1091 Soil Evaluation 2017 BOARD OF HEALTH CITY OF NORTHAMPTON •1,0,& °y ¢
MEMBERS id
MASSACHUSETTS 01060 , sra``�'1
JAY FLEITMAN,M.D.,ACTING CHAIR YIlf
SUZANNE SMITH,M.O.
DONNA C.SALLOOM . - 0 -
DIRECTOR OF PUBLIC HEALTH OFFICE OF THE
XANTHI SCRIMGEOUR,MHEd,CHES, BOARD OF HEALTH
212 MAIN STREET
(413)587-1214y� NORTHAMPTON,MA 01060
FAX(413)587-1221 - - AL Ir 6S
P✓.I{A
Site Suitability for On-Site Sewage Disposal
Project Number: Date: c/ ( 7(1 / t�'
Performed by: /� Equipment Operator: 5r.- N pcr r 4-x da Ja.`i-{Zy(
0
Health Inspector _`�3`^y�r
Site Address Cheat Name&Address
7 ✓ New Constmction O Repair
(iev N/ 42 e AF(
Office Review
Published Soil Survey Available: No 0 Yes Cl
Year Published Publication Scale Soil Map Unit Drainage Class Soil Limitations
Surficial Geologic Report Available: No Cl Yes 0
Year Published Publication Scale Geologic Material(Map Unit) Landform
Flood Insurance Rate Map:
Above 500 year flood boundary Cl Within 500 year flood boundary Cl Within 100 year flood boundary 0
Wetland Area:
National Wetland Invetory Map(Map Unit) Wetlands Conservacy Program Map(Map Unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal ❑ Normal Cl Below Normal Cl
Other References Reviewed: I 0 _(,/
(/ Percolation Test Results •
Pero 1-I Time Measurement Time Measurement
Begin Saturation 4 Begin Saturation l (;0(
End Saturation „r tbs'-1dj3 End Saturation t I lb
- _-PW_� lL _ A"de tkr _ IZ• _. -62 '12 I(-S so
Meaasureme, t 3 I CC��'r�� Measurement (( z 4
�"depth >1' t1 .'O'/"' 6"depth _. X2.24 - 10
Measurement Measurement ---
Elapsed Time I rL ' /!1 I,,,r Elapsed Time O e. / `1 2_14 2 t,°" -i'6..-i'6.. 2 0(C
9"to 6" l ( 9"to 6" 12'
- Percolation Rate <2ma7m Percolation Rstc:` 16 24MI(riift)
Bottom of Percolation Test Hole:S M7n 741 Bottom of Percolation Test Hole: 0
lf t
DeterminattorrforSeasonaHTigh Walm T..blt
Method Used l
Depth observed standing on observation hole> 0 Depth weeping from side of observation hole inches 15
0 Depth to soil mottles inches 0 Ground water adjustment_ inches. t6P
Index Well Number Reading Date Index well level
Depth of Naturally Ocean n2 Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil
absorption system?
If yes,what is the depth of naturally occurring pervious material? .
If not,what is the depth of naturally occurring pervious material?
T.P.# 1-1
On-Site Review
Deep Hole Number: Date: Time' Weathe . Cool Si Overcast 6),E_>,'(—
Location(identify on site plan):
Land UseNegetation:Lawn/grass Slope(%): Surface Stones: none
Landform:
Position of Landscape:
Distance from:
Open Water Body Feer. Drainageway Feet
Possible Wet Area Feer Property Line Feet
Drinking Water Well Feet Other Feet
DEEP OBSERVATION HOLE LOG
Depth from Soil Soil Texture Soil Color Soil Other(Structure,Stones,Boulders,
Surface horizonUSDA - -
( ) (R2unsell) Mottling Consistency, % Gravef).
k,(e aio--2) AP SL I"Ib2/2 Fr' c, 61P fv Ctf
° 3 2— (tl S 5C, IbYRS/� gc-t,f
17 -lac' �' $L10 rg 9/3 >, « _.5 t Jo
(.24 �� [O 10,5/ Ft`ab(.e t e
LI- 11
n 5L 2,<1y3 .3q „ Oeork ,
i(—i20 gelcea % c (52,,, 6:✓ 51Vati
Parent Material(geologic) 3 KO--Ar-14?-tai, (yU S
Depth to-Groundwater: Standing Water in the Wold: 5"'�" Depth.to Bedrock: >
Estimated Seasonal High Ground Water: > Weeping from Pit Face: