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0009 OLANDER DRIVE - Health
9 ander Dr.Ol Iyannis A= 270 143 a J]V i V �I r Town of Harnstame P# 00 Department of Regulatory Services oF1W,q Public Health Division Date �P` $ 200 Main Street,Hyannis MA 02601 r r BAANSrARIA NAM /; t63q' `° "l Q Time u U� Fee Pd. � .r• Date Scheduled Soil Suitability A`ssessment for Sewage Dis osal Performed By: ° i �C1Ul�]. f Witnessed By: GI l/r(� Gin n ' - - Location Address p1 0/�^ r d Owner's Name A ruffs H. Address �sr�(Zv�L�E, MA 02sc�� Assessor's Map/Parcei: Engineer's Name S_kV�_ W i f o o NEW CONSTRUCTION REPAIR Telephone# ( 5 o b) - 4-2 S -q 1'3 I G A Land Use ac_S OearAl_S-'I601W MUZ04 Slopes(%) o-3 Surface Stones Distances from: Open Water Body ft Possible Wet Area wow a=r,S ft Drinking Water Well -b,ft Drainage Way "A- ft Property Line as .j ft Other �i A ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ••T-{-I-e s7r2n-164+Tw,4-t 0 , � k 2 r a a lla:�i N $ cxcuT- e=L� 0- 0 G 9TftKES c__LoT Parent material(geologic) Q h© Depth to Bedrock Depth to Groundwater: Standing Water in Hole: wawe a o em d Weeping from Pit Face ��►r� ass +�r� Estimated Seasonal High Groundwater t- 3 I pu�wN' Paten •�`�� ♦ �y7� may, L�rtTIRE\ '�11� 7i111 �L�7r�',w4 TJs Method Used: V X�,'S RYA w ar i rHd 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— PGLA`C' { Observation Hole# I Time at 9" Depth of Pere mP C 34"G 15 D E-=-V"7 Time at 6" Start Pre-soak Time® 10 A m Time(9"-6) ll L1 Pr/SLe T'O End Pre-soak zPR>=s@ K- Rate Min./Inch 2 A. Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/I) Original: Public Health Division Observation Hole Data To Be Completed on Back---------- Q:HEALTH/WP/PERCFORM Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency %Grayc!) F e-c6t t �Q trthi t 5ln.� nn case-(s-s&i ��.t•�.�Q, 30 -ILo G C.5. �OYQ- '7I 1 No LOGr E�� 't-Q.�R-AvliL. F-+G� T—IL .::.:::.::.::.::.::::<.:<.::.. ;;QB�.ER'VAT.IUI�::H!Q:L.:::::.:: �.:::.::::::::.>:.;:;:<.;::.;;:�::::::::::::::::::..::...�:.�..;•:...........:.............:..:. Depth from Soil Horizon Soil Texture. Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouideres. OI HE NEE DL1= 4 ll -�o 't- nn c, 5 t v -Yoe o -30 � t2-- Depth from Soil Hizo orn Soil Texture Soli Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistengy-° Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. o e S 'I Flood Insurance Rate Man• Above 500 year flood boundary NO— Yes Within 500 year boundary No ✓ Yes Within 100 year flood boundary No—Z Yes Depth of Npturally 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? Y1=5 If not,what is the depth of naturally occurring perviou material? t•-1A 2..�- 2�I- Certification ^AA . , 02m S'S I certify that on S�R S (date)I have passed it 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 experience described in 310 CMR 15.017.