HomeMy WebLinkAbout0011 BLOMIDON CIRCLE - Health 11 Blomidon Circle
Marstons Mills
A= 058 - 011- 007
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
O;IMF Public Health Division Date oelo /
$ 367 Main Street,Hyannis MA 02601
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Date Scheduled }J/ /0T o20 0 Time Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: TAG- Witnessed By: KoWJ SGiel AC.I✓
L4CA'I��QN & NERAL INFORMATION
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Location Address Owner's Name
C6/om�don L'/ro/e y95
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Address
Assessor's Map/Parcel: 0,5e /Pa�, o-,e O a!P1t 0// Engineer's Name r SL)f!l i V a/1 Pr
NEW CONSTRUCTION REPAIR Telephone N pL- yae-- 3 3y
p
Land Use _ \ESMEVTI A(- Slopes Na) /V Surface Stones NDNE
Distances from: Open Water Body 500+ 11 Possible Wet Area 5061- It Drinking Water Well SOo t R
Drainage Way &N- It Property Line 10 tt Other All R It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Dig
to
e `O !
a 0 p IV.
Ln
CD
't 70
Parent material(geologic) OUTOkSH Pt A M Depth to Bedrock Jbo }
Depth to Groundwater: Standing Water in Hole: NO Weeping from Pit Face NIA
Estimated Seasonal High Groundwater C-L-. ZS VW '`OLaN O F ?A1JvSTALU. (,\j wAi1>w 'F L-& AN?
.. ...
"1.G.. E(. 76.,.
ATIUIV;�'.(3I2. EASONAL.HIGH.'VVA > TA :> >> >> » >
D1 ...:...............................5................................. .......................�'...1�.......... .....�............................
Method lJsed ......::.::.: ;;:::; ...........................................................................................................................................................
SC AWVG
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment it.
Index Well#_.__ .Reading Date:.__..._._ Index Well level.,,._,_ Arli.factor Adj.Groundwater Level_.
PER+ (�LATION TEST -..'Date `#:1:Q Tihlb IO >b
Observation
Hole N Time at 9"
Depth of Pere Time at 6"
Start Pre-soak Time® Z (o LO)v Time(9"-6")
End Pre-soak
Rate Min./Inch Mgt✓ pFR 1N(1�
Site Suitability Assessment: Site Passed YES Site Failed: — Additional Testing Needed(Y/N) JV
Original: Public Health Division Observation Hole Data To Be Completed on Back j
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Copy: Applicant ai r • r
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BEEP: 0B$ERVA�'IUN IOEI✓LQG Hole# i
_.
Depth from Soil Horizon• Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%Gra ell
PA6WNU`I 1)tt`Arr`Pob c)
Q—� ONkt #M- M LEAS+~s *-7WV0S
SANttLC (,RAOM, [.Oast'
y- A LOAM F-L.J VG+mG'1 l Xn not
I t7`I Shp VERY PR&t
-I b K r "ANU 10 W k
DEEP 0'SERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
pART'--Il DEcoM►?DS
-� t) OWN%L AT' Iny2 1 t_6AvCS}-VJ165
5wbtG- bRAU1, VooSt
#" 5-7 l DAVN St\N ION& L� t '� "w f-\uE t m turn ou'\S
.4m-1 FftNq L:
7- 0 1 o \ FWe Y KID
vc-tr o SAND I U �o s�bRk\Je(-
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DES. QBEXtA�'�`tO IIOE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldcres.
0
DEEP OBSER`TATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,.Stones,Boulderes.
%Ora ell
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes X
Within 500 year boundary No X Yes
Within 100 year flood boundary No X 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? yES
If not,what is the depth of naturally occurring pervious material?- Alh —
Certification
I certify that on P X. F6 ro (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 an experience described in 310 CMR 15.017.
Signature Date l r