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HomeMy WebLinkAbout0101 CRANBERRY LANE - Health 101 Cranberry Lane Centerville A= 246-026 S M E A D No.2453LOR UPC 12534 amead.com • Mach In USA 3 !%'4tsr ONNItUS®N=P1 OtVLm IF M " �_ , DEEP.OBSERVATION HOLE LOG Hale# �(is-> > r_�;,_-,f,ace- from Soil Horizon Soil Texture Soil Color Soil. Other (in.) (USDA) (Munsell Mottling (5tnucture,Stones;Boulders. onsi tenc ()ravel) �7V r�����u C2 S'• �j L� -----... 4 ' !1!`a �727`Pv vt eve DEEP OBSERVATION TOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling ,(Structure,Stones,Boulders. onsisten % ravel se .7,s DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in-) (USDA) (Muusell) Mottling (Structure,Stones,Boulders. Con i tc c O e DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Sol] Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders, Consistency, a Flood Ins-urance hate Map: Above 500 year flood boundary No_ Yes . . Within 500 year boundary No= Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? XPy If not,what.is the depth of naturally occurring pervious material? —_ Certification n n I certify that on A fl- .95 (date)I have passed die soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required trainin ,e ertiisssee and a perience described in 10 CIYIlt 15.017. Signature Date Q:44 H P'r 1 C\P13RC PO R M.D O C Tim 'own of Barnstable P# Department of Regtdatory Services nMMSrABM : Public Health Division a:.�- Date MASS. T: +. •�= �A v639. ,�� 200 Main Street,Hyannis MA 02601 "All Date Scheduled Time• Fee Pd. too, `- Soilditabilit A.sse,s,sment,f®r Sewage Disposal Performed By: Witnessed ByV S ��� LOCATION& GCId]ERAI,INI�® ®l�j N.-_f Location Address Owner's Name V•QS� K. OZG32 LZ2 (Cats' .2YWl� Address �.�• t t� �Ca^ t, vz.G� AssessoPs Map/Parcel: 0 Engineer's Name NEW CONSTRUCTION REPAIR — �13Ceeim Telephone �+ �tJ✓d dt.tvm Land Use S �R Slopes(%) Z� Surface Stones IV4A"�_ Distances from: Open Water Body ft Possible Wet Area 14/44L ft Drinking Water Well ft Drainage Way yG t ft Property Line 3,f-,L ft Other lvb fy. ft ' G�Lf'G�'I#/fFcN 2 SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locale wetlands(n proximity to holes) IQ Z4 k�� � e I . L U/girl. L Parent ma(erial(geologic) GLc 7G✓ CNY Q/Sd�ic[ Depth to Bedrock /l/lfR Depth to Groundwater. Standing Water in Hole: 440N4 Weeping from Pit Nee T/l� Estimated Seasonal High Groundwater lLL� DETERMINATION JL`ak.NSV1L.a1'q.ATIt1N FOR SEAS pNtT L I-11J1GH WATER R,11'R TABLE. Method Used: Depth Observed standing in obs.hole: MIA In, Depth to soll mottles:_ '��� In. Deptli to weeping from side of obs.hole: , in, Groundwater Adjusttttent,������ ft. Index Well# .J/& Rcading Date: .1/4-- Index Well level /r/ Adj factor 'vim Atj.(3routidwuter Level PERCOL�ATl0N T14 SAC' Date/ q 1 43TItne Observation Hole# 2 'tints at lI" Depth of Pere !, �o Time at G' Start Pre-soak Time @ .' 2 Z 'Pima(9"-6") End Pre-souk /D• 3� Z¢ qua lyl 9,Wr4✓ Rate Min./Inch Site Suitability Assessment: Site Passed " Site Failed: Additional Testing Needed(Y/N) AID Original: Public Health Division Observation Hole Data To Be Completed on Back-------V ***If percolation test is to be conducted within 100' of wetland,you must first notify the Barnstable Conservation Division at least one (1) week prior to beginning. Q:�s Err1c�PERcroRM.Doc