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Home My WebLink About2022 Percolation Test Log ,IIN, - Commonwealth of Massachusetts L=*II _irk City/Town of YARMOUTH V Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal A. Facility Information LISA CAHILL AND LORINE FYFE Owner Name 9 ADRIENNE DRIVE 91/133 Street Address Map/Lot# YARMOUTH MA 02664 City State Zip Code B. Site Information 1. (Check one) ❑ New Construction ❑ Upgrade ❑ Repair 2. Soil Survey Available? ® Yes ❑ No If yes: USDA NRCS Source Soil Map Unit CARVER COARSE SAND EXCESSIVELY DRAINING Soil Name Soil Limitations SANDY GLACIOFLUVIAL DEPOSITS MORAINES, OUTWASH PLAINS Soil Parent material Landform 3. Surficial Geological Report Available? ❑ Yes❑ No If yes: MASS GIS Year Published/Source Map Unit GLACIAL STRATIFIED DEPOSITS - COURSE Description of Geologic Map Unit: 4. Flood Rate Insurance Map Within a regulatory floodway? ❑ Yes ® No 5. Within a velocity zone? ❑ Yes ® No 6. Within a Mapped Wetland Area? ❑ Yes ® No If yes, MassGIS Wetland Data Layer: Wetland Type 7. Current Water Resource Conditions (USGS): DECEMBER 2022 _ Range: ❑ Above Normal ® Normal ❑ Below Normal Month/Day/Year 8. Other references reviewed: 221208_t5forml l 9 Adrienne Dr Yarmouth•rev.3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 5 Commonwealth of Massachusetts V,_ =- ( City/Town of YARMOUTH l- Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal, r J C. On-Site Review (minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 1 12/7/22 2 PM RAIN 41.68402 -70.16609 Hole# Date Time Weather Latitude Longitude: BACK YARD 15' NORTH OF TANK GRASS NA 0-2% 1. Land Use (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones e.9 g ( g.,cobbles,stones,boulders,etc.) Slope(%) Description of Location: 2. Soil Parent Material: SANDY GLACIOFLUVIAL OUTWASH PLAIN Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body feet Drainage Way feet Wetlands feet Property Line feet Drinking Water Well feet Other feet 4. Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Weathered/Fractured Rock 0 Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil Depth(in) Soil Horizon Soil Texture Soil Matrix:Color- /°by Volume Soil Structure Consistence Other /Layer (USDA Moist(Munsell) Cobbles& Depth Color Percent Gravel Stones (Moist) 0-6 Afill Sandy Loam 10yr 5/1 Fill Material 6-18 Bfill Loamy Sand 10yr 5/6 Fill Material • 18-31 A Loamy Sand 10yr 4/2 Original Topsoil 31-57 B Loamy Sand 7.5yr 4/6 57-112 C Coarse 10yr 5/4 Sand • Additional Notes: TP CONDUCTED AT APPROX. THE SAME ELEVATION OF THE SEPTIC TANK APPROX. 15 FEET FROM THE NW CORNER OF THE HOUSE 221208_t5form 11 9 Adrienne Dr Yarmouth•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 2 of 5 0 , Commonwealth of Massachusetts ,5l— City/Town of YARMOUTH 14 {/% Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal C. On-Site Review(minimum of two holes required at every proposed primary and reserve disposal area) Deep Observation Hole Number: 2 12/7/22 3 PM RAIN 41.68402 -70.16609 Hole# Date Time Weather Latitude Longitude: 1. Land Use: BACK YARD 15 FT NORTH OF SAS GRASS N/A 5% (e.g.,woodland,agricultural field,vacant lot,etc.) Vegetation Surface Stones(e.g.,cobbles,stones,boulders,etc.) Slope(%) 15 FT NORTH+/-OF EXISTING SEPTIC LEACHING PIT Description of Location: 2. Soil Parent Material: SANDY GLACIOFLUVIAL OUTWASH PLAIN Landform Position on Landscape(SU,SH,BS,FS,TS) 3. Distances from: Open Water Body feet Drainage Way feet Wetlands feet Property Line feet Drinking Water Well feet Other feet 4. Unsuitable Materials Present: ® Yes ❑ No If Yes: ❑ Disturbed Soil ® Fill Material ❑ Weathered/Fractured Rock ❑ Bedrock 5. Groundwater Observed:❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole Soil Log Redoximorphic Features Coarse Fragments Soil Depth(in) Soil Horizon Soil Texture Soil Matrix: %by Volume /Layer (USDA) Color-Moist Cobbles& Soil Structure Consistence Other (Munsell) Depth Color Percent Gravel Stones (Moist) 0-6 Afill Sandy 10yr 5/1 Loam 6-17 BfiII Loamy 10yr 5/6 Sand 17-37 A Loamy 10yr 4/2 Sand 37-61 B Loamy 7.5yr 4/6 sand 61-120 C Coarse 10yr 5/4 Sand Additional Notes: TP CONDUCTED AT APPROX.THE SAME ELEVATION OF THE LEACHING PIT APPROX. 30-40 FEET FROM THE NW CORNER OF THE HOUSE 221208_t5forml l 9 Adrienne Dr Yarmouth•rev.3/15/18 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 3 of 5 Commonwealth of Massachusetts *-` City/Town of YARMOUTH YES E1 ` t Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal D. Determination of High Groundwater Elevation 1. Method Used: Obs. Hole#1 Obs. Hole#2 ® Depth observed standing water in observation hole >112 inches >120 inches ❑ Depth weeping from side of observation hole inches inches ❑ Depth to soil redoximorphic features (mottles) inches inches ❑ Depth to adjusted seasonal high groundwater(Sh) inches inches (USGS methodology) M I W-29 11/16/2022 Index Well Number Reading Date Sh = Sc-[Sr X (OWc-OWmax)/OWr] Obs. Hole/Well# Sc Sr OWc OWmax OWr Sh 2. Estimated Depth to High Groundwater: 120 inches E. Depth of Pervious Material 1. Depth of Naturally Occurring Pervious Material a. 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 ❑ No b. If yes, at what depth was it observed (exclude A and 0 Upper boundary: 60 Lower boundary: 120 Horizons)? inches inches c. If no, at what depth was impervious material observed? Upper boundary: Lower boundary: inches inches 221208_t5forml l 9 Adrienne Dr Yarmouth•rev.3/15/18 Form 11 -Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 5 - Commonwealth of Massachusetts City/Town of YARMOUTH Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal F. Certification I certify that I am currently approved by the Department of Environmental Protection pursuant to 310 CMR 15.017 to conduct soil evaluations and that the above analysis has been performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. I further certify that the results of my soil evaluation, as indicated in the attached Soil Evaluation Form, are accurate and in accordance with 310 CMR 15.100 through 15.107. 12/8/2022 Signature of Soil Evaluator Date JUSTIN LAMOUREUX, 2828 6/30/2025 Typed or Printed Name of Soil Evaluator/License# Expiration Date of License JAY GARDINER, TOWN OF YARMOUTH YARMOUTH BOARD OF HEALTH Name of Approving Authority Witness Approving Authority Note: In accordance with 310 CMR 15.018(2)this form must be submitted to the approving authority within 60 days of the date of field testing, and to the designer and the property owner with Percolation Test Form 12. Field Diagrams: Use this area for field diagrams: 221208_t5forml l 9 Adrienne Dr Yarmouth•rev. 3/15/18 Form 11 —Soil Suitability Assessment for On-Site Sewage Disposal •Page 5 of 5 L\ tt.\ . Ax\k‘"i4 404 qt*\\\"%_, ..,-e;r' N C‘ 1 s 1:4.;.4 A it �9 /O \ ,0.7 c-0) ,---.1-3`.047- P. o° 3j1 �. \ ..A- .6‘ii,q2.- 31 4,0' I: i ptim ':\ —2,-, tl.. -,r, 0 /••17%IA,\\ -6-.1,fy�'' �'�' ' -sue c'"..- 3 M t;4V0ivi.s\:A 4 ' 0 '4\ 9 TP 2 *,TP#1 `. �q` W rEsTpi-r-/ e______.---C:\'( k� LEACHING-1rf D 5 4,6 a..�M .► sAS 7 �/I"• 3". .., ,c.a. , / 0 (\ SEPTIC TANK o �1.. �p / ' .?I13q i ,f o.� 3 7 .. - 11:v Iv': ear' �' % / p 15