HomeMy WebLinkAbout0521 MAIN ST./RTE 6A(W.BARN.) - Health 50 Indian Spring Road
West Barnstable
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Town of Barnstable P# I y—
Department of Health,Safety,and Environmental Services
Public Health Division Date c
°T 367 Main Street,Hyannis MA 02601
HARNSTAHLE,
MASS.
9� 1639.
Date Scheduled V
Ar � ��I Time �✓`�� Fee Pd. U � .
Soil Suitability Assessment for Sewage Disposal
Performed By: /r G,e� /11+Vis j /�� Witnessed By: ,
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L CAXIOI`d&: IGF 1] 12 is] 1 O NT T ON
Location Address Owner's Name
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1U�51 �jf1+�NS'7`fySC Address 21
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Assessor's Map/Parcel: /3316 3S Engineer's Name s� l_.,4,A-5 ,pC
NEW CONSTRUCTION _ REPAIR Telephone# 5-08 3Gz 813 Z
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Land Use �
Slopes(%) �� — Surface Stones IC/y
Distances from: Open Water Body PA ft Possible Wet Area oa- ft Drinking Water Well ft
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Drainage Way y6 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)
7-v.`_i"— —'�r�-vim:--,rv-,r _ � � �'OqQ •,y` ��
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Ra+40.0C
Parent material �i'((geologic)
Depth to is D.vG;c,C,c iFc�lt�c �- '}
(g g )`�DJ Bedrock
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Depth to Groundwater: Standing Water in Hole:Idl =71)", -0`2-= 72 � Weeping from Pit Face
Lstimaien Seasunal higi i Groundwater
DTEItMINATION FOR SEASONAL HIGH 4ATE1�TABLE
Method Used:
Depth Observed standing in obs.hole:SC& h6W49— in. Depth to soil mottles: in.
M,:pth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
index Well#S> Reading Date:. �5_ Index Well level.- 5.C� Adi.factor r 11 Adj.Groundwater Level
SLr Z0-G A
;:Z7PEI2CQLIATIUN TES`I < ' Aate.. :Time at 9"
Depth of Perc 72
Time at 6"
Start Pre-soak Time @
Time(9"-6")
End Pre-soak 6:AIzl 7
Rate Min./Inch
Site Suitability Assessment: SiteTassed `�- Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back—
Copy: Applicant
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Depth from 944
Soil Horizon Soil Texture Soll Color
Surface(in.) Soil Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulderes:
Consistelicy.% r e
DEAF OUS IQLD ;QG Hoe
Depth from Soil Horizon Soil Texture Soil Color Surface(in.) Soil I (USDA) Other
i i i(Munsell) Mottling (Structure,Stones,Boulderes.
ons istenc %Qe
w--�211 L
S
11
AEP::4lSV ' O1�I:I (�LE LO.G dale
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottlin
g (Structure,Stones,Boulderes.
Co Isistency.%Gravel
r� ff le-IeC
�V 2 X3
off
744:7 4J
III I AT,
ROL
Depth from Soil Horizon Soul Texture Soil Color Soil Other
Surface(in:) (USDA) (Munsell) Mottlin
g (Structure,Stones,Boulderes.
u Co s' tency.° Gravell
F08 f 1 l
Flood Insurance Rat_ a Map.•
Above 500 year flood boundary No_ yes
Within 500 year boundary No -✓ Yes
Within 100 year flood boundary No 1" 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?.
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator examigati,gn approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required tra' pertise and expgrience.describgd in 310 CMR 15.017.
Signature Date 9 Z a