Loading...
HomeMy WebLinkAboutSoil Evaluation Form and Perc Test Info,T . � FORM 11 - SOIL EVALUATQR FORP � Page 1 of ; � No.: Date: 11119l03 COMMONWEALTH OF MASSACHUSETTS Yarmouth , Massachusetts Performed By: Carmen E. ShaY Date: 11l19l03 Witnessed By: David F�ahertv-Yarmouth BOH Locatian Address or#51 Captain Dore Road Owners Name: Allen Towne Yarmauth,MA Address: Sl Captain Dore Raad,Yarmonth,MA Lot# MAP 67,PARCEL 168 Telephone Number: New Construction : Repair : X OFFIGE REVIEW: � Published Soil Survey Available: No � Yes � Year Published: Publication Scale: Soil Map Unit: � Drainage Class: Sa11 Limitations: Surficial Geologic Report Avaitable: Na❑ Yes Year Published: Publication Scale: Geoiagic Material: (Map Unit}: Landform: Glacial dutwash Fiaad Insurance Rate Map: Ahave 540 Year Fload Boundary: No � Yes o ` Within 500 Year Flood Boundary: No � Yes ❑ � WithIn 14R Ysar Ftood Boundary: Np � Yes ❑ Wettand Area: Nane National Wetland Inventory Map{map Unit}: . Wetlands Conseruanay Program Map(map unit}: Current Water Resource Conditians (USGS}: Month Range: Above Normal � Normal � Below Normal 0 Qther References Reviewed: USGS Toaos�raahie Maa :.,, _, DEP APPROVED FORM 12/7/95 , � ' . . FORM 11' — SOIL EVAI�UATOR FORM • Page 2 of 3 Location Address or Lot No.: #51 Caatain Dore Road, Yarmouth, MA � On -Site Review Deep Hole htumber: #1 Date: 11l18l03 i'ime: 3:00 PNI Weather: Sunnv, Warm 50° Location (identify on site plan}: Refer#o Sketah Landform: Outwash Plane Position on Landscape (sketch on back): Refer to Sketch Distances From: Open Water Body MiA feet Drainage Way NtA feet Passible Wet Area N/A feet Property Line 25' feet Drinking Water Weli N/A fee# Other � DEEP OBSERYATION HOLE LOG C}epth From ���� Soi! Soil Soif Other ' Surface Horizon Texture Colar Mottling Structure, Stones, (inahes) (USDA) (Munsei} Boulders, Consistency, °lo Gravel 0" - 10" A e Sandy 10 YR 3/2 None {5% Gravel, Friable Coam Friabie 10" - 36" Loamy �'" Sand '10 YR 5i8 Nane <5°lo Gravel, Friable Friable . 36"- 12fi" �� M-G Sand 2.5Y?t4 Nane Med-Caarse Sand, 5°l0 gravel, Loose � 126"- 152" C2 M-F Sand 2.5 Y 816 None Med -Fine. Sand, 5% gravel, Loose Parent Material (Geologic}: Glacial Outwash Depth to Bedrock: None encountered Depfh to Groundwater: Standing Water in tfie Hale: N/A" Weeping From Face: N/A" Estimated Seasonal High Water Table 152" -aroundwater not encountered pEP APPROVED FORM 12/7/95 t � FORM 11 - SOIL EVALUAT4R FORM ' Page 3 af 3 �oCation Address or �ot I�to.: #51 Cap#ain Dore Road. Yarmauth, MA Determination of Seasona/ Hiqh Water Table Method Used: ❑ Depth observed standing in Observafion Ha(e: 152" inches � Depth weeping frpm side of Observation Hole: 152" inches (assumed) ❑ Depth to Soil Mottles: None inches ` ❑ Groundwater Adjustment; feet • Index Well Number: Reading Date: Index Well Level: . Adjustment Factor: Adjusted Groundwater Lsvel: DEPTH OF NATURALLY OCCURING PERVlOUS MATERIAL: Does at least four feet of naturally occurring pervious maferia! exist in ail areas observed throughout#he area proposed far the soil absorpkion system: Yes GEf2TiFiCAT10N: , i Certify That on September 17, 2000, tdate}, i have passed the soii evafuators examir�atian approved by the Depa�tment of Environmentai Protection and #hat the abave analysis was ' perFormed by me consistent with the required training, expertise and experience described in 310 CMR 15.Q17. r � Signature: � Date: 1��� i,���'�, � � � . . FORM 12- - PERCOLATTON TEST � �ocation Address or lat Na.: #51 Gaptain Dare Road � C(�MMQNWEAI�TH QF MASSACHUSETTS Yarmouth , Massachusetts Percalation Test Date: 11/19/03 Time: 3:30 PM 4bservatian Hole #: #') i j Depth of Perc 66" — 82" Start Pre-soak 0 Min 0 Sec � End Pre-soak 10 Min 20 Sec i ; Time at 12° � Time at 9 10 Min 2C? Sec � Time at 6" Time {9-6"} ' Rate Min./inch <2MP1 ` Minimum of 1 percolation test must be perfarmed in both the primary area AND reserve area. Perfiormed By: Carmen E. Shav � Witnessed By: David Flahertv CommentS: Would Not Hold 24 Gallon Presoak - <2 MPI (Assumed) Site Passed X Site Failed . DEP APPROVED F�RM 1217/95