HomeMy WebLinkAbout0980 WEST MAIN STREET - Health 980 WEST MAIN STREET
Centerville
A = 250 - 049
S M E A D
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Health Complaints
15-May-06
Time: 8:00:00 AM Date: 5/9/2006 Complaint Number: 18808
Referred To: DAVID STANTON Taken By: DAVID STANTON
Complaint Type: TITLE V SEWAGE
Article X Detail:
Business Name:
Number: 980 Street: West Main Street
Village: Assessors Map_Parcel: 250-049
Complainant's Name: Tenant: Lynor
Address: Same
Telephone Number:
Complaint Description: Serious problem, sewage problem out back,
puddles of sewage and it looks like it is going to
collapse.
Actions Taken/Results: DS WENT TO SAID LOCATION. TENANTS
BROTHER TOOK DS OUTBACK TO SEE
VIOLATION. THERE WAS A BAD ODOR OUT
BACK, WITH GREYWATER OBSERVED. IT
LOOKS LIKE THE SEPTIC IS GOING TO
CAVE IN. DS AND DD SERVED THE ORDER
TO CORRECT IN PERSON TO MATTHEW
LAMBERT ON 5/9/06 @ 3:15 PM. UPDATE,
ON 5/11/06, DS WENT BACK TO SAID
LOCATION WITH PROPERTY OWNER,
MATTHEW LAMBERT. AB CANCO PUMPED
OUT THE SEPTIC ON 5/10/06 AND STATED
TO HIM THAT THE SYSTEM DID NOT
APPEAR TO BE IN FAILURE. THE REASEON
THE SYSTEM LOOKED LIKE IT WAS IN
FAILURE WAS BECAUSE THERE WAS AN
ILLEGAL DISH WASHING MACHINE
CONNECTION THAT WAS DISCHARGING
OUT ONTO THE GROUND, THUS THE
SOURCE OF THE GREY WATER AND
ODORS. SEVERAL PHOTOS ON FILE.
I
1
i
Health Complaints
15-May-06
ORDER LETTER TO FIX SEPTIC
RESCINDED. DS ALSO WENT THROUGH
THE HOME WITH THE OWNER, HE STATED
THAT THE BULKHEAD DOOR WAS
DAMAGED BY THE TENANT OR TENANTS
VISITOR. THE TENANT WAS NOT
ALLOWED TO INSTALL A DISHWASHER OR
WASHING MACHINE. THEY HAVE SINCE
BEEN DISCONNECTED, AND THE
PLUMBING REMOVED THAT WAS BEING
ILLEGALLY DISCHARGED ONTO THE
GROUNDS SURFACE. ALL TICKETS WERE
VOIDED OUT BY DS. EVICTION NOTICE
HAS BEEN SERVED. NO FURTHER ACTION
REQUIRED.
Investigation Date: 5/9/2006 Investigation Time: 11:40:00 AM
2
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Town of Barnstable
Regulatory Services
sxtvsraa>.>~. Thomas F. Geiler, Director
FA'�r Public Health Division
01,P441 700,5_-//�0_6 Thomas McKean, Director
o J 9/-,/I,-7_200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Matthew Lambert May 9, 2006
1000 West Main Street
Centerville, MA 02632
***UPDATE: On 5/11/06, DS went to said location and met with the owner, Matt Lambert. DS
is now rescinding this letter, as according to the Owner, AB Canco pumped out the septic system
on 5/10/2006 and they feel the system is not in failure. DS took photos and went out with Matt
after the system was pumped. The reason it was assumed the septic system was in failure on
5/9/06 was that DS observed wastewater ponding in the back yard (difficult for good observation,
as it was raining out, heavy thorns, and safety concern as it looked like the ground was caving in)
and come to find out, the source of the wastewater was an illegally connected dishwasher that
was discharging onto the ground c e wast ater ponding. No her action required on
the septic system at this time. U� 0 ( /
NOTICE TO ABATE VIOLATI NS OF THE TOWN OF BAR [STABLE CODE.
The property owned by you located at 980 West Main Street, Centerville, was inspected on May
9, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable because of a
complaint. The following violation of the Town of Barnstable Code was observed:
360-16 of the Town of Barnstable Code: Sewage was observed overflowing from the failed
septic system onto the ground.
You are ordered to correct the above listed violation within the time frames listed below:
1) You are directed to hire a licensed septage hauler to pump the overflowing septic system
within twenty-four(24)hours of receipt of this letter.
2.) You are also directed to keep the on-site sewage disposal system pumped as many times as
necessary (daily if need be)to keep it from backing up into the house or onto the ground surface.
3.) You are also directed to contact and hire a professional engineer to design a septic system
which meets local and state regulation requirements within fourteen (14) days of receipt of this
letter in order to repair this system.
QA Order letters\sewage violations\980 West Main Street.doc
4.) You are further directed to contact and hire a licensed septic installer to install a new septic
system which meets local and state regulation requirements within thirty (30) days of receipt of
this letter.
It is also noted(and recorded with your first order letter dated March 23, 2006)that the laundry
waste is discharged onto the ground,which is illegal. The laundry waste must be connected to an
approved septic system. Non-criminal citations have started being issued for those housing
violations which you have not corrected per your first order letter dated March 23, 2006 and
received via certified mail on March 28, 2006.
You may request a hearing before the Board of Health if written petition requesting same is
received within ten(10) days after the date the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with
an order shall constitute a separate violation.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
QA Order letters\sewage violations\980 West Main Street.doc
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Town of Barnstable
Regulatory Services
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Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
DATE: 3 a o
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* COMMUNICATION RESULT REPORT ( MAR.24.2006 11:43AM ) .
TTI BARNSTABLE BOARD OF HEALTH
FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE
----------------------------------------------------------------------------------------------------
194 MEMORY TX 915087902385 OK P. 1/1
----------------------------------------------------------------------------------------------------
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL E-2) BUSY
E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION
Town of Barnstable
Regulatory Services
KAM
Thomas F.Geiler,Director
3 ,
Public Health Division
Thomas McKean,Director
200 Main Street, Hywnis,MA 02601
DATE: 3
NUMBER OF PAGES TO FOLLOW: �
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PHONE: PHONE: (508)862.4644
AX PRONE: FAX PHONE: (508)790-6304 ,
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COMMUNICATION RESULT REPORT ( MAR.23.2006 9:56AM )
TTI BARNSTABLE BOARD OF HEALTH
FILE MODE OPTION ADDRESS (GROUP) RESULT PAGE
----------------------------------------------------------------------------------------------------
181 MEMORY TX 915087902385 OK P. 1/1
----------------------------------------------------------------------------------------------------
REASON FOR ERROR
E-1) HANG UP OR LINE FAIL E-2) BUSY
E-3) NO ANSWER E-4) NO FACSIMILE CONNECTION
Town of Barnstable
•
_ Regulatory� Re ulato Services
Thomas F.Gefler,Director
Public Health Division
Thomas McKean,Director
200 M6n Street, Hyannis,MA 02601
DATE: 2 ��
NUMBER OF.PAGES TO FOLLOW:
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PHONE: PHONE: (508)862,4644
FAX PHONE: FAX PHONE: (508)790-6304
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Regulatory Services
9eb `9. �� Thomas F. Geiler,Director
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Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
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PHONE: PHONE: (508)862-4644
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Certified Mail#7005 1160 0000 0191 2182
Town of Barnstable
Regulatory Services
UARNSUBM Thomas F. Geiler, (Director
Ass.
Public Health Division 10
Thomas Mclean, (Director �.
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Matthew Lambert March 23, 2006
1000 West Main Street
Centerville, MA 02632
NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II
- MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION 310 CMR 15.000
STATE ENVIRONMENTAL CODE: TITLE V, AND THE TOWN OF BARNSTABLE
CODE.
The property owned by you located at 980 West Main Street, Centerville, was inspected on
March 22, 2006 by David W. Stanton R.S., Health Inspector for the Town of Barnstable, Alisha
Parker, Hazardous Materials Specialist for the Town of Barnstable along with Michael Whiteside
and Jamie of the Massachusetts Department of Environmental Protection because of an
anonymous complaint filed with DER The following violations of the State Sanitary Code were
observed:
'�05 CMR 410.482: Smoke Detectors: The smoke detector that is supposed to be present in the
basement has been removed and has bare wires exposed.
J105 CMR 410.482: Smoke (Detectors: The smoke detector on the first floor near the stairs to
the basement is connected, but is hanging loose by the wires.
d,,t A105 CMR 410.750: Conditions (Deemed to Endanger or Impair Health or Safety: A
propane tank was observed in the basement.
�u di�I� 05 CMR 410.500: Owner's Responsibility to Maintain Structural Elements: The door
leading out of the basement is damaged and not weather tight.
105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: The electrical
outlet by the washing machine and dryer is inoperable.
105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: No electrical
faceplate cover was provided over the outlet by the washing machine and dryer that is inoperable.
�J,,r 405 CMR 410.351: Owner's Installation and Maintenance Responsibilities: An electrical
junction box on the ceiling in the basement near the furnace has exposed wires because the cover
for the electrical junction box is not present.
QA Order letters\Housing violations\980 West Main Street.doc
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105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: A potable
water supply line over the oil tank was improperly sealed off, and has a slow leak.
105 CMR 410.351: Owner's Installation and Maintenance Responsibilities: The
connections of the fuel supply line at the oil tank filter and furnace are loose.
The following violation of the State Environmental Code Title V was observed:
310 CMR 15.000: Illegal Discharge of Grey water: The laundry facility at said location is not
connected to the septic system at said location. Grey water is being discharged to the ground
�(} surface via a pipe out the basement window.
The following violation of the Town of Barnstable Codification Rental Ordinance was observed:
§ 170-7 of the Town of Barnstable Code: Owner\Property Manager's name, address and
�rQ telephone number were not posted.
§ 170-7 of the Town of Barnstable Code specifically reads as follows:
An owner of a dwelling which is rented for residential use, who does not reside therein and who
does not employ a manager or agent for such dwelling who resides therein, shall post and
maintain or cause to be posted and maintained on the exterior of such dwelling within five feet of
the main entrance or within five feet of the mailbox(es), at least four feet and not greater than six
feet above ground level, a notice constructed of durable material, not less than 20 square inches
in size, bearing his/her correct name, address and telephone number. If the owner is a realty trust
or partnership, the name, address, and telephone number of the managing trustee or partner shall
be posted. If the owner is a corporation, the name, address, and telephone number of the
president of the corporation shall be posted. Where the owner employs a manager or agent who
does not reside in such dwelling, such manager's or agent's name, address, and telephone number
shall also be included.in the notice.
You are directed to correct the violations for the smoke detectors, and the tank in
propane �
the basement within 24 hours of your receipt of this notice by installing a smoke detector in
the basement, securing the smoke detector to its base on the first floor and by removing the
propane tank from the basement.
You are directed to correct all of the other violations listed above within thirty (30) days of
your receipt of this notice, by repairing\replacing the broken basement door, by repairing
the electrical outlet (or changing the fuse if tripped) by the washing machine and installing
a faceplate cover over it, by installing a cover plate over the exposed electrical junction box
in the basement, by repairing the potable water supply line over the fuel oil tank, by
tightening the connections on the fuel oil supply line, by connecting the laundry's grey
water discharge to the current septic system or by installing a new septic system, and by
installing a proper property rental sign in accordance with § 170-7 of the Town of
Barnstable Code.
The following is a list of recommendations you should consider to prevent any future
damages\expenses:
1. Remove and properly dispose of the bucket of fuel oil under the fuel oil filter.
2. Seal off the floor drain and the old well pit located in the basement to prevent any
hazardous waste from directly entering the ground (i:e. fuel oil tank leak)
3. Replacing the gauge on top of the fuel oil tank, as it shows signs of previous leakage.
QA Order letters\Housing violations\980 West Main Street.doc
4. Replacing the fuel oil tank with a new double walled tank
You may request a hearing before the Board of Health if written petition requesting same is
received within ten (10) days after the date the order is served.
Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with
an order shall constitute a separate violation.
PER ORDER E BOARD OF HEALTH
omas A. McKean, R.S.
Director of Public Health
Town of Barnstable
QA Order letters\Housing violations\980 West Main Street.doc
Health Complaints
23-Mar-06
Time: 9:00:00 AM Date: 3/22/2006 Complaint Number: 18706
Referred To: DAVID STANTON Taken By: ALISHA PARKER
Complaint Type: HAZMAT\SEPTIC\HOUSING..
Article X Detail: SEVERAL VIOLATIONS
Business Name:
Number: 980 Street: WEST MAIN STREET
Village: CENTERVILLE Assessors Map_Parcel: 250-049
Complainant's Name: ANONYMOUS GIVEN TO DE
Address:
Telephone Number:
Complaint Description: ANONYMOUS COMPLAINT CAME INTO DEP
HOTLINE REGARDING DISCHARGE OF
GREYWATER OUTSIDE AND POSSIBLE
PROBLEMS WITH OIL TANK LEAKING
Actions Taken/Results: DS, AP, ALONG WITH MICHAEL WHITESIDE
AND JAMIE OF DEP WENT TO SAID
LOCATION. SPOKE WITH TENANT, SHE
WAS UNAWARE OF ANY COMPLAINTS, WE
STATED IT CAME IN ANONYMOUS TO DEP.
BASEMENT INSPECTED FOR VIOLATIONS.
IT DOES NOT APPEAR THAT THE OIL TANK
IS LEAKING (HOWEVER, IT IS A SUPPLY
LINE BURIED IN THE CEMENT
FOUNDATION.) SEVERAL VIOLATIONS
OBSERVED. SEVERAL PHOTOS ON FILE,
AND AN ORDER LETTER WILL BE SENT
WHEN DS GETS SOME TIME.
Investigation Date: 3/22/2006 Investigation Time: 11:15:00 AM
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'turn ®l Balrnstable 110,.:74 P#
Department of Regulatory Services
Public Health Division Date
Pyo`1He I��® �OQ� 200 Main Street,Hyannis MA 02601
BARNSTA111M • '^ .
v MASS � � J. Time � �0 ,, Fee Pd. �D U
0 0 'Date Scheduled 2d
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®al ► uitabilio Assessment for Sewage Disp&al
.<4 Wdnessed By
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Owner's Name 0 . I—A"bfo-KrT
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Address
Location Address ti p i �Q O �. P1 sit„t "'� W, t t A t t4 ST•
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c G� Engineer
< 's Name
Assessor'sMap/Parccl: �c-�_e
q— 6 i 7 Telephone
NEW CONSTRUCTION _ REPAIR
n Slo es % Surface Stones r 12
Land Use K CS +P r1'T I'g� p ( )
Distances from: Open Water Body ��b ft Possible Wet Area
r j . ft Drinking Water Well O ft
Drainage Way .3 n` ItProperty Line }tt Other
ft
SKETC F](:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
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Depth to Groundwater: Standing Water in Hole:
Estimated Seasonal High Groundwater
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Method Used: in. Depth to soil mottles: in.
Depth Observed standing in obs.hole: in Groundwater Adjustment ft
Depth to weeping from side of obs.hole: Ad' factor Adj.Groundwater Level
index Well# Reading Date: Index Well level j
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O 1 0'L
Observation Time at
lol laZ l0`-1
Hole N
if Time at 6'
Depth of Perc `' `�-?`�
I O:'Ll I 1 : O'1 —Li-LAS Time(9"-6')
StartPre-soakTimeQ1r4 At-L-
2�1 (-At- uS�+o
End Pre-soak 11 ' i —l' —� ca ,, t f M
�a t_rcS U N ra vb t-�.. '7' �
. "A
Rate Min./Inch
e
Site Suitability Assessment: Site Passed y Site Failed:�—
Additional Testing Needed(Y/N)
.,,.r n in Tn Be.C'mmnleted on Back---------
1
CIS
>::>;:::;:•:;.;:.::. ::::::.:...:.... ,rr Other
Soil
Depth from Soil Horizon Soil Texture $oil Color Mottling (Structure,Slopes,Boulderes.
Surface(in.)
(USDA) (Mansell)
Z I 12" To Soil_
_ S -r✓L1 Aid 6L t-t60 SA�d
1-7- 35 Q Sn N1O I U R g t oos�- S.G. M-G SA t0
35 - 9Z C.I SAI�tt7 Z $ to G IS o Cs,2A�J61. sYQq-rlf
�aoSt= M-e. SANiO
2- 1
C Z SA..•{p Z' S 1 � 2 G I °�u L'n dL AJ
n 11 .IZD�I i3 li — 7.5 14 •S t'
A ILIT ka Gol-or�S 88 -`iy
e �.•.��.�ST2<3T�FIE✓� L—Al LdL.S ��
:......:.. e .
Solt other
Depth from Soil Horizon foil Texture_ Soll Color Mottling (Structure,Stones,Boulderes.
• Surface(in.)
(USDA) (Munsell)
Lc,Am 3 Z rC,-,A4.Le-� Sot
6 - I2 A Sni,,
l o`'✓L '� Cj l=ri►h,bl-� N�10 S�a.Jd
S 4/'lc0 ILi.COSE.:. t-A-GS�1a1L7
C (0 3 STa�ac1I
Z (� SiAI�tU 2 - LboSE rl �
'l= SAto
Sal.lD 2. 5' f; 2 10 50 G AQ 1--
Ar2t�tw�4tE� Gdt-artg e 60�'- �'`f4 - g11;u1 1411-u -7.5yvL Sly,
v
9- STRA-C.*1--,-
::::::>::::< :>:«::;:>:«::;:>::»::;::;>DP>:<4> <:>:::.::::;.;:.::.;::.:.:;.::.:;::;<.;:.;:.:..:•::::.: •::::::.....:...... Soil Other
Depth from Soil Horizon Soil Texture Sol Co or Mottling (Structure,Stones,Boulderes:
Surface(in.)
(USDA) (Munsell)
L oAr" .SA.40
G-
Locsnn..� la.4F, 'S/ , v RIABI-E- MC-a'� SArI✓�.
p-Z F--C- S ArJ J w'rooc c LS
G
�' LooSE - M-G SA J10
Sartfl 2 .5 t' 3
7.
Lam ..............................................:......... •
<:Ian;:H:+(3!.I:F�::LOG.:;:::::::::<:;:.:::.:;:.:.;:.:::.::.::<::,>•.::.:....:..,,...�»..,�.
P:OB.SER'SAT::::.::::.::.::::.>;,:.:::::::::.:.::.:.::•::. . .
»; ......: < .6.0". .............. Other
Soil fioriion Soil Texture Soil Color Soo
Deth from Mottling (Structure,Stones,Boulderes.
p (USDA) (Munsell) g
Surface(in.) n
3 to all-
. SAN✓,, IU�JZ 1
SAr-�1� z s,s�{ O F rLt AS r1.�- rt Q a4 SANd�
ax1,01Z,6-Io GoA2316
C � 2Sk
- EL
' — •L n�s� ri-�- sa�.,r ro S-fe4-cr r`u
yo Gasro6l-
"$
,)C,> 1 01 2 �� Z 5 .��21 E GwT�b L u
e
Flood Insurance Rate an:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No_ Yes
_nenth of Naturally n"'' krinv Pervious Material
Does at least four feet of naturally occurring perviousaterial exist in all areas observed throughout the
area proposed for the soil absorption system? G�
If not,what'is the depth of naturally occurring pervious material?
C'ertlfiCa Q1
r r S
I certify that on `� (date)I have passed the soil evaluator examination approved by the
,�j-.-r Fi-Arun ental Protection and that the above analysis was performed by file consistent�vith
Town of Barnstable P# pa zlt �
Department of Regulatory Services �6 z
Public Health Division Date
op IHWE
200 Main Street,Hyannis MA 02601
BA STABIS,
�J Time 0 ;oe)f Fee Pd.
AEEDNIP��,eg Date Scheduled U
SoilSuitability Suitabili Assessment for Sewage Disposal
Witnessed By:
Performed By:
...............:.::..,.,........,,...:.,...,.,....-,:,:::...,::,....,... .. .. !;_;;!Iri{;i�:,.,;n;:•:I!;,Y,.!ygp:;.M!„�:!ii!i!�^!�:11'al
F':Iu....::l:l!i::... vv..,. .li.. ... .Tt:.T,
..
!
u
.na.rai,:,.,,' . � Owner's Name M Lk�rrt ry&w"['
Location' nn S! G 1000 ty*4 r 4C.
t ( . Address
<.
Engineer's Name {✓1 A e�( /
Assessor's Map/Parcel: Z Z9^ I 1
✓ REPAIR ✓ Telephone k
.N
EW CONSTRUCTION -
o � _� Surface Stones v� 0Land Use Gs -eIT AL- Slopes(/0) �� ft
_It Drinking Water Well
Distances from: Open Water Body�_ft Possible Wet Area a
Drainage Way O l ft Property Line � ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&Pero tests,locate wetlands in proximity to holes)
0„-r�.J q S i
(f Depth to Bedrock
Parent material(geologic) 10L. A i G
Depth to Groundwater: Standing Water in Hole:
Weeping from Pit Face
•
ndw ater
IH High
ou
Seasonal u!
Estimated S eas g -
Eshm _
v -
'=.e!ma+!r:.1:^:!�,-:;a!I,,m!,•���;!:;:;,„..•,; :.t. �,ili� =g!i5;! r?`i';;`rHa;ir
........... .....,:!.:v..:.;:..�,.,..,.:.,...,.. .,!. .lidv...,:�n+1.,
� � o+n!6.r_6r_.,,,.
Method Used: in. Depth to Soil mottles: in.
Depth Observed standing in obs.hole: ft.
in Gmundwat+erAdjustment
Depth to weeping from side of o s`hole: ti
Reading Date Index Well level
Ad•.factor_
Adj.Groundwater Level_
Index Well 1! ---
:,�.r�+':i+�:•r:�+::r:'!!".Tiil:,,�!';;:;::x:,�::r,!;;;;.1:i!:�!�a�iii`t<�;:�t=��;+:ir,;:!i,� ....
:.............:.....:.:: ,.:....,....... ..1 .._ :: ....: . i
.......... :.._,.::.. ,.:::.,......t :1:..:..,.1.u..:.....:.. ,., ....:. ... ..:... .. ... ..... ,.d.•._ !,La.,.;L-:!ibi:ai��
... ....._..........!:,:r,..:.o..,.!.,!ua!,I,.,..i..._!.�:i!u.,..,,...,.!-::4 , ..,r !.,:,
. ..r
AFu.:�?:) ,!!� M„ .l
i
i!!l,!11i+:iOtl n:L.t:....):?'li'1'C:f!!+!n!5.r!i41.nTn�ri,...•!F.J,thJ 41::,:r:n:c.:.-c:e:_.::_
Observation I Time at 9"
Hole d
���14 Time at 6"
Depth of Perc
q Time(9"-6') —
Start Pre-soak Time Q _L_L��
End Pre-soak 1 Z
Rate Min./lnch _ Z
Additional Testing Needed(Y/N)
Site Suitability Assessment: Site Passed
Site Failed:
Hole Data To Be Completed on Back
nriv nal: Public Health Division Observation -----
J
910
: Z'Ibl� JL bolo#,:::.::::::.. ;:><;:>:<:...
:<:.::.;:.;:.:...::.;:bE �.P
::::.:::::.: :.:::.:: .... . T..:::<.:.::::.:.:..::...
....... ..... ........... ........ ........ Soil
Other
�Deplh•from• �.�:�:�Soil Horizon �••..:;:<.:;::Soil�Texture��•••�•����Soil Color
Mottling (Structure,Stones,Boulderes.
Surface(in.) (USDA) (Munsell)
o I
.. J�r1 aD 4 Z[5V( 5/
Z/ pj C� o 0 6 J E S-ne r
8S-15� CZ. SA1`4 Laaso- H.—C.3
L,� 44,Sl, A-T tDlt �� tI 7A 4
.. .. . . ................:.... . .
Depth from Soil Horizon Soil Texture. Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
e
1
::.::::::::::::::::::.:::.::.:;:.::.::;.::::.::::::..:.::.:.:......................:........................... .....
Depth frorrm Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.
[
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
n ' " e
�yASd JP
..i;:. '.f .�...X x.�• > �>+ [_i'i 77 L3 a..a`�t �>ifSp.P'i q��,�,3�,e��r`�#.�,P 's �_F+" r,k+t Pa� $* d� ��
;i 1'-..� [ 1 Y .� �+P• 6 A P�..,R �•. ra 3f. I. '�'�.�{p.4 I l a �.
i i ,t Y.`.a,. } .:g•„,P. ,.. idKiF. 'a 1 ::, v."1.�,r.., i:d.r"rr ��y�, i, i_. t.+l,.naypyP'ud ri S�)',MrNz #PI"..�� k a(i: 4'iF_F:,2�s i., �rs�i`,
4 ���.h5� �a
.2srL�S " } 7 � $i y�-iFR•}at h�, t ^i ac d.
�. �S t r.�a. r-r. L•!.r iS. tf t; [�„. '1V.•.
M hr
P
,;. w[..�..�... .. n.. �... ..
Flood Insurance Rate Man•
Above 500 year flood boundary No Yes
Within 500 year boundary No_ Yes
Within 100 year flood boundary No_ Yes
Depth of NflturallYOct:urring 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?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on Jr' ; (date)I have passed the soil evaluator examination approved by the
Department of Environthental Protection and that the above analysis was performed b rrle consistenf,5-1,
h
the re-miirerl traininw r_ exnertise and ext)erience described in 310 CMR 15.017. � t�/ , , �, a_