HomeMy WebLinkAbout0131 CARLSON LANE - Health 131 CARLSON LANE
WEST BARNSTABLE
A= 110 - 030 - 001 /
,r
r
Town ®f Barnstable �a�
Department of Regutlatory Services
Public Health Division
n+nee , O1H Date
A t639 �� 200 Main Street,Hyannis MA 02601
,,c
Date scheduled Fee 1'd.
Time .
t�
z"
Soil Suitability Assessment f®r° Se
Performed By: Witnessed By:
/ LOCATION& GE, RM
RAL EvOATION
Location Address AY'f1q/U Z,4 Owner's Name 7b A9,9raV,_4;7,
Address C' PLv /V ; /S* YY
Assessor's Map/Parcel;
Engineer's Name IU�CA
NEW CONS'rRUCT10N ✓ _ < �
// REPAIR Telephone# I �Q
Land Use' RJD .�t/ BG Slopes(96) D Surface Stones /(l
Distances from: Open Water Body N r'J' t �'
P yft Possible WeGArea—eSD _ ft Drinking Water Well /.JD ft' r-f-
Dralnage Wny �� ft Property Line ft Other
ft
SI j,'TCH.'(Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands(n roximit p y to holes)
/V
k ADI,U
3 p.-ool got \�
d
\ CIO
S°J
i
Parent material(geologic) !' N99L�i4L-f dIPe9j' Depth to bedrock
Depth to Groundwater. Standing Waterin Hole: Weeping rfotn Pit hype
- a `
Estimated Seasonal Higb.Groundwater � L9
DE,ETERM NATxON FOR SEASONAL MG11 WATER TABLE
Method Used: _Twiu �l$ Grp � /� �
Depth Observed standing in obs.hole: Y71A Ill, Depdi to soll mottle n in.
Depth to weeping from side of obs.bolo: ' In, Groundwater Adjustment ft.
index Well# Reading Dale: Index Well loyal -� _ Adj,t'uotor-�-- Adj,Q'0L ndwuter"Vol
PERCOLATION TEST bait:
Observation
Hole it 2 3 Time at 9" __
Depth of Pere (C) a y �N
�S J8?_ (C Z) Time at 6" 7 L?
Start Pre-soak Time @ 11e�� /�:SH/ Time(9"-6") ! 7 l G l
End Pre-soakGI'Z� 21 3
Rate Min./[och �^32r/ L Z
Site Suitability AssesentenC Site rassed 1 ,-2 Site Failed: Additional Testing Needed(Y/N) A
Original: Public Health Division Observation Hole Data To Be Completed on Back-----------
***1f 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.
c2nseP'r[c�P�!arroRM.noc
DEEP.OIBSLRVATION DOLL LOG Mole# /
Depth from Soli Horizon Soil Texture Sd11 Color Soil. Other
Surface(III-) (USDA) (Munsell) Motilhl
g (5tnucture,Stones;Boulders.
o rsisteney %Oravell
V
r no
It Joc 1 to /0 r 6 h 0
82 . C/ s /o �s s n o -o cue f s
A k' A 1 21
DLICP OBSERVATION DOLE LOG hole '7 —
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders 1.
.
o sistefi %(]ravel)
� 2 0
2't 17ir !D ✓' �D
l.o
2,5 5A /)o
DEEP OlBS]CI RVATION MOLE LOG Mole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in-) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Conslstency.%Oravot)_
0 -21' 0
eq
Al
no W4kil"AT
DEEP OBSERVATION HOLE, LOG: hole It
Depth from Soil Horizon Sol[Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (structure,Stones,Boulders,
Cans ten 6 a
/91 03; l�,O
Cl Z'5
no WA ✓' ' -1
Flood Insurance hate Map:
Above 500 year flood boundary No— Yes .
Widrin 500 year boundary No= Yes
Within 100 year flood boundary No Yes
De.nth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areus observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Cerf►fication
I certify that on V0.0 d (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 train i expertise and experience described in�10 CNM 15.017.
Signature Date 1
Q:\S EPTIC\PLrRCPORM.DOC