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HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (8) i FORM 11 - SOIL LVALUATOR FORM Page 3 of 3 Location Address stl" 4ret,+, Nor& iQn&ar Determination for Seasonal Frig Water Table Method Used: LJ jDe th observed standing in observation hole `�"' inches nches 9 epth weeping from side :of observation .hole inches LJ 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 I .Does at least four feet of naturally occurring perviousmaterial exist in all areas observed throughout.the:area proposed for:the soil absorption system?_, e4, If not, what is the depth of naturally occurring pervious material? Certification I certify that on Oc,�. IU, M5 (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. J Signature Date i l 2:Z 9 I I , DEP APPROVED FOPUNI-12/07/95 1•