HomeMy WebLinkAbout0071 RACE LANE - Health -
r7 gCA-CC
f?1o�r (or
l
Towh OF.Oalrnstabte P* S99,Z--, v
Department of Health,Safety,and Environmental Services
o�TNQ Public Health Division Date�9,Z
4 367 Main Street,I lyannis MA 02601
MA
a�twer�sut
flo r a Date Scheduled Jol-Y Z / Time /O:u4w Fee Pd.
Soil Suitability Assessinent for Sewage .Disposal
Performedt3y: Arne QJHt.+ 5s-.. Witnessed By;J-CIVY Dtjnrnjny—
LOCATION & GENERAL INFOR.MATJON'
Location Address V 2Q cr—/a1K_ Owner's Name .4 tAMYS T. I"i V 'HT5
Address Tor &U.4"ER. 7A.
joAn lNV IfTS TX 76S
Assessor's Map/Parcel: ��✓�G"Z Engineer's Name dowa eye.tit C twin#floc
NEW CONSTRUCTION _ Rf•PAIR Telephone# . 0r ICE y5 II
Land Use �S.—"�N r�[lair► a
Slopes(/o) . _ Surface Stonxs Artntist.
Distances from: Open Water Body AJ + R Possible Wet Area /0 O ft Drinking Water Well A&47 _ft
Drainage Way T ""R Property Line R Other H
SKETCH:(Street name,dimensions_of lot,exact locations of test holes&ycrc tests,locate wetlands in proximity to holes)
40�
RACE LANE!! R.7, 02� �� hII�E \
W 45 6A6 i932 CIXIU1Y REL4X-J .
'nA • r.,
y' I
1 _
"'IA
bLOQ0 S�a
44!
q3 I-Pn s7
Parent material(geologic)
q.� A Depth to Bedrock
Depth to.Groundwater; Standing Water in Hole: A10 Y !(ft— Weeping from Pit Face
Estimated Seasonal High Groundwater Ajlf"` �Lgf
v
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Mcthod Uscd:
Depth Observed standing in obs,hole: A/OAJ E in. Depth to soil mottles: NO1�e_ in.
Depth to weeping from side of obs.hole: NOS—in. Groundwater Adjustment R.
Index Well p Reading Date: Index Well level Adj.factor Adj.Groundwater bevel
PERCOLATION TEST :.<'.1 acre Time `i
/2y
Observation '
Holed Timc at 9"
Depth of Pert 9
—�-.-- Time at 6„
Start Prc-soak Time(a Al Time ff'-V)
End Prc-soak
Rate Min./Inch
Site Suitability Assessment: Site Passcd Site Failed: Additional Testing Needed(Y/N
Original: Public Health Division Observation Hole 1):;ta To Be Completed on Back—. --
copv. Applicant
l �
DEEP OBSERVATION HOLE LOG Hole#
Depth tiom Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsoll) Mottling (Structure,Stoncs,Boulderes.
%
cd C ��N,y4xj.+ Z.sy c12'
wy2c$.
• � ;., Z pup
7r _,os L� 'k� `' Z.sy�z
r
a T .1 t DEEP OBSERVATION HOLE LOG Hole#
l�cpth.from +•G Soil Horizon Soil Texture Soil Color ; + Soil
r Surface(10. (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
.•r` nsi
°: 0mven
sl/¢Laa,►i Z,Sy3�3
A O
f: DEEP.OBSERVATION HOLE'LOG Hole#
Dcpth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in,) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.°' ravel
Z _ 3 A- iayrz
r s Z,9 7/2-
35-�2 G rn Z•SY 7 Z
Nv
{`Awl
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon - Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
n ' to c °/ r
Flood Insuca uce Sale MAn:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No_ Yes
Within 100 year flood boundary No_ Yes
i.0epth of Naturally Occurring pervious Material
r ,
'. Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed forthe soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on VAA-- (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. �J
,�d'rnc!d
t