HomeMy WebLinkAboutSoil Evaluator Forms --- __ _ _ _ _ �
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FORM 11 — SOIL EVALUATOR F�RN �
Page 1 of � �
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No.: Date: 11/12/02
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COMMONWEALTH OF MASSACHUSETTS �
- Yarmouth , Massachusetts �
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:Pei-Formed By: Carmen E. Shav Date: 11/12/02
Witnessed By: Amv Von Hone
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Location Address or#85 Tanglewood Drive Owners Name: Mr.Bruce Guptill ;
Yarmouth,MA Address and #63 wyeding Hill Road,Manchester,CT F
Lot# (Map—30,Lot ?9) Telephone Number: 06040 i
New Construction : Repair : X j
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OFFICE REVIEW: '
Published Soil Survey Available: No � Yes �
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Year Published: Publication Scale: Soil Map Unit: �
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Drainage Ciass: Soii Limitations: �
' Surficial Geologic Report Available: No� Yes '
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Year Published: Publication Scale: �
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Geologic Material: (Map Unit): I
Landform: GlacialOutwash �
Flood Insurance Rate Map: �
- Above 500 Year Flood Boundary: No � Yes �
. Within 500 Year Flood Boundary: No D Yes ❑
Within 100 Year Flood Boundary: No � Yes �
Wetland Area: None
National Wetland Inventory Map (map Unit):
Wetlands Conservancy Program Map (map unit):
Current Water Resource Conditions (USGSj: Month
Range: Above Normal ❑ Normal � Below Normal ❑
Other References Reviewed: USGS Topos�raphic Map
! DEP APPROVED FORM 12/7/95
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� � � - SOIL EVALUATOR FORM �
F.ORM 11 page 2 of 3 ;
' Address or Lot No.: #85 Tan lewood Drive Yarmouth MA
Location
On -Site Review
Time: 2:00 PM Weather: Sunnv, Cool
�eep Hole Number: #_=_�ate: 11112102 ,
Location (identify on site plan):
Refer to Sketch ;
Landform: Outwash Plane '
Position on Landscape (sketch on back):
Refer to Sketch
Distances From: N1A feet '
NIA feet Drainage WaY �_---�- �5, feet
Open Water Body _______--- feet Property �----
Possibie Wet Area N_ �__A._- Other
Drinking Water Well NIT,p►_._ feet
DEEP OBSERVATION HOLE LOG ;
Soil Soil Other
Depth From Soii So�� Structure, Stones,
Horizon Texture Color Mottling Boulders, Consistency,
Surface (USDA) (Munsei) % Gravel
� (inches)
o�� _ �„ A P Loamy
10 YR 312 None <5% Gravei, Friable
Sand
g°° - 32" BW Sandy
10 YR 516 None <5% Gravel, Friabie
Loam
2.5 Y 7/6 None Med. Sand, 5% gravel,
Medium Loose
32" - 48" C� Sand
None Fine Sand, 5% gravel,
48" -72" C2 Fine Sand 2.5Y 812 friable
72°° _ 124" C3 Med. Sand 2.5 Y 8�4 None
Sand, 5% gravel, loose
Parent Materiai (Geologic): G
lacial Outwash Depth to Bedrock:None encounte�ed
I Water in the Hole: N�e Weeping From Face: None
Depth to Groundwater: Standing
Estimated Seasonal High
Water Table 124" assumed no roundwater obs.
DEP APPROVED FORM 12/�/95
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� . . , .
j ` ' ' FORM 11 - SOIL EVALUATOR FORM
�' Page 3 of 3
; Location Address or Lot No.: #s5 Tanka�ewood Drive, Yarmouth MA
Determination of Seasona/ Hiqh Water Table
Method Used:
� ❑ Depth observed standing in Observation Hole: N/A inches
� Depth weeping from side of Observation Hole: 124" assumed inches
? � Depth to Soil Mottles: N/A inches
' ❑ Groundwater Adjustment: N/A feet
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Index Well Number: Reading Date: Index Well Level:
Adjustment Factor: Adjusted Groundwater Level:
� DEPTH OF NATURALLY OCCURING 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
CERTIFICATION:
" I Certify That on Seatember 17. 2000. (date), I have passed the soil evaluators examination
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approved by the Department of Environmental Protection and that the above analysis was
performed by me consistent with the required training, expertise and experience deseribed in
310 CMR 15.017.
Signature: Date: fl�_
� � � � FORM 12 - PERCOLATION TEST
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Location Address or Lot No.: #85 Tanalewood Drive
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COMMONWEALTH OF MASSACHUSETTS
� Yarmouth , Massachusetts
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Percolation Test
� Date: 11/12/02 Time: 2:30 PM
! Observation Hole #: #1
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Depth of Perc 55" — 73"
Start Pre-soak 2:30 PM
End Pre-soak 2:45' PM
- Time at 12"
` Time at 9 2:45' PM
Time at 6"
Time (9-6")
• Would Not Hold 24 Gallon
Rate Min./inch
; Presoak < 2MP1
* Minimum of 1 percolation test must be performed in both the primary area AND reserve
area.
Pertormed By: Carmen E. Shay
Witnessed By: Amv Von Hone �
Comments: Would Not Hold 24 Gallon Presoak - <2 MPI Assumed
Site Passed X Site Failed
DEP APPROVED FORM 12/7/95