HomeMy WebLinkAbout0056 CAP'N CROSBY ROAD - Health (2) 56 CAFN CROSBY ROAD
Centerville
A= 194 -026 - 004
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> No. 42101/3 ORA
ESSELTE
10%
(*
0 0 0 0
���ti�;r>tiiaa�l�t��'�.e•�&a�t��zy.>������ l b
mAns. • r ,
ua � 200 MRIP.Slrcet,11yannls MA 02601
Data scheduled :.'z'Xzzto (9 > 0 0 Fee�d[,
Soil SuRabilit Assessmentf°a r age Disposal
l'erPozaazed�y: (� a t. 60,7ya,IV Wlknessed By.
ncaknn Addre,Ss LUl l ay'& owner's'Namc ��
�`� �/y l Address
Assessor's MaVAParael: / 6 L! Fngincer's Kafue 0
NEW CONSI'RI7O1ZOlai REPAIR Telephone# 6-01 �v
Land Usa Slopes 0 Surface Roaps
Distance's fronn: Open Water)3ody�r #I: Possible Wot•Area -ft
/ Ek Drialcing Water Well�
Drainage Wny ` ft Property Linel C ft Other Et
SI "TCHt;(Sttnet name,dimensions of lot,exaot locations of test holes&.pore tons;locate wooandaL pxoxirnit.} to lxolos)
Z jar l � f t C jv °� • �GOtG'
=c
• _ I 6
Farantmaterial(gcologlc) GE C,�� Depthiq k adrQ4
Depth'toGronndwater: 5landingWaterinHolc: N/7 , . Waeping!'iaxAPltF'm
Estiglated Seasonal S lgh Groundwater All
Method Used:
Depth Observed standing in obs.hale, lu. .:Doptho,-619ll gm�ttlt^s�.
Do'tb to weepingdmm'slde af'nbs:htile: Ita, dCtlililClY CSCCI I�d�:tlBtttt�iTk. --- X•
Index Well�k RcadingDgte: lndon Woll lmvml--. ,...m .F,.rjj.ih�kw ._,_ �j,.C�lY?ui1CiSMllt6l J eYal ,
Observation:
Sole# Z �_� TkAn�•at.p" w �,.�,
Depth-of Porc• '.'ro /r y <r 'Tlz:xeAtJV
start Prc-saakTIma@ 5
End)'rc-SOalc
Lz�- me
pateIVlln.lZcxclx .
Sidv-Sultabllity Asaessmrut, Slte Fasscc( sitA Filled: Additional I"Bsf1lA�IYot dCd(: /!) /
Oxiginal: Public Health Olvlslan Dbsel-�a:tioa lIolc�Data To B-0 Gomplated ou B ark
*'"If Percola tio, a test zs to be conxductv,d wits ri 100'of wetland,you must ErSt aaotbfy the
Barastable Comgvaffm JDzTIsaon at-least one(1)Week prior to beginuiang.
t�:�sa~I��zcu�a�z�.c�ortlYz.Doc
VROLL LOG
Da tlx*om Soil�Torizon Sail.Texture ShclCalor golf.. Ot'har
Surface(in.) (l bA) (MunaeIl) Mottling' (StrnoLurc, Storms';Boulders,
o i'tcn y�°,�'Gravell
05�Qr 7/4
AIM. OX'ITMV LOG
TJopth ionY soll[Horizon Soil'Texturc Soil Color Soil Othmr
Surface(in} (USDA) (P/IunseIl) IvTottiing (Structure,Stones,T3ouTdmrs.
attsis•on 9'a Grave
• DEEP OBSERVATION ROLE LOG Role W1'. -,3.____
Dmpth'frorri S011HorIzon SoilTextura Soil Color Soil Olhcr'
Surface(iu.) (USDA) (munsall) Mottling (5trmtuzc,Stones,33ouldmrs.
Co i tc o Q m
(� '/ G 10b 510
/90
ONSER :&TIONROTIR,Loy:
Depthfram Sail Hodzon. SoilTcxtaro soil dolor Sail Other
5urfa�e(in.} (USDA) (Nlunsell) Mottling (Siructutm,Sfom"gouldus.
0 1 to Yk-42
z
a-110 y �`°
AhaveSraUyearfloaclbaundary 110� Yes
within�170 year boundary, Nn ", 'Yes.w
Within Woyesr flood haundiry Y10.7 Y 5
Y�e��h����tvx�a.YYw'Q�ccet�c�:In��'exvxo�s?�at�r%aY •
I7aes aE leastorxre®t of riatYraYr�r oceurrtngpai'vlo¢s rnaixl e7cigE its alI alelis nbs�r,veti rhYnu�houE the
area'proposed fbr the soil stsorption system' y e 5
If not;what is the depth o�naturally occurring pervious maW1a11
��rt"r�xcatio� .
x cexti y that onJ/1�- (date)r have passed the sail aval lator eycaminadon approved Tay the
Depaitmont OfBl1V1rMmental Protection and tharthr; move analysis wasTorformed by Tne oonslstent with .
the requi3'cd-tralydng,expertbr,and experience descries 0 C1U1R 15.017.
Datb! / l�
• Signature � r.�s'�-�
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