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0534 GRAND ISLAND DRIVE - Health
. 534 Grand.Island Drive Osterville i •, r�'a�r�i a1" €lI7l�5tala xa 71 I tE1 �-u l r' -`�Y�' llepurtutout of 1tegWr loty Set vl�lirt �A � ■ Y-�. tUUlllul`AnlX 6 I tiblic H66 lt-u DivIBIO I !111�`1____,e1`1-I ., � .1 I I. 1. >til�es Mule / i�4 T � 1 0 h9n111 Suoel,ilyauwis t<4n UZG01 T { ,E� 17itle Sullerluli ll ..: .-. / Z., ." .: , - ..... I .;. Vee pd. I ttuj lj�Qitl ► iILZC1.d ��i 1 v I t r , - rM dt �1s, _1. arde�dt�( ►�eil� . tisA os Z / / I u ;; .� elfurined B} 'l �IGV� tc/ 1Vlulessud Ii}. . .... , . :'. .. I 1 W� ... ., .. L(�CA'I'.IOIY GLN�It a,I m_::.f:,-, I IIi.t .'IO - , N; Lucallun ndilress I . �ivaer's 1lnute p a� .�����:�Slartcl �c'v e' s�a hl� '' 1 � �_ eG�� Y 'C'�v s� Adut:r 9s r lA55C9$Ur'$bla{i11'mVCI b�'j jtj,pUl [[ 0I glueer'1.pp Nauto a S vl�r v'A �i`h eerAA +1-0 v��1^- 1llt1V COM91IlUC1101V, ( IILPnIIt r iehu y o — t ::,: .,�QQ JI. Ie ff�ik2`b 3� I.nutl i tCiQS �trt 7Slotes `!6 !% .': 1 ( ) 9uriaco sloues r/U �n 2 IJisth�ir eA ifuuii: Opeu 1 utel tludy SAX � It.- t'asslhlti 1Vel Ateit � It Drhtklug Wn(crlVcll tt fiI 'll lltahluge.lVny it' Pfopeity Llue - 2 ;=it.:.Outer . . , it 1 ,.: - I"_:9 (5lteel un I. dlaieftsious•uf.lot exact I66hdUus of lest holes&peril lysls,locale wcllatitls in pinxludty ll)IIUlca) , i , i t / c ! . ♦ c nznsriR"I ` ' .� y '..,' .. % j.im;aAm LW�SSEI t i:. ' r :/I drt NlPyyyf el Y E•p t'r edtl.: Iv -iry h lei IN LW'I i B! L�1 A,,,, gmah=-M/ /�) °8�F1. ' .LI3/JA3,,. / / S3f d'Id�f kri.wi Yedr li ° J e15A1tB i v it j. f ,f Q LRa"IIE.W1 p/ / 9.5 1 Let 9E9 LCP IS.VhI 0 I d Q'S r°y 0.^S.ajl ? ♦ •� Ae 5 mVll R R .n y,. ,. q oro r;d Ew Sol I / 1AM /A91J Sr / L: ll1 ! ' I ♦ / 1 I phi�I R N I tr I t"'•• l-f IJ9�pL`u�ISf51 IRr / t ~ N�OMB 1^crtA'LS�R A ,.. t I r.__- A r. Ln �7 I c `I �t I - I,!9Sn ARC »mt, ♦ ♦ ' 1 f I I epll I� t /I I'��0 11 rYCI., t 1 I;[ r IS lu L I Ipl`W iS131 IBi - t \ _ - j ': IT,AS IIy I - IE2 5a 17 A'cir d �A t \' Id A per iA•9' I N CR ;�eA SEFVI,: I I r l A r a34, 1 !(, p I e r 1. t I t „�� �I I; .� I % _ ,'!"':-,,,+�..--.-�,�,.-.,-�:;�:_�j- '! 9 . .: .� .9 L\ � r . y taleul,iiiiwInI cold Ic• u 41 9 ::... C9. g.) Ucpllt lU 13titlruult_ _q�j .+ Uetllh lu Oluuuilttialer 31mldLlg 1Valer hl Mule �—�_ Weelilrtg il'UIII plt hltpu .; t� _����-Q W.., :;. +" , �,. L 11 iialcc ' llc{',Iyli l7luuutllWurrr r .. k- 1 v " r IIFI'LlZl�'J�l`�A Il'I vIY�I��{l�J�,l r� d'tl1L HIGH� F�,�t�l,�� 1fk�. :C l�f Ivlelliud Used. . llo��tJl l�bsri iicd 5t�nilitig m Ubs:hole (u Deplh IU still)Ilullhs III: g % UcpW to lvcclilug hulilsideol'ubs hula: _,_lu lJiuullthyul0l At1�uBlutCtit _. ,,,,� eft:: hlder;lVr 11 d. lteadlug Dale httlex 1VeIL leVol 11i 111e lot', At(� f�lnliitlJxater'Leval s �y T i 1� ��i.. - I' It1ZC0Ial�.A� ION rrltt 8r�t uuI IALue fGp J JU , �, .9 �115L1'1 allUll .. / (� s % . v IIUI.IF t, j. L'Illltl ul lJn �t 2 -� .[[ Ue{illi Uf L'elu J C�'. 5uttt[fu sual.'I'huo L`' .. _ Lull Yle sualc Mute Alin/1u6I1. Z/'i% .°h <Z• i [i i bllC Sullabdil}.''n55C991tIClll Silo gassed t/ Sll I'ullctl 9. P nddllimmi IeslLlgl�oeded(Y/lI)-. . Uliginul 1 utAlih lieallh Division C7LI9eI:VullUtl ltUle lliiLu L"D 1313 CUtllploled oCt7)etl --- l I �:�1 Lletcitl tliuu Lf�el l� Lo l)e t otidu tetl�vlllttu lUU' u titi'et.Riidi 3'uu tt ut3L ilt 6t uutir Lice :` B �itlolul�l. Cut►s'elti'uti9 Dlvis>uu at.leut;t Niue (1),}veelG i1ut lc,uegiii at>tb Q 15LI'I ICU'LI1l.f'Ql�lyl UUC ' .t r , . ,. r d1L l i"Ot3►�JLItVArl' ON VIOL �LOG tJ[olal�� _ lleplit front Suil I161,1 ou Soil teal_ St11I Cular Sull r _ SwCAc e(iu) (USDA) r; (7lher.. . (Mansell) hlollling (Slttuoturo,Sloiiea,Duuidera. :�/ lU U[1BIalAlll.Y gfl(31AYCI) I` © Z w^ S o; �' l 0 �' l2 3y 62: � ' ii� ,Sa Z rv / Y' .1 . . . _ b Lt O 1�L1�V�,t'IONOL LOG Idol 4 , , e iF llcjtth Lout 5,il.flalaou Sulfnce lu 9, 1 [ealute Soil ColuIt Soll ( ) , (USDA ,. mr '. (Ivlausoll) Motlling (S�ucturo,3loucs,Uouldcia l �r A� , - u tsi le _v.95 dtnvel) l zo �Y`` Cf �� l y Y2 7lz Z �Z fq z�s JULL►t' OtsBt,].�V Maio-Z, I LOG , I.to1p�k. ! Deplh6um SollHu,iitiu 5ull'I'exlute Solj.Colur Soli fluter Sm fgce(lu) r USDA ( ) (Ivluascll) Ivloltling (3uucttiiq,'Jlunos;lloultJcis / ��j/i�+I ";. /T_ �;— `y— Cut tonuy 9G(3tayol) /` 11 L L lti�'.. 3Z to Y2 t 3 ? Sca 1Q /c 2 v a R. -. .,-: :. ,.:.�.. ..... .,. _. s 1+ ]]. L1' OBSE,R ATION HOU, LOG ole r Deplh fluor 5ull fiutii�lI 5oii'[bzlute S.uII Culor bell Oiltcr ",uFfat a(lu.) (US* {Mansell) IvlUllling ;;(9uticluie,yloucs f)uultlots, Ctit s eat v 96[Irnyal) ®� �Z �© 2Z l2 D :-�T R l R s ``VVVt1iii - ` t �tt _ 2 . _, ry_ r+ • ,, G r ��lUUllYllSululltl Z�IlI,B16,," A�uve 5UU year(loud�uuudury IJo Yes:�\ ,, S -._ . GVilitlu�UU)cnt butwUory tlu Yes w� _ _ Vdjllnn IOU yc,1r fluod UuundAry fdu � Y05- • llclitll of Nlltu>rally Ou uitluu 1'iuvlutls N1u11)rlul t ,.`„ IJQe,!LL loa9t CUUr(cat U�IIaWIAIi.y UCCUII'lll);�pfV1UU6 UIQ(6IiH1 t7X191111 ail;tUouti Ul)661 V�ll L111UU�liUUt tile: Euoti ptopoued Cor llle boll abobitption syeleiilr`. 5 if ill, whci is rho ileplh of hatulally oaaurling p�i`.vious niulc�l'lui'r�._ _ ,_ r C ertlf►caLiuu +. J,celtity iliut ou , �/ /Z (dale)1 have paired tl)e soli ovuluatoi.tixunuuuUau approved liy rho Ueliarttuciit yC -"Y"uu:ieittal Pj'oteatlon and that tllo'aligvo'audlysis wits por url'u.ed by ilia c,onslslc,t 6 Ill tlioticyuircd tlahti` g,ox'portis©an experionoo desc,ri(led:hl�Jo CMR 15.U17 _ z . is ajgil�tUue Data: ,:• �•,.; �.. ,' .. a Y '• Qi\;�f I'1C1C!RCP011h1 UOC F - .. x t Town of Barnstable P# 9Z 7 9 Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 RARMADIA MA9a 4 to0^ 'Date Scheduled' Time Fee Pd. �o Soil Suitability Assessment for Sewage Disposal Performed By: PETER S Witnessed By: S. DU/vw/A/6r- L,OCATIUN` � 1�ERAL�1 ORMATION......... .... ...:....:... ..:.. ....... ........ ........ .... ..... .... Location Address r63l/ GrAND /BLAND pr Owner's Name Paul fj'JELLati p stEr�/l L t /"A Address V APE V L-L REEF 90 ~ Assessor's Map/Parcel: '7O/S— Sgin ����;�N�r�/N�ErtJ✓� IIVC, NEW CONSTRUCTION �_ REPAIR Telephone N 5'O& - y2£r-33 N Land Use �/NDEIi'EZo?�Ett) Slopes(%) - Surface Stones N /t Distances from: Open Water Body 2 7S R Possible Wet Area NO R Drinking Water Well N R ' Drainage Way find R Property Line R Other R , SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) M o � 2a�.53 N o to N I o MW' � PH-2 22— 18 o o . R P36.52 N OB 52 55'lf o CA a CJ Parent material(geologic)Q4rtaVS# PLA/N Depth to Bedrock IV&I _ Depth to Groundwater: Standing Water in Hole: E/YGoUR�fEJ) Weeping from Pit Face {✓ONL Estimated Seasonal High Groundwater LESS th AN EL. S_.0 P G-V h : . ....OUR: .........._...... ... .......... W...A...T...E. .T..t....<.<......................L................<.......<...>......................>E> > > > '< :> ON .. . Method Used:-r0WV O P GA At E 6:rVV,-Du� Depth Observed standing in obs.hole: 00M4- in. Depth to soil mottles: A/,,PNS= in. Depth to weeping from side of obs.hole: /1,9 A14F in. Groundwater Adjustment R. .-Index Well H -Reading Dale:_. '.Index Well level...--- Adl.factor Adj.Groundwater Level_ . ......>::.>:.;:::;:: :;:::.::;:.::.»::»::> ............::.::;;PERC( LAT UIY.T S. ....... ... :.... ... Observation Hole# Time at 9" Depth of Perc �o-O�n\ l /�� � � Time at V. Start Pre-soak Time � 'CJC �"�/'t tc�l7l Time(9"-6") End Pre-soak Rate Min./inch =/Y)//V� PER G hr Site Suitability Assessment: Site Passed y,6 s Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant kib.Bg A .... 0 H4 Y.C1 IIo1e# . .... .. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % pave lk-6&PLFS 119 0 QaAeL f#Atr it I /Zit 157 13r1V• CVArsr 6 s,9ivn 10 1Z -3 E1>• o fs yvz• 132A- + 12"-I 48" worse-s.0ar f 1 ,YEL, t3rN. yk i 120 G CoH/�c ss�iYn G L 41 LoosE'Slf rAls�L DEEP OBSERVATION HOL1;1 LOG Hole# ' . . .. . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % ilvE - #/ o vA� � 12! ��" f-? L+. y6L•i3r/l. y8 12,0 10` 12 6b DE p O$SERVATi HUES Y,OG Hole# . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % DEEP OBSERVATION HOLE LOG Hple# ... _P. . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° Gravel) Flood insurance Rate Map: Above 500 year flood boundary No_ Yes Within 500 year boundary No X Yes Within 100 year flood boundary No k Yes Dep&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 RkL S (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 ng,expertise an a perience described in 310 CMR 15.017. 0 Z� Signature Date n