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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