HomeMy WebLinkAbout0000 PATRIOT WAY - Health 0 PATRIO I VV A Y _:
Centerville
A = 193 — 230 — 002
S M EAD®
KEEPING YOU ORGANIZED
No. 125334
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- ' Town of Barnstable P# /S V
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o Department of Regulatory Services
BARNSTABLE,* Public Health Division Date
. y MASS. $ ,:7
039. 200 Main Street,Hyannis MA 02601 rrl
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Date Scheduled Time ! Fee Pd. oV d
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S i Suitabili Assessment for S' age Disposal
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Performed By: Witnessed By: °
LOCATION.& GENERAL INFORMATION '
0 Patriot Wa . __
Location Address Y Owner's Name Sylvan Lane Realty Trust
Centerville,MA. James H.Crocker,Jr.Trustee
Address 68 Wianno Ave,Osterville,MA
Assessor's Map/Parcel: 193/230-002 Engineer's Name Baxter Nye Engineering
NEW CONSTRUCTION X REPAIR Telephone# (508)771-7502
Land Use f��7 ` PC`V�l� Slopes(%) — , Surface Stones
T
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft
Drainage Way ft Property Line Z ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
Parent material(geologic) . 1 'V't � Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face b h
Estimated Seasonal High Groundwater �lfl W,�x£!_ (9Cg���/G(�
DETERMINATION FOR SEASONAL HIGH WATER'TABLE `
(�) Method Used.
�y p Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
�3�(K Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level
PERCOLATION.TEST llate o Zl8 Time Y�l
Observation
Hole# Z Time at 9" ..........
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t t �, GI
Depth of Perc Time at 6"
Start Pre-soak Time @ (7 _ f7;I q Time(9"-6")
End Pre-soak Q�i lI !Z 1
Rate Min./Inch e,ZRr , 11, LZwt ti. r�
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
,***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:\SEPTIC\P ERCFORM.DOC
DEEP OBSERVATION HOLE LOG Hole`#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
D —W" lalhhl,�2� s y,6, L 5711 �n
K
G -L
DEEP OBSE_ RVATION HOLE LOG
Soil Color
Depth from Soil Horizon " Soil Texture
_� Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
I Consistency.%Gravel)
EbP,&OtN.Lt �yR1��l N10k)L
3-�u h AIN -W&M 1.5 R. Ol do►%4
22`' 3 L wm Io o�-,
-120 u GZ V\t�k&A 5 NNb l o�l 0-13 Lam- t
,,,,:DEEP OBSERVATION HOLE LOG" � Hole #
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
U
5&hlwtA
1N`41� uw1, h L° Jb e-
DEEP OBSERVATION HOLE LOG Hole"#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
-210� (,o oti e-
l�yPN3
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No Yes Y
_Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervi us material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the de th of naturally occurring pe ious material?
Certification
I certify that on t ate)I have passed the soil evaluator examination approved by the
Department of nviroi ental Protection and that the above analysis was performed by me consistent with
the required tr ini expertise and e perience described in 310 CMR 15.017.
Signature — Date 2X>1-06
Q:\SEPTIC\PERCFORM.DOC