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Home My WebLink About0085 CAP'N ISIAH'S ROAD - Health Cotuit 037-020 ,. �_� � � � � _. � VV � � I � � � � � I �_ I O �_ - - r a �4 f• h r. {. 5 y- k F Town of Barnstable P# J Department of Regulatory Services a"As619. A ' Public Health Division Date v ' AS& g - i639 ♦0 '°tFo rig► 200 Main Street,Hyannis MA 02601 Date`Scheduled �0 _ ..W-Time lfiUo rvl Fee Pd. ( 00 Soil Suitability Assessment for Sewage Disposal Performed By: x (a ..�G1 ®C a h 3C Witnessed By: G�a v l� -� Jr� 1 L t k I 15 LS M. f� ��,�L��.11 IC�{l"It1L.41 !td.4 r:td7:9: .uF,�.._hrr,,.1�xY".p.h..IRk'n....� xEeL.xSa kat.:rO..h ..,: Location Address k — Owner's Name Address Assessor's Map/Parcel: 3 _�� Engineer's Name (�.; „ f Z NEW CONSTRUCTION qq REPAIR Telephone# Land Use K 0 , t+r . '�A� Slopes(%) ®'b Surface Stones Distances from: Open Water Body T-ft Possible Wet Area IVO ftfi ft Drinking Water Well Y r t9 AC ft Drainage Way rw ft Property Line 9_0� _ft Other ft SKETCH:(Street name,dimensions of lot,ex5 locations of test holes&pert tests,locate wetlands in proximity to holes) .l Nil YWO d � Parent material(geologic) oV--tu) nc, Depth to Bedrock -7,d 0 �-- _ Depth to Groundwater: Standing Water in Hale: N U Nt:. Weeping from Pit Face Estimated Seasonal High Groundwater pi IA— ..... 5 ; :;S �i AZ ' ot, -tG43l,w 'r!�n: ". z .. 1 . :::. .+?t.4E n... t•h.J7uYv.n....4.}.:GrLd,.t! 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_ �r w3r'k dFL!r4 r ri r k4 r rr K�F 3"L�4�X L�,ly�,dt y {x�asR ! :1 �3y Jl 1 /l'i�j/ IjT tr k ! 'Ii11F*h J�'I� g lal , rtrrlr+,d.cc:r.,}w m..art.7.„x f9n u !,Q�- :s.r• i'.«;�Ni .�,i id—,.h,sn,:..4s.,t..:F'd-;.1 w Observation Hole# ( Time at 9" b� Time at 6" Depth of Perc 600 Start Pre-soak Time® 11 �'$ 6 00 B� Time(9"-V) End Pre-soak Rate Min./Inch A (N Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- Q:HEALTI-UWP/PERCFORM r r�u',!'t�✓.a .!.III..':. M.Y.' a. J :I.GiS. .,. .v.:.. 41 L_Y'.: -Soil -..,"(J Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistent %Gravel /0�//Z jo"I " 6 Pn ,t' !�a}.1!1 � !l1444"n� a � ..,. ,1 iMl A..i.,.:;! I :11...tar. ..,fijt.+S got ul a,r L,,,b! Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistent %Gravel) c /oyQ�// .. z E - , E, 0VAT y/G 1 1 w{yra•�] /y�� zb r ,,�,�s,•4 htr y�/p I r jn 1 lCcv. 1Depth from Soil IIorizon Soil Texture Soil Color Soil OtherSurface(in.) (USDA) (Munsell) Mottling tructure,Stones,Boulders.onsisten %Gravel » 1 k��'��t� t`_ A:k , .�1��1 lal'4 1'.�1'.1f i. 9 , tt 1 k ti 7 t l r b.�„h.t�.Yr. 1.1 R .,tM.?tt.r t F!,..,�!�I t x „6.,:.,.. 1�...?k'_. t., s ,lirc t. ..!:• ,� ,aa:; .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel to Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No— Yes Depth of Naturally Occurring 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? y�--- If not,what is the depth of naturally occurring pervious material? Certification I certify that on (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 a experience described in 310 CMR 15.017. Signature t N Date Q:HEAI..TWWP/PERCFORM k Town of Barnstable . P# iWo, Department of Regulatory Services BARNWABLK L KAsa �� Public Health Division Date 1 o� 59. 200 Main Street,Hyannis MA 02601 ( o ime r,r.Oa Fee Pd. ( �� + Date Scheduled C a 0 r Soil Suitability Assessment for Sewage Disposal Performed By:*, oc Witnessed By: �l/a�rf� J -� '\ S 3 i b i 5, IAA ,i b�Y +I`� �ij' �i ,C � 31,' .: h f � � � rr i 5 ,r h_ s.k'r... f•ai•....._.a.,..><.. Location Address G Owner's Name 1999 Lu�� sr�►�S Address Assessor's Map/Parcel: d 3.7._Ua U Engineer's Name NEW CONSTRUCTION REPAIR Telephone# Land Use Slopes(%) Surface Stones Distances from: Open Water Body 4 It Possible Wet Area Drinking Water Well/J�V AJ& Drainage Way AP OJT ft Property Line a t ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) , J I 4 . i a � 9 J f� Parent material(geologic) Depth to Bedrock 12,�Q Depth to Groundwater: Standing Water in Hole: N N Weeping from Pit Face eV o Ax — • Estimated Seasonal High Groundwater Nj 1A—_ ' RF1 �YA� GDr4A ,H�GHrA1 > E Method Used: Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in.h Groundwater Adjustment ft. Index Well# Readirig Date: Index Well level Adj.factor Adj.Groundwater Level_ �j a + t rf ,� i . 1 si..r, ri #�i� i 1' .. M a �i Sr - a �' ii_i,Gai ii i:- r x �. +' i. { S}5 i i z�i 't S A r tJ +i saC x,'I6 tlt�.$. +'+l i..: t if �I '' h ,�,5,. N n: kL i Vw n :.>e i �..':�u'.. _J.:. °.a.r�_�,y., I,;.,,:..It_,.t,.u,uKs_:... .t".> s,>...6L �, .o.au,u..�... ry a.,..��.... ._ ..s..._ Observation Hole# ( Time at 9" ° f Depth of Perc hU Time at 6" Start Pre-soak Time @ 11 ,166 Time(9"-6") End Pre-soak ! I, 000 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---------- Q:HEALTH/WP/PERCFORM _ r i i i L „11ilr kao :L'.IxiJ 3:� ra n�NJ„_..�_: ....y _ ._.,: .� :.::::.. ... .. ......... . S Depth from Soil Horizon Soil Texture Soil Color Soil Other _ Surface(in.) (USDA) (Munst Mottling tructure,Stones,Boulders. Consistenc %Gravel JU`l� - I A l'a IX'Z1 lo Ab "j i£ e- f k � (1 ' LOB wig 1l . 6. rk:.. ...iw ur�. ,N, .t4� .. ............ �, x Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. 11consistency,%Gravel -1� d `o y 6-1 1 - 5 �, o` ks& 3'_ 0`'/'e Y/a 16 N o gur9 T�'c iv.1. ,R:'..:k .?43. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency,%Gravel Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulders. Consistency.%Gravel Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes Depth of Naturally Occurring 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 (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 experience described in 310 CMR 15.017. ; Signature c�'� N C Date Q:HEA,LTH/W P/PERCFORM IMMIIq 1 49 AM -7 —3 v C < to rt c .c my T-W I�� c2 £ � 0 1 1q, to 0 o M to • "€ >8 M lid Pad. ,t 4 at Tp �F �gi r ligH I I� Ta_veua yy pp�y M 6 6 jilts £e > I a 7�t � � � 9'-0• 0' B4 Q• T4' I� 19�9' B' .i i „1 > 3 � Zp ZZ Z ' � R� � � �la * gr y y8• ' ,• LT 3 � _ •S 4• _ _ _______ __________ ------------------ -------------------- 6. BKM eaaNe 5.91 r5 d '__ fir• 1 W14 1 .r- O ,reDaM c4•- g z 01 g� -- —— — = m ` I :. g y T __ ____________ _______—_____—__—11 !I t Ie sx eaiAev s-0•/ I Ir-r II P yr k war ays lfY ( II II II ----------------------------------- A IN ; ; $ g€ g --------------- IN s. 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