HomeMy WebLinkAbout0000 CAP'N CROSBY ROAD - Health 0 CAFN CROSBY ROAD
Centerville
A= 194 - 026 -005
S M E A D�
No.2•11111i4O114
UPC 138U
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Y h p Gam'�V G�o�,BY �,� ` �� � �a•-� o j�
To •of. �°�•.��.`°nst g�.•fib f y
Depar&i nput of Regulatory Services
»r�rsxwc, k Public Heal h. l Date
rotas.
aa 200 Ma1n Street,Hyannis MA 02601
T,��nnrcc e
Dato Scheduled Cl/✓1 Lk �01 'Um.e_ ' ]Fee Fd,
Soil Suitability Assess entfor Se-wage .deposal
Performed By: DCt A•i e( GO)Sa•(V e S Witnessed By:
Location Address / G j l Uy /A. /'1 ,r Owner'sNanne is/J� Q /
h 0� . l/1'lj // V U r cam-(
Address
Assessor's Map/Parcel: /9 y/Z�^V Engineer's N o Ca e
NEW CONSTRUCTION � REPAIR /�1Telephone a3 Q R ?IX — �/2%
Land Use: wand e Surface Stones Nol�
Distaneesfrom: OpenWaterBody ;)(0G #t PosslbleWet•Area >� t Drinking WaterWalI3 `6 •ft (,
Drainage Way l 1yc" ft .Property Line y ft Other --ft.
SKETCHC(Street name,dimensions of lot,exact locations of test holes&pere tests;locate.wetlands•�n proximity to holca)
Cap'N Crosby Road
p�
Parent material(geologic) 6'�GI u 1 au i w�S Depth tv Bedrgclg >ZD�
Depth-to Groundwater: SlandingWaterinHole: A .- Weeping from pitFnoa' /" 1
Estimated Seasonal high Groundwater N/A
V/t'1
lYlothod Used: N GT 1 UAT1ON FOR SEAS ONAL HIGH W'A E °�.-A.B.LF
Depth Observed standing in obs.hole: _ lu, DopLh,tq,sQ11 t1?9ttla�: 1t1,
Depth to weepinglYom side of obs.hole: 1rt, Cltour�dwaet rAcl�uslm�nt f
Index WeII Itcading Dnke: Index Well lAYo1 - A,j,faatdP,.,.,.,,,•,_,._.AL, ,:l l?ulltlWntel 1.eYa1 ,
PERCOLATION ION TEST D e
Observation
Hole#
Depth of Pero. `4gr "Iy` Time At 6"
Start Pre-soak Time @ Time(9"-6") - —
End Pre-soak ll •��-- Q.�
Rate Mindluch
Sit�SultabiIltyAsaessznent: SitePassed V Sit�Fnllod:___'_____ Addldonal'I'osting'NeededGX'/l'i)/"
Original: public Health.Divislon Obse6ation Holt,Data To Be Completed on Back--------
**Pl-lf pe colatio' n test is to be conducted witWu 1.00' of Wedand,you Must first i.otA *the
Barnstable Coanservatlo)a Davaszon at least one(1) week prior to beginzlimg.
Qs1SBnlCIPERCF6RM,D0C
l
Y
4.x r,.
Dcpth*om Soil Horizon Sotl.Texturc Shcl-Color Soil, Ot'hcr
Smfieo(in.) , (USDA) .(MnnseIl) Mottling (Stmoturc,Stoneg;Boulders,
Nr 5 i'ten cy.i'Cravell
a— S 1a3�2
30 -ls� C �5 2��Y 71l i
Depths om ` Soil Horizon SbilTexturo Soil Color Soil Othar
5urfacc(in.) (USDA) (Munseil) Mottling (Structure,Stonos,Boulders.
Consistmov.90 Crave
Iz S to.
YP 3�z
• - i'Z-3� g ' �� s ioYR �lv
Depth'Irom SoilnorIzon SoilTexturo Soil Color Soil Olhar'
Surface(in.) (USDA) (Munscll) Mottling (Structu;o,Stoncs,.Boulders.
Conslitmov, Omni)
G -(oA XRg1Z
&-190 c .S to�R 7/�
D7ERP OBSERVATION ROLF,LOG #-
Depth from Soil Hodzon Soil Texture Solt dolor gall CYthcr
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stonw',Bouidars,
ConsistmoV, 6Ora
o - L S /OYRq/2
(®yg 7l�
mood lnmrane'a, ate^� /
Above 500 year;flood boundary 1V0��, Yes .l/
°Wfthln 500 yearboundary. No=//+ Yes,
Within 1.00year flood boundary No.�
Y�e�i;Y�.�f�u�9.rraYl:y�ccrrrrinsa.�erwious�Vlatrir%aY
Does at least four Feet of naturally occurring pervious piterial exist in all arean observed thmughcut the
area proposed for the soil absorption Sys toral
if not,what is the depth of naturally occurring pervious matel'lall
(;�r�iifxcaEian / -
r certify that On ( -.(date)Z havapassed the soil evaluator examination approved by the
Department of Environmental Protection and thartho above analysis was perforrned by me consistent With .
'the rcquired training,expertise and experience described in�10 CYM 15.017.
batb
. Signature � . .
' p:�s�rrlc�r�lz.c>?a1�M.nac .