandy --- — Massive Friable -- 18-120 C 10 YR 4/3 --- — -- Crs.Gray. 30 10 Single ' Loose --- Sand Grain Additional Notes: 201)(H-141 Juniper St-Soil Suitability Assessment.dacx•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of Commonwealth of Massachusetts City/Town of Northampton Fee: Paid? -Z Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal VC C. On-Site Review (continued) Deep Observation Hole Number: TP-2 3/3/2017 8:00am Sunny,20°F Date Time Weather 1. Location Ground Elevation at Surface of Hole: 288.5 Location(identify on plan): 30'off rear lot line Vacant --- 0-2 2. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) Grass Terrace SU Vegetation Landform Position on Landscape(attach sheet) 3. Distances from: Open Water Body reel Drainage Way fit Possible Wet Area reef Property Line eel Drinking Water Well reel Other teat 4. Parent Material: Glacial Outwash Unsuitable Materials Present: ❑ Yes ® No If Yes: ❑ Disturbed Soil ElFill Material ❑ Impervious Layer(s) 0 Weathered/Fractured Rock 0 Bedrock 5. Groundwater Observed: 0 Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Estimated Depth to High Groundwater: Incl <280.5 Inches elevation 2017-04-141 Juniper St-Soil Suitability Assessmentdacx•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 8 , Commonwealth of Massachusetts » ' City/Town of Northampton Fee: Paid? eFi-- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number: TP-2" _-- Redoxlmorphic Features Coarse Fragments Soil Hodson/Soil Matrix:Color- (mottles) Soil Texture 54 by Volume Soil Soil Depth(in.) Layar Moist(Munsell) (USDA) Cobbles& Structure C on(Msoistnee Other Depth Color Percent Gravel Stones ( ) Very 0-12 Ap 10 YR 3/4 — --- — SandLoam Friable --- - --- - Granular Friable Very 12-18 Bw 10 YR 4/4 — -- -- Loam Sandy -" '-- Friable Friable -- 18-96 C 10 YR 4/3 — — ___ Crs.Gray 30 10 Single Loose — Sand Grain Additional Notes: 'Not Observed by BOH 2017-04-14 1 Juniper St-Soil Suitability Assessment.docx•rev.1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 8 .� Commonwealth of Massachusetts • T City/Town of Northampton Fee: Paid? Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: �1 in Depth observed standing water in observation hole cn 620(None Present) inches>96(None Present) thea A. >120(None Present) B.>96(None Present) ® Depth weeping from side of observation hole Inches inches A. >120(None Present) B. >96(None Present) ® Depth to soil redoximorphic features (mottles) inches inches A. B. ❑ Groundwater adjustment(USGS methodology) inches - inches 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 occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? El Yes ❑ No 120 b. If yes,at what depth was it observed? Upper boundary: �r8hes Lower boundary: Inches 2017-04-14 1 Juniper St-Soil Suitability Assessment.docx•rev. 1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 6 of 8 . Commonwealth of Massachusetts Paid? City/Town of Northampton Fee: Vo--1 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. I further certify that the results of my soil evaluation,as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 4/14/2017 • 'nature of Soil E 7nri•r - Date Christopher Chambedand-5E13861 6/2015 Typed or Printed Name of Soil Evaluator l License# Date of Soil Evaluator Exam Daniel Wasiuk Northampton • Name of Board of Health Witness Board of Heats Note: In accordance with 310 CMR 15_018(2)this form must be submitted to the approving authority within 60 days of the date of field testing,and to the designer and the property owner with Percolation Test Form 12. 2017-04-141 Juniper St-Soil Suitability Assessrnent.docx•rev.1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 7 of 8 ..a Commonwealth of Massachusetts 4-_ 'i7 City/Town of Northampton Fee: Paid? �ktr� Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal Field Diagrams Use this sheet for field diagrams: 2017-04-141 Juniper St-Soil Suitability Assessment docx•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Commonwealth of Massachusetts City/Town of Northampton 710 5 Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used,but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important:When A. Site Information filling out forms on the computer, use only the Maya Tal& Brien Baker key to move your Owner Name cursor-do not 1 Juniper Street -. use the return Street Address or Lot# key. Northampton MA 01060 wl- I I City/Town State Zip Code ��_VVV UV (857)225-2779 Contact Person(if different from Owner) Telephone Number aril B. Test Results 4/14/2017 9:45 am Oats Time Date Time Observation Hole# TP-1 24" Depth of Pert --" Start Pre-Soak 9:45 am End Pre-Soak Time at 12" Time at 9" -- Time at 6" Time(9"-6") -- <2 Rate(Min./Inch) Test Passed: ® Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Christopher Chamberland, PE Test Performed By: Daniel Wasiuk ---Board of Health Witness Comments: Unable to hold pre-soak, 2 minutes per inch assumed. t5form12.doc 08/15 Pero Test•Page 1 of 1 I =The I ecrksbire Tem I N ETP-1I I I I � z v. I I 71 I I I CO. ` l '71+ n 1JUNIPER STREET Cr TP-245. I 1 1 � 1 I roti 1I I Do. TP-3., ir1Ta_ - a,,"— _ _ slN��runlLr aEsloervce w1L�= _ — IIIINI�R STREET a ...0. — _ __��TIRr' - - - _ _ ' R — — Porch ; _ — f m EST PIT ifra - M LOCATION PLAN a JR R.,„,.., 1 g 1 Story W/F s Building .�.ii ��.m, " TP 4 Title 5 Septic System Plan for: 1 JUNIPER STREET Northampton, Massachusetts FILECOPY MAP 16B, LOT 21 Prepared By: Date: 1zi18D•t•JaS''h Berkshire APRIL 24, 2017 Group, Inc Design p_ @l , DECEMBER 15, 2017 (AS-BUILT PLAN) , Landscape ArchitectureV.ti • )� Civil Eng9 } % g Land Surveying no.h54uePlata Northampton,Massachusetts Phone(413)saz2-7000 Fax (013)se2-7005 ' Vri,, y^ ' r— \ p na9@cenarermmyn.mm w:w,hekhamayn.mm Owner/Architect: Sheet Index PROJECT 1.0CMION q r�� .i» ii 1� COVER Maya&Bnen Tal-Baker C-1.1 SEPTIC SYSTEM-LAYOUT&DETAILS Simple Gly Studio,LLC C-1.1 al if i..-- C-1.2 SEPTIC SYSTEM-PROFILE&DETAILS 49 Makes 5Lre1 NortM1ampkn,Massachusetts 01060 Phone(On)sss2n9 ,� �rl ' mava�9mple[INsNtla.mm `0 � � AC Surveyor: Heritage Surveys,Inc. 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