HomeMy WebLinkAbout0045 LAKE AVENUE - Health i
45 Lake Awe
�.t a,'t-
Hyannis;
A= 287„146t-
,v{
Il
i
� o
a
t
Town of Barnstable P#
- oar -
' Departinent of Regulatory.Services
u r ]Public Health Division Date
r4D tiltl��, 200 Main Street,Hyannis MA 02601
Date Scheduled /® Time---� Fee Pd.-
-Soil Suitability.,A.ssessment.f or Sexage DisposalPerformed.By. KclV e,( enW 61T CS 6 Witnessed By:
LOCATION&GENERAL INFORMATION
Location Address Owner's Name t�M Q �S a
cAr►.'+41 ?
Address
Assessor's Map/Parcel.• ' ��I t i. Engineer's Name j7C &werlt'1
NEW CONSTRUCTION REPAIR Telephone# �ro� 4-1 Z �E,2
Land Use VQCaAk �IA ( f es(t1W6 Slopes(96) �0 2 U Surface Stones -.
Distances from: Open Water Body 7�0 0 R Possible Wet•Area 7l UD tt Drinking Water Well ft
Drainage Way — ft Property Line 7 0 ft Other {t
SIM,TCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proximity to holes)
S'2 e a J4��j P 1Gt✓I
l
Parent material(geologic) Ot)Avia 5VI i Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: Weeping from PI Fnee
Estimated Seasonal High Groundwater 7 13Zii b S -:
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: Dt l ecA 00:,erUa"o
Depth Observed standing in obs.hole: 7 13 2 lu, Deptlt td 5011 moUle5: In.
Dcpth to weeping from side of obs.hole: - In, Groundwater Adjuatment
Index Well# Reading Date: Index Well 1001 � Adj.factor — Adj,Grant II er l evil
PERCOLATION TEST pate io-2s-t z Thno it A n
Observation
Hole# — Thne at 9"
11 ti q
1 ai, y t
Depth of Pere Time at 6"
Start Pro-soak Time @ W0 0 0'" II;20 aHn — a
• Tima(9„-G„)
End Pre-soak I;13 am 11,3 am
Rate Min./Inch e_Z C.2
Site SuitabilityAssessment. Site Passed @.S - N
� Site Failed: Additional Testing Needed(YIN)
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:1S BPTICIPERCPORM.DOC
DEEP-OBSERVATION HOLE LOG Hole# } 2
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(in.) (USDA) (Munsell Mottlin• ) g (Structure,Stones;Boulders.
3 — Consisterigy.%Yiray, el)_
r9a,1 i+r S
- A Ls `1r3/1
0 - 3(o 6 LS IO it Y16
3�- 132 G NS 2. 5Y�1� - 5% ravel
DEEP OBSERVATION HOLE LOG Hole# 3 •t y
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(structure,Stones,Boulders. -
a sis en '%Ciro e
o —I L A L S o Yr 3/i
I27 Ll C3 L 5 -
N H S
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling . (Structure,Stones,Boulders.
COTIsistmcy,%O e
DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Moll Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders,
Cositn '
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? Yes
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 and exp 'ence described in�10 CMR 15.017.
Signature Date �6"2/-11/
Q:�.51?PTIC1PEltC['ORM.DOC