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Home My WebLink About0049 SECOND AVENUE - Health 49 SECOND AV%4?STERVH LE A=139-079 4, S�� o l I �= '1'ow>t>< of Marrtstable r# Department of Health,Safety;and Environmental Services °f1HE Public Health Division Date qq Q 367 Main Street,Hyannis MA 02601 • anarternorZ 9 erns. � ( I � Date Schedule 4 En►w+ �. J Time Fee Psi. ` Soil Stiitahility`Assessrf erzt fof-YSewage Disposal Performed By: ` �e�Lt Witnessed By: LOCATION &&`G1lNEIIZA NI+ORMATION Location Address� Ac� U✓ \ t'S Owner's Name 1�t IL1,\l�.\\1� Address )Axpuz,,i \L `375y4D j Assessor's Map/Parcel: '�O P Engineer's Name STEPHEN J. DOYLE ASSOC. NEW CONSTRUCTION v REPAIR Telephone N 42 Canterbury Lan tEast almouth, MA;02536 Land use A�La — 31o�es % Telephone: 508/540-2534 ( ) 19 4�1' Surface Stones Dislances from: Open-Water Body * 30v' .ft,l'Possible NVet Area 1�,Or R Drinking Water Well ft' Drdinage Way �z r-D IR\ 'Properly Line"M0 '11 Other `' �/ ' RI SKETCH: (Street name,dimensions of lot,exact locations of lest holes&perc tests,locate wetlands in proximity to holes) � Z-s zq� IOZI ( � � Parent material(geologic) Depth to BedrockQ/f pj Depth to Groundwater: Standing Water in Ilole:: bt p g `�Cv Weeping from Pit Pace_�M Estimated Seasonal High Groundwater Cale DETERMINATION 1+ORSEASONAL HIGII'VVA:TIJR-IABI;E Method Used: \;A S C1 Cam„ Depth Observed standing in obs.hole: 9c.rr in. Depth to soil mottles: NLn Depth to weeping from side of obs.hole: in. Groundwater Adjustment Z."j ' R. Ad' factor Z Adi.Groundwater Level I Index Well#MI)dZe� Reading Date: q_"`t� Index Well level 'L I. =l— 5L�3.�( 2n tt >PERCOE- TION>T +ST Dafe ttme Observation I lole N Time at 9" Depth of Pere to U 7Z(ou Time at 6" Start Pre-soak'rime a 155 IZ.,k Time(9"-6") End Pre-soak \2'1O 1V.-3 Z4 C.A-L..e145 Rate Min./Inch L� L 5 Site Suilability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) Original: Public I leallh Division Observation Hole Data To Be Completed on Back j Copy: Applicant DEEP OBSERVATION IIOLL'LOG Hole # Depth I1-0111 Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,13oulderes. Consistency.%Gravel) tl � -Zb _Zto``-IZot Sam F DEEP OBSERVATION HOLE LOG Mole # Z Depth from Soil Ilorizon Soil'I'exture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling\ (Structure,Stones, 13oulderes. Consistency.%Gravel) v ' tiC> At ! `l ZLU—\Zu DELI' OI35EIZVATION HOLE LOG Hole # Depth from Soil I lorizon Soil Texturc Soil Color Soil Other Surface(in.) (USDA) (Mull sell) ,Mottling (Structure,Stones,Bouldcres. Consistency. Ciravel) i DEEP, OI3SERVA'TION IIOLE LOG Hole# Dcplh From Soil Ilorizon Soil'I'exture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,13oulderes. Coll islency,ooCiravel) I I 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 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 (date) I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysts was performed by n3e consistent wi(h the required training, expertise and experience described in 310 CMR 15.017. Signature Date �.. w► 'Town of 11dirnstable P —� Department of Health,Safety,and Eiivironntental Services �It* Public Health Division,. Date qq Q 367 Main Street,Ilyanuis MA 02601, , �b re3fl 0 twat" Date Schedule ®' Time Fee Pd. Soil sllitability''Assessnzeizt foi•Selvage-Disposal r i Performed 13yi S`. :�e�i. ` Wimcsted By: LOCATION& GENERAL INrORMATION Location Address Ac� Owner's Name yt 2(At ti`A C�t1- Address Assessor's Map/Parcel; ""� Engineer's Name STEPHEN J. DOYLE ASSOC. NEW CONSTRUCTION' v REPAIR 'Telephone N 42 Canterbury Lan 02536 Land Use;:_. — ZVI, Slopes(°%) t9 —QI' Telephone: 509/540-2534 Surface Stones ' t Distances from: Open-Water Dody ! `3ot) .tt:r Possible\Uet Arca0 n Drinking Water Well fl: ` Drainage Way D- {1I,`Property line" n Other n SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate%vetlands in proximity to holes) et {1 ' Z"S Z FParent material(geologic) t Depth to Bedrock r Depth to Groundwater: Standing Waterrin!tole: `1(p ti Weeping from Pit Race 'tA J/?r Estimated Seasonal I ligh GrotinJwater VS 1 �i r DT;TI+✓RMINATION rOR SEASONAL IIIII WATER.1ABL1•; t- t,t . Method Used. Depth Observed standing in obs.hole: `tL rr in. Depth to soil mottles: in. Depth to weeping from side of obs.bole: in. Groundwater Adjustment Z,-%''i n. _ Index Well N Rending Date:.ok Index Well level ,' Adj.factor.Z, Adl.Groundwater Level t PERCOLATION'..T._t_ST. Ddfe I'iiitc Observation I]Ole N .W U Time at 9" Depth of Pere Z10 tt z(oU Time at 6" : t Start Pre-soak Time a 55 tZ',IS Time(9"-6") . End Pre-soak Z4 (-�A t-t O. 4S Rate Min./Inch L G S Site Suitability Assessment: Site Passed_� Site Failed: Additional Testing Needed(YIN) Original: Public Ilealth Division observation Hole Data 'Fo i3e Compicted on l3acic Copy: Applicant DEEP.0135LIZVATION 11OL1 :LO.V; 1101c # Depth from Soil I lorizon Soil Tex hrre Soil Color Soil Other Surl:�ace(in.) (USDA) (Mansell) Mollling (Structurc,Stones,noulderes Consismigy.%Caravel) to bt(`ZtUtl '� LS 10yR: �'ta �T—��uV �utsl3lS e 4 1)`EEP OBSERVATION HOLE LOG Hole #; Z Depth from Soil,l lorizon Soil Textaare Soil Color Bahl OIhcr Surface(in.) (USDA) (khmsell) Mottling (Structure,Stones,lioulderes. Consisicncy.%ornvel)_ Y DEE1':013SERVA`I'ION HOLE LOG . 1161c# Depth from SoitIforizon Soil'I'exlure Soil Color Soil Othcr Surface(in.) (USDA) (Monscll) _•Mollling (Structure,Slones,Ilooldetes. Consistcncy.%Cnavell i DEEP.OB.StRVATION 1 0LE LOG Hole# Depth from Soil Ilorizon Soil'I'cxlure Soil Color Soil Other r Surraace(in.) (USDA) (Mousell) Moltliog (Struclurc,Slones,Iloulderes. Con.'sl�Lcy,°1�(ir,vcl) Flood Insurance Rite Mal Above 500 year flood boundary No Yes 5 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 file area proposed for the soil absorption system? If not, what is the depth of naturally occurring pervious material? certi.rlcation; 1 certify that on (date) I have passed the soil evi_ln?tor examination approved by the Department of Environmental Protection and that the above nnalysis'vas performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017.