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Home My WebLink AboutCooper Rd. #10 - 4/1/1992 - not developedPERC ADDRESS SUBDIVISION APPLICANT ADDRESS )WN OF MANSFIELD, MASSACHUSETTS Y 50 West Street, Mansfield, MA 02048 1/0, PLICATION FOR ON -SITE SEWAGE TESTING FEE $75.00 S i" TELEPHONE '� /-- (PW CITY STATE N ENGINEER Y- L�\A TELEPHONE33 r ADDRESS_ _i�y �C't C7� ��CITSTATE 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 TOWN OF MANSFIELD, MASSACHUSETTS 50 West Street, Mansfield, MA 02048 APPLICATION FOR ON -SITE SEWAGE TESTING PERC NO. boil FEE $75.00 DATE - -- -� PERC ADDRESS 10 SUBDIVISION ��,(JOX_r)6Z-y— ' LOT NO. d OWNER E's S C � �r✓S4- TELEPHONE��—� 70 ADDRESS Ed, ed qUZ N, CITY Jf� ST 1'TE "� .—_ _�1r�sf APPLIciurr 14Wf � ��BVtU,,' / TELEPHONE �1 ADDRESS S)yMC_ (f�� CITY STATE E ]GINEEI TELEPHONE_ ADDRESS �S�' /��N% CITY %jffl` k// STATE�/� 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. e. 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 Pa SSTE EVALIJAT=ON REPORT BOARD OF HEALTH TOWN OF MANSFIELD S to Number _- Cate — - --- -- Location Subdivision New - Repair Page ._ of _ REFERENCE REVIEW USDA/SCS Soil Su;vey: Fear Scale Drainage class __. Limitations SURFICIAL GEOLOGY: Year Scale Performed by Witnessed by Owher/Bui1deC Lot Map Unit Map Unit Landfcrm: Major _ Minor _ Geologic Material: Major Minor FLOOD MAPS: Above 500 year flood boundary Within 500 year flood boundary i Within 100 year flood boundary USGS WATER RESOURCE: / month/year OTHER SITE REFERENCES REVIEWED: r-SITE EVALUATION S jPerc rate _._ MI i Comments Scott Leite. Health Agent Above normal (' Normal Below normal Depth of Perc - Adjusted ground water SITE SUITABILITY .ASSESMENT Site passed Site faded adii:�iona; testing needed Site Evaluator Certification Number Horizons _ -;arid h01'i--on, heavy greasY fell or lgnt ano f'IUT -Y, `..Crganic matter intimately mixed with minerals (tooso t colored, assct d w/woodlands, formed by weak organic acie str opingi B..Brightest color in well drained soils. (suosoil), C..Geo ogic layering lack of color development, unweathered ma-.-rial, i Cd -',Dense unconsoiidated sediment, compact glacial till. Cg..Strong gleyingI prolonged periods of saturation. Cr„ Weather or sofft bedrock. R.. Hard bedrock. I 1!ia:::°C3:E ao::uCc fu Gi E: subd:v'sion of oorizor. or exture— Sand 185% sand 115% silt/clay 'Dry *Loose, sngle grains *Falls aoart after squeeze Loamy Sand Sandy Loam Silt Loam 70%+ sand 50%+ sand Variable sand 30%- silt/clay 30%+ silt/clay 150%+ silt I25%- clay Dry *Loose, sngle rains * ines stain fingerprints Dry *Easily crush aggreat*Initial feel velvety *Sand dominate w/cont'd rub Dr *Firm aggrgt, crush w/mod pressure *Clods firm to hard *Smooth, flour feel M07st Moist*Forms Moist Oast rumbles rahen 1**Mfoorm,�, cast Touced cast *- corms cast, bears careful! I*Cast freely handled *ouc'hed *Does form crumbles handling i*Slight ribbon not ribbon *Gritty when *Does not form *P,ubbed srfce wet ribbon broken/ripple )*Creamy *Slippery when feel wet Dolo See munseil Soil Color Charts dott 1 i n bundance Size Silt/Clay Loam 20%- sand "7-40% clay Variable silt Dr *Aggrgt very firm, strnglY resist hand crush *Crushed soil gritty, from minor aggrgts *Pulverized/ smooth/ve)vet Moist *Cast bears much handling w/o breaking Contrast f (few 2%- of surface) 1 (Fine 0-5 mm) f (faint) d (common 2-20%) m (many 20%+) 2 (Medium 5-15 mm) 3 (Coarse 15+ mm) d idinc.tj I ist I p (prominent) :ons i stence- D-y Soil and * Breaks with difficulty oft Breaks into DOwder/-,rains w/veryy slight pressure Groundwater Flowing Seeping WeeDing Percned Wet Soil Idifi Moist Soil Loose * Does not hold tgthr in mass Friable * Crushes evenly under pressure Firm * Dstnct rsstnce Very Firm * Strong pressure] Wet Soil Plastic * Forms rope when rolled * Deforms easil'r' Sticky * Adheres to thumb and finger * Stretches and Pulls apart Any Moisture Cemented and Hard * 'very strongly bound * Moisteninc: has little affect Flow �— * Grip i * Stead.,. Rate * Low * Increasing * High * Decreasing Rock Fragment Size Angularity * grave' * angular oobi= * subangular * s cnee T subrounaed Abundance * few ipN—S=TE REV2EW i%atc r Iva -SITE EVALUATION Lanc use 4 -,i�! Vegetation )vA I Distance from: Ooen water body j Possible wetlanc Dr -inking well site (Sketch Position on h or bacF; ; rDEEP HOLE OBSERVATION LO,O -- SITE NUMBER _ - `'age _..._- o` — Landform Surface stones S -ioGe Drainage way Proeerty line Ot-ier Doth/sur Si; I L Hrzn Trtre Dolor Mtting Cnstnce Gw p ♦ JyPo �y ((}}{p /S r I 1 Paren, Material: MGdif iers (Parent Material: rPERCOLATION TEST rGROUNDWATER ADJUSTMENT Cientr, of Ger # ; de, Sc:hoc t = - . iGe:"t 2ee: l. ;ib -i . , _End Gr scat. I I f I Reading Date I Time i at 12 r.d,lustment ' - I sctcrin^: ! we, eve; I i Less: Inae•. wel: i high _.. 6' I Ad.lustment -actor Site leve-! -DEEP OBSERVATION HOLE rnrl JV1_ D HrZr C, I'ilT_13W ' I 1 i i i i i I 1 I I I Parent :late; i al PERCOLATION TEST Deo.!, of .,erc: 1 . Star oresoa�, j i I 1 =nd Jras'Jah 1 I Time at 12 I 9• ! I 6' Time 1 Rate min/inch ! i and ICI Mill •TrM A 1.11 u�.— #1 Berry✓School (St Drf"t) #2 Giloert Street (At Till) #4 Fruit street (OW/Seas Reading Date AdJustmenz 7actor7.ng: Index well level Less: Index well high Adjustment factor Site level Less: =actor _ ADJUSTED GROUNDWATER _