HomeMy WebLinkAbout0061 BLOMIDON CIRCLE - Health 61 Blomidon Circle-
Marstons Mills
A- 058 -011 - 005 _
1
Town of Barnstable P# 9 �
Department of Health,Safety,and Environmental Services
�,►�, Public Health Division Date
$ 367 Main Street,Hyannis MA 02601
S BAMI rwar8,
Meas.
EDMA'S&` Date Scheduled f;?r i /d .o2-00/ Time q •y O Fee Pd.
S`oil Suitability Assessment for Sewage Disposal
Performed By: %IUk li&r —rtX • Witnessed By: XMM SCl1tI��C
....... :INFORMATION .
/.�
Location Address / 0 T / Owner's Name ,1)1 J'yi
/O!'Y1 r�pyr C/rG/(� Address
r?a/s/ons M,'/>s
bs�cry i'l/e- /77 9 ctz�sf
Assessor's Map/Parcel: 0&f pa,-t 0-f Parma O it Engineer's Name 10e_•/er- SO//i✓a/7 Pr
NEW CONSTRUCTION --X- REPAIR Telephone a ,50,F— N-�e-33 L/If
Land Use RE5QE JTI k- Slopes(°/.) Qom% Surface Stones NONE
y: Distances from: Open Water Body 3 Ode+ R Possible Wet Area 00'+ it Drinking Water Well SOU-+ R
Drainage Way NZA R Property Line 10 (t Other R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
CJ
81,0 booth
WinAll
. ,
o
A.
Parent material(geologic) OUT WASH MIN Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: NO Weeping from Pit Face NSA
Estimated Seasonal High Groundwater FL.ZS, FROA TOWN of PSN&X:5TAL-t% (09,WNWAIIA IYIAt'�
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SO AL.HI. H.:'WAS'Eti..'f........................:...::.:::..::::::::
DNA" 'Yp1l.. '.t1t:.S...E..... .::::::: .:::::.::::.
Method Used:
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment R.
Index Well#_._..•_•.. .Reading Date:___.—.— Index Well level-_•_ Adj.factor Adj.Groundwater Level
ii;:'S;i?:.;'.•'•.'?:::i:'?:.?;zszE`E::.;ii :itiii'i6iCi?4:G::; : :.. it
rn�::::>::Time9 a
X,X
::::::::::::.:;:.;:.;;:.PERCOLATLON.TEST..:::::::::.:::: ... .
......................
Observation
Hole# T H- Time at 9"
Depth of Perc (00 Time at 6"
Start Pre-soak Time Q Z5 (dui wuS Time(9"-6")
End Pre-soakYItR ,
Rate Min./inch
Site Suitability Assessment: Site Passed ��CS_ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back.-�
Copy: Applicant
r
.i EEP 0.8$V ..AT.10 HOLE LOG :Ho16 ff
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
QA,�TCY OC-CO►^poSEA
0-5 U Nt M IU 'Z1 (
-1 0 A Lu A It)J& L-I Z �� e-6 wr�m��o�R, 061S
IU-NS 3 SP�N1� 10 11f\ LII(o -�EwIF�in�Eo��r� �.
VERY LooSE
ohm_ Shlilb l u
;DEEP;,OB.SER�'ATION HOLI'1 LOG ,::Hold#'
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
PARTI.`I DECar�PoSED
O oReAW lL M kT 0 LC-A41c:5;Tki t65
SINvt.0 bKA�N, LOOS'
3-� (M S ► IVY 4IZ u l=wL--tie M. co S
vcVIv -*1\hV6Qe'
5AN (U
..,,. VFAY took
y-7-1Zo L oA1l RM> Ib S) urw-c\
.
DE�� OSEtATONOI� LOG Hole#
. . .. .
Depth from Soil Horizon §oil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Bouldcres.
Consistency,
:DEEP OBSERVATION HOLE LC1G Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
°
Flood Insurance Rate Mao:
Above 500 year flood boundary No— Yes
Within 500 year boundary No JC 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? JES
If not,what is the depth of naturally occurring pervious material? /V 67-
Certification
I certify that on NpR.\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 310 CMR 15.017.
0 Signature ,�U Date