HomeMy WebLinkAbout0066 MITCHELL'S WAY - Health 66 MITCHELLS WAY, HYANNIS
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676 Town of l arnsl"Ible 1'If
1)elm -I III ell l of IIeaI(II,Safety,and I;11viroIIIIIcI1(.11 Services
MIRE 1'ul)lic Ilcaltll Division Da(e
Q 167 Main Shed.Ily:mnis NIA 02601
MASI
163q. _�y
Dale Scllcrlulccl " v
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Soil Suitability Assessment fur Sewage Disposal
I'erl'onncd By: -� ��`Y � —_- 1VilncsScd Ily�AJ A
LOC .)N & (;FNERA INFORMATION
Address In ITCH �S L, Owncr's Mime •Tp�
WA y {
j'rJ Address
le
Assessm's.Ma Parcel:� ?, linginccl's 1lanlc ���/fGi-� />vf�st5
NEW CONSTRUCTION AL, REPAIR telephone A `�!`3 ,3eoZ 0 / 32-
Land Use �e e-5/��-r-j A.L Slopes(".o) surface sloncs �d
Dislances from: Open\Vlgcr tlody 11 Possible\Vcl Area-AO0 n Drinking Waler Wcll -- li
Drainage Way II I'roperly Line A r Il Othcr It A_
-- ;
S K ETC 1 i: (slicel name,dimclisions of logy,exnc(Ir calious of Icsl holes&perc Icsts,locale wcllands in proximity hr holes)
• .. - .. I Fib a. .
4 >
r
1- '.,.
— x� �w
5
V ZI �o 4.-
IQ
t z,.
Zo'
Icy k
l LL h !#N.
Pal till ulalcrial(geologic) dLTLe�ASS Dcplh to Ilcdrock
Dclilh to Gioundwalcr. Standing\Vaicr ill J lole:Alb ju ping fflml Pil lace
Eslilooled Seasonal I ligh(iloundwatcr
s I7L1'I�It1Y11NA' 'ION FORSI;ASONAI; I I I C I I WA`I'LIt'I'AIILIs
tvlcthpd Osed:
Depth Obscrvcd`slnnding in obs.hole: _ ill. Depth to soil mollies:; in.
Ucplh to weeping from side o(obs.hole: in. Gloundwnicr AdjusUncal _ _ Il.
Index Well!! .. knnding Dhle: Index Well Icvcl Adj:factor. Adi.Uroundwaler Levcl
PERCOLATION TEST ` it to pl �rtnrc Qcou
Obsclva(ion V
tole A / _ •fink of 9"
e, r1 r l
Dcplh of I'm �� y Time of 6" _ )< Pm fi
Stall l'rc-soak•time @1 :/� �/ 'I imc(9"-6") V
:r. -r;
• I:mlic7
se s
I(Ide Mm./Inch : _L L Z } aM
Site Soitabilily Asscssamil: Site Passul• X. -Site Failed:_ Additional'I csling Nccdcd(YRJ)
MligirioL I'llblic Ilcallh Division y Obsen"llion Hole Da la To Ile Coillple(ed oil Back
copy:. Applicant
e' t
O11SI;ItVA'NON HOLE.-LOG. Hole /I
Depth liour Soil'l lorizon Soil Texhrrc Soil Cu9or Soil ()tiler
Surface(in) (tlSDA) (A•lunscll) A loll Iing (SUuciorc,Sloncs,)looldcres.
— —_ _ (.S)11I1il.�LISY.1aSilR)�)
rr
�3
DELI' OBSERVATION ILUI_,Ii LOG Hole #, Z k`
Ucplh lium Sail Horizon Soii'I'cxhrrc Soil Color Soil Olhcr
Surface(in.) (USDA) (AdunscII AIoIIIing (S(1ucfurc,Sloncs,IIouldeIcs.
—_ Coasislc[Icv-:'o QIII�v I
r r Lo A,,•-r Y
V, s
rr = E a
1)LII,It OBS1�RVATIUN Z1OLU; I..UG Hole #
Depth from soil I lorizon soil'I'cxlurc Soil Color Soil Olhcr
Surface(in.) (USDA) (Alunscll) Mottling (Suticlme,Shares,Ilouldcres.
- - — — S.U1111S1411SY.�P�11iLY£IJ
DERV).. OII t AVA"TION HOLE LOG II()Ie 11
Depth Boor Soil I lorizon soil Imcmule Soil Color; soil Other
Sorrace(in.) ., (IISI)A)" .__ (Klrinscllj Mottling (Struclutc,Sloncs,Iloulderes: -
-- _ �,11lIlSJS1l�1sS117Yl:I)
11Ic)s)(I I1�i�L►1j t,'ll�L1Z112� I ,
Abovc 500 ycar flood boundary" No' ' ` Yes
Wilhin 500 year boundary No'— Yes—_
Wilhin 100 year flood boundary No Yes. '
Depth of Nal )r: I y Occurriz r 11cryiolf5 blaferial
Does at least four feet of naturally occurring pervious 111a1crial exist in all areas observed Ihloughoul the
hi:ci►.prgltnscd forihc soil absorption syslcln'1
Ifmnot, what is the(lepth,of naturally occurring pervious IIlaIcri.11')
cr i6ka
is r
f• 1 cerlify that oll // ((tale) I liavc passed the soil evaluator cxa►nination approved by the
` Department of 1.1 vironn►cnlal Prolectio'n and that the above analysis was perrorntc(I by ale consisicnl (villl
the required training,expertise and experience describc(I ill 310 CMIt 15.017.
Signature �L� G�-�—�'� Dale 14/s rl
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