HomeMy WebLinkAbout0538 PUTNAM AVENUE - Health Sig '�"�"`'"n A,1s-.' e�i�-��t�
L0 T 10�(4� f+� S E1N AGE PERMIT N0.
E(ST� 7:FJ j
VILLAGE
1NSTA LL�ER'S NAME ADDRESS
BTUI'I'L D E R OR OWN E
DATE PERMIT. ISSUED
DATE COMPLIANCE ISSUED �z/ � /? 7
o
Town of Barnstable P#
4
Department of Health,Safety,and Environmental Services
Public Health Division Date
cl, 367 Main Street,Hyannis MA 02601
MABa . .,
Date Scheduled O.;-+ 9r'' l'9 9�/4 Time Co�:M44 Fee Pd.
-' Soil Suitability Assessment for. Sewage Disposal
Performed By: w'(? D u a t�^ A 5,D a + .4 Witnessed By: 47. UN/l t t4 li' .
L.G i M N & G NI✓RA , l'dF�t A' `tDN
Location Address ` • Owner's Name 0a rA an COL !Q d ere r,
I+ Pvrw^M AVE CwrvI T' Po.wtdIcy Cetr4�aa na
S� Address
Forr%ofda.tes Me.• ozat�4
Assessor's Map/Parcel: R o3 S c 2+ Engineer's Name W,Q.O/dkaM ASSec-hu-
NEW CONSTRUCTION REPAIR . Telephone# ¢,??- 2 3Q'7.
Land Use ��9��e n�-ta ( Slopes(%) Z `o Surface Stones
Distances from: Open Water Body 106 ft .Possible Wet Areas , ft Drinking Water Well /(1 A.• ft
Drainage Way • • Yft `-Property Line •'Z ��'f ft Other
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate Wetlands in proximity to holes)
/ I¢o4 zs
` R -wn4 � •
12- 13L?. /3 I z.S•a0
12U T/J AM A-VE • , r
M 4
Y ,
j
Parent material(geologic) Depth to Bedrock N A
Depth to Groundwater: Standing Water in Hole: % /8 Weeping from Pit Face Al 4
Estimated Seasonal High Groundwater �4
ri E; 1`dHivY 7i litli v f3 SEA ONAL�YGH'S?AT {"1�TA�3T:�E
Method Used. USL S 065• Wes((c#a.
Depth Observed standing in obs.hole: 98 in. Depth to soil mottles: in.
Depth to weeping from side of oas.hole: Ar A in. Groundwater Adjustment ft.
Index Well# M I w-2gReading Date:0 c}.' Index Well level $_9,, Adj.factor-O•LT Adj.Groundwater Level_04 "
PERCOLATIt)1�i TE$T Dgte�' 1 line lei.4 .:
Observation ;t
Hole# Z Time at 9"
Depth of Perc -6,ro Time at 6" / D 6 e
Start Pre-soak Time
��; _• Time(9"-6') JMRY y if i
End Pre-soak
,
4
Rate Min./Inch J�i►tiH /f9 cep
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back---�
Copy: Applicant
BEEP 0$ERVATION SOLE LOG Hale# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
., UAIR164oat OF, L en vc-5, hd OL c Aesf
3 �e
5-•• E
2 0 ��• C4a `a*"14 ?•5'Y���
3 �2 /aye 2`
o Ci Coarsd /2
/3 Z- C fir• ~ r� �p ye 5
.
DEEP OBSERVATION HOLE LOG Hole>;# ;
Depth`from Soil'Horizon Soil Texture Soil Color I Soil, Other
Surface(in.) ('USDA) (Munsell) Mottling Stricture,Stones,Boulderes.
e
caa✓r��
Loat++y Coar7e '
/s„ t3 Isue• �•SY•es�
$ 14Ye s/Z
DEEP ORSI✓RVATWN ROLE LOG Oole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
'` C Fine-
6vlc�ivwt /DYIE41
DEEP OBSERVATION HALE LOIG Hole#
Depth from Soil Horizon Soil Tex6re . Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
DEEP OSSE1tVA` ION T0"MG Role# - .
_..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%Gravell
4