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308 Soil Suitability 2011 (2) . 1t Commonwealth of Massachusetts CityfTown of Northampton =,tow Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal vo A. Facility Information Patrick Melnik Owner Name 308 Chesterfield Road MaplLoes Street Address 01060 Northampton MA City State Zip Code B. Site Information 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair 2008 1:6,510 711E 2. Published Soil Survey Available? ® Yes ❑ No If yes: Year Published Publication Scale Soil Map Unit Charlton-Rock outcrop-Hollis complex,steep(711E) >80"to restrictive feature,well drained,see soil report Soil Name Soil Umitations 1999 1:250,000 3. Surficial Geological Report Available? 0 Yes 0 No If yes: Year Published Publication Scale Map Unit Till&Bedrock Drumlin Geologic Material Landform 4. Flood Rate Insurance Map Above the 500-year flood boundary? 14 Yes ❑ No Within the 100-year flood boundary? ❑ Yes ® No Wrthin the 500-year flood boundary? ❑ Yes 5 No Within a velocity zone? 0 Yes ® No 5. Wetland Area: National Wetland Inventory Map Map Unit Name Wetlands Conservancy Program MapMap unit • Name 12/2011 Range: Above Normal ❑ Normal ❑ Below Normal 6. Current Water Resource Conditions(USGS): Month/Year 9 7. Other references reviewed: tsfornll-2.doc•rev.1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 8 Commonwealth of Massachusetts City/Town of Northampton alto Form '11 - Soil Suitability Assessment for On-Site Sewage Disposal "IfulC. On-Site Review (minimum of two holes required at every proposed primary and reserved disposal area) 5 11/2112011 1:05pm Sunny, 60 Deep Observation Hole Number Date Time Weather 1. Location Ground Elevation at Surface of Hole: 485 Location(identify on plan): See plan woodland Yes 7% 2. Land Use (e.g.,woodland.agricultural field.vacant lot,etc.) Surface Stories Slope(%) Wooded Drumlin Vegetation Landform Position on Landscape(attach sheet) >100 >50 Possible Wet Area 50 3. Distances from: Open Water Body ( Drainage Way feet feet Property Line feet Drinking Water Well y_ Other 4. Parent Material: Glacial Till Unsuitable Materials Present 0 Yes ® No If Yes: 0 Disturbed Soil 0 Fill Material 0 Impervious Layer(s) 0 Weathered/Fractured Rock 0 Bedrock 5. Groundwater Observed: D Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole 34 Estimated Depth to High Groundwater: inhes elevation 15fonn11-2-56.doc•rev.V10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 8 Commonwealth of Massachusetts City/Town of Northampton ^°•— Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal iwif C. On-Site Review (continued) Deep Observation Hole Number 5 RedoxlmorPhle Features I Coarse Fragments Soil Soil Horizon/Soil Max:Color- (mottles) Soil vex" %by Volume Sol„ Consistence Other I Depth(in.l Layer Moist(Munson) (USDA) Cobbles& SWoture (Moist) Depth Color Percent Gravel stones 0-2" A 7.5YR 2.5/1 SL SABK V.Friable B 10YR 4/4 LS 5% SARK Friable 20"32" Cl 10YR4/4 LS 5% . SABK Friable 32"-38" C2 2.5Y4/2 34" 10YR5/8 5% LS 5-7% 1 SABK Firm 38"-78" C3 2.5Y 4/2 LS 2% SABK v.firm i i Additional Notes: t5formll•256d00•rev.1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 8 Commonwealth of Massachusetts .'--.3-.;-a., City/Town of Northampton Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Date11i1: Deep Observation Hole Number. 6 1a21/2011 nrna sunny 60 3 weather 1. Location Ground Elevation at Surface of Hole: -484 Location(identify on plan): Woodland Yes 6-7% 2. Land Use (e.g.,woodland.agricultural field,vacant lot,etc.) Surface Stones Slope(%) Wooded Drumilin Side slope vegetation Landferm Position on Landscape(attach sheet) >10050 3. Distances from: Open Water Body feet Drainage Way >50ePossible Wet Area feet Property Line feet Drinking 2Water Well A Other feet 4. Parent Material: Glacial Till Unsuitable Materials Present: ❑ Yes 5 No If Yes: ❑ Disturbed Soil 0 Fill Material 0 Impervious Layer(s) 0 Weathered/Fractured Rock 0 Bedrock 5. Groundwater Observed: ❑ Yes 5 No If yes: Depth Weeping from Pit Depth Standing Water in Hote 42" Estimated Depth to High Groundwater lnches elevation t5forml I-2 56doc•rev.1/10 Form 11-Soil Suitability Aptoonment for On-Site Sewage Disposal -Page 4 of 8 Commonwealth of Massachusetts trCity/Town of Northampton i;; Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review (continued) Deep Observation Hole Number 6 Radoaimorphle Features Coarse Fragments Soil Soli XorizoN SON Mabis:Colory (motUxl Soil Texture %by Volume Soil Consistence Other Depth lin.) Layer Moist(Munsell) (USDA) Cobbles S Structure (Moist) Depth Color Percent Gravel Stones 0-2" A 2.5Y 312 SL Loose v.Mable i B 2.5Y 4/4 LS 3-5 SABK V,Friable fsl lens 24"-48" Cl 5Y 412 42 10YR 5/8 5% LSX38.. 5-7 SARK Friable 48%106" C2 5Y4/2 LS 5-10 1 1SARK Friable i i Additional Notes: t5form11-2-56.dOc•rev.1/10 Form 11-Soil Suitability Assessment for On-Site Sewage Disposal •Page 5M6 Commonwealth of Massachusetts p.• v City/Town of Northampton =At 4 Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal t-trfrite D. Determination of High Groundwater Elevation 1. Method Used: A. N/A B. WA ® Depth observed standing water in observation hole inches inches A.N/A B. N/A ® Depth weeping from side of observation hole Inches maws k34 B.42 _. • Depth to soil redoximorphic features (mottles) inches inches A. B. O Groundwater adjustment(USGS methodology) inches inches 2. index Well Level Index Well Number Reading Date Adjustment Factor Adjusted Groundwater Level E. Depth of Pervious Material 1. Depth of Naturally Occuning 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? ® Yes 0N Dbtl106 b. If yes,at what depth was it observed? Upper boundary: inches Lower boundary: inches t5form11-2-56.doc•rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 8 of 8 Commonwealth of Massachusetts • s._: .m City/Town of Northampton `1'— Foran 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 Evaluabon Form. are accurate and in accordance with 310 CMR 15.100 through 15.107. ��- (f®/� l21a�aot� Signature of Soil ua[or 7./ �1 ar .I Date es I s�O n CS216- t' / JG l rl( Ifl / n Typed or Printed Name of Sail Evaluator I License* Date o Sci Evaluator Exam Ea bM?ILAoRTNRItiPtanl Name of Board of Health Witness Soh)of Health 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. 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