HomeMy WebLinkAbout0094 GRAND ISLAND DRIVE - Health 9 I Grand Island Drive
Osterville
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Town of Barnstable P# l
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Department of Regulatory Services ?/0
? i Public Health Division Date
MASS,
039. 200 M in Street,Hyannis MA 02601
Date Scheduled X ime Fee Pd.
Soi Suitability Assessment for Sewage Disposal-
Performed By: Jy�\\V�lC1 �f�41nCRS11�� .�h�, Witnessed By:b'm r".6 I
LOCITI6NTItA tNC}R7CYN ;
Location Address1� Qdtn� h� I\v Owner's Name� 0b r 5 L1��
Address pCagn� Tskwa
sEtefut111t,rlrlt�
Assessor's Map/Parcel: 07 Z.— I —u0 Engineer's Name SU``tV vi FAS�RCt Ct�S, j
NEW CONSTRUCTION REPAIR Telephone#
1
Land Use ksAgalt4\ (6\3 �0% Slopes(96) 5—I,6% Surface Stones IJe?1JU
Distances from: Open Water Body =ft Possible Wet Area t t J =ft Drinking Water Well Sbi) ft
Drainage Way SbOt-� ft Property Line l61 ft Other NL ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in n oxlmity to holes)
L nd S btalt
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to 000W09
0 torm G
94 \ -
ed FEMA \
MapP Zone
.\F1000
Parent material(geologic)� 5� Depth to Bedrock 3 60
Depth to Groundwater: Standing Water in Hole: A;Vc Weeping from Pit Face
Estimated Seasonal High Groundwater
DEURMINATIONFORSEASONAL.01GHWATOtt:TA���,.
Method Used: _Ak$L SCE AWE
Depth Observed standing in obs.hole: in. Depth to soil mottles:. In..
Depth to weeping from side of obs.hole: ` in. Groundwater AdJustmeat ft.Index Well# Reading Date:' Index Well level .. At ,factor,m Adj,Groundwater Level
PulicOY..A.'I ION SST Alta., W TOO
Observation
Hole# �_ y F Tima'at 9"
Depth of Pere
0_ Time at 6"
t
Start Pre-soak Time @' f`ZS �'� ^S - Time(9�,-6,�)
End Pre-soak
Rate MinJlnch.
Site Suitability Assessment: Site Passed v Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***If percolation testis to be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one(1) week prior to beginning.
Q:\.SEYnCIPERCFORM.DOC
DEEP OBSERVATION HOLE LOG Tole# t. ..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling
(Structure,Stones,Boulders.
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Consistenc %G vel
--Z O
5 oJU�y
L KZ
— ` C
•Slk. ZS
_L�� �o law•7
l� Ks
a'-I Zo
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DEBP-OBSERVATION I1OLE LOG Htt'le# Z
Depth from Soil Horizon P Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. o Gravel)
3
_1
i*E RSTRVATION H'OLE;.LOO H61e.4 ;:�_
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
on ist nc %Gravel)
_-Z
a
13_ 36„
DEED O$SE.RVATION HOLE:LOG Hale#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Flood Insurance Rate Mau:
Above 500 year flood boundary No Yes
Within 500 year boundary No J. Yes-�
B�- A)dT "Cr✓sfi fitoLES
Within 100 year flood boundary No Yes
Death 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?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)Iihave passed the soil evaluator examination approved by the
Department of Environmental Protection band that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature Date (O(72431
Q:\SEPTIMERCFORM.DOC
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