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HomeMy WebLinkAbout0000 RIVER ROAD - Health (2) 0 River Road (Lots 1 & 2) Marstons Mills 1 A= 061 — 004 1 I Of- Av vv>t>t ut -Darnstame P#— ��- ; $ Department of Regulatory Services Public Health Division Date / 1639. 200 Main Street,Hyannis MA 02601 Date�Scheduled � Time JCS � y A`, ------ Fee Pd. / _�-3.a By: SOI Suitability Assessment for maje Disf1 offal �1 IV,) , p Performed + `') Witnessed By:�, ' LOCATION& GENERAL INFORMATION Location Address /� 2O, + Pn Owner's Name C 7— jQr'/-��l J c.(S�!y Address Assessor's Map/Parcel: �pl��`� ( /0t'S Engineer's Name J �(� I 6ti--f c1 C,A• NEW CONS++TT�R__UMCM ✓ REPAIR Telephone# r o Land Use ID,S/ , 4,- Slopes(g'o) 7i'�_ Surface Stones AJO lq Distances from: Open Water Body 7/00 ft Possible Wet Area )0 ft Drinking Water Well 7 ZOt) ft Drainage Way ft Property. Line 2'"7 S_�_ ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) C�LL Cr; C') 'S l I as co 1 wt� I Parent material(geologic) Depth to Bedrock Depth to Groundwater: Standing Water in Hole: /Q P Weeping from Pit Babe r Estimated Seasonal High Groundwater �l Z- DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: '� ���crP 'd/L t! n� Depth to soil mottles: In. Depth to weeping from side of obs.hole: _o in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level,gin , Adi,factor— Adj.Groundwater Level Observation PERCOLATION TEST Duty �/v 6 Time,�_�___ I Hole# ` 7, _ Time at 9" G:22. Depth of Pere 3 Z'� U= Time at 6" __ /0 f Z, Start Pre-soak Time @ :59 &0 Time(9"41) 3 End Pre-soak 00Y /0 i ZD Rate MinJInch Z Z, Site Suitability Assessment: Site Passed Site,-Failed: Additional Testing Needed(Y/N) . 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. Q:SEPTICU'ERCFORM.DOC 4: A 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) -30 3 S. /e. 2 r 6 - r6 30 0S C- 5 2�s. G eEgacld DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ns' tencL% a -SO'J - V 4 G 2�, - s�✓�( DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Cmsistency,%Gravel) & 3 2 -3� rA v Pd 36-6` G DEEPII OBSERVATION HOLE LOG Hole# —�— Depth from Soil Horizon Soil Texture Soil Color Soil Other h Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders. Consistency, ^� FlM L S 25 &o S16vie, � U Flood Insurance Rate Map: 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 li 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 Il (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. Signature t P Date Town of Barnstable P# Department of Regulatory Services euuvaresr$, : Public Health Division Date 1639. 200 Main Street,Hyannis MA 02601 Evt�b Date Scheduled Time Fee Pd. Soil Suitability Assessment for Sewage Dis osal Performed By:_pr 1/iw Graff y " �� ��.y- &tf-eWtUR Witnessed By: LOCATI N & GENERAL INFORMATION R&rLocation AddresseM 41 Owner's Name �n kl As AA�X/ & V*9 Address Assessor's Map/Parcel: C, o Y—40 V Engineer's Name � 1 NEW CONSTRUCTION /REPAIR Telephone# aq5, land Use .C/r-(w-W, ( Slopes(%) .2--10 Surface Stones iUCr Distances from: Open Water Body > ly0 ft Possible Wet Area >(00 ft Drinking Water Well > ft Drainage Way ft Property Line 30 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) T© a Parent material(geologic) Depth to Bedrock Nf Depth to Groundwater. Standing Water in Hole: kD NE; Weeping from Pit Face (ULA Estimated Seasonal High Groundwater �0 , DETERMINATION FOR SEASONAL HIGH WATER TABLE Method Used: t / Depth Observed standing in obs.hole: ✓TOP 0 F '16�!l r in. Depth to Soil mottles: In. Depth to weeping from side of obs.hole. in. oroundwater Adjustment ft. Index Well# Reading Date: Index Well level- A41,factor- Adj.0roundwater Level PERCOLATION TEST gate &/a aZ Thee Observation Hole# 13 Time at 9" 4�� ILL ',0 p 11 oti 3 Depth of Perc Time at 6" Start Pre-soak Time @ /0 l 3 /D S 3 3 i?SS +� '�p Time(9".6") End Pre-soak Rate MinJlnch Z 110144 Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----------- r ***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. Q:\.SEPfICVERCFORM.DOC 1 y� 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 o—Y A 1=5C, /o R3 2 2 F L S /v LX _ *V FLAQ ZO G ScwCk- SW ILI — loose DEEP OBSERVATION HOLE LOG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel - A ES(_. 60 le 3 2 C9'3`( t3 Y►� FLS /a yze 3Z6 _ Very FrraO l2v G S"d &fy 6 A �GbSQ DEEP OBSERVATION HOLE LOG Hole# 3 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Gravel 0-6 26�l20 G S' Z� o6S� DEEP OBSERVATION HOLE LOG Hole# _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency. ra I 0-6 4 FSL, M z — s Z 113 fin F Z- 16 3z�w c s�� 2� - �66 Flood Insurance Rate May: 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 (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 340 CMR 15.017. Signature Date Q:VSEPTIC\PERCFORM.DOC