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HomeMy WebLinkAbout0000 PHEASANT PATH - Health -0- PHEASANT PATH Osterville A = 071 — 024 r J f PERC TESTS DONE BY PETER SULLIVAN 8/19/1999 and 9/15/1999 Addresses > changed names. A/0 Year2014 Perc# Original M/P Original Address New M/P New Address 9502 070-009-001 Indian Trail, Ost 070-009-006 30 Indian Trail, Ost 9503 070-009-006 30 Indian Trail, Ost 071-024 -0- Pheasant Path,Ost 9504 070-017-001 68 Indian Trail, Ost 071-024 -0- Pheasant Path,Ost 9505 070-017-004 88 Indian Trail, Ost 071-024 -0- Pheasant Path,Ost 9506 071-024 15 Pheasant Path, Ost 071-024 -0- Pheasant Path,Ost 9507 070-017-005 275 Carriage Road, Ost 071-024 -0- Pheasant Path,Ost 9508 071-025 247 Carriage Road, Ost 071-024 -0- Pheasant Path,Ost 9509 070-022 Lot#3 Carriage Rd, Ost (same) 370 Carriage Rd, Ost 9510 070-017-003 350 Carriage Road, Ost 071-024 -0- Pheasant Path,Ost 9511 070-017-006 299 Carriage Road, Ost 071-024 -0- Pheasant Path,Ost i 4 'of Barnstable PH q3 0 � C)9/—©14 Department of Health,Safety,and Environmental Services tM►b 'Public Health Division Date 367 Main Street,I lyannis MA 02601 3 aAMSTAer E Cz�—sct-�aucen S���. � � ►9 9 LD Da a Scheduled AU qU5 /9� /999 Time 10:OO AM Fee 1'd. s /UD. 00 Soil Suitability Assessment for Sewage Disposal �'� {� 6• �1 lcrformedBy: � 1 e rfn =CnC.WilnessedB,.. ,L/ LOCATION & GENERAL INFOIZMATION I _ S Locatjon Address 3 D �T rjd��eh T '/ Owner's Name /Me //00 r�yS .r rbOr Address Oe�yy Faents &,flo %l/ �eeyr&j.. 0 a-"&t 9- LC11P6r✓we, V A as i 6 Assessor's Map/Parcel: , L 7 Engineer's Namc Pe-��..�j ylli y pE- NEW CONSTRUCTION REPAIR Telephone N $08— Y A L 3 3[/ Land Use d L�(7�c5tD�r a�.q L Slopes(%) �J °�a Surface Stones Jklo r,1.n Distances from: Open Water Body R Possible We(Area ZW R Drinking Water Well Drainage Way hAO" It . Properly Line Il 011ncr It SKETCH: (Street name,dimensions of lot,exact locations of lest holes&perc tests,locate wetlands in proximity to holes) ;YZ 4170 0 s/43.39: TN- \ L`t�_ '�yI ff; �-v��� osan- •ash` g113 a' _ taA (4a00 wide)163S4-4/ N01040'/0y' D4� 9 Np1gN IWO Parent material(geologic) QL r1.,.24JSt! i LF-L►,-k Depth to Bedrock Depth to Groundwater: Standing Water in Hole: KA0A k C Weeping from Pit Face Estimated Seasonal High Groundwater t_ Z-3 l)6V C� DE`ERMINA`r`IO1V r!'OR SEASONAL I GWWATER TABU; Method Used: OS S CAPG Cc�Y�Cow w�.ss c o vv Depth Observed standing in obs.hole: in. Depth to soil mottles: tt l _ in. Depth to weeping from side of obs.hole —in. Groundwater Adjustment ft. Index Well# Rending Date:— _ Index Well level. — Add.factor Adj.Groundwater Level v%n iw 2 g ---- 2A-- PEItCOLATI..ON TEST I11 e t4!;36 Observation Hole# i Time at 9" er Depth of Perc ` A8 Time al 6" Start Pre-soak Time @ l0 32; LS CaGLUrb)KIS Time(9"-V) End Pre-soak l(� '. {� t�>G Rate Min./Inch LE55 Acti 1 Z 6 ,tV ?ce_ I,foe u-t + Site Suitability Assessment: Site Passed YES Site Failed: 1�0 Additional Tcsting Needed(Y/N) C> Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DE1 Pb*08EAVATION IIOLE LOG 1-10le# 1 Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Sloncs,Iloulderes. Consistency.tent °o Gravel) O do R v�f C o � 'Q^ Q �j aJU C C>A,"c `� ��`� �NA,j E--♦_ &0ItX-4y 3D 121J C is�,►.� �,+� c is�mz� DE EP'OB N SERVATIO _ROLE LOG Hole # Z Depth from Soil Ilorizon Soil'fexture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,noulderes. Consistencv.% ravel 1 —6 0 D ^ l.O 9 C�a;�� to`(�2�2. lb *� (OAas i; '1 5�iL Sl6 to0,0r- wAeO a-f C3ou , o DE-U. OI3S iRVATION:1�1OLE'LOG.. Hole# Depth from Soil Ilorizon Soil Texturc Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Sloncs,Iloulderes. •si tent % 'ravel DEEP OBSI:RVATION HOLE'LOG Role#.:... Depth from Sod Ilorizon Soil Texture ., Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes. n i tent ° 'ravel I ' Flood Insurance Rate Map;, Above 500 year flood boundary No Yes Within 500 year boundary No_ Yes Within 100 year flood boundary No_ Yes f r 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? Yras If not, what is the depth of naturally occurring pervious material? 4 Certification I certify that on AIMtt_ 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 pild experience described in 310 CMR 15.017. b Signature Date t 0/ Z 9y L t k T � Dom- ToWI1 of Barnstable rnD�l�Oa'� Department of Health,Safety,and Environmental Services I"ME Public Health Divisioll Date 367 Main,Strect,I lyannis MA 02601 BARNSTASM MAS& 1639. Date Scheduled AU just /�� /999 Thne /0:00 AM f ce I'd. +t /6Q. OO v�P GSoil Suitability Assessinent for Sewage Disposal; y, Ca 0,5 9 Performed By:5 U I I t Vo"n tf na l t,e t✓r�na tnC.Witnessed By:D. Iv l l t'( ,)AnN- 0 :LOCATION & GENERAL INFORMATION Location Address S/j4a' .s? Tj-CZj'/ Owner's Name me 110f? 0 ys 1" Hu rid fs Address /QDe Ft:LrmS S340 /'// ife�'I7d . File I v 4 as j 76 Assessor's Map/Parul: 7G �a r&L / ^/ Engineer's Name PE' SlJlI1 gum P£ NEW CONSTRUCTION REPAIR Telephone N 6 08 A,?- 7 3,q Land Use 20�JEO Slopes(%o) Surface Stones gcDA-J% L. Distances from: Open Water Body n ' Possible Wet Area R Drinking Water Well n Drainage Way 0 it Property Line 26 Il Other Il SKETCH:(Street name,dimensions of lot,exact locations of lest holes&pert tests,locate wetlands in proximity to holes) r da `pQjo: yy `•` � 7 46 y ` Nt/ 1 G o ` \ P/oA NO.O V� Re of A iN1pR IL y, Pareni material(geologic) Depth to Bedrock 3 sc� t'T Depth to Groundwater: Standing Water in Hole: a Weeping from Pil race b ru. E: Estimated Seasonal High Groundwater L t- Z-3 Q6U ,m DETERMINATION�'.(7►R'S�ASONAL H�GIT'VVAT�I2 T'A13LE Method Used U56S �l /°FOG �op cct 11 ,LiSs vow. Depth Observed standing in obs.hole: - P in. Depth to soil mottles: �b►-1� in. Depth to weeping from side of obs.hole: �'z �—in. Groundwater Adjustment_O/A 11. »- Index Well N Rrnding Date:==._ Index Well level... Adj.factor_ Adi:Groundwater Lcvcl_— vh�w 2`3 PERCaLATIONirrie D .lb 1?- 9 lo1.zZ5, Observation _ Hole ( Time at9" to'-Z(o.: lJ Depth of Perc di0_ Time at 6" tom'-2 ZS Start Presoak Time @ 10°.10 Time(9"-G') Z t0 5 GG End Pre-soak (O 25 Rate Min./Inch L E55 � -14P'.r-) Z Ilk'00 1?E-(L LVU(,'A , Site Suitability Assessment: Site Passed C i✓S Site railed:, aO Additional Testing Needed(Y/N) U0 Original: Public Health Division Observation Hole Data To Be Completed ott Back j Copy: Applicant DEEP 0135I ItVA"TION BOLE LOG Mole# 1 Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,lloulderes. Consistency,°°Gravel) q �, aN�r�� 5`a-z /2 0 A, Ceir��ts Ioy>'I.Zj Z' "1 - 20 e oA-a s Q ®y irz 5-13 / o 2c>� 1` C � �Q 10�12 �`� �0vu� SLCG2Ps�M7 J DEEI';OBSERVATION HOLE LOG Hole # Z Depth from Soil Ilorizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,lloulderes. Consistcncv.°o ravel 3-O 0 KA.TTIa6L ©_ ID A ��6� IoY2 2Iz 10- Z4 R) C.Z�A4eSC L"C513 14.0Q E; G ©A,),-k,o coY►-Ce/4 KIOruZ S k P3vLcS GIZAc- I�io 1k a 0 P;-:Ol3StRVATION IIOLE LOG. Hole#. Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Ilouldcres. i i tent % 'ravel f .:-DEEP;OBSERVATION;HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mu nsell) Mottling (Structure,Stones,lloulderes. n i lent °° 'rave c I . Flood Insurance Rate Map: Above 500 year flood boundary No K Yes Within 500 year boundary No— Yes Within 100 year flood boundary No— Yes 1( 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? V�C6 r, If not what is the depth of naturally occurring pervious i»atera ? K A Certification I certify that on &Z-A (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. Signature Date LcliZL914� Town of Barnstable iQ P� VV`f` 611- 6�L Department of Health,Safety,and Environmental Services ���►� Public Health Division Date / 9q? . 367 Main Street,I lyannis MA 02601 :. RARN9TABLE, .. HASS. - f639. � '°rtelAn+� Date Scheduled 1 U 9USY" 19, /999 Time /0:00 AM Fee Pd. ;6 /Up, 00 it . . .� So Suitability Assessment for Sewage Disposal. Performed By: U I I t Va►l L r1Q 1 b&L1r nA _Tne.Witnessed By: d/ t"t�baA,- 'C I ` 6Gr/1 , LOCATION&GENERAL INFOIUVMATION Location Address j'� j��n Tj—�,'� Owner's Name Me �IOn D y S to r /fa r6 v rs /Qoe y FcLrrns �3f0 i l/ /�ee�f'�d Address ulPe-,y r'V e r v q as J 76 Assessor's Map/Pargel: /Palw / Engineer's Name Pe--6,r Svll J Yarn #Oe NEW CONSTRUCTION _- REPAIR Telephone# 5 04?- 4aad�- 3 3 4 Land Use �WDE-q G�vD�r•1�1�t C. Slopes(%) 3 °�a Surface Stones ► -1 , 0(S Distances froth: Open Water Body 00 fl Possible Wet Area 2t)b It Drinking Water Well K/A 41 Drainage Way !J Il. Properly Line 20 t Il Other Il SKETCH:(Street name,dimensions of lot,exact locations of test holes perc tests,locale wetlands in proximity to holes) a B7 t N u \ \\� NZ a 9 q$ - 25 . '.� 966w r0/q� 1407' 0 •. 2 Parent material(geologic) ©L>t \&)ASM Depth to Bedrock V E Depth to Groundwater: Standing Water in Hole: KiD A-) (L Weeping from Pit face I--t Estimated Seasonal High Groundwater llE'Y'ER1VY NA' ;ION I OR SASONAI HIGI 'VVA 1'ER'T'AI3L ; Method Used. S►RAJ Depth Observed standing in obs.hole: in. Depth to soil mottles:-.;KIO L-)-tv in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment w ./A fl. Index Well# Rending Dale: _ Index Well level Adj.factor Adj.Groundwaler Level M t,.V Z 9 .: I ieRI ., OO � Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time 3 cJ� Z �e.o�5 Time(9"-G') (,Mro 65�G. ` End Pre-soak '37 Rate Min./Inch I^ ZMvr—x 9ea 1,r_Lc_t} Site Suitability Assessment: Site Passed CE> Site,failed: Nla Additional Testing Needcd(YM) I�O Original: Public Health Division Observation Hole.Data'To Be Completed on Bach; j Copy: Applicant DEEP<OI35ERVATION HOLIJ LOG Hole # 1 Depth from Soil llorizon Soil Texture Soil Color Soil Olhcr Surfnce(in.) (USDA) (Munscll) Mottling (Structure,Stones,lloulderes. Consistency.%Grayel 0eGA*-9' C' S`t 221Z 4-0 O AArr-e;lz_ Z' Cc,,,tz5e to,t2 67/3 � WHOPN 6o0sJQ DEEP'OBSERVATION HOLE LOG Hole # Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoncs,Iloulderes. Consistency.°o Gravel) DaGA cC- Z/Z- 3-tom Lo A. � l(b,-t Ve zl Z. c>--7 Co ¢s - Z 6 c �.s�, tort tz 5/3 N�►j E ��,�� c N Y EEP;0Y3SEIt�A'TION;';HOLE LOG dole# Depth from Soil I Iorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes. ttsi lent % 'ravcl DE EP;:OBSERVATIONHOLE LOG Hide Depth from Soil llorizon Soil Texture Soil Color Soil Othcr Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,llouldcres. Consistency,%Urrivch I Flood Insurance Rate Map: Above 500 year flood boundary No Yes w Within 500 year boundary No— Yes , Within 100 year flood boundary No_ Yes 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? If not,what is the depth of naturally occurring pervious material? Certification I certify that on AeckL, !� (date)I have passed the soil evaluator examination approved by the Department of Environinental Protection and that the above analysis was performed by me consistent with the required training,expertise and experience described in 310 CM 15.017. 0. Signature Date MIZ/599 .; ['own of Blarnstable Pa7 Department of Health,Safety,and Environmental Services x IHE Public Health Division ' Date 367 Main Street,I lyannis MA 02601 BARNBTABMMA - ArF16 Date Scheduled A U QUS7" It /99.9 Time /O:00 A" Fee I'd. it /OD. 00 y ,Soil Suitability Assessment-for Sewage Disposal >1 ' 1W Ry:�t R,o(LAa��Performed By: UVaA` LnGiheerm eit d 5 LOCATION & GI+;NERf1L INFbItiVIATION Location Address / P te_ _. n1- 14 ICJ., Owner's Name Me //On rbo�S V`-Ym�� Roeeby� 0 yJte r l i Address u e4 7"l�C m ry/ PP , vq aaJ76 Assessor's Map/Parcel: /"C / / �1 Engineer's Name Jov�r--5W j y" pE' i NEW CONSTRUCTION ` REPAIR Telephone N ;$ 08— ;4 a L 3 7[f Land Use �ZOA5 eO � tS��Aa�R Cr Slopes(%) nJ� Surface Stones Kb'X e Distances from: Open Water Bodyi, �Jf7 It Possible Wet Area 3 fl Drinking Water Well q0 ft 11 Drainage Way I�OYUr2, Il. Property Line n Other Il SKETCH:(Street name,dimensions of lot,exact locations of test holes k pert tests, o-tewvetLnnd.� proximity to holes) A'BB ASgNT ql N' �R9� AV 4p ; V 4 r ` � ' w 1y4d°/'J`� E r .. e/ oi t 366 l fes' 9B � a+• as� - Parent material(geologic) ©t9 1"u AS 4A I�A t►a Depth to Bedrock �5� �7ir4a—1 Depth to Groundwater: Standing Water in Mole: o'y Weeping from Pit Pace Estimated Seasonal I ligh Groundwater L- 2-3 Aw D " . r D>•✓`E INATION�QR SE-ASON'AL GII<WATER TABLE Method Used. 196 SCPE Gc�'J�ow�wv�sbt©,� Depth Observed standing in obs.hole: �q� in. Depth to soil mottles:. \ Q __ _ in. Depth to weeping from side of obs.hole, in. Groundwater Adjustment fl. P P g .I Index Well N Rending Date:_ Index Well level. _ Adj.factor Adj.Groundwater Level - --- I':ERiCO:LATICyIV TEST uae 1 fiiie .;;45� Observation Hole N I Time at 9" Depth of Perc 24 Time at G" � 25�At[-c�tiAs _ Start Pre-soak Time® [� 4� Time(9"-G� ') . L 2.- vlA t vV End Pre soak 3 Rate Min./Inch L E55 ��71kp,_) 2 VtA.�vt� PG2 t NGt-\ Site Suitability Assessment: Site Passed Site Failed: q O Additional Testing Needed(Y/N) W� Original: Public Health Division Observation Hole Data To Be Completed on Bacli. j Copy: Applicant DEEPi0I3SERVATION IIOLIi 10G 1Rile# . Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Iloulderes. Consistency.°o ravel Z-O b aTrc-ram 5N iz z/z t�fa,M.r( D- `Z... C o�as�SAo4 '1d\[a.21 z ��6 \,4J 40 �au� I >`{C. 5c>�o Vp \04i z DEEP;OBSERVATION HOLE LOG Hole # 2 Depth from Soil 11 Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Iloulderes. Consistency. Gravel) e'c> 5�Q Z A.Try lZ 0- 13 A ` Lt>'f+�z�z 13' Z S Q �5� �`I'.12 s�,i= ©►.�� ��c4.��.-(�c�rvv �.( 26,-128 G c7 Arm d cQ LD-I(lZ 5`8 01.9 L� l 113 6.t_(& GeA I7 DEED ( BSItVATION;IFIOIE LOG lIole Depth from Soil llorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulderes. Consistency.% 'ravel DEEP OBSERVATION;HOLE`LOG Hide#. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,tloulderes. Consistency,°o 'rave Flood lnsu►•ance Rate A aa: Above 500 year flood boundary No_ Yes Within 500 year boundary No_ Yes K , Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout(lie area proposed for the soil absorption system? _y'Es If not, what is the depth of naturally occurring pervious material? Certification I certify that onA9(Lk L',9 (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. Signature Dale ` JL"Owii o al listable 1 1�77t _O I Department of Health,Safety,and Environmental Services sr,E,q Public Health Division Date 0� 367 Main Street,I lyannis MA 02601 I eArureTABMHASSL �� 039. �O prEorr, Date Scheduled /9 U "jus .04%j lqy Tjme /O:OO AM pee Pd. ;6 /0Q, 00 Soil Suitability Assessment or Sewage Disposal moo- eaO .y f g PerrormeitBy:SUII r vo-n (fnaineermna Yntr.WitnessedBy. `toe.,\tAIO LOCATION.&.GENERAL INFORMATION Location Address o2 �� �a! l/ /\OGt oL Owner's Name m8 I/0/) 0 s r /fa rbv rS Address /?o/(rb FiLrxns �S540 il/ /yy� o ,p�rce L/7 -5 a6a' 7,11 e v A as 176 Assessor's Map/Parpel: / ' / Engineer's Name Perky -SUIT i vum *Or NEW CONSTRUCTION REPAIR Telephone N 5 01- d L 3 3 y Land Use ©"�G—t7 e v0 c—raTl t— Slohes(%) 3 a Surface Stones fi + Distances from: Open Water Body 3 SO R Possible Wel Area 3W R . Drinking Water Well O it Drainage Way I4c> It Property Line ZC> It Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locale wetlands in proximity to holes) tj Ile s 5s�i4'se'p' f- 1800f 0 t /' VC r � � .GP • Parent material(geologic) Du Depth to Bedrock Depth to Groundwater: Standing Water in hole:. Weeping from Pit face Estimated Seasonal High Groundwater DE`ICc YNATIO SEASONALJ GH'WATER'I'AI3LE Method Used: Depth Observec standing in obs:hole: A I ,�, in. Depth to soil mottles, n A ,. . in. Depth to weeping from side of obs.hole. in. Groundwater Adjustment R. hider Well N Rrnding Date: Index Well level __ _ Adj.factor — Adi.Groundwater Level_ Mt:JJ=2� j PERCOLATICyN TEST uaie 610 11 A` Observation Hole N t Time at 9" tc Depth orPerc 30 Time at 6" Start Pre-soak Time I �`� ._.�1� ZS 6R��o r.xg ® �w Time(9"-6") End Pre-soak �, �Z 2'O M SR>S�C Rate Min./Inch es Zi�A II VC,tA Site Suitability Assessment: Site Passed 'l Site'ailed: tad Additional Testing Needed(YM) W Original: Public Health Division Observation Hole Data To Be Cornpleted on Back j Copy: Applicant ' 1 i DEER.011stItVATION HOLE-LOG 1Rile it Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°o ravel 3 O 0 �e��ratc� 5-4 Qz I?-. O- (J>Aef G SAht DEED OBSERVATION:HOLE LOG Hole # Z. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Sloncs,Drndderes. C n i tent °o ravel 2 _© 096AULr--S QZ/� ICE A CaQ-Sc-3Aw10 tb�l2 zIZ 10- n 6 . . llIJEI' OBSERVATION�IOLE:LOG Hole# Depth from Sotl llor zon Soil Texture Soil Color Soil Othcr Surface(in.) (USDA) (Munsell) Molding (Structure,Stones,Roulderes. Consistency,°o 'ravel :DEUDBSERVATION HOLE:.LOG. Hole# .. Depth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.% 'ravel I Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes « Within 500 year boundary No— Yes Within 100 year flood boundary No Yes X 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? C 5 If not,what is the depth of naturally occurring pervious material? Certification I certify that on 02 L gS (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. Signature <: J� y Dale M/Z/91 9 Towii of Mir istable P ( r --O�,� Department o' Health,Safety,and Environmental Services 1HE Public Health Division Date 367 Main Street,Ilyannis MA 02601 °rFnrnAr" Date Scheduled AUgUSf' � �. /�199 Time /0:00Am rice Pd. st /Up. 00 kT Soil Suitability A•ssessment'p' r Sewage Disposal Performed By: 6II ► V011 C, I'1aineer,nq Xne.WitnessedIIy: �. LOCATION & GENERAL INFORMATLON _ Location Address l' /J �� Owner's Name Ma //0/7 ' Mill Aeel&J. D, ys-&r f/-AL,r•60 !'$ Address m / GL rlc•t 175 LL1110 ✓'Ue, v A as 176 Assessor's Map/Parcel // l / Engineer's Name Pe_-6,,--sy/h yQM 10C NEW CONSTRUCTION REPAIR "Telephone 9 5 O,?- 4 d 1?- 3 34 Land Use �61y�0 L51'D�r.till4( Slopes(%) 3 Surface Stones /�lo1.iE . i Distances from: Open Water Body R- Possible Wet Area " Drinking Water 14e11 MtJAG n Drainage Way 4C)6(a ft Pro�crt Line g Y I Y z4D Il ' Other Il SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 66 <<�rf.No.stsOl 6/8� 1` ► �l -- S. Parent material(geologic) yU Wirt `T LA1VU Depth to Bedrock Depth to Groundwater: Standing Water in Hole:; ow,3 E Weeping from Pit Pace Estimated Seasonal High Groundwater -FL__ llEmE INATION OIZ S, ASONAL HGII:i'VVA I`ER TAI#LE: Method Used. t✓CG1D Lp►n.tcSSt© Depth Observed standing in obs.hole: t I a , , in. Depth to soil mottles: ► l _ in. Depth to weeping frorn side of obs.hole. in. Groundwater Adjustment,��� (t. �- Index Well N Rending Date: Index Well level — .Adj.factor Adj.Groundwater Level tH tvJ_Z - ---- - - I'ERCOLATION ZEST irate ZO rrriic 1:1:' Observation 1 Hole H Time at 9" Depth of Pere 'Z� S �Ru_C7�.tS Tjmc at 6" Start Pre-soak-Time @ 1. ��3� ; As 1 Time(9"-6") End Pre-soak Id wt l ZbS- Rate Min./Inch '�-,t 55 1ZfAA1j Z_m 1 thGL{ Site Suitability Assessment: Site.Passed Site Failed: C7 Additional Testing Needed(Y/N) O Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP OBSERVATION 1011E.LOG hiol #' :1 + Depth from Soil iiorizon Soil"Texture Soil Color Soil Other Surface(in:) (USDA) (Munscll) Mottling (Structure,Stones,Boulderes. Consistent %Gravel D V C�O�v1S6�5'H loV e2 f Z. l®Y12 7513 l - i2 l G S a LO(L Q4 i s j6, : :..; DEEI .OBSERVATION:11OLE'LOG Hole # 2 Depth from Soil Horizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Boulderes. Consistent % ravel — D. D12 ,rstcs 5�I Q z/Z A Cn%s� p toY�2 zlz td- zz COA4-5 F- 1(5Y►2(�l4 LIJ A,v&4 � �( 22- 12� C� SA.-I-L D IN112- i 1�o DEEP.OBStRVATION;MOLE LOG.: Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Iloulderes. C nsi tent %Gravel DEEP OBSERVATION MOLE LOG.. Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Othcr Surface(in.) (USDA) (Mansell) Mottling (Structure,Statics,lloulderes. Consistent % 'ravel I Flood Insurance Rate Maw Above 500 year flood boundary No— Yes yY, Within 500 year boundary No— Yes �\ Within 100 year flood boundary No_ Yes 1 . 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? --�� Certification I certify that on l_ (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,expertis andexperience described in 310 CMR 15.017. •Signature Date �O/Z/9 9' I owii of B.,1•nstable P tr S� 0 Department of Health,Safety,and Environmental Services I►� Public Health Division Date / 999 o� 367 Main Street,I lyannis MA 02601 BARNSTABLK - 79• �O '°rtnntp�" Date Scheduled 19U9US-t V?0'0 /999 Thne /O;004M Fee 1'd. /Ot). 00 S PdLii Suitability Assessment for Sewage Disposal ©! Performed By: U II t Vt_n enai nee_rfna ne—.WitnessedBy: D LOCATION &:.GENERAL INFORMATION Location Address r ' Name Me /l0/7 b a. � �aa� Owners IQoeeh Faenzs �3•f0 id WeeLl27d. yS r #a �bO jrAddress fi[6a' V r•1ie, v q as J 76 Assessor's Map/Parcel: !/ r 70 /(,%ram 7 —� Engineer's Name Pe-�.--!jV/�J y� Ae NEW CONSTRUCTION REPAIR Telephone N 5'08— 3 3[f Land Use I?otV ec? e-65kP'E.t tI Pt Slopes M 30 Surface Stones Distances from: Open Water Body 2CX2) 11 Possible Wet Area A Drinking Water Well -it Drainage Way it Properly Line W it Other KL) 0 E it SKETCH: (Street name,dimensions of lot,exact locations of lest holes&perc tests,locale wetlands in proximity to holes) e tee. . ca t 1 Q %A, s t 1� 1 V) � �o `T•l+-1 ,-ru•-z 1. ---1 Ewa s� sag• a' .v- w - Parent material(geologic) DUT I JAS+A II/4�i� Depth to Bedrock Depth to Groundwater: Standing Water in I lole: NO Weeping from Pit race 1�p Estimated Seasonal High Groundwater . HEmE NATYrO-IV /'tOlt S ASO,NAL<ItGtT'WA'I' Ti TABLE Method Used: US�Sf) ISJN.I tA�l e 5 Sl o tit Depth Observed standing in obs.hole: t i R.. in. Depth to soil mollies; I 1 _ . a r in. ,. Depth to weeping from side of obs.hole: in. Groundwater Adjustment it. Index Well N Rending Date: Index Well level Ad.j.-factor_ Adj.Groundwater Level pEI2COLA1'IC1N TEST Dae tttje i: " Observation Hole N Time at 9" Depth of Perc 3z Time at 6" Start Pre-soak Time® 9 C)C> 25&AI.C.C:aS Time(9"-6") End Pre-soak 1a% © ( 20 g N11 Z�SEt: Rate Min./Inch L—>S TtAfk kA 2 M t ki PC t? 1 KIC t+ Site Suitability Assessment: Site Passed tus Site railed: L` O Additional Tcsting Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP O I;I YATION HOLE ;LOG Hole # _ Depth from Soil horizon Soil Texture Soil Color Soil Olhcr Surface(in.) (USDA) (Munsell) Mottling (Structure,Sloncs,Boulderes. Consistency.% ravel 3--0 O- -7 COAO-SE SAMO 7, 19 6 CCD AeSE to"(li?�l6 �oa�>✓ �9- 1zt C la I�EEI' OBSERVATION HOLE LOG Bole # Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.% ravel l OFNW.'( tdY fL4(Z t�- C-0Ae.SG SW - 2g CAAesE 1o\(uZ(W(�' I�o�ti✓ zs- as 10\te(.11B Moll 0o DIJ 1' OUSER ATION IIOLC;LOG Hole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Molding (Structure,Stones,Boulderes. Consistency,% 'ravel S ;DEEP OBSERVATION HOLE LOG Depth from Soil(lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,llouldcres. Consistency.% 'ravel I Flood Insurance Rate Map: Above 500 year flood boundary No— Yes yK Within 500 year boundary No— Yes •\ , Within 100 year flood boundary No_ Yes 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? \ 'ES If not,what is the depth of naturally occurring pervious material? —�--- Certification I certify that on 1L S (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was perfonned by me consistent with the required training,expertise and experience described in 310 CMR 15.017. 0 Signature Dale99 4-a 6W->-- 1 - Town of Barnstable fit � Department of Health,Safety,and Environmental Services `�,►+E Public Health Division Date / 99� O, 367 Main Street,Ilyannis MA 02601 a�rtxsreer.K 6J9• �� °tfnrnay" Date Scheduled AU JUST"40'� /99:2 Time /O:00AM Fee 11d. /UD. 00 =� Soil Suitability Assessment for Sewage Disposal Performed By: U I I V Q 1'1 e0qj h th t�ne.W itncssed By:�l Q e'A' `1� .. LOCATION'& GENER AL: Location Address q Owner's Name Me //of7/Qo/(rb FcLYrrtS �Sf0 i l/ Rec�{'/7d. ys-b! ik- /_s �1 ry Address .zZl ye- . elle, v 4 as 176 Assessor's Map/Parcel. 1/ r , loa ett J 1 Engineer's Name pe-kl. -sulli vam pE" NEW CONSTRUCTION REPAIR Telephone N 5 08^ 4 a&?- 3 7l f Land Use ZoroS t—F5t9 Slopes(%) o Surface Stones �40 + Distances from: Open Water Body t — R Possible We(Area Z6� (l Drinking Water Well r`�'l.lC-4l Drainage Way a0A-A 15, it Property Line ZO It Other It SKETCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locale wetlands in proximity to holes) Qt � tl , C' rl 20 % P� Al e Parent material(geologic) OU l\&_)AS+A QLi4J 9` Depth to Bedrock Depth to Groundwater: Standing Water in Bole: IVct~j 1. ( C r- Weeping from Pit Pace V�U 1,..1.E. ,.Estimated Seasonal High Groundwater L 2(�j !A� V L/ ' DETEI `I . TIO1rI P-OR SEASONAL GY 'VVA't 1;Ii TABLE:: Method Used: S P C 6 wt.nti(.S s t a ti o Depth Observed standing in obs.hole: h I in. Depth to soil mottles: Depth to weeping from side of obs.hole: in. Groundwater AdJuslment n. Index Well k _ Rending Date: Index Well level. = Adi.factor Adi.Groundwater Lcvcl= MA tw ZJ . I'ERCO.LA'I'L(�1V TEST roatc liinie 1:Q`,30A' Observation Hole N �_ Time at 9" Depth of Perc K Time at G" Start Pre-soak Time Q `'O� C)o t n Q Time(9"-6") End Pre-soak Rate Min./Inch Less rR+^Aj Zmi -PEe- i ouCR Site Suitability Assessment: Site Passed Site Failed: © Additional Testing Nceded(Y/N) h�O Original: Public Health Division Observation Hole Data To Be Completed on Bacic j Copy: Applicant DE El P 013SE1 VATION1101LE.L:OG Htile #_ Depth from Soil Ilorizon Soil'1'exture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes. Consistency.°o ravel ©.._ A c��esc '7--2 " CoAesF- Ioye- (—/6 {liow� G 3P,1�xC) tC>(e . 0AS DEEP OBSERVATION HOLE LOG Hole #_— Depth from Soil Ilorizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Iloulderes. Consistency,%Gravel) Oec-i-vA(c-s sNv z/Z 61- 91, COAQ5E�jAC> lvY�t q �2 29-12 C-1 llEEP 013SCTt:VAT.lO1i H()LE'L;OG. Hole:# Depth from Sod Nonzon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes. nsi tent % 'ravel DEEP OBSERVATION HOLE:LOG Hole# :.. Depth from Soil Horizon Soil Texture Soil Color Soil 01her Surface(in.) (l1SDA) (Munsell) Willing (Structure,Stones,Bouldcres. Consistency.% 'ravel Flood Insurance Rate Maw 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 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 l L 9S (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. Signature Date t0 Z 99 Town of Rarnstable Department of Health,Safety,and Environmental Services o�IHE Public Health Division Date 4a 367 Main Street,I lyannis MA 02601 BARNeTABLM HAS& i639• �0 , 039.t� Date Scheduled Auqust v?*, lq,? Time /0:00 Hm Eee 11(i. ' /oo. 00 Soil Suitability Assessilient for Sewage Disposal. Perfor f h C r i h =ne.Witnessed Dy: 0 3- O � -- LOOATION & GENE RAU NFORMATION - Location Address /.r�� /_a�� Owner's Name mB (l01•) / r,� 1?,oejt by Fc�en25 �3Y0 i// /fee-f'A?d, D ys r / rb0lS Address ji l G'✓tlfe, Vq aa»6 Assessor's Map/Parcel: m 71 loa-r �LL 42 5 Engineer's Name Peeve.SUIT i vUA"! P£ NEW CONSTRUCTION REPAIR Telephone N 5 08 7 3 Z/ Land Use '&)ye0 '�.ESeD til�C. % °slopes NIOA4 p ( ) /?Jp Surface Stones I2,,11 Distances from: Open Water Body 15� Il Possible Wet Area R Drinking Water Well NOA)E n Drainage Way A9 lr II Property Line 0 Il Other Il SKETCH:(Street name,dimensions of lot,exact locations of test hales&pere tests,locate wetlands in proximity to holes) ,tp;rl.Mo. *14 1 n 03461&IW V �04 Parent material(geologic) OUT WASH , LAINk Depth to Bedrock 'Depth to Groundwater: Standing Water in Ilole: �.1pp'.�e Weeping from Pit face �Ap&A Estimated Seasonal Iligh Groundwater F..L. Zr3 Ntw llI•✓TE 1VATION`T0R SEASONAL IGH 'VVATEIt'I'ABLE. /+ Method Used. LUtI C�N•t.ZkcSStOa--t Depth Observed standing in obs.hole: ► l , in. Depth to soil mottles: Depth to weeping from side ofobs.hole: in. Groundwater Adjustment Index Well M Rending Date: Index Well level Adj.factor Adj.Groundwhtcr Level M t v,J-29 ---- - r;ER+COLATION TEST. uate Observation + Hole N ` Time at 9" Depth of Pere ?_0 Z,S Time at 6" r t�Aat_or..15 T Start Pre-soak Time® ��3J' ; 4 S l i'''{ Time(9"-6") End Pre-soak 1 Q p 7 1� ► �S� Rate Min./Inch G55 -r Atil. 2-M \fuc_Lk Site Suitability Assessment: Site.Passed YC 5 Site failed:_�lC� Additional Testing Needed(Y/N) Original: Public health Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEI' 00.SERVA.TION HOLI;10G hole# . Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,nouldcres. Consistency.tent °o Gravel) S- Oertc, sY2 Z/2 l,,r'Avtti-� loV t2 2/2, 1.0Y12. 5-/3 1J.O�jC. \k)AJ G—� 12 G S a i-01fZ 04 )goyiJ DEEP;;OBSERVATION HOLE:LOG Hole# 2 Depth from Soil Elorrzon Soil Texture Soil Color Soil Other Surface(in.) (USDA) - (Murrell) Molding (Structure,Stones,Boulderes. Consistency,%Gravel) 3 —D p 0 e-C-A4Utcs 5�eZIF tvyR-zlz , lo— 2Z O"{VL.(�'/4 1/J Av&4 � �( SA.%-L o 1ac M biJ '; , 8EWATION'HOL :LOG . Hole# Depth trot» Soil Horizon Soil Texture Soil Color Soil Othcr Surface(inJ (USDA) (Mansell) Mottling (Structure,Stones,Ilouldcres. Consistency.%Gravel) e , DEEP OBSERVATION;HOLE`LO:G 10le#. Depth rrom Sod Ilonzon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones,Uoulderes. Consistency.° 'rave Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes K w Within 500 year boundary No_ Yes r Within 100 year flood boundary No_ Yes 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? ES If not,what is the depth of naturally occurring pervious material7 Certification I certify that on L (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,expertis andaexperience described in 310 CMR 15.017. Signature U Date 10/2/9 9' Town of Blinistable Department of Health,Safety,and Environmental Services �Tw Public Health Division Date 99� el, - 367 Main Street,I lyMin is MA 02601 3 aAaxirmauF; � Date Scheduled A u i usi-40-0 /_9�9 Time /O:O0 RM Fee N. +6 /00, 0 0 Soil Suitability Assessment for Sewage Disposal Performed By: I t r PY I Xne.Witnessed -D �o��ra� �� a LOCATION & OCNERAl AN Oft1VIATION Location Address . r� ��p� �0�� Owner's Name Me //On 07 " 5 L'a rrl _ /'_ /P046 FaemS DSO i// /Qec'�'�d Address fi�./ eer► ever v R as j,76 M 7 0 �pc,r�.0/y-S Assessor's Map/1'arFel: / ' / Engineer's Nvnc Pt'&,?' -5)//j ypq•l NEW CONSTRUCTION REPAIR Telephone 9 5 08- Si d 1- 3 3,q 41 Land Use zo"S so e a vo��nArL- Slopes(%) a Surface Stones fi t Distances from: Open Water Body 3 SO R Possible Wet Area it Drinking Water Well O A Drainage Way Iwc7 Il Properly Line ZC7 Il Other 11 SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Af ti0 eo yo t 1 z�,�Jr 1 Parent material(geologic) w `^�0.$t� Q����`�` Depth to Bedrock Depth to Groundwater: Standing Water in dole: Weeping from Pit face C> Estimated Seasonal High Groundwater 1=t..., 2/3 M6V•D D 'Y'C YNATYOIti. R St-ASONAL MG'H.VVA'I" R 'ABLE Ivl ell iod Used: US6 CAP Il�lvc:�c ss 101�` Depth Observed standing in obs.hole: 9. f r- in. Depth to soil mollies:• 1 A in. �. Depth to weeping from side of obs.hole. in. Groundwater Adjustment fl. Index Well# Rending Dale: -"_•_ Index Well level Adj.fnclor — Adj.Groundwater Level_ MlN>1'-2g ' . PERCOLATION TEST Observation Hole# 1 Timc at 9" tc Depth of Perc 30 Time at 6" Start Pre-soak Time @ 30: ZS f�Ds: 1 Time(9"-6") End Pre-soak Z OA Rate Min./Inch �-ESS T-AA" 2OA.vN stl VC, Site Suitability Assessment: Site Passed l Site Failed: N0 Additional Testing Needed(YIN) W Original: Public Health Division Observation Hole Data To Be Completed on Bacic j Copy: Applicant DEEP 0 i.SERVATiON IOLL LOG Hole# Depth from Soil I lonzon Soil texture. Soil Color Soil Othcr Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. �j o N 17e6�.N1•:tG'S 5'\1 c.Z l2„ ', 1.�atn�. IC.rlt2 Z/Z . Q" (p CX>A95E 5Ah1 WcAV ice( &0 t `i/ DEEP`OBS1i;RVATION HOLE LOG Hole # Z Depth from Solt Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stoncs,iloulderes. 0 �A� In�te zlz - I rJ Csc sF11a� lam^ 2F� � Coaesi✓ lo`125�6 �N.� G bIJ I'.OI35 kv-ATION )t101X LOG Hole#. Depth from Soil Ilorzon Soil texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Ilouldcres. % DEEP OBSERVATION;1-IOLE LO:G Depth fr Soil Flonzon Soil Texture Soil Color` Soil Ulhcr Surface orn (USDA) (Munsell) Mottling (Structure;Stones,Ilouldcres. om I e o Flood Insurance Rate Man: 3 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 feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? C 5 If not,what is the depth of naturally occurring pervious material? I certify that on "*1L YF (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 e2x�perience described in 310 CMR15.017. Signature< Date Town of l���rnstable Department of Health,Safety,and Environmental Services �,r�►q, Public Health Division Date 9q� " 367 Main Strect,.l lyinnis MA 02601 + 9ARNaGaa$ rf rn9x. Date Scheduled /i U 9US14 /9? /999 Thne /0:00 AM Fee I'd. /OD. 0 0 Soil Suitability Assessment for Sewage Disposal Performed By: t r)11 =nC.Witnessed By: <d/ 1-1�C>CA L_II C> I LOCATION & CFNFItAL INFORMATION Location Address fJ T na'a Owner's Name me //0n . 0 H A-r�6 v �s )?.0e<b FQ,YrrtS JISO i// /�e��d.. y-� � Address .��/�C� v q as J 76 Assessor's Map/fargel: /f '� 7 U 106Lf /_" Engineer's Name Pc- j. +jU//1 vQn'f p' NEW CONSTRUCTION JL REPAIR Telephone N 5 Og— 4,;40— 3 3 y Land Use :Zbk:'E�Q p—es C>C--"QAL Slopes(%o) 3 Surface Stones Distances from: Open Water Body AM n Possible Wet Area 2/7b n Drinking Water Well kn Drainage Way rJ S It Properly Line 2� t Il Other it SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locale wetlands in proximity to holes) �• �"` .yam. _ ks r yo\\\ �$ C. Jig,. 96 6 .�`.696 r� xi ito Rir C Parent material(geologic) VU T WASH Depth to Bedrock Depth to Groundwater: Standing Water in Mole: 1�� C'— Weeping from Pit face 1Q Estimated Seasonal High Groundwater 1�>rTERM NA'TYtJ1�I 'OYt S>;ASONAL fIGH 'VV�1Tl;Ti'I'AI3LI;:: Method Used. USA P= GoN1 wL?'SS 1E�N Depth Observed standing in obs.hole: I in. Depth to soil mottles:. K10►_L 6 in. °. Depth to weeping from side ofobs.hole: in. Groundwater Adjusnmenl l� /�n. Index Well N__. Rending Date: _ Index Well level... Adj.factor_� Adj.Groundwater Level_ .;;;;;...... ;< : . PERCOLATION TEST .;: ante t lnlc:9;.�� Observation Hole N 1 Time at 9" 4 Depth of Perc 1.8 Time at 6" Start Pre-soak Time ,°J'.$ Time(9"-6") End Pre-soak 9 37 Rate Min./InchZrt�►—*, aEa. ►-r`a"e"b{• Site Suitability Assessment: Site i'f \assed ES Site failed: kL O AJdilionnl Testing Needcd(Y/N) k10 Original: Public Health Division Observation hole.Data To Be Completed on Baclt j Copy: Applicant DEEP,008-CRVATION I1OLE1OG 11tile # Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) .(USDA) (Munscll) Mottling (Structure,Stones,Boulderes. % Oe6aa►.�,.c b``f 2ZlZ . 4-0 O AA T'T£-Q.. Lcr�w`�( too Z Z/2 2� COP.es e 25-12C� � i.�►O 1 o`L 12 �14 DEEP:OBSERVATION HOLE:LOG Hole # Z- Depth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell). Mottling (Structure,Stones,Uoulderes. a OfIOAwi.tC_- SuezIZ- 3-D f-r LoA.WV Ibit�(L zIz b-7 c� �2 - Z � ` Cotes� : to�l2 S/3 �o►..s� W���( n� �/ Z-1- 1Z0 �', Si+�►..� p tclt2 6/,A �otit E ►"c t,QG ear-,vy&O 1V-o . �J DEED' 01WIt2VATION �O1 E LOU. Hole# . Depth from Soil tiorizon Soil Texture ' Soil Color Soil 011ier Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,nmilderes. % DEEP OBSERVATION HOLE LOG 1Itilc#.,.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,llouldcres. Cons-istency.° Gravel) Flood Insurance Rate-M8D' 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 feet of naturally occurring pervious material exist in all areas observed throughout(lie area proposed for the soil absorption system? Ni If not,what is the depth of naturally occurring pervious`material? Certification I certify that on AAEj L 9 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 training,expertise and experience described in 3 10 CMR 15.017. Signature— ___ Date MVZ/99 N K'Town"of Bilristaible ►' C/ST Department of Health,Safety,and Environmental Services �,t+t Public Health Division Date 99� o, 367 Main Street,I lynnnis MA 02601 s BARNFrAat.B• MASS. - "rFo 39.o Date Scheduled A U U 9 Sf" /90 /99 9 .41 Time /0:00 AM pee I'd. 00, O O Soil Suitability Assessment for Sewage Disposal Performed By:5 U I I 1 VQ.t1gj hC,G_ r _Xnit.Witnessed By:�LOGE1T10N & GI NEfUL INEOItMA,TION - Location Address r�-mPP Bu/l'O n/ IQ44leb � m16-0 Mill /fee.-Ped. yJ t - / iba emsm -4Address / v q as 01, Assessor's Map/Parc;el: ma-p V 14-r uL Engineer's Name Pe--kr•5u11 j ypm 10,f NEW CONSTRUCTION JL REPAIR Telephone N 5 08- a f- 7 3 Z/ Land Use Z0113 E(D ?-akVIe& %lA L- Slopes N 'b% Surface Stones 1 ,"e Distances from: _Open Water Body QSf7 R Possible Wet Area Drinking Water.Wcll kIC) R Drainage Way 4c>yQF_- ll. Property Line R Other Il 1 SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tes(s,)o- tvwLIaIWLLii proximity to holes) / rpyFgsgN �N663�e Tpq�. ; Or 1 r C. IS C�.r 0 6' b• b• ! 'dq b a � 0 IN 1 A •, • t v w� b .�• 1 'o 'sue `, ? • oyyA 4 `�/F` � Ip •"� M y9,�9 `C �'�l •�i ' �a tiab•6 � � �'i Psec � 1 qo Tc P�40 99�� y % ^z oo ft COO • o�,��b�'.ily��•��`I(Kr •� �`�� ' i � N4d°13;48 E 366 V 1 01 ��♦/1 1 '�I I��n• 0�b`• �4 Parent material(geologic) DU t",_q A s 4A nVLA t--X Depth to Bedrock ,��11 �� Depth to Groundwater: Standing Water in dole: N d� t; Weeping from Pit Pace Imo Estimated Seasonal high Groundwater '- .... llE"Y' YNAmYC)1�1 'Olt SEASONAL; CH. WA'I' BLEd. Method Used: 13�6�j Pc. C�Cows.w�ss1 cap Depth Observed standing in obs.hole: 1\1 r in. Depth to soil mottles:. I Q _ .. in. .; Depth to weeping from side of obs.hole in.. Groundwater Adjustment R. index Well N w_.Zq Rending Date:_ •_ Index Wcll.level;._.__ Adi.factor Attl.Groundwater Level ttil t _ — PERCOLATION TEST OAte. t3 fltne:9'4 Observation Hole l/ I Time at 9" 11 Depth of Perc Zg Time at 6" Start Pre-soak Time® 9�•4 25 GAt_�"5 Time(9"-G') L Z. ►M/vv End Pre-soak Rate Min./Inch U 55 T K.) 2OA rV'PC2 tNiGN nl - Site Suitability Assessment: Site Passed Site Failed: �� Additional Testing Needed(YM) W� Original: Public Health Division Observation Hole.Data To Be Completed on Back.. j Copy: Applicant DEEP:OUSEIiVATION IIOLItLOG IItlle# . Depth from Soil I lorizon Soil`Texture. Soil Color Soil Other. I Consistency.Moulin Structure Stones,Iloulderes. USDA Munscll g Surface(in.) (USDA) ( ) ° r Z O 0 bNl.aTTEre 5`I'tZ Z/Z to.avw� - Zq—t2$ ��►.� o ���(� Sl�oc,,,a �1NFaL� U2/°<<� =QO \JJ rk I�K-� DEEP OBSERVATION MOLE LOG Bole # Z Depth from Soil Ilorizon Soil Texture, Soil Color Soil Other Surface(in.) (USDA) ';l (Mansell) Molding (Structurc,'Stoncs,Iloulderes. stcncy.N.Gravel) 2C�/�ch►�G 5 Q Z/Z Z —0 A TTae— l C5— 1 3 r_tia coo" ZE-128 C,. a-,..�;o o t.� 'St~Kv L6 6a-A DE (3� Stl RVA`>C`IO, OL&LOG. Hole.# Depth from Soil I lorizon Soil Texhire Soil Color Soil Other Surface(in.) (USDA) (Mansell). Mottling (Slructurc,Stones,Ilouldcres. Consistency.° Gravel DEEP:;OBSERVATION; iOLE LO:G Hule# Depth from Soil I lorizon Soil Texture Soil Color Soil Wier Surface(in.) (USDA) (Munsell) Mottling (Slructurc,Stones,Iloulderes. Consistency.%Gravel) r Flood Insurance Rate Man: 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 feet of naturally occurring pervious!niaterial exist in all areas observed throughout the area proposed for the soil absorption system! y�s If not,what is the depth of naturally occurring pervious material? Certification I certify that on AVCkL (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was perfonned by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Sienature Date Icy/z 9a