HomeMy WebLinkAboutSoil Testing Results - 83 SHERWOOD DRIVE 4/26/1996 FOR-Nit 11 - SOIL EVALUATOR FORM
Page 1 of 3
No. 1 Date: A \zc, \(3 co
Commonwealth of Massachusetts
rlue_14 , Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed By: _ _. -
P, WY�`�� ..__. .. Date: \21 \
Witnessed By: --
_. .... .
Lcuuon Address a 0—r's address.aw
Ns '(,� `� 1v�
Lc I ' \✓
14—' `�V�C�s--VV VV`I/ W�®�v Tdepwne! p�� Gt�Q®N,,q � "st..,,/��rl-
ew Construction l.9 Repair ❑ ��0� ��15 �� 1
Office Review
Published Soil Survey Available: No ❑ Yes ❑ 1 ���
Year Published 1.... .......�.. Publication Scale ...... Soil tifap Unit
Drainage Class ��,� ............. Soil Limitations _ ......._........ ........ ........................
Surficial Geologic Report Available: No 6i, Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit) .. .......
Landform _,_..
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes ❑
Within 500 year flood boundary No Ly'Yes ❑ f
Within 100 year flood boundary No es ❑
Wetland Area:
National Wetland Inventory Map (map unit) ............................... ............................................
Wetlands Conservancy Program Map (map unit) .........................................................................
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal ❑Belcw Normal ❑
Other References Reviewed:
DEF APPROVED FORM• 12/07195
FOR.ti'1 11 - SOIL EVALUATOR FORM
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Location Address or Lot Ao.
On-site .Review
i
Deep Hole Number Date:.-Alzi 19>5 Time: a," Weather
Location (identify on site plan) -=-AQ.9-"S
Land Use Slope M Surface Stones -
Vegetation
Landform
Position on landscape (sketch on the back) t btS °C stC�
Distances from:
Open Water Body {�� feet Drainage way Vjd feet
Possible Wet Area feet Property Line 't/ feet -T k'b-T C—D
Drinking Water Well WKY6 feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %
Gravel)
cD
` t
i
Parent Material (geologic)
DepthtoBedrock:
Depth to Groundwater: Standing Water in the Hole: ��� Weeping from Pit Face:
Estimated Seasonal High Ground Water: ^`U
DEP APPROVED FORDt- 1:/07/95
i
FORM 11 - SOIL LVALUATOR FOP-NJ
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Location Address or Lot No. A4
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole........... _ inches
Vepth weeping from side of observation hole inches
epth to soil mottles Y inches
❑ Ground water adjustment .................. feet
Index Well Number ...... ........ Reading Date .......... _ Index well level
Adjustment factor .... ........... Adjusted ground water level _......... _ .._
Deoth of Naturally Occurrina Pervious Material
Does at least four feet of naturally occurring pervious material exist in ll 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 11/94 (date) I have passed the soil evaluator examination j
approved by the Department 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 5/1/96
DEP APPROVED FORM• 12/07/95
03-21-1996 14:36 617 932 7615 DEP NCRTHEAST REGICNAL P.02
I
FORM 12 ® PERCOLATION TEST
Location Address or Lot No. 1� wQ5
COMMONWEALTH OF MASSACHUSETTS
PM , Massachusetts
Percolation Test'
Date: ' 1�1 Time: 1
Observation Hole #
Depth of Perc
Start Pre-soak �6U� � ui:? 157c)A14—
End Pre-soak
Tim at 12"
Time at 9"
LTime 6"
-6")
Rats Min./Inch
• Minimum of 1 percolation test must be performed in both the primary area AND
reservTS'Ite Site Passed Failed ❑
Performed By:
Witnessed By\• 1-2
Comments: _ ..... . ,..._
)a XMOvM rORM u/o�n�