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HomeMy WebLinkAbout0059 GREAT MARSH ROAD - Health y GFI.-EATMARSH RD. WEST BARNSTABLE t . A = 089 004 001 i TOWN OF BAMSTABLE LOCATION 1l A-P 8 SEWAGE # VILLAGEW 0 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY IS�D LEACHING FACILITY: (type)` �/ � ��/(k•`P-uL sue) NO. OF BEDROOMS BUILDER OR OWNER 54 1 Ai SST. PERMITDATE: COMPLIANCE DATE: O Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site-or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by i G 34 23 TOWN OF BARNSTABLE LOCATIO � SEWAGE # li VILLAGE s ASSESSOR'S MAP & LOT "00 INSTALLER'S NAME&PHONE NO.g, V I SEPTIC TANK CAPACITY I ben LEACHING FACILITY: (type) 94�5 D4(klQLt-� (size) 13>C2`b NO. OF BEDROOMS 15 n 0 1 BUILDER OR OWNER ,t A-1-5T PERMITDATE: ��`[ t�C� COMPLIANCE DATE: lot aq Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by �ArU- of �kov G � R 1Fr� 3g No. `7 �(3/ Fee if 0 THE COMMONWtALTH OF MASSACHUSETTS Entered in computer: L Yes �Oi� �� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS .� - 01p�plication for Mi5p0al *pgtem Construction Permit Application for a Permit to Construct( Repair( )Upgrade( )Abandon( ) Complete System ❑Individual Components Locati d s L N . ( ,,�y �wn s Name,,,A, ss"`andT"�el�.No. Ito AsSersor's��ap/Pa,r el -GUI,-ac o �x t D rv�bZ� Installer's Name,Add d Tel N . Designer's Name,Address and Tel.No. fob �11 1� Type of Building: ,6 Dwelling No.of Bedrooms� Lot Size �5 sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been is oar d lth. Signed Date Application Approved b '' Z Date �v� r th Application Disapproved foe following reasons Permit No. -U?JZ1-Y3 4 Date Issued 7 y .. A No. Fee fN THE COMMONWff H QF MASSACHUSETTS Entered in computer: 0 ., Yes 9 ,zL PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 2pplication for Miopogar Opotem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon omplete System El Individual Components Lo�cati dd s . Lqt ,n (1 ,/,/� ,�) wn 's Nazne,, dress ancj.Ternl.No. As's!a§sor'sr�a'/Paz�elll�•11 �C�Lf U" ( ,h") C �J G0L/-OC) No bWb Installer's Name,Address and Tel.N Designer's Name,Address and Tel.No. Type of'Building: /� f Dwelling No.of-Bedrooms '1 Lot Sizesq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r - Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in ope"r'ation until a Certifi- Cate of Compliance has been i e b t ' mf Health. Signed ,•Date q1MI n Application Approved b Date '7 Z ?CIr'V Application Disapproved for the following reasons Permit No.7"(w-14.1 6 Date Issued 7r --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance ' THIS IS TO C that,t��CQn- i ewa iposalSy,�tem Constructed(X)Repaired( )Upgraded( ) Abando ( J ,)b�' rm at t - has been construct d in accordance with the ovisiAo�s tLde�L ' Construction Permit No. 'tl 3� datedInstaller VVt Designer t �.,� n � The issuance of e6t shall not be construed as a guarantee that the s}hiem-will functiop as designed. G , i ll� i�,i� i r�G_ a Date �� �� t �t� Inspector J ✓ I No. Z4_ZV �"f�� Fee lad, , THE COMMONWEALTH OF MASSACHUSETTS o 89-GaK -U o/ PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 30iopood potem Congtruction Permit Permission is hereby to o truct grade ) andon System located, W G�•v h J '6 and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Constru tion must be completed within three years of the date of this pe t. " Date: 7 Z� 7_0� Approved by } - I ' u?1GUw'SCNEOuIE 1 _ _ L o - L] O _ _ e o wwxvvr 0 w—A eve 0 o - e 1 I I I I - I I 8 �M u'ILK IN BATH #•J p p 1p�o- OPEN kLM a 6ELROC+111 A A j tom LOPET•NN.L A LOFT AREA EMd k — OGEN FLOW TIFF ES 4�/I O 6KCi�I ILL=vSH �% CAL15ER CORNER APPLY-ATION (SUNROOM)36- CALIBER FLUSH APRICATION 16 GARAGE DOOR FR-tt 4-9 (LMNGROOM)47 REPLAGE DETAILS TOP VEW 3/8" Y 1� 51 --%1 FKPL4C Ll is T6 114, 1r 4'IQ 4'1/2 GARAGE DOOR HEADER DETAIL-3/8" Y 21 X.�twIoRqlr CO'-SRED PFF L-L FE-55ME —J-�� W4200M I FAMILY ROOM ai LAANG ROOM r 4- :f KITCHE14 A IA. TENTWHALt 2 CAR GAR*E: MOM 50HEOULF. 5E DQ�,r. FgfU N 0 -4 ---------------------- .-OT 8 &REA ENVIROTECHLABORATORIES,INC. •MA CERT.NO.:M-MA 063 ��y 449 Rte. 130, Sandwich MA 02563 508(888-6460) 1-800-339-6460 FAX(908)888-6446 CLIENT: Lou Seminara LOCATION: Lot 8, Great Marsh Rd. ADDRESS: 93 Coles Pond Rd. RR3 W. Barnstable, MA S. Dennis, MA 02660 COLLECTED BY: Desmond SAMPLE DATE: 6/21/2000 SAMPLE TIME: 1 O:OOAM WATER SAMPLE TYPE: New Well DATE RECEIVED: 6/21/2000 LAB I.D. A 0006522 WELL SPECS,: 1107 827 4" PVC RESULTS OF ANALYSIS: Parameters Units Recommended Results Method Date Analyzed Limits Coliform bacteria /100ml 0 0 9222 B 6/21/2000 pH pH units 6.5-8.5 6.26 4500 H+ 6/21/2000 Conductance umhos/cm 500 88 120.1 6/21/2000 Nitrate-N mg/L 10.0 0.050 300.0 6/21/2000 Nitrite-N mg/L 1.00 < 0.003 300.0 6/21/2000 Sodium mg/L 28.0 9.6 200.7 6/21/2000 Iron mg/L 0.3 < 0.005 200.7 6/21/2000 Manganese mg/L 0.05 0.011 200.7 6/21/2000 Volatile Organics See Report. Chloroform ug/L 100 2.3 EPA 524.2 6/22/00 COMMENTS: pH is below recommended limit and may have corrosive characteristics. WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS TESTED. <=less than `'G��� � ��-�'� Date C �r >=greater than onald J. S ri TNTC=too numerous to count L borato Dir ctor 1 Page 6 of 7 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS i Envirotech Laboratories, Inc. Date Received: 6/21/00 Approved Work Order# 0006-07241 R.I. Analytical Sample#: 003 SAMPLE DESCRIPTION: 0006522 LOT 8 GREAT MARSH GRAB 06/21/00 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIME ANALYST Vclatile Organic Compounds B romodichlo ro methane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Bromoform <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT D i:)ro mochlo ro methane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Chloroform 2.3 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,2-Dibromoethane(EDB) <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Benzene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Carbon Tetrachloride <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,2-Dichloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Trichloroethene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,4-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,P-Dichloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,1,1-Trichloroethane <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT Vinyl Chloride <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Bromobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT Bromomethane <2 2 ug/l EPA 524.2 6/22/00 20:12 MT Ch-orobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Ch_oroethane <2 2 ug/l EPA 524.2 6/22/00 20:12 MT CKoromethane <2 2 u9/1 EPA 524.2 6/22/00 20:12 MT 2-Chlorotoluene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 4-Chlorotoluene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Dibromomethane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,3-Dichlo robe nzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,2-Dichlorobenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT trans-1,2-Dichloroethene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT cis-1,2-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT Mehylene Chloride <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,1-Dichloroethene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT 1,1-Dichloropropene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,2-Dichloropropane <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,3-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1.3-Dichloropropene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 2,2-Dichloropropane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Ethylbenzene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Styrene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,1,2-Trichloroethane <0.5 0.5 ug/I - . EPA 524.2 6/22/00 20:12 MT 1,1,1,2-Tetrachloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT 1,1,2,2-Tetrachloroethane <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT Tetrachloroethene <0.5 0.5 ug/l EPA 524.2 6/22/00 20:12 MT r Page 7 of 7 R.I. Analytical Laboratories, Inc. CERTIFICATE OF ANALYSIS Envirotech Laboratories, Inc. > . Date Received: 6/21/00 Approved by: ' Work Order#E 0006-07241 R.I. 4941:ytfcal Sample##: 003 0006522 LOT 8 GREAT MARSH GRAB 06/21/00 SAMPLE DET. ANALYZED PARAMETER RESULTS LIMIT UNITS METHOD DATE/TIlVIE ANALYST 1.2,3-Trichioropropane :0.5 0.5 ug/1 L;n A 524.2 6l22!00 20:12 MT Toluene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT Xylenes <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1;2-Dibromo-3-Chloropropane <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT Bromochloromethane <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT n-Butylbenzene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT D:ichlo rod ifluoromethane <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT T:ichlorofluoromethane <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT Hexachlorobutadiene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT ISDpropylbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT p-[sop ropyltoluene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT Naphthalene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT n-Propylbenzene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT sez-Butylbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT tert-Butylbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,2,3-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,2,4-Trichlorobenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT 1,2,4-Trimethylbenzene <0.5 0.5 ug/1 EPA 524.2 6/22/00 20:12 MT 1,3,5-Trimethylbenzene <0.5 0.5 ug/I EPA 524.2 6/22/00 20:12 MT Methyl Tertiary Butyl Ether <1 1 ug/1 EPA 524.2 6/22/00 20:12 MT n-Hexane <10 10 ug/I EPA 524.2 6/22/00 20:12 MT SURROGATES RANGE EPA 524.2 6/22/00 20:12 MT' 4-3romofluorobenzene 105 80-120% EPA 524.2 6/221W 20:12 NIT 1,2-Dichlorobenzene-d4 111 80-120% EPA 524.2 6/22/00 20:12 MT Department of Environmental Management/Division of Water Resources s WELL CO/M�P/.yL�/TO REP RT WELL LOCATION GEOGRAPIAIC j SCRIPTI N Address N !S_W E�`W� of k(leet) (circle) r City/T n y�r> J Well ow r. . (road) Address C43 ColesE1 �!6 QQ_3 N S E W of (mi:in tenths) (circle) -S 0� %4 k � 7e�(c�SS� Board of Health permit obtained: .yes R' no ❑ intersect. w/ (road) WELL USE WELL DATA Domestic Qe***Public❑ Industrial ❑ Total well depth ! i a ft. Monitoring❑ Other Depth to bedrock ft. Water-bearing rock/unconsolidated material: Method drilled Description Date drilled 1 h ' PC)-O(n Water-bearing zones: CASING r 1) From oZ To ) O Type ,) Q V Q 2) From To Length 10 4�ft. Dia(I.D.)!—in. 3) From To Length into bedrock ft. Gravel pack well: dia. Protective well seal: dia. Screen: Grout ❑ Other Slot#�length--I+-from , to , STATIC,WATER LEVEL(all wells) Static water level below land surface_ft. Date__(s-2 WELL TEST(production wells) Drawdown ft. after pumping �� hr. min. at —gpm How measured vRecovery ft. .after hr. min. 1rmrnedk4te-- LOG of FORMATIONS COMMENTS 0 Materials From Tocb C Sm .�t� c ruye oFy Driller �� � —C) � ra�!`� Firm .T)r R00) Address ���� n- d City/Towner I Q nt C Supervising Driller Reg.# eIR C L Signature of supervising registered well driller Please print-firmly; BOARD OF HEALTH COPY ©D�g No.---- - Fee---- BOARD OF HEALTH TOWN OF BARNSTABLE Application- orVell Conoruction Permit App,�ication is hereby made for a permit to Construct ( ), Alter ( ), or Repair ( )an individual Well at: Location — Address Assessors Map and Parcel ------------------- Owner Address � 14'(-w�--�> - - - - - d�� a y ------2� -4- - G Installer — Driller Addres Type of Building J Dwelling------------------------------------------------------- Other - Type of/Building---------------------------- No. of Persons-------------------------- ---- -- Type of Well — ------------ Capacity Purpose of Well----- -- --- --- ------- Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to place the well in operation until a Certificate .of Com fiance has been issued by the Board of Health. d Signe - - '� -- —'�--- ad to Application Approved By --- — , - date Application Disapproved for the following reason : -----=------------------------------- -- -------- -------- -------------------- date Permit No. - --- Issued-- -- -- -- ----- - ate BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f (Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) Installer ------- --- at- -— --------- ------ has been installed in accordance with the provisions of the Town of Barnstable Board of Healt vate Well Protection Regulation as described in the application for Well Construction Permit No --`-- aced----- ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARAN- EE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE----- - -- Inspector-- - ---- ---- —- --- Fee----- -------------- BOARD OF HEALTH TOWN' OF BARNSTABLE Applicat ion furVelt Con,5truction Permit App is tion is hereby made for a permit to'Construct (. ), Alter ( ), or Repair ( )an individual Well at: `� ad -_ oa --- -------�- - - ----- - --- -- - --- -—-------� ',rLocation /Address1 - Assessors Map and Parcel ^� �- Owner Address L j-CJ _G✓GC¢ r `—. -- p��—� _-_Y -2 -SSG /1 ri t i,955 Installer - Driller Addres Type of Building Dwelling----—---------------------------------------------- Other - Type of B uilding No. of Persons----------------------- --- ------ Type of Well—`'¢SG __ YP as __------- -- Capacity------------------------------------- Purpose of Well - ---�— --=------ Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation The undersigned further agrees not to place the well in operation until a Certificate ,of Com fiance has been issued by the Board of Health. 0 � t _ ' Si gned - T------ - --------, �2 -T----date -- -- Application Approved By --- — — date Application Disapproved for the following reason : ------ - =-------------------------------------- date S� ---- — Permit No. — — Issued-- - ,�----- - - ate .. - s!i�eeaaae::e+:♦ir:!s+:r:4ae:!:!r.,:erierewe:!si:►seawac.rn�sape3oisiwaoac+e:a!=aaweYeesisae+hveiaiwawa�risase+aRaeasa+ewiea+a+aaiRaa:•aee!saz�i!a!aeaeay.e:siase� BOARD OF HEALTH TOWN OF BARNSTABLE Certificate Of Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ( ), Altered ( ), or Repaired ( ) by— Installer at— -— - ------ -- -- --__---- --has been installed in accordance with the provisions of the Town of Barnstable Board of Healt P vate Well Protection Regulation as described in the application.for Well Construction Permit No -r -- ated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE--------- ------=--- _ Inspector--------------------- u a�YY:'�mise�ifitr'ViMw�rVGii0a8i84R(M1iTGli4YTi?aTiPiM.WBVi!$a968fi8YiF6!a@i4i!I'(NB6BYVinT45faBti!AiIG!BTiIBSilRi4i N!Y4i!aBi BY!iFi!.M9 �Tie4!i�iSi!i'�i�e�i^i?i?il!iYla!eTiYlb Ti?i!i•?i Qss BOARD OF HEALTH TOWN OF BARNSTABLE. Vell Conitructionierntit No. � Fee Permission i hereby grantedto Construct ( Alter ( ), or Repair ( an Indit4ual We t: ff We Street f1 as shown on he application fGr a { ell Construction Permit 0� No.- v� +J Dated-- - — ------- --------------------- — � —;- —�--��i� --------------------- -------- Board'of Health DATE —_ 1 011,11 UI 11,trilstaI)le Depal•Ilnclit of I Ier11111,Safe(y, and 1!ovil•onnlcnI'll Services # t E t - ' 1 PIII)lic I ealth Division ' + i t 367 Mlahn Street,I lynn /�^)uls NIA O2601� i aAntierm� r,rnsa � Dale sebedilled A9000 Sol Suitabi,lilp Assessment foI-S' r re Dis`� �ls 1 0 ; 0 ! C I'enfunncd Ily: Whoesled By- MCA""✓sOI & G1 ORYArtdN Location Address I Owner's Nnme SUM I)J Assessor's A1;gt/I'nrccl: 9--�v �o O( linginccr's Nnntc NEW CONSTRUCTION V REPAIR I'clephone/1 p ° Lind Use ZE 5. D W�,Uu I i o -- �-6 Slopcs(°o) [' �a Surfnce Sloncs t tt ii I)islinccs Bout: Open Wnicr I)odY N• It Possible Wcl AreiA/, , 4 fl Drinking Writer 1�ell< I U 2) fi I i)rninngc Wily. - (l I'ioperly Line j 11 Other S K ETCI I: (Sheet mmlle,dlincnslous OHM,cxnel Incnlh;ns of Icsl hales&perc lost;,locale tvellnnds ill proxnnnytto holes) i l )Y�) i i i t i. i , t j I'arcnl nnnlcrinl(geologic) D eplln to Iledrock /y . /•I - g I i I I)eplh In Groundwnlcr: Slnnding 1Vnier In IInlc: N O>J 1Vccping from I'il fnce I'sslinlalcd ScnSOlittl I ligh Orohndwntct pFI`I'r1t1YlLN T[QN I�QR S1 �ISONAL II[GII.1�V `I'I�R.'�'AllLID. !i Mciholl Used: t I i i I• 17eplh Observed Slnnding In obs.hole: in. Orytlh to soil molder. ("• { irn., ( i # i; t i= Depth to tvecphtg from side of obs.rule: In. Gtoondwnlcr Adjaslincnl Ih(tex Weil// _ ,. ItrndlnR I)nle: index Weil level -- — - _ Adl.factor Adj.Oroondwolcr I.cvcl R.RCQI..�1.'I'I'ON T1 S'I' '. ''>.ii�ile 5't/ oo i'I;ue,l o' 5 I i Observation r i e I I'Dne of 9" Ucpih of Perc Time nt 6" i Slntl 11rc-sonk'fi;ttc n ,_w I Imc(9"-G') lanl I'rc-soak 1 ,C)a ]title Ndin./Inch Site Soilnbilily Assessment: Silo Pnsscd Site Foiled: 1 Addilionni Testing Ncedcd(YIN) Orighnnl: 1'ubDic I Icnith Division t C' i I OIrscrvolion Ilulc I)aln To Inc Completed oil Ilacit Copy: Applicmtl I i l i I i j I I II i� • � 1i DEEP 0130010071. '0ON 11C�L G 11ole It I)ehlh liom Soil i lorizoo Soil Texture Soil Color Soil Other � 1' Surfitcc(in.) 7 1, (USDA) (t`lunscll) f`lollling (Slruclnre,Slrincs,nuuldcres: - Q r) ` �Sif1SL5iSllsY��ss1[A�1) I i r t t � - -a - - -A--- Lo?\M.- Q 1_°AMY5AN 1 c�yR G)4 ? ! t 9 5r Cos G?(au Cp )c�Y>Z 6A 1 t °: S 6/>s' s'To�J� d ► p f11 IM'10) 013SE. VA'I'ION I10LI- LOG Hole 11 Z I i ; I)chlh fioin Soil l lorizoh soil` exhue Soil Color Soil 0111cr Sill ihec(in•) (IISI)A) (t`lunscll r`lulllln6 t t(Slruclurc,Shines,I111111 leics. �Tz 8 _ - l 01My 0*) 6�4 j i 45 Co S— 5 3 I i I UI,IT 0135RA07ATION 1.10LIh LO(; Ilole It I+ I Uclrlh liolu Soil I lorluto Soil"I'cxlure Soil Color Soil Oilier . Sorrnce(in.) (USDA) (Alunscll) hiotllhl g (Slnrclorc,Sl(locs,Ilooldcres, -- — _ 'tlllliLCL�Y�r(ir,�yel) �I — I I • I I)IJIJI'. 0081.-ItVATION 1101AJ V LOG I tole II I)el)lh noon Soil Ilorizoo soil'I•cxlurc Sail Color Soil C)thcr , Surface(in.) (IISDA) (hlunsc►I) Mollling (Slruclorc,Sloncs,Ilutdderes. l --- .S.11151115;11cY.1a�ll;lYSI) I I I t t , 1 � � A bove 500 ychr Ilood boundary No ;_ Yes— i %V11111n 500 year bounchily No Yesj Wilhln 100 year flood bouodnry No Yes i 1)c, (�t 0 r --IL L-L��IIIiLsI� �c IL:1111._ c 'v'�i(�11'1llIcL!i11 1 t � 4 `f Does ill Icam four feel of 1ta(Itrtlly occurring pervious nlnlerinl cxisl in all Arens ohscl'vccl Ihinughiull Ilie area proposal for the soil nbsorplion sysleirl'?.y �_ — f •---- l i I 1 { , ; f 1f nos, whist is life depth of nnlurtlly occurring pervious ill;llerial? S-cCl1l�.l_ic�tl I I , I, I ccrliry Ihnl on �� b i f , •-�-- (dale) I live passed life soil cunlunlor cxn111hintioti approval h y the Dep t 'I minlcnl of L•nvirc,Ames � 1 tlifl I rotcclic) soles Ihal the above nniflysis was perfornlccl by life consisfcnl with tltc rcc111irccl (raining, experlisc"If tier ,ice described in J IU CM 15.017. f Sign, �-L - 1 19.D 'TpP o� fin!}�,L� • RE MOVE ' --�..EL flJ iZ0 Gk ELt o TE ,5 - KJ ST!NG Fii2. EL -_ - �' =a. - 2 6 St_opE � -- ACCESS W/J,y �rNII,J. 3MAX COVC 9m) Co�ER 6 -� !14.5 }►zo'rEST r z''FEA9T�NE ACCE55 NbF�i S' i — I 15 O� G/�L I• FoSZ LEY EL '—�'/ I IOAa p C. CONG_ f 11TAt 3,8 w, _ -•D '' ` �cpoZs • O s o4O• i " �-- •c y,�Sr'oNE n»Z ec„�PAc3�a� . '3I4-'pro]�'a D��E _ _ L O C U S Dc7rA cs L )IMVp_"4 , 20 ,b�N. 5 �?41 N- - 1 0 M�1� . --1 /Nl-Er T DE�'r!� lo" �1-I 0 BELo\,✓ EL _ N OTES. /. f� T CCDRDHNCE 15POS/�L SYSTEM TO aE CW45TRUCTED �r� 5TRI C A op C01VINI. or NI ASS . E11VIRDN. CODE- TITL.E� . FR0E-1 LT- OF DISP 0SAL S`� STE 1� Z. SUR.VEV DATA P�+m SUgDIV151C1N �LA1.1o} LA1\ID !� BARNS T A$LE Foy SEMINARA C0NS7'RU"CT/(0" C-oRP, a Lb\-J E WF-U-U o}. I (Nor ru ScatE) Y 1'\?-,)\A VTN D ATE 4 -Z9- 0 S � -K T-Ct�D1=D 1 B ARN STIAB L� R L G.nr DEEDS. _ 3 REMOVIL ALL IMPERV IOU5 MATERIAL 5' 1'\R�Uu.D S�/STtM. 4, ASSESSOR'S MN S5• Pe 5-S Z6NIN G.'` S: BEN CM M kRK= SASE aFWELL CA�S)MG �� LbT I ='ELV. I b4 O 6- U SE - 3- 5'x8'x< P.c. CCN _ LEACH CHAM$tiR5 w)TH 4f'or 3/4''To WASHED STONE W 17W Z".of-FEASTbtJti OM TOP. : PUT" 7T AAA GAS 13P�FFLE- jmSF-Fr1GTANK pE�TJTLEST, 1 • I l' h 'N is fl j r, .! o dam- L � b0 \ ly I 1:L ` 1 � o s 9 HEALTH I�C�ENT I�PPRC�VAL D/-\TC T8 6� - 41 tv p I 35 4 0 6.24 ' 4 � T y,( o�� 1V 1 N j y 58 i \ 1��� D`E T{ �� HARRY G m % / 5 g•, �1- Z I Z•0 — RL L OF\f`1 I ` 117•� ! 1NTERY,3R. SpA 2 y� a 6575 O C� ` D i `) NP DE51 GIN 5 `1�(G! F�1✓� " DWEL�1P�lu Wi4 13CDRU aM`� co s� s r�N D 112 11 � l\,b 6 ARBI�,GL )D I S P 0 S JFIL z rr,,s/i�✓_ i. _ __5EWAGT- 5Y5TFNM DES{ 6N DRIL�I FLOW = 11 a Y 4 � G}-�+0 G.P.T . 4a _ SLPTI C TN NY, CVaL_ RE ' D� 4.o 20 o a � 8 zo mR:b-C�3SF HENAIMARA CnN5T C-0RP. G.17_1)- Y �?,t3 = S 8 G GAL 5. S ANC x ? 19 •9 U S E 3 - AWAN -' 5"x 2 P.CS'' r - _ ^C�^-' vRoPos � Ca;;OUR, KINGSBURY i 7 � g x OW _ L_ C. t 4 STONL •#2610 LOT 8 / � 53 GREAT ��lA'RC t. RL C-7- ECTIVE DCPTH = 2 .0 10 -- cx�sn�� cowTwR A j 2 C G-'}+E 63 X 0;T4 13 S PRw l`WAy ; W E t BAR 14 ST/-\ZLT- M A 13x3ZX0),-7i = 30F5 Ja7.c� ADVR1yCFD 7- -7 Cl� . SOLU- IDIJ S 7 ., FIr�M _oN _ �o}�� >`Io13Q — Io7.c CONSl1L i C1�1� r; - �` N O T Ia L C A+-,�C.i-"�' _ 4 - 1 GALS, • � TE S. !r/); _ `' ' i= __,-� D, MP 13�QKHoE : 1)0�11;� DATES 4�1 a 0 I , L .,.---