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Home My WebLink AboutEast St. #1283 - 8/17/2001 - Res. CompoundNORM 11 - SOIL EVALUATOR FORM Page I of 3 Date: ii/-7 1 No. Commonwealth of Man"Chusetts M,•tF Massachusetts S„�t �rsYtabili �►ncnt for On site Rowaee Disposal Go. rt C . Date: PerfOlmed By: lL{k 'n T y.4p. 1.001�t - IZI Wi EatG�, 1 ( Witnessed By: � U i l E l�E l 1 t SALT► t f\C?E! (—T A 0. -.Wr -TAnnES E, SNO.i-F.K T2USTE� t.ow.,M&+•W ExGWS1vs Usti /"'` Amw•WM0,NSfIEL.I:�GAS1 SIG ESTS J40'-INEE 7P t... GAS? S!'700 WG--fcCMER ST, 0NIT F, L(� i ��S wC-ST 3RID6EvJA'rM1I, JA.O'L3-79 CAS (lam µ I[vI ew Construction Repalr ❑ 19/ psub�llshSurvey Available: No ❑ Yes ed Soil Publicatlon Scale o ° Soil Map Unit H-- A Year Published- �sSly T Drainage Class , � '—' Soil Limj/��^'ions Svfficid Geologic Report Available: No 10 Yes ❑ You published- ruvnwa.n. .».. -- Geologic MOtmWOl (Map Unit) Landform flood Insulallu Rate MOP: Above $00 year flood boundary No ❑Yet Within 500 year flood boundary No Ef, ❑ Within 100 yen flood boundary No Yes ❑ Wetland Area: National Wetland Inventory MOP (map unit) -- Wetlands Consmwncy pwgtem MOP (MOP unit) • Current Water Rewurce Conditions (USGS): Month A U CI U aT 2 0 o CU o..,.& •Aheve Normal []Normal UDelvvislonnal ❑ Other References Reviewed: on,vraovao roaM • rmrns •' FORM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot IJo. C►<G On -sit Review , Dots: 8 / % oo Time: Weaihsr Deep Hole Number __�__.__ � fIG D t tsE �tS/90saL pLfL" Location (ld 21IMy�oln.x,sit�gisni C slope M gL3 surface Stones / 6 jJ Land Use Vegetetlon 845SEfl Landform position on landscape laketch on the beck) olstances from: Open Water Body-. leer Drainage way 75 fast Possible Wet Ares / 05 feet Property Line 2b lest Drinking Water Well feet Other DEEP OBSERVATION HOLE LOG' "NixonSoil I a Car Munn 1 eoa Muttony )°Y/�3/ rrF7 io vx Y+s 1/()Y2% I,00-iso I < . I FS 1-2, a,o,6, ►grant Material Iaaologio) Qaanita QranlljUM Sjwj&VWata In the Hole:_ Esowled Saasonsl High &MW WNW: Ei_.c� — DaF AFFaovao FOJLtl . 131"'P{ Mlruaura, 6tWws, 8"wwa, CCA'Als cY. % t 5%, CrIR.A'UCZ. C_lsoSE> No co PAS e' _ WagkttlkomPhFam 191 WA m RATid na a E'r-%� L� — - --7i /4 � A-- I FOMI 11 . SOIL EVALUATOR FORM Page 2 of J Location Address or Lot l�o, r r -S i VC L.) SC /4 V2-�� /A, E AS S� On -site Review , 2 - . _ Date: i w Time: Weather Deep Hole Number �ACf hc�j Se�AC EPLEA -- Location (IdaMl oEVsite Plre—D Surface Stones ego •qr-- Land Usecio��«+� vegetation Landform ttn Position on landscape (sketch on the back) — Dlstsnces from: Open Water Sody feet Drainage way f ZS' feet Possible Wet Mae 2--of teat Property Line I feet Drinking Water Weil feet Other DePlh trod Su/low IlnoMa) 2`0-`F DEEP OBSERVATION HOLE LOG' A Horizon Soil TIXIUre Solt color Soli (USDA) IMuMasl Mottling ISuuaura. A L I CI ti�1-too cl LS t15 I t°YR -,3 I 1'6 PS 1-415Y 15 % 6 ir? AV -L No CoOalelericv. % Co m /�A C.7 ERY rnurubW ularwn. -- 2QQ,, parent M.t«fal le elo) -— GU li✓�S H ��0ck' Water _ W46*4train Pit Peor Deathto lc h'_dr: Slowing H / /b 1 490 11 Sn�7Qm Oc tet` L Eattmaled Seasonal Mph (horrid water: Elm —fef-f . l ' DEP MMOVIED ►OIL11. 111tl111 FORM 11 - SOIL L• VALUATO ceFOM Location Address or Lot No. h c,t_u GASiLE 9/C.L Cs! Si ❑ Depth observed standing in observation hole-7111-rinches — inches ❑ Depth weeping from side of observation hole 77e — • 8 U ��a El Depth to soil mottles — Inches 14,6, vv• EzEU• = /o ❑ Ground water adjustment feet Index Well Number . Adjustment factor Reeding Date ...... Index well level — -- Adjusted ground water level allgall 0 wks Pervious Mate W Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? �ea_ If not, what is the depth of naturally occurring pervious material? �ertif� � i certify that on fl,q, (date) I have peased the soil evaluator examination d that tk was approved by me consistent wiento th the required training, protection �expertise eand experove ience described in 310 CMR 15.017. Date 2 7 signature " ' � DEI'ARaO�'m iO1tM•I1N7M1 M FORM 12 . PERCOLATION TEST Location Address or Lot No. X< <y I COMMONWEALTH OF MASSACHUSETTS rJS?!:J7IF_ - , Massachusetts Percolation Test` Date: 8/ 17 Oo Time:, Ncle N j Z- Ebsion Perc 13� _ g " /3(p „— (S4 Start Pro -soak End Pre-soak ------------- Time at 120 23 Time at 9" 1 6 I / (p .Time at 60 16, Time (90-80) Rats Min./Inch Z Z • Minimum of 1 percolation test must be performed In both the primary area AND reserve area. Site Passed Ei Site Failed ❑ Performed BY: '"Aa C-oy/`J — /Ajc-- , Witnessed BY: - Act 2o,h �x�S7�n/(� Ali W�4C� CSC �� E Comments. _ acv�zoPefZ is-ovi�� N o�� gu2DCN E Cj2oUNU r ( t dr G-6 F-C � �, 2�caw�rn�tiD p DEePI 6vc-2 gufZUc,u LS 12ErvioVED 7=60- ,dN Aoc(_)fLvl rc-. C,(to v'kJb.wPC( E12 oa amovm row. Uw'" Commonwealth of Massachusetts Town of Mansfield Soil Suitability Assessment for On -site Sewage Disposal Fee S 150.00 KNew ❑ "7 PerCS Nee �e d Site Number (} o - Please fill out only shaded area. Location address:j15.`T firr r Applicant:- S / Subdivision/Lot: p1q, Address: 0 ',_ Owner: Telephone: 33 -_3 3 ! - �tiA nt fad Performedby: lc /�j �� ^J Witness. Scott Leite, Health Agent (Site Evaluator) Address: l Sa /)1d r,u J fy/?J 1i e?�e Address: 50 West Street - - Telephone: 3"-3 72 Telephone: 508-261-7366 Office Review Soil Survey published 1978 Publication scale 1:20,000 Soil limitations Surficial Geologic Report not available. Geologic material Soil Map Unit Drainage Landfomt Flood Insurance Rate Map: ❑ Above 500 year ❑ Within 500 year ❑ Within 100 year flood boundary. Wetland Area: National Wetland Inventory Map (unit) Current Water Resource Conditions (USGS) Month Other References reviewed: Summary TH TH Soil class Percolation rate Adjusted ground water Certification I certify that on April 30, 1993 1 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 Wetlands Conservancy Program Map (unit) Range: ❑ Above Normal ❑ Normal ❑ Below Normal On -site Review Location Land use Distance from: Open water body Possible wetland Deep Observation Hole Log Test Hole Number Parent :Material Depth to bedrock Depth of naturally occurring penrious material Test Hale 'Number Parent Material Depth to bedrock Depth of naturally occurring penious material Depth/sm HtLn Texttire I Date _ Landform Surface stones Drainage way _ Drinking well Fage _ of Property he Depth to GW ❑ Flow 0 Weep 0 Seep 0 Perched 0 Wet Soil ❑ High 0 Low 0 Drip u neeauv u rooreaswe u .. Depth to GW ❑ Flow 0 Weep 0 Seep 0 Perched 0 Wet Soil ❑ High ❑ Low 0 Drip Percolation Test Determination fgr Seasonal High Water Notes Test Hole TH '"Method used CH _. Depth of Perc Depth observed standing Depth weep ng_ ` •� 4 a'rr..T �a 'M`.ik4'3N.^.t_P..�.v. � c .— a.zzacs---. Begin Presoak Depth to soil mottles End Presoak - iiSdex Well Time at 12" # 1 Berry School - Gilbert Street _:,- 6" # 3 Fruit Street -rime':(9,._0„) ---- #'- -USES Well m Rnte Mn/IN Less. Index well high - {{t T r�Y r TM Adjustment factor � Site Level Less: Adjustment Factor• .-$. � ..,....;. 1 ,...�... r .tr.._..,�:.: Adj'ustertgroundtwzter____ NORM it - SOIL EVALUATORge O�RM r No. Commonwealth of Massachusetts MA,l SPI GZ , Massachusetts • ment for On cit OW& DfSpOSq� L, MrkuU1J gtw� C—NGv•NC , _- pate: �� t��OU Perfujined By, Witnessed By: Sc"----r' 1.rr..MW.• ExC-W1StI!V6 USEJ (AR�kA AeaarM91W4 tAAP6F1EEL5 J EE. PS5iHAr--E, KESTS2, No'mEI NEE T7Z T��MO'-uO WcsrT CCNTE Lot e/kS-- BI21DO✓WATE Na. 7-3 CA5Tew Construction Repair ❑ Yes (� Published Soil Survey � Available: No ❑ zg �00 Soil Map Unit -tom-=-- Year Published .f pl- y " Publication S$ -L—r— EFce.-s� �-Y Soil Limi eras Drainage Class Serficisl Geologic Report Available: No W Yes ❑ Year Published --------- Publication SCJIe _ Geologic Material (Map Unit) . iAndfonn Flood insurance Rate Map: Above 500 year flood boundary No Dyes Within 500 year flood boundary No LLQY ❑ Within too year flood boundary No Vyycs Cl Wetland Area: National Wetland Inventory MOP (e aPunh it Wetlands Conservancy Program p (map ) Current Water Resource Conditions (USGS): Month '&l1 G a ST 2poo ..-_.._.Ah.VwNemul ❑Normal C91eltryNortnal ❑ odor References Reviewed: WMr AMOVae IOaM • I1M1106 .r, FORD1 11 • SOIL EVALUATOR FORM Page 2 of J � _.n . t 5t l C— Location Address or Lot tJo. C �--�-- ��S C-AS'7t� 14(C� , On -site Review Date: 7 0o Time: Weather — Deep Hole Number �_ 2AILO T' Location (ode 1 f r, on ttllitpian) Land Us* Stope (%1 6-3 Sur(aca Stones Nonl� Vegetation— Landlorm . tA Position on landscape Isketeh on the bock) Distances from: Open Water Body lest Possible Wet Area 'Z46 feet Drinking Water Wail feet Drainsge way 2-10 lest Property Llne /(v feet Other DEEP OBSERVATION HOLE LOG' Dopth trotn SON HOltton Dow IUSDA) Sultana Ilncnul 114y -736 I C, I FS I2,sy7& (6Vucturs, Stonaa. ""a, Co'uuuncr. % /° G a.vc- No S;ah(ES CC-0M Patent Meteritd (YedoYbt �C"- 6'U'iW L1.S fau: Deathtoa� Stomp Water In theNOI@: 9 _ Weaphp han Pfl _ Esowtod Seasonal HO atoum Water: E1x'll: /6 i S fiLO n^ Baz 16�f �E� P��. Ti (-i e. FORM 11 - SOIL EVALUATOR FORM Page 2 of J Location Address or Lot tJo. [' X�_• '_ / Lj5 U5f-- g C= S? ' S cAs r Cj H /c-C- C--s On-�itp Review , Deep Hole Number 2 — o oTlme, Weather Date: 81/7/ %rSPo906'4� sc-t.•ta46r- -- �—� rnctl�� Location lids n}1 ,�{!,I�!$lenl Surface Stories i (o v� — Slope 1%) J- — Land Use 5 Vegetation Landform position on landscape (sketch on the back► _. _.. Distances from: fen Drainage Way u°� feet Open Water Body foot Possible Wet Arse 190 fast Property Lint5 Drinking Water Wall feet Other. DEEP OBSERVATION HOLE :OG* Depth from Soil "when SW cow SON orhw soil WSDM a 1MUIM Mon41q (SYucttue, Stable, eWwwo. Can1�►IInCY� K O/wea surfaceIlncMd °YR-3I2 LS )OP, I`I-44 C-1 )0 Yt'6/ q q-12 r� O 5T1) C � CC 01" 101-ZT 12 <o-22r� � C �`� 2.5y,�Z 3 lSlOil:. ��}C(�L1L pin W A S t oswwsedretlu 2 Z f3 n parent Metalel laeobala WNphg hom Ph Fees; - aniAgm0du tl: stomp W411w In the Hole: ^� (� Sri �/LUf✓1 t3A%Tc7r-7 r(/t_t=PHoC'- i EstMMted SeewMl H'qh Ground Water: G- LFy �. et►Arrmov"NO' -IL11tli L FORM 11 - SOIL L• VALUATO ce FORM Location Address or Lot No- oPA-6— _. ❑ Depth observed standing in observation hole inches inches ❑ Depth weeping from side of observation hole,,7� i b 53 F2�o1 ❑ Depth to soil mottles � InchesfGOV30Ta Q � Flo t E /4 ` B ❑ Ground water adjustment Index well level Index Well Number Reading Date ,. _...► - Adjustment factor Adjusted ground water level � gall 0 �rrina Pervious Materiel Does et least lour feet of naturally occurring pervious material exist in all areas rea proposed for the soli absorption system? observed throughout the a�e S If not, what is the depth of naturally occurring pervious material? _ _l certific�1;14i1 I certify that on APV'��S—(date) I have peased the soil evaluator examinelion wasperformed the by me consistent with the requirred training, Protection expertised that eand experabove ience described in 310 CMR 15.017. gom_ Signature *tDate DES arno"m►OR" • III ' FORM 12 - PMCOI ATION TEST Location Address or Lot No. e AS'! c l- I+Ia__ E-5-TS COMMONWEALTH OF MASSACHUSETTS >Massachusetts Percolation Test' Date: g f r7 100 Time% Obssrvstlon hlcle x Depth of Pero Start Pre-soak End Pre-soak Time at 120 Time at 9" Time at 8" Time 19"-61 Hate Min.11nch /U; 2- /0 /o; 3-7 — /� /o; s M t, 2 ' • Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed lei" site Failed ❑ Performed By: L. — LLEE , yyitrissaed By: `� „� Comments: c vow 61,�2 �v2 Ac N C2du��.T/i� bEsNoUIN6 PN ! 7CE?, 4 Z),frEp Hd F�c7L �O-5- ECG 02 A lC--- py J2 6,,M�tN / y�OvC� fat /lN Jj'; f�::, LA) r4T (Ca�AlNG7 , I ov,.rrsovraroiw.urar„ C Commonwealth of Massachusetts Town of Mansfield S7wO itabiiity Assessment for On -site Sewage Disposal Fee $ 1W.00Site Number&- Upgrade !� Please fill out only snaaea area. Location address: �� 3 - Applicant�_ ��C I . ��i6< < �) r Subdivision/Lot: Address Owner: Telephone: Performed by: (dui Witness: Scott Leite, Health Agent (Site Evaluator) Address: Address: 50 West Street Telenhone:508-261-7366 Office Review Soil Survey published 1978 Soil limitations _ Publication scale 1:20,000 Soil Map unit surtiicial Geologic Report not available. Geologic material Drainage Class Landform Flood Insurance Rate Map: ❑ Above 500 year 2 Within 500 year "] Within 100 year flood boundary. Wetland Area: National Wetland Inventory Map (unit) Current Water Resource Conditions (USGS) Month Other References reviewed: Summary rg TH Soil class Percolation rate Adjusted ground water Certification I certify that on April 30, 1993 1 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 wetlands Conservancy Program Map (unit) Range: Above Normal C Normal :1 Below Normal On -site Review Location Date Page _Of Land use Landform Vegetation Surface stones Slope Distance from: Open water body Possible wetland _ Drainage way Drinking well Property be _ Deep Observation Hole Log Test Hole Number .. __I._.___i rlo..r6 r.. 6od. L- Test Hole Number Depth to GW 0 Flow 0 Weep 0 seep 0 Perched 0 wet Soil ❑ High 0 Low 0 Drip Depth to GW ❑ Flow 0 Weep 0 Seep 0 Perched ❑ Wet Soil ❑ High 0 Low []Drip Percolation Test Determination for Seasonal High Water Notes Test Hole TH MJethod used Depth of Perc Depth observed standmg __._ weeR� Begirt Presoak: Depth to soil mottles End Presoak -' — index WeU Time at 12" # l Berry School !, _,;....__ .�.•__.lbeq ..:_ ,9..,,_-;: 6^ if 3 Fruit Street iSGSWeU ,M • r� r -- ,. Rate MINAN Less Index well high h••= " �''s v.: 'v AtlJustmentfactor • lHR Wt � �� Y --. v wi....... ',�x�.F�,._..� x�.+::x4imm• 'n" - ..Site Level Less: Adjustment Factor :'" t..§��ter "3iS�'•^�"' "°m++r mi .; ..: MI Ad'usterl oanrhvater r. WORM 11 - SOIL EVALUATOR geF'OoRM M•. Date: P 7 a No. Commonwealth of Massachusetts j�1,4N5F! Ct� . Massachusetts r ..,.,..f:na sce s ent for On-tt Sewae62isnQ.sgL co, 1 uC , Date: 8 vU Performed By: Witnessed By: S"l,UE K- -MIJ TEE f✓yGWSIVEUStr Al�.E-!a C py,M,WV�1r1N5f,tZ.i1EF1ST5"�.ESS.No.v,NEE'72, _ ct c� 4 r �/'�3 1 �� i�1�-r WEST aj2-706 r 11i6Fh%AT112 "" 4,1 c 23 UN CT7 1 6S ( i_FE Fk ( ES % d�f FS ew construction Repair ❑ Publishediloil Survey Available: No ❑ Yes lam" v, da0 soil Map Unit Year Published 8 Publication Scale ---r= Erc�ss r �� Soil Limt ons Drainage CIA" Serficisl Geologic Report Available: Noy Yes ❑ Year Published --^-- Publication Scale Geologic Material (MAP Unit) ,'. landform Y000d insurance Rate MOP: / Above 500 year flood boundary No ❑�'� t�' Within 500 year flood boundary No Y ❑ s; Within too year nood boundary No Ya ❑ Wetland Area: — " National Wetland Inventory MAP (MOP unit) Wetlands Conservancy Program MOP (MOP unh) Current Water Resource Conditions NSGS : Month p 0 6 U �_ Z c' Range :Above Normal ❑Normal Belc-v Norma ❑ Other Refererwes Reviewed: WowAwaovsosoRm.1 rrns 00 FORM 11 • SOIL EVALUATOR FORM Page 2 of J Location Address or Lot IJo. VIE USE AI2�A C- E A S CA-5 �t "(Lc- � On -site Review L Deep Hole Number _ Date; 81•7 ou Tlme: Weather Locetlon (idenl fy�on NI, o $lanl 5� A'i/ACHE 4? SE A 6C- D j $/ o SPL LAM unt �`� Sbpe (%) 0-3 Surface Stones E21v� _ Land Use lL6rD - vegetation Landform . position on landscape (sketch on the beck) -- Distances from: Drainage way foot Open Water Body , test Possible Wet Area ��o feet Property Line 7 feat Drinking Water Well feet Other DEEP OBSERVATION HOLE :OW 1) from Sow Horizon 5 IUSDA) o (MUM4soll 11 sow Monads .,.M. (Seuatura, Storwa.O/SouW4 e, Con.N1eMY, % Surtax Ilnmud 0-19 /� L_ IoYr��/z 19-3Z j3 LS Ib.XR'/8 Is%G2A✓%L CLoosc� 32-12-q I cl I M S 1rova4�3 I / TC, 5707JE S C Co ,11 PAC71- 12-4-230I CZ I Ps 17,5-y7/-L g,orlc-, 0LE5 ntuumao n..........-• --- /�• A-c /fFL O zs'-�►�� owtlroe.ar.r✓,: '2-30' Patera M.terl.l la•abeb) Weeping from PH Feoa:�� - Dwlh to 0� ro�nd�� Standing Water in the Hole: iaYmaled Samerill H'ph *OUM W": 01130 A►PaOVED FOa.11 • I31e1O1 r. w' FORA1 n • SOIL EVALUATOR NORM Page 2 of J Location Address of Lot tJo. - c-c Cjr\ L� �f fc c EIS On -site Review . Z Date: 8 ° V Time: Weather Deep Hole Number Pt-ALti/ Location (I ft t� n a ?tlsn) � i r AWNED �7 -- Land Use K o TI Slope 1^%))'-3 ^Surface Stones r 6"c-- WpNetion .lz�� AV)AUA.IJ Landform Position on landscape (sketch on the beck► Distances from: toot open Water Body fast Drainage way Possible Wet Ares 25-o feet Property Line 5�- feet Drinking Wet*( Well lest Other CAC (AC v 4—c cCJ AS f t ofeeeosw.w Pawl Matwlal laeoloelol a wN p�ONFaa:�--- gle1h14.9LW144tYltFL StendMgMratwlnthe HoM: Eeamwed seawnt High tMmw www: EZ.1:'11, /05� 2 g �2on t BoTic�n� Dr�Pt}c�(_ r,N, C-� ' PIP &MOVLDFOM I•Wltll{ FORM 11 - SOIL L• VALUATORcFORM Location Address or Lot No. c (Lf__ LE7—S / ❑ Depth observed standing in observation hole Inches ❑ Depth weeping from side of observation hole to inches r� 9. 2_� ❑ Depth to soil mottles — inches 4�j 11c(, , 2 feet Ele"' i3dTow� ❑ Ground water adjustment , ! fi �_ Z D to Index well level - Index Well Number Adjustment factor Reading a -.-.-- Adjusted ground water level ( � t ball 0 Irrina Pervious Meiesl4! Does et least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? _ �_ It not, what is the depth of naturally occurring pervious material? artification I certify that one 9 (date) 1 have passed the soil evaluator examination wac peffobmed by me consistent WMO with the requirredttrainingion , lexpeartf expertise above experience described in 310 CMR 15.017. e Signature " /�I✓�_ Date g �� E in DU' AMOM FORM • 1141M! 0 FORM 12 . PERCOLATION TEST .� � , is � NSF A ,2_e✓ ��- � � �, Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS M htjap _�._ jE-[t> , Massachusetts Percolation Test' Date: Observation Ncle X Time:, .- D6pth of Pero 1-7 13 Start Pre-soak �2� cis 12- 35 ------------- End Pre-soak Time at 12" 12 ZO 12' SO Time at 9" 2'� 2 ({ r Z 1 5_q '•Time at 8" Time (91-61 U M ( KN(, L4 Rate Mindinch Z 2 • Minimum of 1 percolation test must be performed In both the primary area AND reservearea. Site Passed 2reSite Failed ❑ n _( _p Performy:I�ed eA� P Co. iNC. _ iP �� Witnessed By: ° V (alta�NW. 'ram D�EzdP�2 /S jzavlN�� !�N 6Jci� 6u�Dt nl or= G-8 Fc� a�tf'� r2�corh�lENl, �l �c�/�tf�� AFic=�L ovER �vR l /v !S �tl o✓u-b F612 AA( A-cA« oQ 0"ovm row • uwnH Commonwealth of Massachusetts Town of Mansfield Soil Suitability Assessment for On -site Sewage Disposal Fee S 150.00 Vdew ❑ Upgrade Site Number Please till out only snaaea area. Location address: 3 Applicant. d 4. 1/7/fit Subdivision/Lc Address. Owner: _ Telephone.=. � Performed by: t> 1 Witness: Scott Leite, Health Agent (Site Evaluator) Address: - Address: -50 West Street - m_,__u - Telenhone: 508-261-7366 Office Review Soil Survey published 1978 Soil limitations Publication scale 1:20,000 Soil Map Unit Drainage Class Surficial Geologic Report not available. Geologic material Landfomt Flood Insurance Rate Map: ❑ Above 500 year ❑ Within 500 year ❑ Within too year flood boundary. Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit) Current Water Resource Conditions (USGS) Month Other References reviewed: Summary 114 Tii Soil class Percolation rate Adjusted ground water Certification I certify that on April 30, 1993 1 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 Range: ❑ Above Normal ❑ '_Normal ❑ Below Normal On -site Revieiv Location Land use Vegetation Distance from: Open water body Possible wetland Deep Obseri ation Hole Log Test Hole Number Parent Material Depth to bedrock DepFiilsur 11rzn Texture Color Test Hole.Number Parent \latedai Depth to bedrock Death of natur; ,i occumne pervious material Date Landform Surface stones Drainage way _ Drinking well Page _ of Slope Property be Depth to GW ❑ Flow o Weep ❑ Seep ❑ Pachod [I Wet Soil ❑ High ❑ Low ❑ Drip u MeaQv U Inaeastn¢ '_ - • -:r Depth to GW ❑ Flow ❑ Weep _- Seep Perchod ❑ Wet Soil 0 High ❑ Low � , Dnp l� 31eaoY ; InC(Ca5lnC L 1lLCrCJSIve Depth/sur IImn T Texture I i i i I I L Color Mottling ` Conststancei GW Modifiers - -_ Percolation Test Determination t', r Seasonal rlign Water Dotes Test Hoic TH Method used TH s .;. ,I H.... ; Death of Perc Depth observed standing _ _ Depth Weeping Begin Presoak Depth to soil mottles .._ End Presoak- Index Well Time at 12" 9 1 Berry School tl Z Gilbert Street _ - f> .T 3 Pratt Street Time:.. (9„- ,} - r ......-_'USGS Well -- — —-------.. Rate M[NJ IN Index Well Level .» ! Less: Index well high ��.-,;, adjustment factor to ✓ - � ,ma � n Site Level rar-- Less: Adjustment (:actor O-�„'`',- Adjusted rounds v ter ; � NORM ll I. SOIL EVALUATOR FORM Page 1 of J Date: £3 4 0 No. Commonwealth of Massachusetts P�t�1S+ C C_I> , Massachusetts Sol `4r<ttablLrl`Y Assessriir a for !)B site Sewaee Qisaosal Dam: Performed By: �q�N $ MaLooa"t- izt" t�U, C4 •, t ^tc 8 t�luo Witnessed By: - - NTH A6eN i r.wA.. A16r. w Fcu..usi U,(S�Z✓ AIZC /"' 1' cWS(Ls✓ (-F� EST�i ES iew constructlon _ R@pelf ❑ �Ao E5 E• SNA�CY-T-�57C£ AM", 8W"AMSi-- Etil EAST f ESS, NoMOMEE 1 t�Yr1r��7r>o WcS-r Ce nl ie2 9 �. UN' i Y�tCST B,2�DC,tr(A"rER,vti[>, 02379 publtshed Soil Survey Available: No ❑ Yes ID 9 7 � Publication Scale 1' 201uoo Soil Map Unit - Year Published c-xcEss�� Drainage Class IL21L e_ - Soil Limit#6ns SVrficIAI Geologic Report Available: No Er Yes ❑ Year Published -_.-------^- Publication Sale Geologic Mata'lal (Map Unit) Landform 'Flood Insurance Rate MOP: Above Soo year flood boundary No ❑Ye! [� Within $00 year flood boundary No BY ❑ i Within 100 year flood boundary No eYes ❑ Wetland Area: e National Wetland Inventory Map (map unit) �- Wetlands Conservancy Program Map (rnaP unh) Curtail Water Resource Conditions (U,�SSG,/SS): Month Au�,.v S i 20 0 0 Range :Above Norma) ❑Normal tJBelm Normal ❑ tither References Reviewed: WWARrtevaerOX"'A71►r .. FORM 11 • SOIL EVALUATOR FORM Page 2of3 Location Address or Lot 140. ` trc U`E p 1✓A S f S ( , µ«C c- S On -site Review , Date: 8/ 0 o O Time: Weather -- OaepHole Number �_ sptsPost�-( Location Ildentol�,oL`soQq�a^I Slope (%! 0-3 Surface Stones /(off Land Use o F sr Dt�.!��7 - --- Vipatatlon Landform _ Position on landscape (sketch on the bock) olstanees from: Drainage wW feet open Water Body feet Possible Wet Area � 30 feet Property Line 1-7last _ Drinking Water Wail feet Other DEEP OBSERVATION HOLE Sell Halian Soil feature So11 C" SoM Depth tram (USDA) IMunesol MonYrq (SVuotlrA 6torwe.GaouNn a. Canwuncr, % surieca tlnoneel r) 12- 1 A I 1-- I10YR'h- I2- LS 6-YA5�8 1-125 �1 MS ��YR6V 125-223 CZ � S Z,sy'/Z uTW AS223 " potent Material lesotoalol C) Cl A 10 Depth tod_� MWft ' Sl�igWalaN the Halo: WeepMw Nan Pll Fea: 0 811? Eaer"ted Saalonal High Ground Water: t-I' C ' W T 14 r �> Z urr,trrttovco troot • 11107101 M, FORM1 11 • SOIL F,VALUATOR FORM Page 2 of J Location Address or Lot tJo. ^ C-L-US( UC us A2� � � GASTC,E 1,4(C(- On -site R iew 2 Deta: 17 0 O Time: Weather Deep Hole Number„o�E b tSOosA-C 1 I n) `3c� A-7-rtwt4chh A.Al Location 1ldant odetD 1%) Land UNFc DEN Tr r1l d _3 surface Stoned Vegetallor 6 SSEa� thJvC5 Dt Landform . KAM f Position on landscape (sketch on the back) DIstanGs from: Open Water Body feet Possible Wet Ares 385— feet Drinking Water Wail test Drainage Way feet Property Line !eS feet Other A-A/J, hrmt Matartal yVaehghamMtiaa:�- DaoArau thtoMiUM S,wj&gWatsrinthe No$@: EaWnNad Saaronal NO dowel WON: (�� Q % r—/LnM I 7<0M-- aEr,vreovao roan - 13147101 FORM 11 • SOIL LVALUATOR FORM Page 9 of Location Address or Lot No. -cnc e tJ5 v SE P'X'E A P C A S-T S j C op, S7C-_E 141 e inches El Depth observed standing in observation hole -- inches i ❑ Depth weeping from side of observation hole-'?' ` �d8- �� F2�� ❑ Depth to soil mottles nt Inchesfeet �0A'` DEE- pfftl� T!� ` D -2_ ❑ Ground water adjustment Index Well Number • Reading Date ....... Index well level Adjustment factor Adjusted ground water level --- • 7. W.%V-u Does at least four ious al exist observed throughoutaet of the area proposed for occurring soil rabsorption (system? to all e S If not, what is the depth of naturally occurring pervious material?—t� �Jrtifi examination approved by the apartment o Environmental Protection and thatI have assed the soil theabove anslysis was pfo d by me15.017.nste with the required training, expertise and experience rib in Signature 1 Date 2�____ 7 /0 DLp AMOMCD rODM • 1107/1/ n FORM u - PERCOLATION TEST Location Address or Lot No. C STLC p(LL IE-57S COMMONWEALTH OF'MASSACHUSETTS M AN Sp, CL> , Massachusetts Percolation Test' Date: 8111 Time:. Observation Ncie M Z Depth of Pero 130' _ i 6 12.2 — 1,+0" Start Pre-soak 1 S I S 1: 4 8 End Pre-soak 13 v 2; ° 3 Time at 120 30 2 03 Time at 9" i 3 Ll Z' 07 -time at 8" i ; 38 Time W-6") t M, S 1 Rate Min./Inch Z Z ' • Minimum of 1 percolation test must be performed in both the primary area AND reservee area. Site Passed lJ Site Falled ❑ Performed BY: ACC—i�C (- �G r r E F 14 T Witnessed BY: - Comments: ov)NC, A/4 ova Ku C-,2OUeJ 17, 'tip ?�vt zvP�2 IS 2��'^ cowitvt�ND A i)tz�;7cP Pf:�,L-c A(=«4Z 6v TZf3un DEN !S p�-(fyviov� 47:62 AN 4-cL2AT ®{'° av0"Ovmrow-awn" r Commonwealth nfMassachusetts Town of Mansfield Soil Suitability Assessment for On -site Sewage Disposal Fee S 150.00 V'New ❑ Upgrade Site Number j viease tut our only snaaeu area Location address: t` r`}'_'7 � 5 { Sj Applicant: Subdivision/Lot: S, C0�i } Address: /.5�} f (�� ")C 77 �13 �IAxiIC Owner: _ _ Telephone: 7, , i Performed bv: �y1 Witness: Scott Leite, Health Agent (Site Evaluator) Address: Address: 50 West Street Telephone: Telephone: 508-261-7366 Office Review Soil Survey published 1978 Soil limitations Publication scale 1:20,000 Soil -rap Unit Drainage Class Surficial Geologic Report not available. Geologic material Landform Flood Insurance Rate flap: ❑ Above 500 year ❑ Within 500 year ❑ Within 100 year flood boundary. Weiland Area: National Wetland Inventory Map (unit) Current Water Resource Conditions (USGS) Month Other References reviewed: Summary V TTi ni 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 Wetlands Conservancy Program Map (unit) Range: '= Above Normal ❑ Normal Below Normal On -site Review Location Land use Vegetation Distance from: Open water body _ Possible wetland Deep Observation Hole Log Test Hole Number Parent Material Depth to bedrock Depth of naturally occurring pervious material Test Hole Number Parent Material Depth to bedrock Depth of naturally occurring perItious material Date Page _ of Landform Surface stones Slope Drainage way _ Drinldng well Property line Depth to GW 0Flow 0 Weep 0 Seep 0 Pa shed 0 Wet Soil ❑ High 0 Low 0 Drip Depth to GW ❑ Flow 0 Weep 0 Seep ❑ Perched 0 Wet Soil ❑ High ❑ Low (]Drip Porrnlatinn Tact Detprminntinn fnr Genconnl Hinh Water. Notes Test Hole TH 3fethod used' .. iSxaTtE,w'. 'r�$"!A T.X�:. 'aSa• aul.3.. "A..ur,:+e Depth of Perc Depth observed standing k":. AaGnla.rn�+Ycup Y ...«xr.3tJ4tr..c.�,.ar. Begin Presoak End Presoak .. -- -.. Depth to soil mottles irides Well _ ..,.rOv a....y:.l Time at t 2" A 1 Berry School Gilbert. Street r m - - 6" # 3 Fruit Street Time (4„ -5") . _. __ f7SG�'Pielt Ctrs.-, . Rate MINA _Sndez W41 LrwX . .. Less Index well high�w�vyM.— Ad�ttstmenttactbr Site Level Less: Adjustment Factor Adjusted grounthwer *`,, Z _ . T.1-_.- T € .„& _ m s�fi p� p `' —