HomeMy WebLinkAbout1043 RIVER ROAD - Health 1043 RIVER ROAD
MARSTONS MILLS
A= 045 - 044
Town of Barnstable P#
1' Department of Regulatory.Services i
tl"a Public Health Divisimn� on asS. r Date fV
200 Main Street,Hyannis MA 02601 �
xa
�71 3
Date Scheduled J Q n IS Time /1•0 0 Fee Pd. 0-
Soil Suitability Assessment for Se ispo t
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✓�
.. . Performeday: Dan(-e' Gon5gI(/�5 Wimessad:By:
LOCATION GENERAL INFORMATION
L
ocation Address
/O�3 R i✓e Owner's Name V�I/" ,
�/ Address
essor's Map/Parcel: T r Engineer's Name 0 t.]v/ram-
CONSTRUCTION REPAIR Tele hone#�(� U b1
Land Use:. Q� slop-(%) 0—�/� Surfncc Stones Gn
Distances from: Open Water Body !//0J G it Possible Wet Area f?/!VG ft 'Drink
Ing Water Well /GGft
• Drainage Way �/O✓ ft Prop"VLine it .Other
ft
L91MTCH:(Street name,dimensions of lot,exact locations of test holes&pore tests,locate wetlands in proximity to holes)
n
Depth to Bedrock
Depth to Gtoundwatcc Standing Watcrin,Hoolle: Weeping from Pit Fnee'
Estimated Seasonal High Groundwater Na �=
I PPJYHNATION FOR SEASONAL B[IGH WATER TABLE
Method Used: w Fi
Depth Observed standing in obs.hole: In. Depth to soil mottles! TM In.
Depth to weeping from side of obs.holy In, Orouadwater Adf uatmeat„ ,.£t.
IndexWcll# RcadiogDate: Index Wellteval._ Adj.Factor_Adj,Groundwater Level
,,,_,
Observation
PERCOLATION TEST Date_,,,,_ Time
`
Hole# 1 / Time at 9"
Depth of Pero Z 7 Time At 6"
Start Pre-soak Time @ Time(911•611)
_. _... _
End Pro-soak /
Rate M.In./Inch `-- /��C�•,
Si to Suitability Assessment Site Passed SitpFallcd: Additional Testing Needed(7/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 Ieast one(1)week prior to beginning.
Q:ISEPTICVERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#�_
Depth from Soil Horizon Soil Texture .Sdil Color Soil• Other
Surface(n.) (USDA) (Mansell) Mottling
(Structure,Stones;Boulders.
i c ,y 96'Cravcl)
L 5 /aye 3/2
Ca- 3a L 5 10-0`%
_3042•0 C 2,5�y 7/y
DEEP OBSERVATION HOLE LOG Hole# 2
Depth from Sell Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
a i on, Gravel)
0-8 A . . . LS '
9-3
31-12� C /C 2;�/�/.
DEEP OBSERVATION HOLE LOG Hole#. '3 _
Depthfrorr Soil Horizon Soil Texture Soil Color Soil Other'
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
o t to c O
G- � � S )0YP-i z
DEEP OBSERVATION HOLE LOG Hole# t-! '
Depth from Soil Horizon Soil Texture Soil Color sail Other
Surface(n.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
Consistmv.
• U- � 74
7- 32- P L5 10%
Flood Insurance Rate Map:
Above 500 year Hood 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 pervioys material exist in all areas observed throughout the
area proposed for the soil absorption system2 \/�'>
If not,what is the depth of naturally occurring pervious materiall
Certification S////�
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�10 CMR 15.017.
Signature � �a Date )///
QA EPTICIPERCPORMMOC