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HomeMy WebLinkAbout0470 WHISTLEBERRY DRIVE - Health 470 Whistleberryi�� Marstons Mills A= 061 055 ti �� o c Town of Barnstable P to Department of Health,Safety,and Environmental Services a Public Health Division Date 367 Main Street,Hyannis MA 02601 wlr+areet� MAM 1 end" Date Scheduled �' ��r �J Time 1-" Fee Pd. `9/D©.0,0 Soil Suitability Assessment for Sewage Disposal Performed By: &T>r Lt\V O . Q Witnessed B r ,� Y• LjEG 01c.Cnnntll +'NVt Location Address LI70 Owner's Name _Ak K1. FlOs�e�\er 4�5, IY�ats�or\S tN1i11s .Sc.NoC'L i3o(7 T�vS Address 77o A, M&IN SZ� g o,ZEN%LLE, Assessors Map/Parcel:0tvl95 5 Engineer's Name SoVGn tI� < . Ct��jiOPe(�h, NEW CONSTRUCTION REPAIR Telephone q SoA yeti-33`ty Land Use RE.S%be)J T I Slopes(%) W14tU E'S Surface Stones E Distances from: Open Water Body SUS'¢ ft Possible Wet Area t 6C1 t ft Drinking Water Well ba ft Drainage Way—Al�—ft Property Line _ft Other )) ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Y 1• N A F A 50 a , §1 N y 1 30 A 0 A ® o too , v I.O 4.K 0' OP✓' 04 � t• ,\ ,O Parent material(geologic) QVVL- SN PEA)P Depth to Bedrock 3dp + jDepth to Groundwater: Standing Water in Hole: iU b Weeping from Pit Face ub Estimated Seasonal High Groundwater GC.LIS F ttotrl -1,0. (off QU)JDwA'1 k. :>D TERMINATY IIV 1+OR SEASONAL HIG WAT R TA13L MethodUsed: ........... ............. ........ .....:.::..:.: Depth Observed standing in obs.hole: in. Depth to soil mottles: Depth to weeping from side of obs,hole: in. in. Groundwater Adjustment ft, Index Well N__ Reading Date:_..__ Index Weil level••,___ Adj.factor_ Adj.Groundwater Level PERCOLATION TEST ::::. .:nail>>a� ... ...... Observation Hole fl V - Time at 9" i Depth of Pere Time at 6" Start Pre-soak Time® S 14� Time(9"-6") —�— End Pre-soak I Rate MinAnch M� Site Suitability Asse$sment: Site Passed \'�t5 Site Failed: /)y Additional Testing Needed(YIN) N `U Original: Public Health Division _ , t , , Observation Hole Data To Be"Completed on Back, Copy: Applicant L I +ht ll 9EIR., A 11UN MULE LQG Tole#T I Depth from Soil Horizon Soil Texture Soil Color Surface(in.) Soil Olher +'J?^•(USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 1 3-Ott O PARTty IDEcornPosfD 0 leA�bS+�YlAlir Ncl Dlt1 0-3 7.sy U� RhvEL�3 -y DEEP OBSERVATION HOLE LIDG Hole# Z Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. 0 y_C) DECom a LERvVS NE � 0 5 ' b l7 Iol R s/ � bEEI'OBSERV'ATIOiY�-IOI:�E<LQ�: Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. —Cunsistency-% DEEP OBSERVATION HOLELOG' Hole;# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (.Munsell) Mottling (Structure,Stones,Bouldcres. % Flood lncurance 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? VE5 If not,what is the depth of naturally occurring pervious material? NIA 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 ing,expertise and experience described in 310 CMR 15.017. Signature d Date k0(31 O