HomeMy WebLinkAbout0052 MEADOW FARM ROAD - Health 5-Meadow Farms Road
Centerville
A = 188 175
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No. 42101/3 ®RA
1.
1000
A 41 m
Town of Barnstable
Department of Health,Safety,and Environmental Services
�T Public Health Division Date
367 Main Street,Hyannis MA 02601
BA MASS. '
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TEDNIA'��� Date Scheduled Jv�y �� 02000 Time �2 Fee Pd. Vo
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Soil Suitability Assessment for Sewage Disposal
j� Performed By: L71fiN IEL !4, 0 7f}l { PLS,SE Witnessed By: t>.wJ4 H Ial2ANb l
LOCAT'ION& OENE INFORMATION
Location Address 'J, 5 1- V- c(� (^1 Owner's Name FuLL-6Q FAVem
Lo} % fi
\� Fi�LLEi2 �A211g Address REAI.T� Tl'LuST
CF-nrrC2v1u.e , 6AKIJ6TA3w "P,
Assessor's Map/Pazce: I�i2Ti0 N DF o u -75 Engineer's Name-1>,-WN CA 6 eMGI N E'e2l
NEW CONSTRUCTION t/ REPAIR Telephone# (50%) -y Sr{ I
Land Use \/A(A N T Slopes(%) 0-5 Surface Stones —
Distances from: Open Water Body --^ It Possible Wet Area — ft Drinking Water Well — ft
Drainage Way — ft Property Line SKETCH ft Other — ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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Los �Nz
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Parent material(geologic) GLACIAL wTt WASH Depth to Bedrock >2,ml
Depth to Groundwater: Standing Water in Hole: _ Weeping from Pit Face
Estimated Seasonal High Groundwater NSA No C-AoomDw/kM?, FwmD
b TE NA`T10N 'O&SEAS;UNAL Dt IT'UVATI Yt TABU
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Method Used: ;:......
Depth Observed standing in obs.hole: NIA in. Depth to soil mottles: 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 ►_/A
..........
t'ER�GOLAT'1ON TEST: Hate 11 [.me 12o
Observation -N 74 1 TH
-�H 2
Hole# T � L Time at 9"
Depth of Perc 6,011 5011
Time at 6"
Start Pre-soak Time @ O'O0 0�00 Time(9"-6")
End Pre-soak �%30 V 30
�I
Rate Min./Inch L 2 L 2
Site Suitability Assessment: Site Passed X: Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
_. __
DEEP OBSERVATION HOLE LOG Hole# 1
... ...........
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel
10-(o �} l o�,,,� ,d z,s y R 112
to '30 L� h and a.5 ja
u-) c /C SANS a•s 743
`DEEP O$SERVATYOlV HOLE L+DG Hole# Z
..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
nn
-3,0
__
DEEP OBSERVATION HOLE LO;G Hale#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
C nsistenc %Gravel
DEEP 0B$ERVAT10N HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones Boulderes.
Consistency,%Gravel
Flood Insurance Rate Man. /
Above 500 year flood boundary No_ Yes V
Within 500 year boundary No_ Yes
Within 100 year flood boundary No_ Yes
Death 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? E5
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on Noll 95 (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 -� Date 0