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Home My WebLink AboutMiscellaneous - 55 SHERWOOD DRIVE 10/1/1996 1 F'OR:%[ 11 - SOIL EVALUATOR FOR1I fl Date ti0 Commonwealth of iaiassachusetts 0 P-4-1") Massachusetts Soil Suitability assessment for On-site Sewage Disposal Performed By: Date: Witnessed By: _ l.octiion Aodras or ,Qdtu S.Yf[I p .... �".,.v... ,A 'C-) ew construction Repair ❑ �` ,. 1 ,.,.1 Office Review Published le: No ❑ Yes l it Year Published Available: No Publication kale Soil vlap Unit Drainage Class t Soil Limitations Surficial Geologic Report Available: No Iz Yes f❑ Year Published Publication Scale .:.:.:::.::.:..... Geologic Material (Map Unit) ~."►..�L`"'(Z...................................... Landform ...........................__._. ............................................................................................................................................................ L Flood Insurance Rate Map: Above 500 year flood boundary No ❑--Yes l"1 Within 500 year flood boundary NoLtYes ❑ _ f Within 100 year flood boundary No LvJ'Yes Wetland Area: National Wetland Inventory Map (map unit) ............................... ........................................... Wetlands Conservancy Program Map (map unit) ............... ..... Current Water Resource Conditions (USGS): Month Range :Above Normal []Normal ° Belc v Normal ❑ Other References Reviewed: DEP APPROVED FORM- 42107195 FOR.Nl 11 - SOIL EVALUATOR FORM Location Address or Lot :4'o. A On-site Review Deep Hole Number Date:. AA2�1 1 Time: NPA Weather PAtZ Location (identify on site plan) ��JF.C. 'pt�eo--, - Land Use Slope (%) Surface Stones Vecetation Landform � �Z• Position on landscape (sketch on the back) Distances from: Open Water Body 'Z ja-1i/—feet Drainage way k-*S/Pr feet Possible Wet Area feet Property Line 40.1-/-- feet Drinking Water Well W/A feet Other DEEP OBSERVATION HOLE =0G' Depth from Soil Horizon Soil Texture Sod Color Sol Other Surface (Inches) I (USDA) I (Munsell) M Soil (Structure, Stones, Boulders, Consistency, % Gravel) V21 C2 3 z' i t t C)Z- MINIMUM OF 6 ) I t -t VEHY PKUHUbED DISPOSAL Parent Material (geologic) C --TyJ44r� DepthtoBadrock: Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: V--U4.c`LQ-1-- Estimated Seasonal High Ground Water: DEP APPROVED FORM-1:107/95 i FORM 11 - SOIL LVALUATOR FORM Location Address or Lot No. Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole inches ❑)-Pth weeping from side of observation hole ..... inches r�� Depth to soil mottles .3 2- inches ❑ Ground water adjustment .............I.... feet Index Well Number ....._. ........ Reading Date Index well level . Adjustment factor .... ..... Adjusted ground water level _ _ _....... __.... . Deoth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in a I areas observed throughout the area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? Certification I certify that on / (date) I have passed the soil evaluator examination j approved by the Department of Environmental Protection and thatthe above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature cG% D fa 2 ate 6 DEP APPROVED FORM- 12/07/95 03-21-1996 14:36 617 932 7615 QEP NORTHEAST REGICNAL P,02 �q FORM 12 - PERCOLATION TEST Location Address or Lot No. V1 COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test' Date: 'C35 Time: M Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./inch 2 Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed Site Failed ❑ Performed By: Witnessed By:\. Comments: : _...,.. . �.. DU XMOYM roRm-U 191/1! r FORM 11 - SOIL EVALUATOR FORM Location address or Lot ;vo. On-site Review Deep Hole Number Z2-2 Date:. .I21,95 Time: Arllt Weather �tYZ Location (identify on site plan) -5, Land Use Slope (°,Joi Surface Stones Vegetation . Landform Position on landscape (sketch on the back) FL-sz:— ' Distances from: - Open Water Body 2- 7+/feet Drainage way 1J/p, feet Possible Wet Area 2A&-/—feet Property Line ZO-t"/—fee*. Drinking Water Well Ql(a- feet Other DEEP OBSERVATION MOLE LOG* Depth from Soil Horizon Soil Texture Sod Color Soil Other Surface (Inches) I (USDA) I (Munsell) Mottling I (Strut ure, Stones, Boulders, Consistency, % Gravel) IIk s I 4 2gttivl bu Gr( L/s P-c�LL3 inn flss�.,� v cry i A CD --I C) MINIMUM OP 2 l HOLtS rtEiaURED A E7iER7790OSi:0 01bPOSAL AREA Parent Material (geologic) Cpl;`ruV S r Depthto8edrock: 1C) Depth to Groundwater: Standing Water in the Hole: N Weeping from Pit Face: Estimated Seasonal High Ground Water: (`-� DEP APPROVED FOFLM- 12107195 i FOR 111 - SOIL EVALUATOR FORM Location address or Lot ;vo. �—t ZIO On-site .Review Deep Hole Number 22—j Date:. I �95 Time: PVA Weather r-A1� Location (identify on site plan) I� Land Use Slope (°,/o} Surface Stones Vecetation wow Landform6Z Position on landscape (sketch on the back) p � Distances from; ` Open Water Body i°�'4�feet Drainage way t-�(Q- feet Possible Wet Area IeC�+//— feet Property Line 1 �� feet Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Sol, Other Surrace (Inches) (USDA) I (Munseil) I Mottling (Structure, Stones, Boulders, Consistency, % Gravel) kI MINIMUM OF 2 i 3•z �/�' �'CYZR'Lt FtLCtj c�A,—s-r�S . I I H to ntt, At EVERY c' DISPOSAL Parent Material (geologic) ' W Of-'-0 DepthtaBadrock: Cs Depth to Groundwater. Standing Water in the Hole: Weeping from Pit Face: Estimated Seasonal High Ground Water: 1� DEP APPROVED FORA)- 1-107195 i FOR,Nl 11 SOIL EVALUATOR FORM Location Address or Lot ;vo. �-j On-site Review Deep Hole Number �Cj-2� Date:. 1 i!�'�S Time: Weather Location (identify on site plan) 5 � Land Use Slope (°yo) Surface Stones Vegetation Lancform Position on landscape (sketch on the back) Distances from: Open Water Body 'Z'zO —feet Drainage way feet Possible Wet Area Z2C0/— feet Property Line Z0-4-/feet Drinking Water Well !-.�/f, feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Sod Color Soil Other Surface (Inches) ( (USDA) (Munsell) I Moaling (Structure,Stones. Boulders, Consistency, % Gravel) ✓`." vJ ) l I I I H tJ rtt I EVERY PROPOSED 5 5 L AREA Parent Material (geologic) C::;;0-TvJ0�;� Depthto8edrock: r`� Death to Groundwater: Standing Water in the Hole: f�-��` Weeping from Pit Face: Estimated Seasonal High Ground Water: DEP APPROVED FORM- 1_107195 i FOR t 11 SOIL EVALUATOR I;OK,%f LOcatlon address or Lot i4o. On-site Review Deep Hole Number Date:. �.�.., Timer Weather �t� Location (identify on site plan) 5C-IL Land Use Slope (%) Surface Stones Vegetation wsUtTO� 7 Landform Position on landscape (sketch on the back) Distances from: - Open Water Body 'ZOO feet Drainage way p/p.. feet Possible Wet Area °2,,-[0+/—feet Property Line -36.-V-feet Drinking Water Well 1-�/A feet Other DEEP OBSERVATION HOLE LOG* Oeorh from Soil Horizon Soil Texture Soil Color Soil Other Surface (Inches! I (USDA) (MI it) I Mottling (Structure,Stones, Boulders, Consistency, % Gravel) Ca J MINIMUM OF- 2 t i I rf tb REQUIRED AT tVERY PROPOSED DISPOSAL AREA Parent Material (geologic) CA,IrT Dn' DepthtoBedrock: Oeoth to Groundwater: Standing Water in the Hole: ��"� Weeping from Pit Face: Estimated Seasonal High Ground Water: i(` DEP.APPROVED FORAM-IZl07195 FOR-NI 11 SOIL EVALUATOR FOR,'Q Location address or Lot ; io. On-site Review Deep Hole Number 9��—� Date:_ 6.`a'8 JDg Time: n Weather A t Location (identity on site plan) 5�g� V71� Land Use Slope (°,Jo} Surface Stones Vecetation Landform �{(� Position on landscape (sketch on the back) Distances from: Open Water Body �-J(D-tl-feet Drainage way 'N/fl feet Possible Wet Area V104 -feet Property Line feet Drinking Water Well N4A feet Other DEEP OBSERVATION HOLE LOG' f Depth from Soil Horizon Soil Texture Sod Color I Soii Other Suriace (Inches) IUSDA) (Munsell) I Mottling (Structure,Stones. Boulders, Consistenc•/, % Gravel) �1 1"' A V If MINIMUM OF 2 i t( i I H rif-ClUlHED A i rVERY PROPOSED S L AREA � 1 Parent Material (geologic) ��' ��4 OepthtoBedrock: Depth to Groundwater. Standing Water in the Hole`: n\� _ Weeping from Pit Face: I��Y Estimated Seasonal High Ground Water: ►y w DEP APPROVED FORM- 12107195 i FOR,NI 11 - SOIL EVALUATOR FORM Location .-address or Lot lvo. On-site .Review Deep Hole Number °�-3� Date:. lzi5v� Time: Weather ►�1(Z: Location (identify on site plan) P---P,t' ' ' Land Use Slope (%) Surface Stones Vecetation ��' Landform ES1CL- Position on landscape (sketch on the back) 5-1—'C- FL.� Distances from: Open Water Body 19DY feet Drainage way / feet Possible Wet Area ke�—feet Property Line ��<—feet. Drinking Water Well t—'G)" feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) I Mottling (Structure. Stones, Boulders, Consistency, % Gravel) �2 v E I MINIMUM m=5 n izUUtHizU At EVERY c L AREA Parent Material (geologic) (Nj5f DepthtoBedrock: DNy Deoth to Groundwater Standing Water in the Hole: � Weeping from Pit Face: tt Estimated Seasonal High Ground Water. O DEP APPROVED F0R11- 12107/95 i f 11 FORM 11 - SOIL EVALUATOR FORM Location Address or Lot No. Determination for Seasonal High Water Table Method Used: ❑ Depth observed standing in observation hole.......... -.. inches ❑ Depth weeping from side of observation hole ....... . . inches K Depth to soil mottles UO inches ❑ Ground water adjustment .................. feet Index Well Number ..... . ........ Reading Date ..... .. Index well level Adjustment factor _................ Adjusted ground water level . ..__ . ....... _..... Depth of Naturally 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? Certification I certify that on `� �7 (date) I have passed the soil evaluator examination j approved by the Depar ment of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Signature Date DEP APPROVED FOR.11- 12/07/95 03-21-1996 14:36 517 932 7615 CEP NCRTNEAST REGICNAL P,O2 i l� FORA 12 - PERCOLATION TEST Location Address or Lot No. I� f COMMONWEALTH OF MASSACHUSETTS { ��'m Awrbvm , Massachusetts Percolation Test' Date: 1 �Dc5 Time: )CM Observation Hole # Depth of Pere1 Start Pre-soak End Pre-soak , Time at 12" Time at 9" Z,, r�?, Time at 6" 3 ', Flo Time (9"-6") Rate Min./Inch ' Minimum of 1 percolation test must be performed in bath the primary area AND reserve area. Site Passed l reSite Failed ❑ Performed By: �'► ''� p1�t2�?�C� Witnessed sy: , Comments: -... �... _.. DYT AMOYM CORM-U107131