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Home My WebLink About0063 MAPLE WAY - Health 63 MAPLE^WAY (aka 49 Fourth Avenue) Hyannis A 246 - 116 J Town of Barnstable P# Department of Regulatory Services • ."anarAIRY.: Public Health Division Date l i"79• 200 Main Street,Hyannis MA 02601 Q Date Scheduled• J vt— Time Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: Witnessed By: LOCATION&GENERAL INFORMATION Location Address 63 Maple Way(aka 49 Fourth Avenue) Owner's Name Thomas&Merideth Tansi Via? �1 ,-- 1709 Somerset Avenue -T7drii.�.n.j Address Cardiff,CA 92007 1 Assessor's Map/Parcel: 246/116 Engineer's Name Clark Engineering LLC NEW CONSTRUCTION X REPAIR Telephone# 508-945-54554, Land Use L Ial Slopes(%) � Surface Stones •Y V Distances from: Open Water Body At LA ft Possible Wet Area M 14 Drinking Water Well NIA ft Drainage WayZ-5 ft Property Line_.1,6_ft Other - •( ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) hla7kE7' 0 z 0 TF 63 Ir Parent material(geologic) DAUICA5�\ Depth to Bedrock C Depth to Groundwater: Standing Water in Hole: N 6 Weeping from Pit Face At 6 Estimated Seasonal High Groundwater �7 `! _a„ - DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: 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 PERCOLATION TEST Date Time Observation Hole# Time at 9" Depth of Perc V Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./Inch 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\PERCFORM.DOC r � \ i DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil the, Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. \ Consistency-%Gravel) ` L 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)_ 1— to n-lA 3lz N re & l Y.44ko Aw /m5 to YA 77�% .40 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) 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) Flood Insurance Rate Man: ,/w Above 500 year flood boundary No_ Yes • Within 500 year boundary No Yes Within 100 year flood boundary No le, Yes_ Depth of Naturally Occurring Pervious Material Does at(east 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 depth of naturally occurring pervi us material? Certification Q / I certify that on I of(date)I have pasth oil evaluator examination approved by the Department of Environmental Pro tection and th£ ove analysis was performed by me consistent with the required training,expertise and experienc Ib 310 CMR 15.017. Signature --''Date ] J Q:\SEPTIC\PERCFORM.DOC 111 1 i; I I �f lkni :d. II t y� M ® .� _ 0 mmm � I 1i i ail ! rXm Um b 1 � u �I e •e .� � � � Il:�i: � �I I IIf . Am O - , ALTERATION FOR TANSI lVillMinRwaak. SCALE:1/4" = V-0" (9 AP LE WAY concepts-Iayoul-design UNLESS OTHERWISE NOTED %3 Main Street CENTERVILLE MA ,02601 HarWch,MA02645 Sunda March 24 2019 gn@ms .com Y� � wkdesign(almsn.com it jll; _ i l �i i I N m ^ - HCjr� b Z = rnun : - TJ 0 z ALTERATION FOR TANSI K" tak SCALE:1/4" = 1t-01° 49 MAPLE WAY concepts-layout-design UNLESS OTHERWISE NOTED CENTERVILLE MA 02601 5id,M63 A02645 Harwich,MA 02645 Sunday, March 24, 20195082418305 wkdesign@msn.com wkdesign@msn.com i 1 J1 -7 m x I! 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