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HomeMy WebLinkAboutChessman Road off Gilbert St. 3/1994 - not developedCommonwealth of Massachusetts Town of Mansfield Soil Suitability Assessment for On -Site Sewage Disposal Fee $150.00 [],New ❑ Upgrade Site Number - Location address: Cote^ A�V tlaSe Applicant: � Subdivision/Lot: Address: ii o Ai . A/l, c ` vi s4 ., AA,ctS-f e rj Owner: Telephone: Performed by: (K�W\ Witness: Scott Leite, Health Agent (Site Evaluator) Address: Address: Six Park Row, Mansfield Telephone: Telephone: (508) 261-7366 Office Review Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit Drainage Class Soil limitations SurHcial Geologic Report not available. Geologic Material Landform Flood Insurance Rate Map: ❑ Above 500 year ❑ Within 500 year ❑ Within 100 year flood boundary Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit) Current Water Resource Conditions (QSGS) Month Range: ❑ Above Normal ❑ Normal ❑ Below Normal Summary TH TH Locus Soil class Percolation Rate Adjusted ground water Certification I certify that on April 30, 1993, I have passed the 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. Scott Leite Date On -Site Review Location Date Page of Land use _ Vegetation Landform Surface stones Slope Distance from: Open water body Possible wetlands Drainage way Drinking well Property Line Deep Observation Hole Log Test Hole Number Parent material Depth to bedrock Depth to GW ❑ Flow ❑ Weep ❑ Seep ❑ Perched ❑ Wet Soil Depth of naturally occurring previous material ❑ High ❑ Low ❑ Dap ❑ Steady ❑ Increasing ❑ Decreasing De th/sur Hrzn Texture Color Mottling Consistence GW Modifiers Test Hole Number Parent material Depth to bedrock Depth to GW ❑ Flow ❑ Weep ❑ Seep ❑ Perched ❑ Wet Soil Depth of naturally occumng previous material ❑ nigh ❑ Low ❑ Drip ❑ Steady ❑ Increasing ❑ Decreasing De th/sur Hrzn Texture Color Mottling Consistence GW Modifiers Percolation Test Determination for Seasonal High Water Notes Test Hole TH Method used TH TH Depth of Pere Depth observed standing Depth weeping Begin Presoak Depth of soil mottles End Presoak Index Well Time at IT' # I Berry School 9" # 2 Gilbert Street 6" # 3 Fruit Street Time (9" — 6") # USGS Well Rate NUNAN NOTES Index Well Level Less: Index well high Adjustment factor Site Level Less: Adjustment Factor Adjustedgroundwater PERC ADDRESS SUBDIVISION )WN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 'PLICATION FOR ON -SITE SEWAGE TESTING NO. FEE $75.00 OWNER Z j}may y(��? Q {QC7v TELEPHONE SZe495 I I 7 ADDRESSZvi CITYSTATE W' VA-• APPLICANTS TELEPHONE ADDRESS CITY STATE ENGINEER (�_�� TELEPHONE ADDRESS �� �yY�} (� / �' . CITY%�nlGb Ali W_ STATE Inq- 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $3 5.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 ON—S=TE REVIEW SITE NUMBER% - Date giY22- , 1990' Page 4- of '611t EVALUAIlUN -- Land use AA01,tm6``«e r Landform-l?JevY> Vegitation ," Surface stones Slope 2�0�) Jv� �fG Distance from: Open water body 'ell-Al Drainage way h//A- Possible wetland ZA±- Property line AJA- Drinking well !I Other Position on site (sketch on back) -DEEP HOLE OBSERVATION LOG SOIL Dpth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers -10 5 / w�rso Parent Material: tw7o"4 7-lGi" Parent Material: -PERCULAIlUN It51— Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time (9'-6") Rate min/inch OUNDWATER AUJUSIMENI J #1 Berry School (St Drft) u #2 Gilbert Street (Ab Till) 1] #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level — Less: Index well high — Adjustment factor — Site level Less: Factor ADJUSTED GROUNDWATER ULLF U8bhKVA11UN HOLE SOIL Dpth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers i i Parent Material: YLNUULA11UN IL51 — Depth of perc: Start presoak End presoak Time at 12" 91, 6" Time Rate min/inch GROUNDWATER ADJUSTMENT 0 #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER SITE EVALLUAT20N REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Number ew i= Repair Performed by ,/�Vwi Date .Mo*1 0 / /Page of Witnessed by Scott Leite, Health Agent Location ----C %fj �� Owner'/BBuilder� icXl�rd r Subdivision _/_/LL//�C` Ali�G ��_ Lot EFERENCE REVI USDA/SCS Soil Survey Drainage class Year Scale 19, Map Unit Limitations SURFICIAL GEOLOGY: Year Scale Map Unit Landform: Major2A _ Minor` Geologic Material: Major %/LL Minor /7.fi/ ham FLOOD MAPS: !yam Above 500 year flood boundary Within 500 year flood boundary Within 100 year flood boundary USGS WATER RESOURCE: ri4/e�z month/year Above normal 0 Normal Q Below normal OTHER SITE REFERENCES REVIEWED: EVALUATION Perc rate MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT 1-1 Site passed '-� Site failed -1 Additional testing needed Site Evaluator Certification Number lorizons O..Organic horizon, heavy greasy feel or light and fluffy. A..Organic matter intimately mixed with minerals (topsoil). E..Lt gcolored, assct'd w/woodlands, formed by weak organic acid stripping C..Ceologictlayerringn lack of a colorsdeveiopmenbtoiunweathered material. Cd..Dense unconsolidated sediment, compact glacial till. Cg..Strong gleying, prolonged Per, of saturation. Cr..Weather or soft bedrock. R.. Hard bedrock. (Nurierai° irdizate further :UDd i'Vi>1 C� Of '0f iZ0ll Or aY'ef.i ,T--. . --Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 70%+ sand 15% silt/clay 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ silt 20%- sand 25%- clay 27-40% clay Variable silt Dry *Loose, sngle Loose, sngle grains rains Easily crush *Firm ag rgt, g *Ay grm very *Falls apart * p nes stain aggregate *Im tial feel crush w/mod firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, from feel minor aggrgts *Pulverized/ smooth/velvet Moist Moist *Forms cast *Forms cast *Crumbles when *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears cast touched crumbles *Does not form *Gritty bears careful handling handled much handling w/o breaking when ribbon wet *Doeslnot form ribbon *Rubbed srfcen *Slippery when broken/ripple *Creamy feel rrin i n See Munsell Soil Color Charts lottIing Abundance f few 2%- of surface) c common 2-20%) m many 20%+) istence- Dry Soil Hard * Breaks with difficulty Soft * Breaks into powder/grains w/very slight pressure Size 1 (Fine 0-5 mm) 2 ((Medium 5-15 mm) 3 Coarse 15+ mm) Moist Soil Loose * Does not hold tgthr in mass Friable * Crushes evenly under pressure Firm * Dstnct rsstnce Very Firm * Strong pressure Wet Soil Contrast f faint) d distinct) p prominent) Plastic * Forms rope when rolled * Deforms easily S*iAdheres to thumb and * Stretches pulls apart Any Moisture Cemented and Hard * Very strongly bound * Moistening has little affect Groundwater Flow * Flowing * Drip * Rate Steady . * Seeping * Low * Increasing * Weeping * High * Perched Decreasing * Wet Soil odifiers Rock Fragment Size Angularity I Abundance * gravel * an * cobbles * subangular * few 2% stones * subrounded common 2-20% * boulders I * many 20%+ rounded TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO. FEE $75.00 DATE 3 PERC ADDRESS �p CliSSMAN SUBDIVISIONTNE VILLIA6,E At iL acRT ST LOT NO. OWNER KQGEt^J00p L7EUE1 0ancJ7 TELEPHONE 508 ADDRESS Z95 Uo5Ton1 �rjT �pp CITY M4WOI:40,�,8 STATE �IA, o/ -7 ,2 APPLICANT sRtAiE As AgovE TELEPHONE -.ADDRESS CITY STATE ENGINEER NIETQCJWES''T Eryvir +EEe1"G TELEPHONE (500) 6 z & -yo 6 3 ADDRESS I SS CONGOp_P Sr CITY FR./.N .'NW-"A."STATE Mk. 01-70"1 1. In order for the Board of Health to take action on the, application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $3 5.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. :Percolation testing and groundwater testing may be done all year. 4. You.must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet, c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 SITE EVAL_UAT=ON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Numbe� - 2 . Q-New i= Repair Performed by /)')n G i � C Date - Page _ of Witnessed by Scott Leite, Health Agent Location (; r J'11g7, cn�Owner/Builder _ Subdivision _L (IG.L�ftE r> �✓�rC�; Lot EHENUL USDA/SCS Soil Survey: Year 1479 Scale tl2t f(CZZ Map Unit Drainage class Limitations SURFICIAL GEOLOGY: Year Scale Map Unit Landform: Major Minor lU�d cad Geologic Material: Major //Ce— Minor azykj—ZASIL FLOOD MAPS: @Above 500 year flood boundary Within 500 year flood boundary Q Within 100year flood boundary USGS WATER RESOURCE: MIM4 /-191 month/year [Above normal Q Normal Q Below normal OTHER SITE REFERENCES REVIEWED: ITE EVALUAIIUN Perc rate MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT Q Site passed Site failed Additional testing needed Site Evaluator Certification Number lori zons O..Organic horizon, heavy greasy feel or light and fluffy. A..Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Br' gghtest color in well drained soils (subsoil). C..Geologic layering lack of color development, unweathered material. Cd..Dense unconsolidated d se imenu compact glacial till. Cg..Strong gleying prolonged periods of saturation. Cr..Weather or so bedrock. R.. Hard bedrock. INunerais .ndi:ate Nrther .ubd vision of orizon or '.a-ier.l iexcure Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ silt 20%- sand 27-40% clay 25%- clay Variable silt Dry *Loose, sngle Loose, sngle Easily crush Firm agggrgt, *Aggrgt very grains *Falls apart grains *Fines stain aggregate *Initial feel crush Mod firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, from feel minor aggrgts *Pulverized/ smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled *Slight ribbon much handling w/o breaking ribbon when wet *Does not form ribbon *Rubbed srfce *Wlippery when broken/ripple *Creamy feel See Munsell Soil Color Charts -Mottling Abundance Size Contrast f (few 2%- of surface) 1 Fine 0-5 mm) f (faint) c (common 2-20%) 2 Medium 5-15 mm) d ((distinct) m (many 20%+) 3 Coarse 15+ mm) p prominent) isunsi5uence Dry Soil Moist Soil Wet Soil Any Moisture Hard * Breaks with Loose * Does not hold Plastic * Forms rope Cemented and Hard * difficulty tgthr in mass when rolled Very strongly bound Soft Friable * Deforms easily * Moistening has * Breaks into powder/grains evenly Sticky little affect W/very slight under pressure * Adheres to thumb pressure Firm and finger * Stretches and * Dstnct rsstnce pulls apart Very Firm * Strong pressure Groundwater * Flowing Flow Rate * Seeping * Drip * Low * Steady * Weeping * Perched * High * Increasing * Decreasing * Wet Soil Modifiers Rock Fragment Size Angularity Abundance * gravel cobbles to * angular subangular * few 2% * * * common 2-20% * * boulders * roundended rounded many 20%+ ON—S=TE REVIEW SITE NUMBER W- L". Date fR 1 99 q Page _ of _'LL -SITE EVALUATION Land use U)abc n':_ 14570P2 b1(A Landform � ty✓vf>W�sl ^u® Vegitation P,ml Surface stones Slope Distance from: Open water body T\loc\vE, Drainage way Possible wetland x Property line Drinking well a0T Other — Position on site (sketch on back) OBSERVATION L -JEEP HOLE �� SOIL Doth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers - - F- lb Ytz �_- - -- - zq — &®_ — -� — —Ovre— fWl` 0(ic znr C Parent Material: Parent Material: -PERCOLATION TEST Depth of perc: Start presoak End presoak Time at 12" g„ 6" Time (9`6") Rate min/inch OUNDWATER ADJUS I VILN 1 Q #1 Berry School (St Drft) [I #2 Gilbert Street (Ab Till) i #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level — Less: Factor ADJUSTED GROUNDWATER — -DEEP OBSERVATION Dpth/sur SOIL I Hrzn Txtre Color Mtting Cnstnce GW Modifiers I Parent Material: rtKUULA11UN ZEST Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time Rate min/inch L7 #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO. FEE $75.00 DATE 2,� k 1 PERC ADDRESS CNa=SSMANp,t�p SUBDIVISIONTtif� VILLIA E AT (L 13EoT ST LOT N0. (O OWNER �OS� WOop DE UEI n�a q T TELEPHONE_ C s68) -1-8 S - / 177 ADDRESS 293 &o r,,N PO -IT Pppp CITY MAaL6.r-0J STATE MA, 0/762- APPLICANT SRME AS AScwi5 TELEPHONE_ ADDRESS CITY STATE ENGINEER MF-TetTNEs7 eaEE6ING . TELEPHONE (500 / Z60 — 0063 ADDRESS ISS Gor+cojB�n 5r _ CITY 2' , 'N6"'a'STATE MPt. OI-7O1 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $.75.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 SITE EVALUATSON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Numbers%J-'a Q New i] Repair Performed byf91.�iJ�cszt!'l� Date i�%i%7?G6i �� �%� Page of Witnessed by Scott Leite, Health Agent Owner/Builder Location Subdivision __�✓1t AFiz!r ✓ rm �_°E? FJ' = Lot REVI USDA/SCS Soil Survey Drainage class Year 91— Scale 1' rZ66W Map Unit 7 SURFICIAL GEOLOGY: Year Limitations Scale Map Unit Landform: Major r1r Minor Afd Geologic Material: Major Minor FLOOD MAPS: _gAbove 500 year flood boundary ] Within 500 year flood boundary i] Within 100 year flood boundary USGS WATER RESOURCE: / month/year OTHER SITE REFERENCES REVIEWED: ITE EVALUATION [Above normal Q Normal Q Below normal Perc rate _ MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT n Site passed �-i Site failed Site Evaluator Certification Number Additional testing needed "UF I LUnS Q.-Organic horizon, heavy greasy feel or light and fluffy A..Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping Brightest color in well drained soils B..(subsoil). C..Geologic layering lack of color development unweatherea material. Cd..Dense unconsolidated sediment, compact glacial till. Cg..Strong gleying prolonged periods of saturation. Cr..Weather or so bedrock. R.. Hard bedrock. (Nurlerai? :ndizate farther :ubd vislen of i-,or:zon or ia'v ar.r - Texture Sand Loamy Sand Sandy Loam Silt LoamT t/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sa- 50%+ sand silt40% clayiable clay25%- silt Loose, sngle grains *Loose, sngle Easily crush Dr ag rgt, gg Dry ggrgt very *Falls apart grains *Fines stain *Initial crush Mod firm, strngly after squeeze fingerprints velvet *pressure firm to Clo*Sand resist hand dominate w/cont'd rub hard *Smooth, flour *crush *Crushed Crushed soil gritty, from feel minor aggrgts *Pulverized/ smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled * much handling w/o bfeaking ribbon when wet *Does not form ribbon *Rubbed srfben *Slippery when broken/ripple *Creamy feel VSee Munsell Soil Color Charts tlin Abundance Size f few 2%- of surface) 1 Fine 0-5 mm) c common 2-20%) 2 Medium 5-15 mm) m (many 20%+) 3 Coarse 15+ mm) onsistence Dry Soil Moist. Snit Hard * Breaks with difficulty Soft * Breaks into powder/grains W/very slight pressure Groundwater * Flowing * Seeping * Weeping * Perched * Wet Soil odifiers Loose * Does not hold tgthr in mass Friable * Crushes evenly under pressure Firm * Dstnct rsstnce Very Firm * Strong pressure Rock Fragment Size Contrast f faint) d distinct) p prominent) Wet Soil Plastic * Forms rope when * Deforms easily Stick *Adheres to thumb and * Stretches Pulls apart Any Moisture Cemented and Hard * Very strongly bound * Moistenin has little of ect * Drip Flow I Rate * * Low Steady * Increasing * High * Decreasing Angularity Abundance * gravel * cobbles * stones * boulders * angular * subangular * subrounded * rounded * few 2% * common 2-20% * many 20%+ ON —SITE REVIEW SITE NUMBER Date i?��/-- 3L, 199 Page of -SITE EVALUATION Land use rf �cw014_cc � vegetation 276:�? _ Distance from: Open water body Possible wetland Drinking well Position on site (sketch on back) Landform 66�°'' Surface stones Slope Drainage way Property line Other DEEP HOLE OBSERVATION LOG SOIL Dpth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers Ci 0 Grp a? d 10� — B 10 -z.0(:�,o Parent Material: Parent Material: -PERCOLATION TEST Depth of perc: Start presoak End presoak Time at 12" 9" 6' Time (9`6") Rate min/inch ;OUNDWATEK AUJUblMtN1 Q #1 Berry School (St Drft) #2 Gilbert Street (Ab Till) ii #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level — Less: Factor ADJUSTED GROUNDWATER — FDEEP OBSERVATION HOt Dpth/sur SOIL Hrzn Txtre Color Mtting Cnstnce GW Modifiers I I Parent Material: rt-KUULAIlUN LEST Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time (9'-6") Rate min/inch GROUNDWATER ADJUSTMENT L7 #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER PER DAT PERC TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 C APPLICATION FOR ON -SITE SEWAGE TESTING NO. � — E FEE $75.00 s * /p C GSMAtJ SUBDIVISION THE VILLI ,a AT a arm ST LOT NO. 2 OWNERKOS Wcaop DE ELQftAEtJT TELEPHONE C. !S - -1-8 S - 11 %% ADDRESS 2-95 1705TtNJ TOT Pn CITY MARW00006N STATE MA, 0/-752 APPLICANT ,.,�tjpDRESS ENGINEER MET120WEs7 AS CITY_ STATE Enty NEEeIN V TELEPHONE (SOS) 6 Z & - 00 6 3 ADDRESS 190 COMC-OP-P S`t; CITY Ak_"4(�HArk STATE MA. 01-701 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $.75.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. ,Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet, c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 S=TE EVALIJAT=ON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Number`y- 3 g New ' Repair Date _� G m s( Page _ of Performed by !K'i3l(! e�6S4�- Witnessed by Scott Leite, Health Agent r� Location f�e4e Owner/Builder �ctJ�Y>Ti. Subdivision - %� %%/Gt > t?f C-e`Si-Lot = Ktrtrctrvt.;t KLVir.n USDA/SCS Soil Survey: Year Lq6r Scale Map Unit Drainage class Limitations SURFICIAL GEOLOGY: /Year Scale Map Unit Landform: Majord>i���U� �� Minor Geologic Material: Major Minor e,�A dKc#- - FLOOD MAPS: Above 500 year flood boundary Within 500 year flood boundary Within 100 year flood boundary ` . USGS WATER RESOURCE: . _ � / /month/year Above normal Normal Below normal OTHER SITE REFERENCES REVIEWED: ITE EVALUATION Perc rate Comments MI Depth of Perc - Adjusted ground water SITE SUITABILITY ASSESMENT Site passed Site failed Additional testing needed Site Evaluator Certification Number orizons O..Organic horizon, heavy greasy feel or light and fluffy. A..Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Brigghtest color in well drained soils (subsoil). C..Geologic layering lack of color development unweathered material. Cd Dense unconso� d t d i a e sediment compact facial till. Cg..Strong gleying, prolonged per, of saturation. Cr..Weather or soft bedrock. R.. Hard bedrock. LNumerai= :ndi.ate fartner subdivistcr, of ;io nzon or iayar., iexLure Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ silt 20%- sand 27-40% clay 25%- clay Variable silt Loose, sngle *Loose, sngle *Easil Y crush dry *Firm aggrgt, Dry *firm very grains *Falls apart rains * ines stain aggregate *Initial feel crush w/mod firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, from feel minor aggrgts *Pulverized/ smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled *Slight ribbon much handling w/o bfeaking ribbon when *Does not form *Rubt�ed srfce wet ribbon broken/ripple *Wlippery when *Creamy feel VI See Munsell Soil Color Charts Mottling Abundance Size Contrast f few 2%- of surface) 1 (Fine 0-5 mm) f (faint) c common 2-20%) 2 (Medium 5-15 mm) d (distinct) m many 20%+) 3 (Coarse 15+ mm) p (prominent) �.ons i sLence Dry Soil Moist Soil Wet Soil Any Moisture Hard * Breaks with Loose * Does not hold Plastic * Forms rope Cemented and Hard difficulty tgthr in mass when rolled * Very strongly bound Soft Friable * Deforms easily * Moisteninthas * Breaks into * Crushes evenly Sticky little afect powder/grains w/very slight under pressure * Adheres to thumb pressure Firm and finger * Stretches and * Dstnct rsstnce pulls apart Very Firm * Strong pressure vn * FloGroundwater Flow * Rate * Seeping Drip * Steady * Weeping * Perched * H°gh * Increasing Decreasing * Wet Soil Modifiers Rock Fragment Size Angularity Abundance * * stones angular * subangular * few 2% * stones * boulders * subrounded * * common 2-20% many 20%+ * rounded ON—S=TE REVIEW SITE NUMBER - Date Lyy' a-Z _ �, 1 99� Page _ of _ -SITE EVALUATION Land use Landform " ,r ,LM&o1 ° vegitation Surface stones olt,. Slope t- Distance from: Open water body Drainage way Possible wetland _ Property line Drinking well Other Position on site (sketch on back) -DEEP HOLE OBSERVATION LOG SOIL Doth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers �r4L (% %rip � �/=. 7�� � .✓ `� iTI �} -.� ., „ r/ _ Z6- 3r7 Ci — — — — — — — 3--7 _�--/3-- -- - - -- - Parent Material: QUTb k^,�--ti"- Parent Material: -PERCOLATION TEST Depth of pert: Start presoak End presoak Time at 12" 9" 6" Time W -6") Rate min/inch OUNDWATER AUJU51Mt:Ni Q #1 Berry School (St Drft) Q #2 Gilbert Street (Ab Till) #4 Fruit Street (OW/Seas) Reading Date _ Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER DEEP OBSERVATION Dpth/sur SOIL ( Hrzn Txtre Color Mtting Cnstnce GW Modifiers I I I Parent Material: VLKUULA11UN TEST Depth of perc: Start presoak End presoak Time at 12" 9„ 6" Time Rate min/inch GROUNDWATER ADJUSTMENT 0 #1 Berry School (St Drft) 11 #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 APPLICATION FOR ON —SITE SEWAGE TESTING PERC NO. _A' DATE v-t FEE $75.00 PERC ADDRESS �� G�}tsSMAIJ �p�p SUBDIVISION TN£ L&E VILLIAA? �,�� P(� ST LOT NO. —/ OWNER KOsEL,i0oc) l7E I=LOPNIFNT TELEPHONE 508, s _ +77 ADDRESS Z93 9151-14J POIT gpgp CITY MArueop_p VA STATE MA. O/752 APPLICANT Sp.ME A S AE6oVE TELEPHONE -. 1)PkES STATE ENGINEER ME7r2OWES7 EniviNEEeinw . TELEPHONE (508) (oz(o - 0063 ADDRESS ISS GONcoP_P ST CITY 27- ' �"GW°'^STATE (Ak. OI'701 CITY— I. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $.75.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. .Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 SITE EVALUATION REPORT BOARD OF HEALTH TOWN C MANSFIELD Site Number � - New i, Repai r Performed by l)45j xu,�-�i E� IG Date /Arld"01 ri 9 Page of Witnessed by Scott Leite, Health Agent Location _ 1� L .1�" ✓ Owner/Bui 1derSzr Subdivision AIL-(j2 Lot REVI USDA/SCS Soil Survey Drainage class Year 19V-� Scale /_ Map Unit SURFICIAL GEOLOGY: Year Limitations Scale Map Unit Landform: Major 4�WA Minor BYT �s✓% A Geologic Material: Major Minor FLOOD MAPS: * Above 500 year flood boundary i] Within 500 year flood boundary [ Within 100 year flood boundary USGS WATER RESOURCE: / month/year ['"Above normal n Normal Q Below normal OTHER SITE REFERENCES REVIEWED: TE EVALUATION Perc rate MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT ] Site passed rl Site failed Additional testing needed Site Evaluator Certification Number orizons O..Organic horizon, heavy greasy feel or light and fluffy. A..Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Brigghtest color in well drained soils (subsoil). C..Geologic layering lack of color development, unweathered material. Cd..Dense unconsolidated sedim t en compact glacial till. Cg..Strong gleying, prolonged periods of saturation. Cr.-Weather or soft bedrock. R.. Hard bedrock. (Nuwerai::ndi a[e fJrtltet Subdivisica Of norizon Dr a'v iexcure Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ 20%- sand silt 25%- clay 27-40% clay Variable silt Dry *Loose, sngle grains Loose, sngle Easily crush Firm ag rgt, g Dry grm very *Falls apart grains *Fines stain *Initial crush firm, strngly after squeeze fingerprints velvet Y remod *pressure Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, from feel minor aggrgts *Pulverized) smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled * much handling w/o breaking ribbon when wet *Does not form ribbon *Rubbed srfben *Slippery when broken/ripple *Creamy feel See Munsell Soil Color Charts li Houndance f (few 2%- of surface) c (common 2-20%) m (many 20%+) Size 1 Fine 0-5 mm) 2 Medium 5-15 mm) 3 Coarse 15+ mm) Contrast f (faint) d ((distinct) p prominent) .,vr s j sLence Dry Soil Moist Soil Wet Soil Any Moisture Hard * Breaks with Loose * Does not hold Plastic * Forms Cemented and Hard difficulty tgthr in mass rope when rolled * Very strongly bound Soft F*Crushes * Deforms easily * Moistening has * Breaks into powder/grains evenly Sticky little affect w/very slight under pressure * Adheres to thumb pressure Firm and finger * Stretches and * Dstnct rsstnce pulls apart Very Firm * Strong pressure r/]W Groundwater * Flowing Flow Rate * Seeping * Drip * Low * Steady * Weeping * Perched * High * Increasing Decreasing * Wet Soil Modifiers Rock Fragment Size Angularity Abundance * gravel cobbles * angular * subangular I * few 2%� * stones * subrounded common 2-�0% * boulders * rounded * many 20%+ ON—S=TE REVIEW SITE NUMBER (Date 199 Page __ of _ -SITE EVALUATION Land use LandformSl Vegitation ' tYLS ' Surface stones V11ope <J Distance from: Open water body Drainage way Possible wetland _I(Y) Property line Drinking well Other _ Position on site (sketch i on back) SERVATION -JEEP HOLE OB SOIL Dpth/sur Hrzn Txtre Color Mtting Cnstnce Gov Modifiers _ - - - IoYe- uJ< D, Parent Material: Parent Material: -PERCOLATION TEST Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time (9`6") Rate min/inch OUNDWATER AUJUb1Mtn1 Q #1 Berry School (St Drft) Q #2 Gilbert Street (Ab Till) #4 Fruit Street (OW/Seas) Reading Date — Adjustment factoring: Index well level _ Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER DEEP OBSERVATION Dpth/sur SOIL Hrzn Txtre Color Mtting Cnstnce GW Modifiers i Parent Material: VtKUULAIlUN TEST Depth of perc: Start presoak End presoak Time at 12" 9 6" Time (9"-6") Rate min/inch GROUNDWATER ADJUSTMENT #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 ( `( APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO. � FEE $75.00 DATE PERC ADDRESS /`- CNEsSMAtJ pp,L�p SUBDIVISION TNT VILLIA&E Al ii Rev1 ST LOT NO. 7J OWNER_K0SEI.J00P t7[ i L0PN1Fr�iT TELEPHONE ADDRESS_ 29fj pDSTON PO T Pppp CITY MArat90eo 41 STATE MA. 01-752 APPLICANT Sp ME A S ASoVB TELEPHONE . PDRESs CITY STATE ENGINEER METQpWES1 ��v�NEEeINV TELEPHONE(506) (o7 0063 ADDRESS 190 G©iJLOp_D S`( CITY 29-6 ' "N'"A'^STATE MA:. 01-7 p 1 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $35.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. .Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 STTE EVAL-UATTON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Number,/ iyNew i] Repai r Performed by%)")? /rt 'S� ✓✓ Date pA_CCA -j� ��� Page of Witnessed by Scott Lei to , -r— Health Agent Location ('l t�%u Owner/BuilderP42k,> j--ko Subdivision �_(%IGLr%}1 C ��`�??_ Lot - FEKENCE KtV1 USDA/SCS Soil Survey: Year / LIIL Scale 1 Map Unit____ Drainage class Limitations SURFICIAL GEOLOGY: Year Scale Map Unit Landform: Major G Z)1 � M/"/7te1/Minor Geologic Material: Major /lL4 Minor FLOOD MAPS: Above 500 year flood boundary ] Within 500 year flood boundary i] Within 100 year flood boundary USGS WATER RESOURCE: O ` vl/ month/year [� Above normal � Normal Below normal OTHER SITE REFERENCES REVIEWED: EVALUATION Perc rate MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT ] Site passed Site failed Additional testing needed Site Evaluator Certification Number orizons 0..Organic horizon, heavy greasy feel or light and fluffy. A..Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Brigghtest color in well drained soils (subsoil). C..Geologic layering lack of color development unweathered material. Cd..Dense unconsolidat d d' Cg..Stron gg pp e se iment, compact glacial till. Cr..Weathergorysof' bedroc9ed periods of saturation. R.. Hard bedrock. INuraerai::ndicate further :ubdivieton of aor:zon or ia've .i 1exLure Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ 20%- sand silt 25%- clay 27-40% clay Variable silt Dry *Loose, sngle grains Loose, sngle grains Easily crush aggregate Firm agggrgt, Mod Dry very *Falls apart *Fines stain *Initial feel crush firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, -from feel minor aggrgts *Pulverized/ smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled *Slight ribbon much handling w/o breaking ribbon when wet *Does not form ribbon *Rubbed srfce *Wlippery when broken/ripple *Creamy feel -See Munsell Soil Color Charts lin Aoundance f few 2%- of surface) c common 2-20%) m (many 20%+) Size 1 (Fine 0-5 mm) 2 ((Medium 5-15 mm) 3 Coarse 15+ mm) Contrast f faint) d distinct) p prominent) %-,unsisLence Dry Soil Moist Soil Wet Soil Any Moisture Hard * Breaks with Loose * Does not hold Plastic * Forms Cemented and Hard difficulty tgthr in mass rope when rolled * Very strongly bound Soft Friable * Deforms easily * Moistening has * Breaks into evenly Sticky little affect w/very/slaght under pressure * Adheres to thumb pressure Firm and finger * rsstnce Pullscapartnd Very Firm * Strong pressure V� Groundwater Flow * Flowing * Seeping * Drip Rate * Steady * Low * High * Increasing * Percched * Decreasing * Wet Soil [Modifiers Rock Fragment Size Angularity Abundance *gravel cobbles * angular * subangular * few 2%^ * stones * subangularrounded * common 2-20% *boulders * rounded I many 20%+ ON—S=TE REV,/=EW SITE NUMBER Date ��, 199 i Page __ of -SITE EVALUATION Land use �UZJ�G� �S142 t i �C �i Landform vegitation Surface stones Ylh Slope Distance from: Open water body Drainage way Possible wetland Property line Drinking well Other — Position on site (sketch on back) rDEEP HOLE OBSERVATION LOG SOIL Dpth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers -O — rtaY= Parent Material: Parent Material: -PERCOLATION TEST Depth of perc: Start presoak End presoak Time at 12" 9„ 6" Time (9'-6") Rate min/inch ;OUNDWATEH AUJUb1MtPoI #1 Berry School (St Drft) #2 Gilbert Street (Ab Till) ii #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level — Less: Index well high — Adjustment factor — Site level Less: Factor — ADJUSTED GROUNDWATER — 11wo I DEEP OBSERVATION Dpth/sur GW Modifiers SOIL Hrzn Txtre Color Mtting Cnstnce Parent Material: rtttUULA 1 lUN 1 EST Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time (9"-6") Rate min/inch GROUNDWATER ADJUSTMENT 0 #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO. V14 DATE d'_ <' PERC ADDRESS #/5 C SSMNN SUBDIVISIONTIif� VILLIALE AT 2li ETERT ST LOT NO FEE $75.00 i' OWNER EOSFI WOOP 17E� EL0Pr1Fr1T TELEPHONE 177 ADDRESS_ &osrori To-T pppp CITYM4R(8040STATE M/4. 0/752 APPLICANT SNME. AS AgoVE . TELEPHONE l�AllRESS CITY _STATE. ENGINEER MET20WEST Ehw�raEEeINC� TELEPHONE (500) (b7- - 0063 042 ADDRESS CONlAR.P SSr. CITY f'RPN ING"tA ' STATE Mk, Qf-7oi 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $.75.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 SYT-E= tt-vAL1Li/AT=ON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Number _ S New i] Repair Performed by Date / Page of Witnessed by Scott Leite, Health Agent Location _/ C`y't3T%a/J Owner/BuilderLcXT Subdivision -_ttnL tg-_GlG "Lot E HEV USDA/SCS Soil Survey Drainage class Year /47t Scalelr2o Map Unit Limitations SURFICIAL GEOLOGY: Year Scale Map Unit Landform: Major„ < _ Minor' Geologic Material: Major Minor FLOOD MAPS: i_4,1*�Above 500 year flood boundary ] Within 500 year flood boundary i] Within 100 year flood boundary USGS WATER RESOURCE: �-22a_ /a` month/year O—"Above normal Q Normal Q Below normal OTHER SITE REFERENCES REVIEWED: TE EVALUATION Perc rate MI Depth of Perc - Adjusted ground water Comments SITE SUITABILITY ASSESMENT ] Site passed Site failed Additional testing needed Site Evaluator Certification Number ;Hori u..urganic norizon, heavy ggreasy feel or light and fluff . A..Organic matter intimately mixed with minerals (topsoi,). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Brigghtest color in well drained soils (subsoil). C..Geologic layering lack of color development unweatherea material. Cd..Dense unconsolidated sediment, compact glacial till. Cg..Strong gleying, prolonged periods of saturation. Cr..Weather or sofft bedrock. R.. Hard bedrock. (Numeral: :ndizate farther subdivision of o nzon or Eav r.i Texture Sand Loamy Sand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clay 70%+ sand 30%- silt/clay 50%+ sand 30%+ silt/clay Variable sand 50%+ silt 20%- sand 27-40% clay 25%- clay Variable silt DrY *Loose, sngle Loose, sngle Easily crush Firm aggrgt, *Aggrgt very grains *Falls apart grains *Fines stain aggregate *Initial feel crush w/mod firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd rub hard *Smooth, flour *Crushed soil gritty, -from feel minor aggrgts *Pulverized) smooth/velvet +Forms cast rumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty bears careful handling handled *Slight ribbon much handling w/o breaking ribbon when wet *Does not form ribbon *Rubbed srfce broken/ripple *Slippery when *Creamy feel -Colo See Munsell Soil Color Charts Abundance Size Contrast f few 2%- of surface) 1 Fine 0-5 mm) f (faint) c common 2-20%) 2 Medium 5-15 mm) d (distinct) m many 20%+) 3 Coarse 15+ mm) p (prominent) k,unsisuence Dry Soil Moist Soil Wet Soil Any Moisture Hard * Breaks with difficulty Loose I * Does not hold tgthr Plastic * Forms rope when Cemented and Hard * Very strongly in mass rolled bound Soft Friable * Deforms easily * Moistening has * Breaks into * Crushes evenly Sticky little affect powder/grains w/very slight under pressure * Adheres to thumb pressure Firm and finger *.Stretches and * Dstnct rsstnce pulls apart Very Firm * Strong pressure V* Flowing Flow Rate * Seeping * Drip * Steady * Weeping * Low * Increasing * Perched High * Decreasing * Wet Soil ifie Rock Fragment Size Angularity Abundance * gravel * cobbles * stones * boulders * angular * suangular * subrounded * rounded * few 2% * common 2-20% * many 20°b+ ON —SITE REVIEW SITE NUMBER - Date,4?W , i/ �� , 1 99 Page _ of SITE EVALUATION Land use l,+/7W Vegitation Distance from: Open water body Possible wetland Drinking well Position on site (sketch on back) ERVATION Landform Surface stones W1 n/ Slope d vd' , G DrainagL way _ Property line Other _ rUEEP HOLE OBS SOIL Doth/sur Hrzn Trtre Color Mtting Cnstnce GW Modifiers 075 y�zi/z�.. '�E® WISP - - - _ Parent Material: Parent Material: -PERCOLATION TE51 Depth of perc: Start presoak End presoak Time at 12" 9„ 6" Time (9'-6") Rate min/inch OUNDWATER AUJUSIMtN1 Q #1 Berry School (St Drft) 0 #2 Gilbert Street (Ab Till) #4 Fruit Street (OW/Seas) Reading Date — Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER uttr UdSERVATION HOLE SOIL 1 Dpth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers i Parent Material: rtKUULA 1 1UN [ EST Depth of perc: Start presoak End presoak Time at 12" 9" 6" Time (9"-6") Rate min/inch GROUNDWATER ADJUSTMENT #1 Berry School (St Drft) ] #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER TOWN OF MANSFIELD, MASSACHUSETTS 50 West street, Mansfield, MA 02048 APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO._ lid 114/1 DATE 3 FEE $75.00 PERC ADDRESS ii G Nt SSMAN ROAD SUBDIVISIONTNf� VILLIA&E AT li BE12T ST LOT NO. 9 OWNER R05Ewpap pE �LOpr�FrJT TELEPHONE C 508, -1-'85 - 1177 ADDRESS Z93 &ST-otj Ta°T POAn CITY M�_STATE MA, p1-752 APPLICANT SNIAIE As TELEPHONE l ,DRESS CITY STATE ENGINEER METPOWEs7 E iNE�e1NG . TELEPHONE (500 (0 Z. & - 00 6 -3 ADDRESS 188 CoNc oen S`[ CITY F9�11,wNpr. _STATE Mk. Q 1-j p 1 1. In order for the Board of Health to take action on the application, you must get numbered address from the Assessors Office at the Town Hall. No application will be accepted without this information. 2. Fee is $.75.00 per lot. Application and fee must be filed ten (10) days before testing date. 3. Percolation testing and groundwater testing may be done all year. 4. You must know before the Town's Agent comes out to your lot where the on -site sewage test is to be done. 5. Requirements needed at time of testing: a. Your own engineer. b. Backhoe or similar equipment to dig 10-12 feet. c. Enough water for on -site sewage testing. d. Sufficient 4" pipe for a monitor well. 6. Permit will become invalid if percolation test is not performed within one (1) calendar year, provided that testing has not been suspended by the Board of Health. Fee is non-refundable. 7. All septic system plans and DWCP applications must show soil testing number, address and lot number. Original to Board of Health, 1 copy for Treasurer's Office and Applicant Revised October 1989 Revised March 1991 S=TE EVALIJATTON REPORT BOARD OF HEALTH TOWN OF MANSFIELD Site Number-/f-4� 3--New Repair Performed by ! ti C� Date Page of Witnessed by Scott Leite, Health Agent Location Owner/Builder;? Subdivision _��J�,r lVr!C-i s -Lot REVI USDA/SCS Soil Survey Drainage class Year �_l� Scale / ZydYO Map Unit SURFICIAL GEOLOGY: Year Limitations Scale Map Unit Landform: Major z . aV� 6„„�% Minor Geologic Material: Major �'tf y aft-L-, Minor FLOOD MAPS: i]r�'Above 500 year flood boundary Within 500 year flood boundary ] Within 10��0II year flood boundary USGS WATER RESOURCE:month/year [[Above normal Normal Below normal OTHER SITE REFERENCES REVIEWED: EVALUATION Perc rate Comments MI Depth of Perc - Adjusted ground water SITE SUITABILITY ASSESMENT ] Site passed Site failed Additional testing needed Site Evaluator Certification Number orizons O..Organic horizon, heavy greasy feel or light and fluff" . A. -Organic matter intimately mixed with minerals (topsoil). E..Lt colored, assct'd w/woodlands, formed by weak organic acid stripping B..Brightest color in well drained soils (subsoil). C..Geologic layering lack of color development unweathered material. Cd..Dense unconsolidated d' se invent, compact glacial till. Cg,.Strong gleying, prolonged periods of saturation. Cr..Weather or soft bedrock. R.. Hard bedrock. Nur,erais :ndi:ate further Subdivision of norizon or lavE,.j W. axcure SandFLoamySand Sandy Loam Silt Loam Silt/Clay Loam 85% sand 15% silt/clayt/clay d 50%+ sand 30%+ silt/clay Variable sand 50%+ 20%- sand silt 25%- clay 27-40% clay Variable silt Drv*Loose, snglesngle grains EDr asily crush *Firm ag rgt, gg *Ay ggrgt very *Falls apart p *g rains Fines stain aggregate *Initial feel crush wMod firm, strngly after squeeze fingerprints velvety pressure *Clods firm to resist hand crush *Sand dominate w/cont'd hard *Smooth, *Crushed soil rub flour gritty, from feel minor aggrgts *Pulverized/ smooth/velvet Moist *Forms cast *Crumbles when Moist *Forms cast *Touched Moist *Forms cast, Moist *Cast freely Moist *Cast bears touched *Does not form cast crumbles *Gritty when bears careful handling *Does handled *Slight ribbon ribbo much handling w/o breaking ribbon wet not form ribbon *Rubbed srfce broken/ripple *Slippery when *Creamy feel See Munsell Soil Color Charts ottIing Abundance f (few 2%- of surface) c ((common 2-20%) m many 20%+) istence- Dry Soil Hard * Breaks with difficulty Soft * Breaks into powder/grains w/very slight pressure Size 1 (Fine 0-5 mm) 2 ((Medium 5-15 mm) 3 Coarse 15+ mm) Moist Soil Loose * Does not hold tgthr in mass Friable * Crushes evenly under pressure Firm * Dstnct rsstnce Very Firm * Strong pressure Wet Soil Contrast f faint) d distinct) p prominent) Plastic * Forms rope when rol* Deforms easily S*iAdheres to thumb and * Stretches Pulls apart Any Moisture Cemented and Hard * Very strongly bound * Moistening has little affect Groundwater Flow * Flowing * Drip Rate * Steady * W * Seeping * Low * Increasing eeping * High * Perched Decreasing * Wet Soil Modifiers Rock Fragment Size Angularity I * few 2% sub stones Abundance * gravel * angular I * cobbles * angular * common 2-90% * * boulders subrounded * many 20%+ * * rounded i QN—ST"TE REVTEW SITE NUMBER Date 1Y&e_ 3L, 199 C/ Page _ of _ -SITE EVALUATION Land use Landform Vegitation Surface stones lei— Slope Distance from: Open water body Drainage way Possible wetland Property line Drinking well Other Position on site (sketch on back) -DEEP HOLE OBSERVATION LOG SOIL Doth/sur Hrzn Txtre Color Mtting Cnstnce GW Modifiers y b �JI 10 Vr trill i2, "` 3(p � ✓��L— �(t7 ��,Y /�r15 ii��- "�3(� 'an`s' �"f'°- -_.- — cv-ram J? :.; Parent Material: Parent Material: -PERCOLATION TE51 Depth of perc: Start presoak End presoak Time at 12" 9„ 6" Time (9`6") Rate min/inch OUNDWATER ADJUSIMENI 0 #1 Berry School (St Drft) `9 #2 Gilbert Street (Ab Till) �i #4 Fruit Street (OW/Seas) Reading Date _ Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER W UttY UCStKVA11UN HOLE SOIL Dpth/sur Hrzn Txtre Color 7Mtzlng Cnstnce GW Modifiers i i i Parent Material: YLKL;ULAIlUN It51 Depth of perc: Start presoak End presoak Time at 12" 9„ 6" Time (9"-6") Rate min/inch GROUNDWATER ADJUSTMENT #1 Berry School (St Drft) #2 Gilbert Street (Ab Till,) #4 Fruit Street (OW/Seas) Reading Date Adjustment factoring: Index well level Less: Index well high Adjustment factor Site level Less: Factor ADJUSTED GROUNDWATER ;<: .~ � - .. •'-�Ip � :•;. - .i� g .. _ - _ i �. _ -; ���.0 ham: •'�,�-<;a•?�'Y,. i1e: ='�;. .�: s.;C �. « c:� �yy .-..•,. 1 7 f j��r- �i9 d1 fi f 3 i{ 89.25' f3¢78' G LVF MIQ1C1�1 l2E __'.a `, �.. 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