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HomeMy WebLinkAbout0080 POINT OF PINES AVENUE - Health (3) 0 Point of Pines Avenue Centerville A= 210-107-003 S M E A D No.2-153LOR UPC 12M amead can • Mob In USA � 1�lIW�MIWIICTW IN wrww�oW�aoa Town of Barnstable P# Department of Re galatory Services H ' p Public Health Division Hate.KAM —I� a 200 Main street,Hyannis MA 02601 Date Scheduled Time lee Pd. Soil Suitabilt, Assessment for S e Disposal 1 . Performed Br��I IJV117 ��9//'1 L����_.�'• Witnessed By: LOCATICtN&( tvEIrAL Il I'OR1ViA1 ON = Location Address Owner's Naule Sa A U Mf n e ra s Td vjztA-- Vie 0 u-0-L/*6 1 ��r��r►l/�: 32 Fort ers Assessor's Map/Parcel: o2.A0�/o 70 ftngineer'eNenies /J r v NEW CONSTRUCTION ✓ REPAIR Telephone# Land Use C_i 1'Gt1��xAti L Slopes(%) L S/o. Surtaca Stones �►2r h Distances!torn: Open Water Body t l W, ' ft Possible Wet Area ft _Drinking Water Well it Drainage Way :t^ \CQ ft Property Line t- lQ ft Other / ft SKETCH:(Street name,ditueasions of lot,ssact locations of test holes 6t pert tests,locate wetlands in proxhnity to holes) VVV"' 11Z 0 ^ � 1O® l rN �ro�� L� r _ j yO _ I Patent material(geologic). P6 1i I:'�E4 tv Depth to Bettmck . i _ r i V� Depth to Groundwater:.Standing Water in Hole AWeeping ftom Pit Face i o Estimated Seasonal High Groundwater 7 a Pea f6oF � C _LL A'I0I4 i tt SiASO1vAL HI H WATER TABLE . Method Used: _. Depth Observed standing ui obs.hole ;. in. De th.to soil mottles:' i Depth to;weeping from sidd of obs:!tole: in: G undwater Adjustment ft i dex Well# Reading Date! welt level 77 Adj.fitctor Adj:Groundwater Level P COATIONUS! ante 'Ul S/ Time \b Observation i- A 0: H016# J, Time at 9" Depth of Perei_: , 4 Time at 6" ff , Start Presoak Time® Time 2 End Pre-soak Rate MinAnch l 1 Site Suitability Assessment: Srtd Passed: Site Failed: Additorial Testing Needed(YIN, } I. 3 5 original: Public Health Division Obs rvation Hole Data iTo 13e Completed on Back- 1 Y � **.*If percolation testis to b6 conducted within of wetland,you must first notify,the Barnstable Conservation Division et least one(1)week prior to beginning. --� Q:\SEPTIC\PERCFORM.DOC 9 9M DEEP OBSERVATION HOSE:L+DG. Hole# _ Depth from Soil Horizon Soll1 Texture: Soil Color. Soil Other Surface(in.) (USDA): (Munsell) Mottling (Structure Stones,Boulders.' Consistency:V6 Gravel) ~- t�`►� QrcoVv- p®S6-0 `' ©' !DEEP O ghtiVI I `f`IOfit'H ;E ECIC* Hbl�e Depth from Soil Horizon Soil Teztrue Sod Color Sod Other Surface(in.). '(QSDA)... (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel) C6-2 y �yLGca�tC S ^� U'tyOEcoy�nA05�� I��i�115 ���Ji6S. ipEI'bSSERAT01 `HOE LOCH Hole# Depth Ilk Soil Horrzd n Soil Texttue. Soil Color Soil Other Surface(in) (USDA) (Munsell), Mottling (Structure;Stones,Boulders. Consistency."/o Gravel) o 0cO\ A(ISGO7 L.i ,a,\les Tuxc� Y 'J�L �rZ.A leca L C DEE BSERVA'1'ION HOLE LOB I $ole# Depth from Soi l Horizon Sud Texture Soil C11 olor Sod. der Surface(in.) USDA) (Munsell) Mottling (Structure;Stones,Boulder§. Consistencv.lo Gravel) 2 -.5 `42 Flood Insur"ce 1Rtate Mao:i Abovel50tl year flobd boJn�aryfo Yes . with s00 year botindarj+ No il Yes Within 100 year flood bblm.ary No Yes De th otNatiirall iOccurrlrlti Pet io' s Mate�ia l Does at least four feet of na i�Wy,:bce g pe . io material exist in all areas observed throughout the area proposedifor the soil ab o bolt sy�s em7 _ \ 6rvious material? If not,what is,the depth of`n ally6cd g p1 Certiiiicatioa —R- I I ceitify that on (d&te) have p sed the soil eYal atom examination approved by the y, p y ent With �. bepaltmettt o Envitoiamentrl P'rotectlo acid th t tie above anal is was erformed b me consist the requited rhse d ex e fenced sAed m 31tl CI�JiR 15.017. Date o L 1- Signature Q:\SEPTIC\PERCFORM.DOC ca