HomeMy WebLinkAbout1410 BUMPS RIVER ROAD - Health (2) loll -
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�EC�raV ® FORM 11 - SOIL E LUATO ge FORM
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FMAY ? 1996 to6/11
HEALTH DEPT.
TOWN OF BARNSTAl LE Date:
No.
Commonwealth of Massachusetts
s
'Tow Massac
• ' ' A s ssment or On-site ewa a Dis osal
oil uitabali
Date-
......
....... ..................
.............. ....
PerformedBy: .......... .................. ........................ .........................
Witnessed By:
4wwCs Name.
non
: !'� p.105 R iv>:R- Address,a.- 19 2
s nnOro 'L 8 Dc L 1 I Telephone I ce, r TI:-R-� �•E, nn A , 0 2so 3 oll s[Repair ❑
Office Review
Published Soil Survey Available: No Yes
Soil Map Unit c +QIL
• ...I.:.15,oee
Year Published !.q`!•3••.•• Publication Scale
pQpUl,H:T ...'..Yh V.l•�L ...PE.� q �.�,.WP.:!....�1...�..�1...5�S'ri;
Drainage Class r•••••..• Soil Limitations
❑Surficial Geologic Report Available: No Yes ti4 ao
Year Published
q;-!5:::: Publication Scale
a Unit ........�.b.� ..........................................Geologic Material (Map )
4 LE 6c TS o.s..11 ............................................................
Landform
Flood Insurance Rate Map:
year flood boundary No Yes
Above 500 y --
Within 500 year flood boundary No Q/Yes ❑
Within 100 year flood boundary No Yes
WetlandArea: r.../..A................................................................................
National,Wetland Inventory Map (map unit)
Pro Map(map unit) ..r�;�A....��.T...�..�c,�.........................................
Wetlands Conservancy g�
Current Water Resource Conditions(USGS): Month
Range :Above Normal Normal ❑Belcw Normal ❑
Other References Reviewed: ups
DEP APPROVED FORM•12/07/95
FORM 11 - SOIL EVALUATOR FORM
Page 2 of 3
Location Address or Lot No. 1410
On-site Review
to I1 A Weather `
Deep Hole Number Date:..::5.�1!_�y� Time:.:.....:-.::: .:
. .::......:::. : .
Location (identify on site plan)
�Incr�,-+T:::::::::.::::::::..:.. : Slope (°Io) ..15 35 Surface Stones :. o �.:o.��tet�
Land Use ........_. :,. .
Vegetation
. .:: . . :.....
Landform ... .
Position on landscape.(sketch on the back)
Distances from: t feet a'Dr= r�M ATc 4
Open Water Bod ��� feet Drainage way :` �As ��
p
Possible Wet Area .136'..3 feet Property Line ..:: .+... feet
L��e.:.. feet Other
Dunking Water Well o��..,
DEEP OBSERVATION HOLE LOG
Soll
Other
Depth from Soil Horizon Soil Texture Soil Color Gravel)
Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, °�6
Tf}31 I
S+qH o�+G pE�,i.,DpS,rnrG Fp�ST O+�h4:+S
O- 3" Lo AM
sAF+D ryi5r Z °7o C,/LA,EL
lco" P�0-G
7rr-,ALE f�2-A L.00sE / ScalSrbL�s
s n-N D
rA-5
NO
rTS
DepthtoBedrock:
I-4 D cPOS
Parent Material(geologic) 300
weeping from Pit Face:
Depth to Groundwater: Standing Water in the Hole:
N/ •A
Estimated Seasonal High Ground.Water:
It' s' f_
DEP APPROVED FORM-12/07/9S
f
FORM 11 - SOIL EVALUATOR FORM
Page 3 of 3
Location Address or Lot No. t�E ►o ('wM�S � �� CcrF- iE�GvL�E
Determinatz'on for Seasonal High Water Table
Method Used:
❑ Depth observed standing in observation hole................ inches v1A
❑ Depth weeping from side of observation hole .....!............ inches "/A
❑ Depth to soil mottles .::::..:: :::::::: inches E-
aGrOund water adjustment ...... feet
Index Well Number .M!w n Reading Date ...4../q Index well level .... ._ti....
Adjustment factor ....�:.5...... Adjusted ground water level .......g.:B..t...�.:.s ....
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.
If not, what is the depth of naturally occurring pervious material? ti/A
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 FORM-12/07/9S
i
FORM 12 - PERCOLATION TEST
1 �
Location Address or Lot No. 141 a N UM p-, ee>� , cam►, e.�rt_LC
COMMONWEALTH OF MASSACRUSETTS
Massachusetts
Percolation Test*
Date: ..:. :5:1. Lq: .:.. Time:..::.:::::!.......�.......,.........
Observation Hole # 1
Depth of Perc �oT-rzDM �o
Start Pre-soak
0
End Pre-soak
Time at 12" s. ;
Time at 9"
G;4
Time at 6"
Time W-6"1
Rate Min./Inch
LMiI-+uP�� �iNcr4
Minimum"of 1 percolation test must be-performed in both the primary area AND
reserve,area.
Site Passed Site Failed ❑
Performed By: NAx iE�_2 1 N
Witnessed By: ezDtA3A-ao
.M A PP `�M x sk�c ,., !y rxn e*�T To o is cawtie o...wTQ.,, e (3.
Comments: ........... 0
T
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