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HomeMy WebLinkAbout0065 OAKDALE PATH - Health 65 Oakdale Path Osterville A= 072-018 i n 09 — SOY Town of Barnstabk THE 1Departimcut of Regulatory Services Public Health Division Date4u- RARNETABLY, 9 \ lug• 200 Main Street,Hyannis MA 02601 Scheduled ( Time Fee Pd. Date Sche d Soil Suitability Asses,smerdfor.Seip e isposal I crfonned By: ' Witnessed By: W TL,O CA A IO_ I & Gl, IUL Ir {ORIVUTION u Location Address J Owner's Name Address Assessor's Map,/Parcel: 70� It Engineer's Namee 0 WV'- _� v NEW CONSTRUCI'ION REPAIR Telephone It Land Use Slopes(%) Surface-Stones Distances from: Open Water Body R Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line f[ Other ftr SYCETCH,(Street name,dimensions of lot,exact locations of test holes&perc tests,locale wetlands in proxiirdty to holes) + N � K r 2-1 /s3 p c� r Parent malerial'(geologic) 6ru NV�Q Yam...... ^, .. Depth to Bed,ork -�!: Depth to Groundwater: Standing Water in Hole: J I D Weeping I'fom Pit Pfice _ Estimated Seasonal High Groundwater DE TERAUNATION FOR SEASONAL klU[tGH WATER TABLE Method Used: Depth Observed standing in obs..hole: In, Depth to Sol)ITluttl-0: Iil, Depth to weeping from side of obs.hole: Ill, Ctroundwiter Adjustment fl. Index Well I# Reading Date: Index Well level Adi,hictor .__ AdI.Oroundwater Leval ]PERCOLA' ION �'.ES ta 0at � 'aYu1e �D Observation Hole# Time lit 9" _ Depth of Perc Time at 6" - Start Pre-soak Time @ w%0-0 Time(9"-6"). End Pre-soak 0, Role Min.Mcli � Site Suitability Assessment: Site Passed JC _ tSi(c-Failed: Additional Testing Needed(YIN) Original: Public Health Division --"�� Observation Hole Data To Be Coinpleted on Back----------- ***Ik percolation test is to be conducted witilill 100' of Wetland,you ➢wSt first U01[ify HIC.' . Barnstable Conservation Division at least 011C (X) WeekWeekprior t0 l➢e g➢➢➢➢ ing Q:\SCPTlC\PERCFORM.DOC DEE OBS]ERVATI®NCI®L + LGG � ' Depth from Soil HorizonSoil Tture iIOIe# Texture Surface(in.) t Sdil Color t Soil Other (USDA) (Munsell) ° Mottling (Structure,Stones,Boulders. 0— IL Co istenc % ravel tail PA wt3 VZO �z d from Depth DEEP OBSERVATION HOLE LOG � . p t Soil Horizon Soil Texture Hole # Surface(in.) Soil Color Soil (USDA) (Munsell) Mottlin Other (Structure,Stones,Boulders. Consis ency,%Gravel In j ` DE IE P OBSERVATION ITOLE LOG Depth from Soil Horizon Soil Texture 'il # Surface(in.) Soil Color Soil Other (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cc siste c G ve DEEP OBSERVATION HOLE LOG _ Depth from Soil Horizon Soil Texture Hole# Surface(in.) Soil Color Soll Other (USDA).. (Munsell) Motll►ng (Structure,Stones;Boulders. Consi ten c a I Flood Insurance hate 1VIap_ Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No Yes Depth of Naturally Occurring Pervious Material Does at least four fe©t of naturally' ccurring 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? Certirleation I certify that on P6,— . (date ))I have passed p the soil evaluator.. examination approved d by theDepartment of „ti,,.,nmental n,•ctectit:r and ,t thabove analy:;is a . the required training,expertise and experience described in�10 CMR 15.017perfcrmed y me c�nststent with Signature_ Data Q:\SEPTIC\PERCFORM.DOC