HomeMy WebLinkAbout0035 KAY AVENUE - Health 35 Kay Avenue
Centerville
A = 248 - 236
is Town of Barnstable P
$ Department of Regulatory, Services
F Public Health Division Date /
s61� 200 Main Straet,Hyannis MA 02601 M
Ea lr+ld" (1i
Date Scheduled -7 Time M Fee Pd,_
s
Soil
Suitability Assessment for ,mow ge ,Disposal
Performed by:Ga lo;; -/ � Wyw S'_, 2 � Witnessed Hy: v
LOCATION&.GENERAL M1 ORMATION
Laudon Address Owner's Name
I L.4—:9— Address 2_53A/62 Z<r3 G�6D��1i
y �1..1�U3
Assessor's Map/Parcel 'Zt4Qj/'L � Engineer's Name /Ve J6�� L) .
NEW CONSTRUCTION /REPAIR Tele hone# 2/�6a— -i s-7 q,�,I•
ZZm
Land Use s-, ) Slopes(96) u Surface Stones
C T,
Distances from: Open Water Body DGD 's'ft possible WetAren 4V ft Drng Water Well
Dralhage Way Q ft Property Une ft Other l ft
44) P---l—) t 44J
SKETCH:(Street name,dimensions of lot,exact locations of test holes&parc tests,locate wetlands in proximity to holes)
20,
Parent material(geologic) Doptti t0 Bedrock �/�
Depth to Oroundwater, Standing Water In Hole: Weeping*oM.Pit F44a low
Estimated Seasonal High Groundwater
DETERM NATION FOR SEA ASONAL•HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: In. Depth to soli mottles.,_,,,,• in.
Depth tweeping from side of obs,bolo.., in, Groundwater Adjualtdont tt,
Index Well q_�� "J- Rending bate: index Well level •g A4,1 actor„&0V,Adj.Oroundw41er-1 aval..
PERCOLATION TEST Dated 7 4 Vme "
Observation ' �3
Hole# /�� /-7( Tlma at 9"
//
Depth of Pero Z ��r Time At 6" y
Start Presoak Time® /U%4 Z <y`46' Time(9"•6") - )a
and Pro-sank !D.S7 `U; jap
Rate Mln./lach
Site Suitability Assessment: Slto Passed Site Palled: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back
***If percolation testis to be conducted within 1001 of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:ISEPTICIPBRCFORM.DOC
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Sail Horizon Soil Texture Shcl Color Sall• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned;Boulders.
ralstency.%(iravell
4,,° '
H v
DEEP OBSERVATION HOLE LOG Hole# Z
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
oz
L a m.� 7 y S v
0
4z C 7110
40 W4a
kit"
DEEP OBSERVATION HOLE LOG Hole#_
Depth from Soil Horizon Sall Texture Sall Color Soil Other
Surface(In.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.,
/
75
(.bb C 4 c o-t. nI
DEEP OBSERVATION HOLE LOG Hole#
Depth from Sall Horizon Soli Texture Soil Color Boll Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Siooes',Boulders.
` •L y z ' ��.c� i D �
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes ,,.
Within 500 year boundary No= Yea
Within 100 year flood boundary No. Yes _
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious matarlal exist in all areas observed thrpughout the
area proposed for the soil absorptibn system? _ K.0 S
If not,what is the depth of naturally occurring pervious material?W
Certification / p�
I cortify that on �� 1 •/S (date)I have passed the soil evaluator examination approved by the
Department of E lrorimental Protection and that the above analysis was performed by me consistent with .
the required tra c rdse a e e ie co described In 10(,MR 15.017.
Signature Dattb
Q-%$8 n0PBRCPORM.DOC