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Home My WebLink AboutSoil Evaluation Forms ` ' FORM 11 SOIL EVALUATION FORM Gii � ,-�, _ -....� J� FE8 2 S ta�8 oo�snu� � 2BOCo�6Mrylfghwy•RqYBA I �'ii_'7.L ! t.f ', j�'7. Oi4�r,W 0�653 .._...._.�_..___._�..:.__�...-....__ Pk(SOB)TSSfi511 Fuc(SOq 755�6700 File No: C 14-510 Date: 2/20/98 Commonwealth of Massachusetts Yarmouth, Massachusetts Soil Suitabilitv Assessment for On-site Sewaee Disposad Perfortned 3y: lohn G. Schnaible Witnessed by: Amv Von Hone Location Address or Owner's Name Estate of Phyllis A. Paulsen, Lot#: Map/07,Parcel A28 Address: do Frederick S Paulsen, Executor 165 Drifnvood Lane Burns&Levinson,LLP Telephone# /25 Summer Street Boston,MA 02110 New Construction ❑ Repair � Office Review Published Soil Survey Available: No ❑ Yes � Year Published: 1993 Publication Scale: 1:25000 Soil Map Unit: CdC Drainage Class: Well Drained Soil Limitations: Poor Filter Su�cial Geologic Report Available: No ❑ Yes � Year Published: 1974 Publication Scale: 1:24000 Geologic Material (Map Unit): Ohw Harwich Ourivash Plain Landform: Outwash Plain Flood Insurance Rate Map: Above 500 yeaz flood boundary No ❑ Yes � Within 500 yeaz flood boundary No � Yes ❑ Within 100 yeaz flood boundary No � Yes ❑ Wetland Area: National Wetland Inventory (map unit)�land Wetlands Conservancy Program Map(map unit) -- Current Water Resource Conditions (USGS): Month: Februarv Range: Above Normal ❑ Normal � Below Normal ❑ Other References Reviewed: Appendix 4 Page 2A On-site Review Deep Hole Number: 1 Date: 2/S/98 Time: 1:00 Weather. Rainv Lceation (idendfy on site plan) Near Roadwav Land Use: Residential Slope(%): 8-15 Surface Stones: Yes Vegetation Pine and Oak Trees Landform Outwash Plain Position on landscape(sketch on the back):See Sketch Distances from: Open Water Body 210± feet Drainageway 100+ feet Possible Wet Area 200± feet Property Line 25± feet Drinking Water Well 100± feet Other DEEP OBSERVATION HOLE LOG Depth from SurFace Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munselp (Struct�se,Stones,Boulders, Consistenc ,'Yo Gravel) 0"-6" A Loamy Sand /0 YR 3/2 6"-24" B Loamy Sand 10 YR 4/6 24"-96" C Sand 2.5 Y 6/6 NONE Fine Sand Parent Material(geologic) Proelacia(Ounvash Depth to Bedrock: 200'+ �th[o Groundwater: Standing Water in the Aole: None Weeping from Pit Face: None Estimated Seasonal High Ground Wa[er. 25't Appendix 4 Page 2B On-site Review Deep Hole Number: 2 Date: 2/5/98 Time: 1:45 Weather. Rainv Location(identify on site plan) Near Roadwav Land Use: Residentia! Slope(%): 8-IS Surface Stones: Yes Vegetation Pine and Oak Trees Landform Outwash Plain Position on landscape (sketch on the back):See Sketch Distances from: Open Water Body 245± feet Drainageway 100+ feet Possible Wet Area 235± feet Property Line 22± feet Drinking Water Well 100t feet Other DEEP OBSERVATION HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Savcture,Stones,Boulders, Consistenc ,%Gravel) 0"-8" A Loamy Sand IO YR 3/Z 8"-27" B Loamy Sand !0 YR 4/6 27"-66" C Sand 2.5 Y 6/6 No Mottling Firse Sand Parent Material(geologic) Proelacial Ounvash Depth to Bedrock: 200'+ Deoth to Groundwater. Standing Water in the Hole: None Weeping from Pit Face: None Estimated Seasonal High Ground Water. 25'± PERCOLATION TFST Page 3 Locatioo Address or Lot No. 165 Driftwood Lane COMMONWEALTH OF MASSACHUSETTS Yarmouth , Massachusetts PERCOLATION TEST* Date: ?JS198 Time:3:00 Observation Hole# I 2 DepW of Perc 48" - Start Pre-soak 0:00 � - End Pre-soak lS:00 - Time at 12" - - Time at 9" - - Time at 6" - - Time(9"-R') - - RateMinJlnch <2 °in"",�"°"• <2 *Minimum of I perco7ation test must 6e performed on both the primary area AND reserve area Site Passed � Site Failed ❑ Perfortned by: lahn G. Schnaible Wimessed by: Amv Von HOne Comments:The C laver is considered suitable for subsurface disposal of sewage. `�' Iob C74-510 Sheet No 4 Of 5 Calculated by: JGS Date: 22pN8 �� Scale !" =50' �flLLi;R'�F x80CmibertyHkJnwy'IIar6A - Od�em.AU 01QS{ � ntelsoel2ssesn rme(soe�as�a�ao SKETCH PLAN SHOWING DEEP OBSERVATiON HOLE LOCATIONS: � �� %�c%a-n La�� . � . _. \\ 6,�,`"� ��.r„z �aN� � \� _ � , ;k. (.pf��G"b �*l� -� � , �� v ` �t1``�Z �b ��,�; . \ . �, /��fCla `'. � 1 �- �. ,_ � � . �/� � �� //�r . •_ �v� ..� � ?; \ \ ,j �� F ��v] � ��t �Qry�L O �L / �,� `�� \ Jv � � � � � � < , - � � � y FORM I 1 -SOII.EVALUATOR FORM PAGES Determination for Seasonal High Water Table Method Used: N/A ❑ 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 Depth of Naturallv Occurrin4 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? Yes If not, what is the depth of naturally occurring pervious material? Certification I certify that on 5/9/95 (date) I have ssed the mination approved by the Department of Env' nmen al Protec 'on and t t abov nalysis was perfortned by me consistent w' e re ired tra' i g, expe 'se d e p ence described in 310 CMR 15.017. Signature Date Z Zb