HomeMy WebLinkAbout0000 RACE LANE - Health 0 Race Lane
Marstons Mills 083-012
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Transmittal Letter ` "
22
PM 124
To: Board of Health
200 Main Street
Hyannis, MA 02601
Attn: p,, 'Desrna�aits
From: Stephen A. Wilson, P.E.
Subject: a,,, zS�N�: wts he �ak� rv���sd:,tis a>1�tl
Date: 9
We are sending you ®Attached ❑Under Separate Cover
The following documents:
❑Prints❑Order of Conditions El Variance Approval❑Recording Slip ❑ Septic System Permit
❑Notice of Intent N Other
DATE QUANTITY DESCRIPTION
o
These items are transmitted as checked below:
❑ For Your Use ❑ As Requested X For Your Files
❑ For Review and Comment ❑ For Recording ® As Required
Other:
Additional Distribution L
File No. ?_00 V-11el
Baxter Nye Engineering&Surveying Phone:508428-9131,ext.13
812 Main Street Fax: 508428-3750
Osterville,Massachusetts 02655 E-Mail: swilson@baiter-nye.com
TransmittalLetter4.doc
Town of Barnstable P# P -1 10 7 7
THE rp��
o Department of Regulatory Services
-8ABi18TABLE, Public Health Division Date
v� 6 9. `0� 200 Main Street,Hyannis MA 02601
ArED Mpy
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Date Scheduled .5a 42,F, 206-T Time /0,'Q kj Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: S ET h�e"� Inc 1 I Se to . n e• _ Witnessed By:D0-,kp j j Dr_e me r-GI S
LOCATION & GENERAL INFORMATION
Location Addreko ROC,: 1 b r, IR"rw *Xr.l 0AC4 Owner's Name S a m v c l I Mint-&
li►'l►s h C. Address
lvla.vstvv►s YYIil!5 1303k'1 (Most, 0210
Assessor's Ma /Parcel: Engineer's Name hen A. 01 is Wt/1�(,;
P wlhp 83� Po�c�1 12. �
NEW CONSTRUCTION Y _ REPAIR Telephone# yr C)@' +/L8-�7/$(� rx� /�
Land Use Slopes(%) ® '/5 70 Surface Stones n 04 C
Distances from: Open Water Body /O b ft Possible Wet Area ft Drinking Water Well ft
Drainage Way it Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
Parent material(geologic) G I C►i ( huh-��a.s b! Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
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 ft.
Index Well# Reading Date: Index Well level Adj.factor Addj..�G�ro�undwater Level
PERCOLATION TEST Date Time /o;,441 l
Observation
Hole# / Z Time at 9"
Depth of Pere _ 6 6 4 rr Time at 6"
Start Pre-soak Time a �'l;y8 �D;l Time(9"-6')
End Pre-soak /d. 03 /0!33 Unv6te 40 ZacaW. e- 'NC�-
Rate Min./Inch � Zw►tw�lnC�► 72rn��(tnc� Pc� �CBt
Site Suitability Assessment: Site Passed_ Site Failed: Additional Testing Needed(YIN)
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 first notify the
Barnstable Conservation Division at least one (1)week prior to beginning.
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DEEP OBSERVATION HOLE LOG Hoe# /
Depth from Soil Horizon Soil Texture Soil Color Soil Other.
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.% el
O
,4 54,i,Py 4 oam /o Yie S13 —
9"• z o" Z /d Y f 7//
20,. SZr, C CAW% a�� 10 `ra 3/3
f7 1 I S G't�t
SZ`--IZO.r C� vNccSt�v», 5 �p �le S/�/ '_' I(�m G.1ak•—
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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.%Gravel
a_3 ,r O
--
9 R -712
/9'r-3to" C Sr/fV Sord /C) YR S/y
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Sulfate(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency.%Gravel)
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)
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 rY S.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.
Si nature
Date
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Q:H EA.LTH/W PMERCFORM
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