HomeMy WebLinkAbout0000 INDIAN TRAIL - Health o7v/o oar /ooj
Town of 13a><•I><stable 1'H 0 S� Z
(Department of health,Safety,and Environmental Services
ofIHE Public Health Division Date 3tJ9CI? .
o� 367 Main S(rccl,I lyannis MA 02601
BARMABI
Date Scliedu led 17 u f us- " 19, /q? Time /0:00 4M Eec I'd. + /00, 0 0
Soil Suitability Assess»zent fog• Sewage Disposal
Performed By: et g l h e_t r fl'1R =nC.Wilnessed By:
LOCA`T`ION'& OE NE 1NFOWWATION -
Location Address Owner's Name m8 //On
Ao/(rAb Fa enis ISO i// Re��d.
0 yS tt,r 14, /kb0R-S Address u/peu. •//C/ YA o7.2176
Assessor's Map/1'2[cel: /7 '/d d 'r 0 10hk t fL 9-l Engineer's Name Pe-ttx•Sv//i van Pe
NEW CONSTRUCTION JL REPAIR Telephone N 5 Og- Y of X- 3 34
Land Use 20'0?1 -ES 10 s:l--kVXR-L Slopes(%) O^3 Surface Stones o E
Distances from: Open Water Body
p�5CO fl Possible Wet Arca �� R Drinking Wnter Well F�6 ll
Drainage Way IVb�t 11 Properly Line Il Olhcr It
SKETCH:(Street name,dimension cl locations of test holes&pere tes(s,locate wetlands in proximity to holes)
y.
4-11
• A.•'�� 'T/IVE • ftt N+/!/9.1t iTr+t Ir g�MNI
I. 0 LOT -
�.r p/vs�9S *f(OT✓1�� Nt6N0•JP[ •� So&@, '.�`/t� •KV.A00
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1, TH Z
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f►'l~ r" ~may / s� o�4W
Parent matc geologic) w►W A5 M YEA.w Depth to Bedrock
Depth to Groundwater: Standing Water in Bole: 70�• et5ri Weeping from Pit race
Estimated Seasonal High Groundwater -t 2.5 EST i y
OE'TCRMYNAT MY R 8 ASONAL HfGHMATER'IAI3LE
Method Used: lU S C-�5 fC"�y e Cop Cam:,.. ..•ss o,U
. ro
Depth Observed standing in obi hole: 7B in. Depth to soil mollies:
Depth to weeping from side of obs.:hole: 78• in. Groundwater Adjustment 2SO" Il.
.- Index Well N___ (tending Dnle:_'-__ Index Well level., Adi.factor Z.5' Adj.Groundwater Level 4 t V
rnt�-29
. .
PE.RCOLATIOIV TEST
llstll� I'irrit '45
Observation -
Hote N I :Time at 9"
Depth of Perc 32 Time nt 6"
Start Pre-soak Time® l 14 �. `� ZS Aouo►.-t,S Time(9"-6")
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End Pre-soak �� I V �SC
Rate Min./Inch l-�bS F/}►-k Z jv-It vv\7 GQ.t OX,
Site Suitability Assessment: Site Passed YES Site railed: Additional Tcsling Needed(Y/N) �0
Original: Public lieallh Division Observation Hole Data To Be Completed.on Back j
Copy: Applicant -
llIJEV:Dl3S +RVATION BOLE LOG Mole# 1
Depth from Soil I lorizon Soil Texture Soil Color Soil Olhcr
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,nouldcres.
Corisislencv.%Gravel)
LoaraY Goa¢sL lo`f(ZZ/Z
o- A spl"O
a 32 $ Cs�`'
L>,e le o44 Q G I rU 6 L C- e,k"A.2
o`l Q' t�o�.►�
. l�o w `►-tea_
DEEP'OBSERVATION HOLE LOG Hole# Z
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling. (Structure,Stones,noulderes.
Consistency,%Gravel)
R Lop.
F SIQz�Z-
z"Q V MATT'£0
Loo�„,&y 1�`l e�
o-- �6 A Sam
ICE-28 V Cr��-.z . )'o�t2 V(. �oi.s W�Q� (�OOADo
Z$-i20 toYl2. 6& �(o,,tr S duo LC-,GyLef, -
K1o �.
1 c.ST AcX-C 40. 3 OOG OR p� �" D� LO i 1 C> �c r l.�ei �CLO Gt�
JAI 0 S. Mt ATtON; IO C I.OG Hole H 3
Depth from Soil Florizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Sloncs,Iloulderes.
° Gravel)
5-y YZ I Z.
Q 1til A T�i2, 3..
p- ID Lsr t0v2 21z
G.,.' .r� W A-M� 75 ctAw P o� �5
DEEP;OBS RVATION;HOU11O.G Htilc#
Depth from Soil I lorizon Soil Texture Soil Color. Soil Other
Surface(in.) (USDA) (Munscll) Mottling (Stricture,Stones,Iloulderes.
eGravel)
Flood insurance Rate Mao:
Above 500 year flood boundary,No_ Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No_ Yes )< s
!Depth 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? ye5
If not,what is the depth of naturally.occurring pervious material? l A�
Certification nn `
I certify that on A%OZtL 95' (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 and experience described in 310 CMR 15.017.
O
Dale
Signature