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.
College Highway&Oak Street
Post Office Box 1
Southampton,Massachusetts
FMie(413)527-3C00
m_.w�
M
re
-.
nr_ m �ceSWP'In[
011 kV-W.1
1
4 _ - I TITLE _ _^ma Y �._
�� mt
— „, .. _2r_ t ----\ ...,...\:,........
____
ASSESSMENT va
___—____.—.
a � a �..
._use,wow,atm
.�mmm.m..mm.m, n SIMPLE
PM
I
e — .....,,. ,, ..,,Ae m.
O CITTY UDIO
SEPTIC SYSTEM PLAN
.mS _a✓I_.v
.
mavww,.0
.m.v'mvawv. m�ve.renw
SINGLE FAMILY P61OENCE
PINN—
I JUNIPER STREET
-�r —��� owmm.+
a _ ` — �eww ear.."---
_
SEPTIC SYSTEM
•
I .e.a44
53 �F Et- 5 1 y q� �� LAYOUT PUN 6 DETAILS
1 I Lmm
r.41
MOM
-fib } 1 1_i..
{ - - -- -
mg
w. 4._.m m - "m C-1 . 1
N ORT w 77 ra
o N SYSTEM INSPECTION N.��yi..0
ILRBSORPOO .ma.
The
Berkshire
GGrouup.Inc.
SEPTIC SYSrEM PROFILE Wirt iLrnr.
as I ] a -rx_.wsna
r, .mma allak i `
..k7 -7 a..:.:..
_ ..... ,...w...... ISIMPL1
w...� - L CITY
• °ef STUDIO
1 A ��:�.w
�1+,
.�M�Kn....._
n oa
J "Cstu - '• SINGLE FAMILY RESIDENCE
M J..gM STREET
NORMWIPTOR wr:rli5
Z ssrnax
.0.1,_ SEPTIC WO(DESIG4 DATA
..w...- o..na..®.ea..n...m........as .m
w....w.Am....i.we....=.ry .�wn.w.....wm.m..........0
. ®mna......®n..d..vw......
. mm.w®v..un wa ti+a °yam..._sw.nmw.0 SERIC]l]ICM
51
Y SYSTEM PROFILE&
1 1 „ OS 1500 GALLON SEPTIC TANK DETAILS
B A�
um
w r. Da .elere ......
S O SEPTIC SYSTEM PROFILE
I ..e.....1'^'^
i a1/4 — "--C-1 .2
3 . .
1