HomeMy WebLinkAboutSoil Testing Results - 116 SHERWOOD DRIVE 12/6/1996 FOR-:�i 11 - SOIL EVALUATOR FORM
Page 1 of ;-A-
Date:
No. c2 Commonwealth of Massachusetts
p,Ao(z-° A Aaacc�"J , Massachusetts
Foil Suitability ASSISsrne�zt for on-site Sewc��e DiSP0Sa1
Performed Bv:
Date: 1 � t
Witnessed By: _. ! . ' .
Location Addtesi or
EewConst'rucri'cn .4c) s\Jt ` -" fZt>�.Tdcpnom
Te a ir ❑
Office Review,
Published Soil Survey Available: Na El Yes
�. .... Publication Scale \\°..��.. Sail Map Unit .� ' "►``°1`�
Year Published
Sall Limitations
Drainage Class �� t,.a Vii...................
Surfiicial Geologic Report Available: No 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 0yes ❑ f
Within 100 year flood boundary No Eyes ❑
Wetland Area:
National Wetland Inventory Map (map unit
............................... .
Wetlands Conservancy Program Map (map unit) ...... ...................
........ ........... ...........
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal Be!c«, Normal ❑�
Other References Reviewed:
4EP APPROVED FORM• 12/07/95
FORM 1I - SOIL EVALUATOR FORM
Page 2 of }4
Location .-address o Lot 1q0.
On-site Review
Deep Hole Number °JGj- �-j Date:. 1�.1.�)V5 Time: PY%\A Weather ��-
Location (identify on site plan)
Land Use 'C1 trt-- Slope M Surface Stones . .... ....
Vecetation -
Landform
Position on landscape (sketch on the back)
Distances from:
t
Open Water Body � 125�feet Drainage way Nlq feet
Possible Wet Area 125± feet Property Line 4�,b feet
Drinking Water Well ii_l/A feet Other
DEEP OBSERVATION HOLE =0G'
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) I (USDA) (Munseil) I Mottling (Structure,Stones, Boulders, Consistency, %
Gravel)
p��_
i
i
I
AL A I n t� nt U . i REA
Parent Material (geologic) a��W( DepthtoBedreck: 6
a
Depth to Groundwater Standing Water in the Hole: Weeping from Pit Face: �
u
Estimated Seasonal High Ground Water:
DEP APPROVED FORM- 12107/95
i
i
FORti1 11 - SOIL LVALI BATOR FOR-m
Pa-e 3 of $4
Location �ddress o Lot No °1 ��� �c
Determination for Seasonal High Water Table
Method Used:
Depth observed standing in observation hole.... 8.. inches
Q Depth weeping from side of observation hole ........ . .. inches
Q Depth to soil mottles inches
Q 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 inglllaareas
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 h 11q (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 —/Z/6'
DEP APPROVED FORM• 12107/95
FORM 11 - SOIL EVALUATOR FORM
Page 4 of 14
ti0. Irk - Date: 12
Commonwealth of Massachusetts
V,,M12�\A PN -, Massachusetts
Soil Suitability Assessment for On-site Sewa17e MisP0sal
Performed Bv: .
STE�t -� .� ......Dt'1 � Date:� '
Witnessed By: _. � ... ..... ..
od&C4S aw T1 w�g5(LU 11 L IS�62S 1
l.ccauon naares«
macs:.�m
aConstir-lucrion zReQair ❑ (50� `��S - 8115
Office Review
Published Soil Survey Available: No ❑ Yes 1?S!
Year Published 1 �....-. Publication Scale �,........... Soil Map Unit
�Xssw��T Limitations -c ......�..%t- "
Drainage Class peq �►►s ............... Soil
Surficial Geologic Report Available: No 9 Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit)
Landform ... .............�._.
.. .�...`�.
.................................................................................... ... ..
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes A
Within 500 year flood boundary No Yes ❑
Within 100 year flood boundary No Yes ❑
1
Wetland Area:
National Wetland Inventory Map (map unit) ............................... ................................................
...................................................................I......................
Wetlands Conservancy Program Map (map unit) '!
Current Water Resource Conditions (USGS): Month
Range :Above Normal []Normal kBe!c��, Normal ❑
Other References Reviewed:
DEP APPROVED FOFLM- 12/07/95
FORNI 11 - SOIL EVALUATOR FORM
Page 5 of 349
Location Address dzlof w ° pe,l�
On-site Review
Deep Hole Number Date:. 4A)i95I5�5 Time: PcM Weather PAVE—
Location (identify on site plan) �j¢�>� :S.A 1't P\5�=b5-A-e--:...PL-O#--.21'
Land Use Slope M Ir7"25�; Surface Stones . ....
Vecetation
Landform
Position on on landscape (sketch on the back)
Distances from:
Open Water Body feet Drainage way N A feet
Possible Wet Area 115j' feet Property Line 14r e— feet ( VVeery� el— L,t,,.)
Drinking Water Well 1Jk feet Other
DEEP OBSERVATION HOLE LOG~
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) I (USDA) (Munsell) ( Mottling (Structure, Stones, Boulders, Consistency, %
Gravel)
iA
MINIMUM OF 2. i
1
h t5 REQUIRED r c' AL
Parent Material (geologic) ���l�T(�Si-� DepthtoSedrock:
Depth to Groundwater: Standing Water in the Hole: 7i Weeping from Pit Face: L�
Estimated Seasonal High Ground Water: 4
DBP APPROVED FORIM-12/07/95
FORM 11 - SOIL LVALU.-kTOR FOR-NI
Page 6 of �c{.
Location ,-address
Determination for Seasonal High Water Table
Method Used:
tziDepth observed standing in observation hole .712—. inches
❑ Depth weeping from side of observation hole _...... . inches
❑ Depth to soil mottles ... inches
❑ Ground water adjustment .................. feet
Index Well Number ........ ........ Reading Date ........... _.. Index well level .....
Adjustment factor ...-........... Adjusted ground water level ....... .. ........... _..... . ......
Deoth of Naturaliv Occurrina Pervious Material
Does at least four feet of naturally occurring pervious material exist in �ajls�reas
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 l� (date) I have passed the soil evaluator examination
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.
Signatur� I'/'-
Date
DEP APPROVED FORM • 1:107195
- � L •�° �i y�� ei5 CEP NORTHEAST REOICNZL F,02
�. FOPM 12 - PERCOLATION TEST
Location Address r Lot N
COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test'
Date: g 'O Time:
Observation Hole
Depth of Perc I CQb 0
Start Pre-soak
End Pre-soak WfOL,42 WTT 4—�2 �Ikl�
Time at 12"
Time at- 9"
Time at 6"
Time (9"-6")
Rate Min./inch
* Minimum of 1 percolation test must be performed in both the primary area AND
reserv�,ee a/'rea.
Site Passed L Site Failed
Performed By:
Witnessed By:\. `2Pa-sY21(,� ► `2(z
Comments: : ..__.. . ._.._ - _.. . .. .... _.
DE?APMOYM M M•UIVI11!
FORA 11 - SOIL EVALUATOR FORM
Pages of 3 4
�Io.
c� Date: 12(Q
Commonwealth of Massachusetts
Massachusetts
Soil Suitability Assessment for On-site Sewage Disposal
Performed Bv.
{ ( � > o Date:b ...
S'CA t?-� ......
Witnessed By: .. .... . ..
_ G> 'P _..................................
Lacauan Address or Owrcr's Yme.^�1��^ �,..I"�� �,�� 11"i�l
lac A Addres.AW l
^' �\ Tdcondrc/ G�Q �jU117G'( C�C_tL_ 1�—v, n0
Y'(� ,p oV - *.l A O1 B l
[ew Construction ; Repair ❑ 15 — IS
Office Review
Published Soil Survey Available: No ❑ Yes r/
°J°U� Publication Scale �\,`......,��...� Soil Map nit �"��plK'�" �
Year Published �-•�•-•-•-•-•••••-
�'s�J �
..............._.....................� . Soil Limitations �?
Drainage Class ...... . -
Surficial Geologic Report Available: No 9 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 SfYes ❑
f
Within 100 year flood boundary No 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 %Beicw Normal ❑
Other References Reviewed:
DEP APPROVED FOPM•12/07/95
FOR.'11 11 - SOIL EVALUATOR FORM
Paac cb of 3-4
Location Address o Lo`t wo. �� C" 21 '
On-site Review
Deep Hole Number 13 . Date:- Time: 'fin Weather
Location (identify on site plan) 5P"' \
Land Use Slope (%) Surface Stones
Vecetation
Landform
Position on on landscape (sketch on the back) S�*—L ►–CtL'� V�S`i�S+°<�-- �'t- ,
Distances from:
Open Water Body \C7D-r feet Drainage way N Pt feet
Possible Wet Area kcjo± feet Property Line 5:5 feet
Drinking Water Well f.-% k feet Other
DEEP OBSERVATION HOLE LOG'
Depth from Soil Horizon Texture Soil Color Soil Other
Surface (Incnes) I (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %
Soil
Gravel)
�►�r .� a �p ��
I
H Lt�a,rtt" A EVERY c AL
Parent Material (geologic! (�j w"" J� Q Depthto8edrack:
Depth to Groundwater: Standing Water in the Hole: SU y Weeping from Pit Face:
Estimated Seasonal High Ground Water:
DEP APPROVED FORM- 12107/95
j
i
FORM 11 - SOIL LY'.-ALL'.- TOR FOR.N1
Page 10 of I+
Location ,-address
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole........... ... inches
❑ Depth weeping from side of observation hole _...... . inches
Depth to soil mottles ( inches
❑ Ground water adjustment .................. feet
Index Well Number ................. Reading Date ........... .... Index well level ._.. .
Adjustment factor .................. Adjusted ground water level ..... ..._........... ......... ._......
Death of Naturally Occurrina 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 (date) I have passed the soil evaluator examination
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
DEP APPROVED FOP-%I. 12107195
la:-lb 51! y32 7615 CEP NCPTMEAST REGICNZL. P.02
FORM 12 -PERCOLATION TEST
Location Address r Lot No. C�
COMMONWEALTH OF MASSACHUSETTS
i' , Massachusetts
Percolation Test'
Date: Q g 10,� Time: .'jam
Observation Hole
Depth of Perc I u 4
Start Pre-soak 2
End Pre-soak
Time at. 12"
Time at 9"
Time at 6"
Time (9"-6")
Rate Min./Inch Z
* 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: ......__.. .. ...._ _ _ w
ov urxorm roF�s•worm
FORM 11 - SOIL EVALUATOR FORl1
Page 12zf J+
Ito. IBS- 9 Date: �2 1(p
Commonwealth of I'vlassachusetts
Koe-TM 1->xvtre, Massachusetts
Soil Suitability Assessment for On-site Sewage Disyosal
Performed By:
T ........... _ _. ....... Date:
Witnessed By:
rL=4tion Address oc Aadru:.un ConstruCtion 9ReQair ❑ ��� `�"��"— �5
Office Review,
Published Soil Survey
available: No ❑ Y'es 1
Year Published ..... Publication Scale Soil Map nit
S ...................................................
Drainage Class V>
Soil Limitations .............................. .....
Surficial Geologic Report Available: No\,Z Yes ❑
Year Published Publication Scale
Geologic Material (Map Unit) ....................................................................................................................... .............
_..._
Landform .... 5
................................................ ....................
_._.
Flood Insurance Rate Map:
Above 500 year flood boundary No ❑Yes 5
Within 500 year flood boundary No KYes ❑
Within 100 year flood boundary No RYes ❑
I
Wetland Area:
National Wetland Inventory Map (map unit)
.............................. ..........................................................
Wetlands Conservancy Program Map (map unit)
Current Water Resource Conditions (USGS): Month
Range :Above Normal ❑Normal %Below Normal ❑
Other References Reviewed:
DFP APPROVED FORAM• 12107195
FOR 111 - SOIL EVALUATOR FORM
Pagc13 of JA-
Location ,address Loi ,vo. � S �2iy�G•
On-site Review
Deep Hole Number J2— II. Date:. ".L�915 Time: P�'A Weather
Location (identify on site plan) -Cp'2'-f PL'p0--P�t-- FLP►-?
Land Use Slope M 15;-Z-5 Surface Stones
Vegetation UQz2yY;)S
Landform
Position on landscape (sketch on the back)
Distances from:
Open Water Body (qOi-- feet Drainage way feet \
Possible Wet Area 'low feet Property Line (9cj feet (Ve6y" �� L✓�-J
Drinking Water Well tiSA feet Other _
DEEP OBSERVATION HOLE LOG'
Deoth from Soil Horizon If Soil Texture Soil Color Soil Other
Surface (Inches) I I (USDA) (Munsell) Mottling (Structure, Stones, Boulders, Consistency, %
Gravel)
2211- l 08, L �r r --� c�2atvc-��.� s►�c
'18 �k" t.00h
90 I
MINIMUM OF 2 I
I
mULES REQUMED A i EVERY PROFQ6c L) l-AfiFA
Parent Material (geologic) (51KViT4 DepthtoSedrock:
Cp:XyD.,� uX
Depth to Groundwater: Standing Water in the Hole: ✓�J Weeping from Pit Face:
Estimated Seasonal High Ground Water:
UEP APPROVED FORA)- 12/07/95
FORM 11 - SOIL L:VALU.-kTOR FOR-M
Page I of 4
Location Address o of
Determination for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole......... . inches
❑ Depth weepina from side of observation hole .. inches
Depth to soil mottles 1 8 inches
❑ Ground water adjustment .................. 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 Gill areas
observed throughout the area proposed for the soil absorption system. `t
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 11 194 (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.
Signat,u re 1 iz Date
DEP APPROVED FOR.11• 12/07/95