HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (104) I .
FORM 11 - SOIL LVALUATOR_FORM
:. Page 3 of 3
Location Address 1423 '$ckJ@w� 4f,--4, Nof-44., IJav2r
..Determination for Seasonal Rih Water Table
Method Used:
LCL:-Depth .observed standing in observation hole inches
epth :weeping from side :of observation .hole inches
LTJ Depth to soil mottles +-7 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?_ r
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on 0c, . ILoA L995 (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 0l
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DEP APPROVED FMI-12107/95
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