HomeMy WebLinkAbout0251 MITCHELL'S WAY - Health 251 Mitchells Way
Hyannis
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Town of Barnstable P#
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' Department of Regulatory Services i
" Public Health Division Date nli�lllAk
1639. . 200 Main Street,Hy nnis MA 02601 � •;;;f,�,
Alfll AAA( ✓y I 7VI
Date Scheduled— d Time Fee I'd. �� ,..
Sail Suitability Assessment,for Se is
Performed By: —�ae 6le Witnessed By: J
LOCATION& GENERAL INFORMATION U ,
Location Address l ,� J, �/fQa i Owner's Name -- � Ad. le l lb
C Address _R4 P , \/may
Assessor's Map/Parcel: Ja C3 O Engineer's Name
l
NEW CONSTRUCTION 4- REPAIR Telephone# g6s- � 3
Land Use _ Slopes M C. Surface Stones n
Distances from: Open Water Body. %013 a ft Possible Wet Area. ter ft Drinking Water Well ft
Drainage Ways ft Property Line g �d t ft Other ft
SIMTCII:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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Parent material(geologic) � n.— Depth to Bedrock ,1' <2
Depth to Groundwater. Standing Water in Hole: 1 Z 21, v (�eeping from Pit Fnce —
Estimated Seasonal High Groundwater > as k
y
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: L:>m E I-
Depth Observed standing in obs.hole: in, Depth to loll mottles:
Depth to weeping from side of obs.hole: . in, Groundwater Adjustment ft.
Index Well# Reading Datc: Index Well level _ e, Adj,factor— Adj.Groundwater Level v
PERCOLATION TEST >�nte ate—3�� xtm� ►1 5 i
Observation
Hole#
_�., Time at 4"
Depth of Pere V I I Time at 6"
Start Pre-soak Time @ i!`-� - ll', Time(9"-6"
End Pre-soak _
Rate Min./Inch < 7i
Site Suitability Assessment: Site Passed �.z 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:\S EPTIC\PERCFORM.DOC
DEEP-OBSERVATION MOLE LOG Hole# I
Depth from Soil Horizon Soil Texture .Sell Color Soil ter
Surface(in.) (USDA) (Munsell) Mottiin g (Structure,Stones;Boulders.
• onsistency %l3ravell
+� $ L_4q1-
W 1. 5 \a`i`G _54 1l <5' Loame-ram_
rc�t
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Sofi Color Soil then
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o s' en '% Ryen
0—(.0 St.. gyp, 2 L aoSe v
122
4� �hTC
S 6 t1 Z_ d.
Z'B 13 Z �-
1l tc.tL
)DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Co i to c
CL 3 Z �sw k t
it -
1 r�.S,e,.�•ti� Z,s`�P �i'� `� < to/� G,r1z,a,�E,�
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color soli Other
Surface(in.) (USDA) (h4unsell) Mottling (Structure,Stones,Boulders.
Consistency,
L—c`-' 5 ram, l-•�
� �/Z �..
. � v
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
-AZ
Within 500 year boundary No= Yes _r
Within 100 year flood boundary No.T_ Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perviou material exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervl us material?
Certification
I certify that on 3 `t (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 OCT, 31t Z01�-
Q:WEPT1CtPERCF0RM.D0C
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