HomeMy WebLinkAbout0148 WINDSWEPT WAY - Health 148 Windswept Way
Centerville
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Town of.Barnstable P#
Department of Regulatory Services
Public Health Division Date r d�
200 Main Street,Hyannis MA 0260E
Date Scheduled a Time—X2� Fee Pd.
Doll Suitability.Asse' ssment for Sewage is osal '�
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Performed By: -SU �' Witnessed By:
LOCATION.& GENERAL MORMATION uS
Location Address Owner's Name W;Wu,,,5,+ �, H A+bto��I'/
' ��`'�g,Y' Y►��i�.�. 7• Cedes crap �T�.�
Address 17y
Assessor'sMap/Parcel: CjSZ-002 engineer's Name 5�\�Ww� lhy`n�err•�
NEW CONSTRUCTION REPAIR' ✓ Telephone it So9-Az16-3"34H
Land Use _I��s er�Ck,�.� Slopes(96) 3'Z5 4/0 Surface Stones . Um
Distances from: Open Water Body y 110- ft Possible Wet Area It 7 ft Drinking Water Well J�a ft
I!A- 146_ AO lYan�
Drainage Way_0( ft. Property Line 626 ft Other /VN ft
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SKETCH:(Street name,.dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
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Parent material(geologic) bd S I > Depth to Bedrock 560 "
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Depth to Groundwater. Standing Water in Hole: G. Weeping from Pit.Faee
Estimated Seasonal High Groundwater �� -i7t` ( 2 1"7e-17 3, faa -IaC'� j
DETERMINATION F`OR SEASONAL HIGH WATER TABLE
Method Used: Alga —fie
Depth Observed standing in obs.hole. _ In, Depth to Soil mottles: in.
Depth to weeping from side of obs,hole: in, Groundwater Adjustment tt.
Index Well(i Reading Date: Index Well level .. Ali.fhetor _ Act.0raunAwater Level,,,,,,
PERCOLATION TEST Date ' " Thus.j=
Observation
Hole# l Time at W1
Depth of Pere _ Time at 6'..'
Start Pre-soak Time f# ZS �b lime V-V)
End Pre-soak
Rate Min./Inch
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Site Suitability Assessment: Site Passed; '✓ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-=-------
***If percolation test is to be conducted within 100'of wetland,you must firstnotify the.
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:SEPTICIPERCFORM.DOC i
DEEP OBSERVATION HOLE LOG ` Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil- Other
Surface(in.) ! (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency. Gravel)
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3-611
i► . SAN�T
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DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color: Soil Ot er
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistency,
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DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency, 0
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
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Flood Insurance Rate Main
Above 500 year flood boundary No Yes _
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Within 500 year boundary Tfo i Yes ��'►^
Within 100 year flood boundary No �' Yes
Depth of Naturally Occurrine}Perviotts Material
Does at least four feet of naturatly,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 t�ccurring 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 analysis was-performed by me consistent with
the required training,ex 7�e and experience described in 3.10 CMR 15.017.
Signature Date
Q:=PTICVBRCFORM.DOC