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HomeMy WebLinkAbout0097 WATERS EDGE - Health F�M te7 Wars Edge arstois Mills Town.of Barnstable P# le", Department of Health,Safety,and Environmental Services ofIm Public Health Division Date 71,;Wol 367 Main Street,Hyannis MA 02601 S al WgrASM 0: KAM Date Scheduled Time scl Fee Pd. '� ADD•!�(� ForArd Soil Suitability Assessmentfor Sewage Disposal Performed By: —?e_APt 5Q tVat1 Witnessed By: �DmA "zAr,ri I,QCATIOI &CENEItAL INPQRMATtON. k� Location Address y 7 WhTi`�5 �D6� Owner's Name Pr`kc-, (k M. Hose T t�S C!AgoI. 60(_ Address 77%(gAt)4 ST. Assessor's Ma /Parcel: dG;Z�47 OSTgRU%LLG, m i c p Engineer's Name S%Ak4gn �, i(1e4c aJ NEW CONSTRUCTION REPAIR Telephone# SO b-`i 2 a 3644 Land Use %Nm2 \ I0�r\ Slopes + <Zb% Surface Stones A)UNE Distances from: Open Water Body 3b0 '— ft Possible Wet Area 300''�- ft Drinking Water Well ft Drainage Way -�M\ ft Property Line ID ft Other A)4 ft SI{ETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) w�?CRS °j • mro •t °� to i+•O •o to N 5t o A.a N �oe•i - �.oa•r- E • v 5Z � i`• 4� IRS ® ® Al IEALE I*-Od r ® 1. M ow OW k • ` IVq • y0 Parent material(geologic) QA'Wg'l-k� y Lai h Depth to Bedrock Depth to Groundwater: Standing Water in Hole: 1'4 0 Weeping from Pit Face NOW Estimated Seasonal High Groundwater tL 94� 0. ,. � toL_..75' .. riT9�NATYCII�SEASONAI. IIGII'V�ATEIr TABLPI Method Used: A,(l;.O1lC Depth Observed standing in obs.hole: in. Depth to soil mottles: in, I M1 Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. f Index Well# Reading Date:_. Index Well level... Adj.factor_ Adj.Groundwater Level PERC(3LATION TEST Hatt<� Time ' fObservation Hole 1< 3 Time at 9" Y n. Depth of Perc l 'c30 Time at 6" Start Pre-soak Time® G 1J Time(9"-V) ' End Pre-soak A n 0 t rtel� Rate MinAnch C Z rtl�21�r. Site Suitability Assessment: Site Passed r Site Failed: /V U Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be.Completed on Back Copy: Applicant 1 f DELP OBSERVATION HALE LpG Hole#_ Depth from Soil Horizon Soil Texture Soil Color Soil Other jSurface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. %oraygn �P.TLy LsC;�oind�a' DEEP OBSERVATION HOLE LQG Hale Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % D 'FtRtt f Ar-A.OrnPLIWLC . 7.SYR zI l VES Ti M ;; N ;tGr Lot S k1J o� 3/ In <D DEEP:OBS)�:R�ATIQ1+�RODE LQ� Hole# Depth from Soli Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. i DEEP:OBSERVATION HOLIa LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other 1 Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. I o Flood Insurance Rate Man• Above 500 year flood boundary No_ Yes V 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 .. j area proposed for the soil absorption system? y2 j A If not,what is the depth of naturally occurring pervious material? (VA- Certification I certify that on (, \ 199 5(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. Sieniture �"J 0 Mle 12. �$1