HomeMy WebLinkAbout0011 KEARSARGE AVENUE - Health (2) 11 IEARS WGE, CEN 1 ERV1LLE
A=226-146-2
W.
Town of B4rnstable P#
Department of Health,Safety,and Environmental Services
�'THE�jy Public Health Division Date
367 Main Street,Hyannis MA 02601 A
BARNSTABM
16 Date Scheduled D� Time Fee Pd.
Soil Suitdbi ity, Assessment for Sewage Disposal �, a
Performed By: f E�� T� 1� ��i QQ .l✓. Witnessed By:�l✓I Y/�l� O � J� R3
LOCATION& GENERAL c eINFORMATION
Location Address Owner's N am.
e `sr-
f f�,
IL j Address P'S 5cr,.1-.1rei ?c7 C:1-c1e
Cep►+e r j'kJ_e , MA OZ&4t,
Assessor's Map/Parcel: l✓IQ Q 2�6 �� ',4(,'L Engineer's Name fe-1 f1_7.
c�iwatr:..g Uoci� S
NEW CONSTRUCTION/ REPAIR �JTelephone# C_soe-) J-1-7 t—,S
Land Use- S i Gt-c%17-7GL Slopes(%) Ga Surface Stones
Distances-from: Open Water Body 7 ZC� ft Possible Wet Area>100 It Drinking Water Well 16a ft
Drainage Way ZO It Property Line /,5-t It Other It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
VJ
Lo;��
15
R
i
Cry Uf
11
Parent material(geologic) Q(Jf,-0JC S4 Depth to Bedrock .
Depth to Groundwater: Standing Water in Hole: Ao6a-Q. Weeping from Pit Face /"'0 4--k-
Estimated Seasonal High Groundwater !� / Tom—21
bTIRMtI�A`I't+DlYtSI✓A5OlVA .DtGD'UVA ' lf 'Y`A$
Method Used2�
Depth Observed,standing in obs.hole: in. Depth to soil mottles: ft/,+
o8 in.
Depth to weeping,;from side of obs.hole: in. Groundwater Adjustment ft.
Index Well#_ ._._. .Reading Date:.__.___._ Index Well level. __ Adj.factor- _ Adj.Groundwater Level
+'RC'O .ATION;TF�ST hate? iT►Te
Observation
Hole# 7 Time at 9"
Depth ofPerc - Time at 6 16:`a-4
Start Pre-soak Time @ / Time(9"-6") M 1
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N) li®
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
.......... ....... .....111...... .........
..
111
... ....... .........-
... ...............DEEP OBSERVATION HOLE LOG HoI� #: ............
. ........
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. -
Consistency,%Gravel
A L 5 Z 6 Y �/z None twj F-tq UC
24, /& n�o.0 sae —+Cj
2 �ArvNE 2�5y7/`�'
_.... . . ......
........ ...................... _... ....__.. ......... ......... .. .. .. ........... ......._....._._ ..._. ......... ........_ ..._.... ...........
DEEP. ; T N ae .
.
Depth from Soil Honzon, Soil Texture Soil Color SOLI Other
Surface(in.) "" (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel
D—$ u A Y 4/z, nroA.�. oo�P
g `!38 L i o Y2 sl6 /Vorve COOS<
n 60�-7a 9� to O�
_:_ _ _ _
DEEP OBSERVATION HOLE LOG Ilole
... ....
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistent %Gravel
...... ................._...... ........ _. .....-:.-.... ......... . .......... ............ .._.. ._. ......_ ..
__....... .... ........................................................................_..................................._...-.._............................................_....................._..
DEEP OBSEI2VATC)N HOLE LOG Mole#
_.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistent %Gravel
Flood Insurance Rate Mats:
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? YeS
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator 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.
Signature C_� �� Date
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