HomeMy WebLinkAbout0025 EAST AVENUE - Health 25 East Avenue, M
Osterville
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Town of Barnstable P#
+ 7'' ►'� Department of Regulatory Services
Public health Division Hate I.
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200 Main Street,Hyannis MA 02601
Date Scheduled z L ' Time I I M Fee Pd._ l V
Soil Suitability Assessment for Seiw
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Performed B fl
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LOCATION&.GENERAL INFORMATION
a Location Address U165W 4 AC Owner's Name k.,60,4r ,f1J-$?
0aTrxr1A,6,0
Address 24 3tL I
Assessor's Map/Parcel: l i39/ga Engincer's Nam
)A--IlAr 0&714,W
NEW CONSTRUCnON REPAIR Tele hone# A0V zg1f �Q�3
Land Use 114^ Slopes(%)_ `3 Surface Stones ►.too.
Distances fmm: Open Water Body-.>- 155� _R Possible Wet Area > I 1�o ft Drinking Water Well �/A ft
Drnlhagc WayZ Property Line _2��ft Other ft
SIM•TCH:(Street name,dimensions of lot,exact locations of test holes&petit tests,locate wetlands in proximity to holes)
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Parent material(geologic) Depth to 8edroek 5 "Z%9
Depth to Oroundwater. Standing Water in Weeping from Pit Face
Estimated Seasonal High Oroundwater 4 �..� L:_�_/. rw nt ►,/,�,�r �
DETE RAIINATION FOR SEASONAL•HIGH WATER TABLE
Method Used:
Depth Obse ed standing in obs.hole: In. Depth to soil mottles: Its
Depth to weeping from aide of obs.hole: -In, Groundwater Adjustment tk.
Index Well-# Reading bete: Index Well level Adj,fhelbr Adj.Groundwater Leval,__
PERCOLATION TEST Date,. Thne
Observation
Hole 0 i 3 71me at 9"
Depth of Pere dtgj tl Time at 6"
Start Prc-soak Time® —ADA t t (9"•
End Pre-soak 1},�OD l\`►�i/ �'4a�'` v l't �►`
Rate MIhJinch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
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]east one(1) week prior to beginning.
Q:ISEPTICIPERCFORM.DOC /^
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DEEP.OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Shcl Color Soil. Other
Surface(In.) (USDA) (Munsell) Mottling (Structure,Stonet,Boulders.
CoTisislency.
• O—g l� Sly `6�.�'�/� �v 1-oc Sim , D
`8-3 �w 1.. S l�ti1Z 741
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Z,� tj r~ S`io
DEEP OBSERVATION HOLE LOG Hole#,(`—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stonca,Boulders.
' �.m S l.;- `p �3� 1�.•�Gt-fib L vo tC�i p
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13 L Z,5 V
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DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surfacc(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
L o o S o
t - a • z,
DEEP OBSERVATION HOLE LOG: Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(ia.) (USDA) (Munsell) Mottling (Structure,S�ooes,Boulders,
t> 'S o
Flood Insurance Rate Map:
Above 500 year flood boundary No_. Yes
Within 500 year boundary No Yea '
Within 100 year flood boundary No.,,— Yes
Depth of Naturally Occurrine Pervious Materlal
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption systemI
If not,what is the depth of naturally occurring pe ious material?
Certification
I certify that on � "I�� (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 nd experience described In 410 CMR 15.017.
Signature Date I --O
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