HomeMy WebLinkAbout0041 BLOMIDON CIRCLE - Health 41 Blomidon Circl.e'--
Marstons Mills
A= 058 —011 - 006
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Town of Barnstable P
Department of Health,Safety,and Environmental Services
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Public Health Division Date
� 367 Main Street,Hyannis MA 02601
MUMEMAHM
lE1 ,� Date Scheduled /�l/ �� . 02001 Time 1 U%0 0 Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By:
r%� 7 G •Witnessed By: \<CAW SCNESP�I.E
LOCA'1~ ON & CERAL INFORMATION
Location Address
oT
Owner's Name
L
/,q m 1's10 r7 C J-lA /e Address
rr1 a rs ns m 01.S ,p
i Assessor's Map/Parcel: 05e/PQ r•t pf e r e�l o// Engineer's Name 1 Pi f el
NEW CONSTRUCTION _) REPAIR Telephone N SDf - 11o2V— 3 344y
Land Use RCSIDEA/Tl ht Slopes(%) 0--SO/0 Surface Stones NONE
Distances from: Open Water Body 500 t R Possible Wet Area OO R Drinking Water Well r�0�} R
Drainage Way /Y�IY It 'Properly Line 1 ID R Other NIA, R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
0 2
•
Parent material(geologic) OUT Asti Depth to Bedrock 3
W ft ()0 +
Depth to Groundwater: Standing Water in Hole: MCI Weeping from Pit Face /V 1-
Estimated Seasonal High Groundwater 0, S' BOM MON Or htJNSTh&E
C.L.':u;; L... ).� �:::»>:::>;><»>>:>:::>:><::
'T:YON '(�►Y2ASONLGH'VVAxEI2 ..:..
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...... ... ....
Method Used: SC-I i4 G' mG in. Depth to soil mottles: in.
Depth Observed standing in obs.hole: p R
in. Groundwater Adjustment
Depth to weeping from side of obs.hole:
Index Well N___..,_.,. Reading Date: Index Well level... Adi,factor Adj.Groundwater Level
N.ir. <::::r.::C:;:: >; :;.......
TEST >::::>;»:< natr:... .... .;;;
.:::::::.�::::<.::<.;::.;::::::::::::,.::<:.::: .,.........::::::.:..:... .............
Observation
Hole N H_ ( Time at 9"
Depth of Pere
521 Time at 6"
Start Pre-soak Time® Time(9"-6")
End Pre-soak -W 15 mint of
Rate Min./Inch 2 tA\A �1tU'I
Site Suitability Assessment: Site Passed yC_,_ Site Failed: — Additional Testing Needed(Y/N)/_
Original: Public Health Division
Observation Hole Data To Be Completed on Back j
Copy: Applicant #
DEEP OBSEy2VE1TIO�T HALE LOG Hole#_J
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
Consistency.0
1PN TLY DCC6Kf05ED
LEAVES Y TW16S
i L0066
- I D R NLb 10W, r NE- i ooi
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vtrgY F<i1A$�tr
YEP.`t roost:
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)" (Munsell) Mottling (Structure,Stones,Doulderes.
%
PA—MI) DECotr WIU--b
NIC MAT 1o`I 7? AS V- A-TWIGS
S1Nt°LE KAW� 1y04�
y- I O AMA €:N'u 10 y rZ 3 Z �w t E
lU" 3�j 1,Ib �OyR — w F NG-% Ee�NrnRuo�
33—110L eow lWt" 10`K S =
DEEP Q$ RVA"TION HOLE LOG H ole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
Consistency.°
OEEP.OBSERVATION ROLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
1
Flood Insurance Rate Mao:
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? `IES
If not,what is the depth of naturally occurring pervious material?=l
Certification
I certify that on ..'�.. 1C{ (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.
Signatureqt.,�S ____- Date �0