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Home My WebLink AboutMiscellaneous - 14 WINDKIST FARM ROAD 5/15/1997 FORM 11 - SOIL EVALUATOR FORM Page 1 of 3 Date: No. Commonwealth of Massachusetts Nor lq�,j , Massachusetts . • • t or On-site Sewa e Dis osal Soil Suitability .Assessmen , r7 Date/jj /a-i3 Performed By: ....... _ - f - � .................... Witnessed By: .�;�. �Y ........ .. ... owner's ... Address,i - /�—7 o r�"f,K l,oatton Address or �l nU/`n•S - and Lot 6 ,(�G�.5 /�A/—!' Telephone ! �/�• / '/`GCfr /�/J,� ''fJ /0 po. ew construction Repair ❑ Office Review Published Soil Survey Available: No ❑ Yes C'_ ��' P�i Publication Scale �...t. . ....d soil Map Unit ley _ .......I...... Year Published '� Well d Drainage Class r�/�- Soil Limitations - Surficial Geologic Report Available: No [�_�Yes ❑ .....:..::.::.. Year Published ,_ Publication Scale - .................... .-.-- -..-. . Unit) ....................................................................... Geologic Material (Map .................................................................... ... Landform / Y.. yV7„ ! 1'................................................... Flood Insurance Rate Map: ❑Yes Above 500 year flood boundary No 1Y ear flood boundar}' No Y es ❑ Within 500 y Within 100 year flood boundary No Les ❑ Wetland Area: - ..... ..... .............. . ... .... .......... National Wetland Inventory Map (map unit} ... Map (map unit) ................................................... Wetlands Conservancy Program ...... Current Water Resource Conditions (USGS): Month Range :Above Normal []Normal ❑Bel:. •/ Normal ❑ Other References Reviewed: DEP APPROVED FORM• 12107195 FORM 11 - SOIL EVALUATOR FORA Page of 3 Location Address or Lot tJo. ��frlgl�JS/ FA 6n G1 C/ T On-site Review Deep Hole Number Date: 5—//3/ q7 Time: ✓� d� Weather Location (identify on site plan) Land Use ..W((QC}G� 0 Slope (%) -P—/j Surface Stones A)0 �' Vegetation C' —' P Landform - Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other - DEEP OBSERVATION HOLE :.OG` Depth from Soil Horizon Soil Texture Solor Soil Other Surface (Inches) (USDA) e11) Mottling (Structure, Stones, Boulders, Consistency, °io /Vo s to 8 IJ i t L \ ®a( DepthtoBedrock: ` Parent Material-(geologic) )Y1sl/ ! <� Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM- 12107/95 Jar FORM 11 - SOIL LVALU.= TOR FORM Pace 3 of 3 Q' Location Address or Lot No. `rp /g— / Determination for Seasonal Hio h Water Table Method Used: Depth observed standing in observation hole . .- inches Depth weeping from side of observation hole inches Depth to soil mottles /�� inches !_ Grou-nd water adjustment .......... .. feet Reading Date Index well level Index Well Number _.._. ....... g .. Adjusted ground water level Adjustment factor 1 Death o Naturalfv Occurring 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 not, what is the depth of naturally occurring pervious material? � Lifiicatic (date) I have passed the soil evaluator examinatior I certify that on t Protection and that the above analysis approved by the Department of environmental was performed by me consistent with the required training, expertise and experienc described in 310 CMR -15.017. Ile Signature Date 7 � i DEP APPROVED FORM- 12/07/95 ' FORM 11 - SOIL EVALUATOR F®Rn1 Page ''of 3 Location Address or Lot No/ p�'✓1q�fL1s On-site Review Deep Hole Number ]Vd. Date: ./13/x/7 Time: Weather 6 Location (identify on site plan) Land Use a�oo,-... Slope M) �p'�� Surface Stones f 6 ��( a Vegetation �'% � 0GC4 1 / p _ _. ..:. ., Landform - Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE _OG` Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches/ (USDA) (Munsell) Mottling (Structure, Stones. Boulders, Consistency, 0/0 � � S. / /RUC%°► `� Y Lo t t t I MUUV[U N; Parent material-(geologic) o� DepthtoBedrock:-2—?,6 Depth to Groundwater: Standing Water in the Hole: Weeping from Pit Face: 11 Estimated Seasonal High Ground Water: DEP APPROVED FORM• 12/07195 FORM 11 - SOIL LVALL""TOR. FORIM Pa-e > of 3 Location Address or Lot No. /p /�� T)etermination -Tor Season Fable Method Used: Depth observed standing in observation hole inches L-� Deptn weeping from side of observation hole inches Depth to soil mottles inches Ground water adjustment ........ .... feet Reading Date Index well level Index Well Number _...._ . Adjustment factor Adjusted Adjusted ground water level Death o; Naturally Occurring Pervious Material Does at least four feet of naturally occurring-pervious Poil absorption risysteim? m all areas observed throughout the area propose for If not, what is the depth of naturally occurring pervious material? certification ! certify that on (date) I have passed the soil evaluator examinaticr at the above approved by the Department of 'Environmental the required pining ne peruse and exp raensi was performed by me consistent w p described in 310 CMR -15.017. Date Signature �7 i UEP APPROVED FORM- 12/07/95 Page 2 of 3 Location Address or Lot Igo. ®n-site Review Deep Hole Number ` °/ Date: ,611 1/ 1-7 Time: m Weather Location (identify on site plan) Land Use .V W1 0A Slope (%) ff-/S Surface Stones X76 Vegetation W iE?✓ , 06.k J 'm-'p k� Landform Position on landscape (sketch on the back) Distances from: Open Water Body feet Drainage way feet Possible Wet Area feet Property Line feet Drinking Water Well feet Other DEEP OBSERVATION HOLE '—OG' Depth from Soil Horizon I Soil Texture Soil Color Soil Other Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, % 1 l n2 en r t t QUIRED r i t L t DepthtoBedrock: i Parent Material (geologic) bl (- aon ! IIS 1/ Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: 1/ Estimated Seasonal High Ground Water: DEP APPROVED FORM• 12107195 �7u 3 ot: Location Address or Lot No. 1P a "notprmination -nor Seasonal Hioh mater Tale Method used: ® Depth observed standing in observation hole inches Depth weeping from side of observation hole Inches _ f Depth to soil mottles inches Grounc water adjustment feet R Date Index well level index Well Number g Adj Adjusted around water level ustment factor 1 Jeo,h o` Naturalf� Ccdurrino pervious Material Does at least four feet of naturally occurring pervious material exist in all area: observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? T I C 3 111. f certify that on �'/�`' `7Z (date) I have passed the soil, examinati.oI aoorcvec by the Department of Snvircnmental Protection and that the above anaiysi was perfOfined by me Cdr�SiStent With the required training, expertise and experien: described in 310 CMR - 5.`017. Date Signature DEP APPROVED FOA.Nf- ,:107!95 FORM 12 - PERCOLATION TEST Location Address or Loi No. COMMA IONWEALTH OF MASSACHUSETTS /v® � dlX� Massachusetts Percolation 'Pest* Date: S r 31IF 7 Time:, Observation Hole # P Depth of Perc ��i ,9 Start Pre-soak End Pre-soak , V) ip il Time at 12" Time at 9" ,07 �1 ,3 , Time at 6" , 1 �_s Time (9"-6") l 0 Rate Min./Inch a m iK * Minimum of 1 percolation test must be performad in i� bo lh it he primary area AND reserve area. Site Passed Er Site Failed ❑ // ..../...................................................................................................................................,.._........_......._ Performed By: ��i �e`� �61 V/J 7 166-nJ Witnessed By: Vg Sir Z,Cc( Aw 0 Comments: _ .:.....: . . ::.......::..:... . DEP APPROVED FORM-12/07/95 PITS MIN 440 LEACHING MIN 1 ( 13 ' x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-4$" STONE BOT + SIDE x LOAD = TOTAL ( L x W x # ) (2x(L+W)xD x #) (G/ft2 ) CHAMBERS MIN 440 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-4$" STONE SPLASH PADS SLOPE . 005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL ( L x W x # ) (2 x (L+W)xD x #) (G/ft2 ) FIELDS MIN 440 GPD 900 ft2 BED GW MIN 41 BELOW BOTTOM OF FIELD PIPE ENDS JOINED? d„•„ 4” PEA STONE? '-. DIST LINE SLOPE . 005? >3 ' COVER-VENT '""°° S C H 40 4 -".., MIN 12" COVER RATE �" 4y X F X a = TOTAL L W LDG I DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY 9pm L W D Vol . DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME 9pm MANHOLES TO GRADE ALARM SEP . CIRC . GW (Min.. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP . SWITCH ENUF STORAGE? TDH WEIGHTED? Copyright 0 1996 by S.L. Starr