HomeMy WebLinkAbout0076 CHEOH ROAD - Health 76 ( HEOH ROAD
Cotuit
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Town of Barnstable P# 1
Department of Regulatory Services p
Z ABM Public Health Division Date 0�'� r D c
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a63y �� 200 Main Street,Hyannis MA 02601
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^Date Scheduled Time FeeTd.
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Soil Suitability Assessment for Se ' e Disposal
Performed By \ Wttn led By ' / '
LOCATION&GENERAL FORMATION
Loca 11 t ion Address Owner's Name j6neS
76 Cheoh Rd., COtUIt Address 11 Brigantine Cir., Norwell, A AN
Assessor'sMap/Parcel: 019/O68 Engineer's Name Matthew T. Farrell YJ
NEW CONSTRUCTION REPAIR Telephone# 508-896-6601
Land Use Apes(/o) Surface Stones
Distances from: Open WaterBody ft Possi a .Wet Area ft Drinking Water Well ft -
Drainage Way ft Property Lin ft Other ft
SKETCH:(Street na e,dimensions of lot,exact locations of test holes& erc tests,locate wetlands in proximity to holes)
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Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE 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
AAAPERCOLATION TEST Date Tmei
Observation
Hole# - Time at 9"
Depth ofPerc 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
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Map printed on: 9/13/2017 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town.of Barnstable GIS Unit
adequate for legal boundary determination or representations of Assessor's tax parcels.They are
Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026or
o 42 83 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624
reflect current conditions,and may contain such as building locations.
Approx. Scale: i inch= 42 feet cartographic errors or omissions. gis@town.barnstable.ma.us
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J.M. O'Reilly &Associates, Inc. LETTER OF
Engineering&Land Surveying Services
1573 Main Street,2nd Floor,P.O.Box 1773 TRANSMITTAL
Brewster,MA 02631
(508)896-6601
Fax(508)896-6602
TO: DATE: JOB NUMBER:
Health Department 01/24/2018 8515
Town of Barnstable
200 Main St REGARDING:
Hyannis, MA 02601
76 Cheoh Road-Perc Test Request-4 holes(Vacant Lot)
Cotuit, MA
Shipping Method: Map 019 /Parcel 068
Regular Mail ❑✓ Federal Express 0
Certified Mail El UPS
Priority Mail ❑ Pick Up ❑
Express Mail ❑ Hand Deliver
COPIES DATE DESCRIPTION
1 1/24/18 Form for Sail Suitability Assessment for Sewage Disposal
1 1/24/18 Check#8098 for$100.00 Fee
1
Assessor's Map(Map 019 Parcel 068)
1 Street Map(with locus)
For review and comment: 0 For approval: As Requested: For your use: F
REMARKS:
cc: John M. O'Reilly, P.E., P.L.S.
From: Matthew Farrell/ak
If enclosures are not as noted,kindly notify us at once