HomeMy WebLinkAboutSoil Testing Results - 193 FOSTER STREET 10/26/1998 I
FORM 11 - SOIL EVALUATOR FORM
Page 1 of 3 1
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No. Date:
Commonwealth of Massachusetts
Massachusetts
Soil Suitability Assessment for Can-site Sewage Disposal
Performed By: � o ...... Date: M ,
Witnessed By: - t6C&n-
Location Address cr - " '� .... Adams ud � f "'M1 R fig- «'.,F �.
.. !✓ ;
Lot r & �..�'
° m Teltpwrc 1
�M C� G., p d`��lY° Me"e. 0 d
New Construction Repair
Office Review
Published Soil Survey Available: No J Yes
Year Published 1a, ................ Publication Scale ,. Soil Map Unit
Drainage Class .... .... Soil Limitations _ ......................
Surficial Geologic Report Available: No ❑ Yes ❑
Year Published Publication Scale
GeologicMaterial (Map Unit) ................ ............................................................. .......... _..... _....
Landform ................................................................................................................................................................_ _....
Flood Insurance Rate Map:
❑
W
Above 500 year flood boundary No Yes !
Within 500 year flood boundary No 21 i es ❑
�w,s
Within 100 year flood boundary No C Ye 1
Wetland Area:
National Wetland Inventory Map (map unit ....
-
Wetlands Conservancy Pro am Map (map unit) ---
Current Water Resource Conditions (USGS): Month
Ranee :Above Normal ❑Normal ❑Belt^ Normal ❑
Other References Reviewed:
DEP APPROVED FORA- 12/07/95
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FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
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Location Address or Lot too. "�... �
On-site Review
"� f 7_ Time: 9 ° - Weatherf
Deep Hole Number Date: t
Location (identify on site plan)
amm ,
Land Use � rw:t� �
Slope ( /o) Surface Stones
Vegetation . .,
Landform ( _ .
Position on landscape (sketch on the back) , I f =
Distances from:
Open Water Body feet Drainage way feet
0
Possible Wet Area ..57) "t" feet Property Line feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE ®OGi
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface (Inches) (USDA) (Munsell) Mottling (Structure, Stones, Bounders, Consistency, °,/o
.3 �r r
µ ,.
��a���r�rr�t �'
o r 9
Parent Material (geologic)
Depthto8edrock:
Depth to Groundwater: Standing Water in the Hole:
„ Weeping from Pit Face: -a
Estimated Seasonal High Ground Water;
DEP APPROVED FORM• 12/07/95
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FORA4 11 SOIL EVALUATOR FORM
Page 2 of 3
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Location Address or Lot Ivo. �,�—
."� �:.u� �� �.. .
On-site Review
Su r
Deep Hale Number Dater Time: �� ¢'. Weather 0
(„
Location (identity on site plan)
Land Use A Ca Slope (°,'o) Surface Stones � �
Vegetation l„°a -”
Los�ion on�andsc�apeTs ,60 ca-���.
. �
P ketch on the back)
Distances from:
Open Water Body feet Drainage way r fee,
Possible Wet Area feet Property Line ' feet
Drinking Water Well feet Other
DEEP OBSERVATION HOLE LOG*
Depth from Sod Horizon Sod Texture Soil Color Soil Other
Surface (Inches) I (USDAI I (Munselll Mottling (Structure, Stones, Boulders, Consistency,
Gravel)
Al
` c
.y k,ryt 0
PROPOSED
Parent Material (geologic) 11-L. r DepthtoBedrock:
C��'"
Depth to Groundwater: Standing Water in the Hole: � / Weeping from Pit Face:
Estimated Seasonal High Ground Water:
DEP APPROVED FORM- 12107195
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FORM 11 - SOIL LVALL.4�.TUI� I'UIv'\1
Page of
Location Address or Lot No. 132 Lsfev S-t®
Detcrmination for Seasonal High Water Table
Vie-,hoc Used
Depth observed standing in observation hole inches
Depth weeping from side of observation hole inches
_? Depth to soil monies inches
ground water adjustment fee.
index Well Num3er _ Reading Date ... __ index well level
Adjustment factor _. Adjusted ground water ievei
Materla!
Does at leas: four feet of naturally occurring pervious material exist in al. areas
observed throughout the area proposed for the soil absorption system. i
If not, what is the depth of naturally occurring pervious material?
certify that on / L' Y (date) I have Dassed the soil evaluator examination
approved b\ the Department of =nvironmental -rdtegtlon and that the adove anal\'s,s
was performed by 'Tie consistent with the required training, expertise and experience
described in �1 0 CMR -1 5.017.
Slanature INQ�U`�. (fG�Z7�� Dale fir/ Z1' f ,
DEP APPROVED FOAM • :./07!95
03-21-1996 14:36 617 932 7615 OEP NORTHEAST REGIONAL P.02
FOR_%I 12 - PERCOLATION TEST
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location Address or Lot No. I :
COMMONWEALTH OF MASSACHUSETTS
) o _ ° .. �� t ,°��� ..�� , Massachusetts
Percolation Test
Date- ���� ���� Time:
Observation Hole M`
Depth of Perc `J
Start Pre-soak f
Er'ld Pre-soak
Tune at 12" +
Time at M
Time at 6" a
Time (9"-6")
Rate Min./inch
r
" 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;
PIP APMOYM toRM•u/01199