HomeMy WebLinkAbout0981 SANTUIT-NEWTOWN ROAD - Health 981 SANTUIT-NEWTOWN.P,6
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Town of Barnstable la#
' Department of Regulatory Services g,
BAMSr,B,A : Public Health Division Date /
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Mbwsa�s 200 Main Street,Hyan is MA 02601
Date Scheduled t me
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Soil Suitability Assessment,for Se , e D's o t�'A
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Performed By: r Witnessed By:
LOCATION& GENERAL INFORMATION
Location Address Owner's Name V��/4t� C47/s
98/ �SfIN7V17_ A/EWTOHIN k4,6 �`j` ,u°dress v44 2 /lt-w,� ,Y �r
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Assessor's Map/Parcel: • �r 27 44� D X� Engi ee s Nam C C4, YZ'So 7
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NEW CONSTRUCTION _,Z REPAIR 7i Telephone#
Land Use _V_,Q-6A1ZM1_ �/1/�Cf/) Slopes(%) Surface Stones
Distances from: Open Water Body Possible Wet Area � ft Drinking Water Well�-��' ft
Drainage Way Aft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
PAS
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Parent material(geologic) -1.4 4h gDepth to Bedrock
Depth to Groundwater. Standing Water in Hole:—f A Weeping from Pit Face /UD/✓&
Estimated Seasonal High Groundwater 6-1e01,1N Doi 4r&A
1OZ17--r -5v"e Fg CE e1c G.o 7- i4452DX' 2 Fj .9Bo 1lE G. Gtl
DETERNUNATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: - In, Depth t0 soil mettles: in,
Depth to weeping from side of obs,hole: —in. Groundwater Adjustment f[.
index Well#- Reading Hate: Index Well level Adj,factor m g Adj,Groundwater Level
PERCOLATION TEST Date?-a-l Time le /0 4 �
Observation
Hole# 1/0-2- 1'B 3 Time at 9"
Depth of Pero Time at 6"
{ Start Pre-soak Time @ : /D%0 9 / iz! d Z41e Time(9"6")
End Pre-soak Z /�:��: /A Z 6 ;SS(S%y L
2 6�9L
RateMin./Inch 2 MIA/; 2 /n/N
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed o an'B ck_------- -- y
***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
DEEP.OBSERVATION MOLL LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,,Boulders.
onsistency,%aravell
SV
Yi
DEEP OBSERVATION HOLE LOG Dole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
onsisten %Gravel)
o H1,9
V 1!;,0A 1rG�
DEEP OBSERVATION DOLE LOG Dole# T-4 2
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell), Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
_ 6,d =139 C SAAb /D k
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil OfhCr
1 Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consi ten
ma Uhl 5,ma /o ./z
Flood Insurance hate Map:
Above 500 year flood boundary No— Yes z
Within 500 year boundary No ii, Yes
Within 100 year flood boundary No.—L/ 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?. ES
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 train' ,expertise and experience described in 310 CMR 15.017.
Signature Date
Q:\SEPTICWERCFORM-DOC