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'% '°yk/s:- her- s 2 �'. ,, " ,F �'fq t :.• 1 C;y1- yr ^. # 'a:�r, t -R,tfi�r' "�_�rd•+: ,terry_ • ! l .�• 7 .'�J.N �»4H.. '1. _ = ♦ y,Ta Vk�'•.S tii.si J ,•=`3k�_"� �k '� C {2A t; ° yt}.i5 r '"�. •'4.t1 rkl 1 �rh_.F+r 't sC J' i " :>_ ty •s w "'S `•J• - <b �,*�,:.bfi r'yr�l' $'»v °I 1�'. t 4,,, d,s,'�i.� '�!,-w�ce'r � k -�Y*✓<r'ti..•t' *�:;�?`"G k'Sw-r,'.r�F,., :�, iY�',;-� t`s +;y" *". '�i��s'.' +�•s9t'.' �*�•u�.�,+`bry ,..���•y k• + f,'':o ! Y+ ' s «Pr ° ;-{ P„r>.;� aye •' r �z{u Fez& 2 r s �'Sih � ti,�t`;6't'Cu Nxr � S.Sa'�itl»�'�.��$:k.'�.�>z... � 'lyw....:�.iFe.;'Ysd=..£�'+�3'asi:��.�.^'•t" - SOIL EVALUATOR& PERCOLATION TEST FORMS Town of Barnstable Page 1 of 4 • BABNSTABIE 1 Department of Health, Safety, and Environmental Services MAS& °TEt639- 01 Public Health Division /•cs c 367 Main Street,Hyannis MA 02601 Off ice: 508-790-6265 FAX: 508-775-3344 So11 Sultah111 ty Assessment for Sewage Dls oral ASSESSORS MAP K PARCEL "3 NO. 00., 9 3 2 ! Date: Performed By: w/�� Date: Z /C C Witnessed By: Q a owner's Name I.ocat/Od`s� Lot#: ��f /��'��f%~ / Address,and Assessor's Map/Parcel: Telephone q Z NEW CONSTRUCTION REPAIR Office Review Published Soil Survey Available: No Yes � Year Published `� ' Publication Scale Soil map unit y U /r'df� %�' Drainage Class Soil Limitations d�J4�c2y 5=t/�e� Sct�°9� Surficial Geological Report Available: No ✓ Yes Year Published Publication Scale Geologic Material(Map Unit) Landform S,4iy0,11�/c IV Flood Insurance Rate Map: Z�-0001 do%S C Ad6. 0) 198s' Above 500 year flood boundary No Yes Within 500 year boundary No V Yes Within 100 year flood boundary No V Yes Wetland Area: i9 W�rG�tiD v � He OCG2U.9Toi1J�f�c��' Ts N6T i�t/ National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range: Above Normal Normal Below Normal Other References Reviewed: &&UAIJHIATL/)- fl T DPP X 3 7 ��' C-�Ea•�i�ry ��/'��'���� d �P� 2 T721°�c DEP APPROVED FORM 12/07/95 FORM 11 - SOIL EVALUATOR I-Ol l I ag 1�7 Location Address or Lot NO. aj� /�G' e Review -'?v Time: Weather C=�C'rrG i Deep Hole Number cvj Location (identify on site p Slope (°r6) /���' Surface Stones Land Use Vegetation i Landform Position on landscape (sketch on the back) ces from: a e Way feet Distances ' feet Drainage Open Water Body /S� r property Line AJ f feet possible Wet Area jZ feet other Drinking Water Well 1SGr feet DEEP OBSERVATION HOLE LOG' Other Soil Color Soil Soil Horizon Soil Texture (Munselll mottling (Structure,Stones,Graviel)rs, Consistency, Depth from (USDA) Surface (inches) "OO. Zd/ L� / z"�r- "#fTv 7' r-y t -,1? L- lire y � �.���s��� pc y►�/tdr ; ; �c Tire 71 p 31, rll—L Depthtoaedrock: <` u "" Weeping from Pit Face: parent Material(geologic) �� � Water in the Hole: De th to Groundwater: Standing EAtimated Seasonal High Ground Water: UEP APPROrED F0101'12/07195 FORM 11 - SOIL. EVALUATOR FORM Page 3 of 4 Location Address or Lot No. '���C( , D) p`,�/ems Determinatio�i ,for Seasonal Hirh Water Table Method Used: ❑ Depth observed standing in observation hole ........ inches ❑ Depth weeping from side of observation hole ... inches ❑ Depth to soil mottles inches 100 NvTT�e5 ❑ Ground water adjustment ................... feet Index Well Number ................ Reading Date .................. Index well level . Adjustment factor .... ..... . Adjusted ground water level .. . .......... ... . . �Q�vNalUA?�� Gt// N� E�Ca u v rt' J -7 �- 3 7 r✓ E/z f3-iv0 fIPPiZa ';iYl��-TCG 90' lac ldr�v c3oTT��vt Or T sT �i Ts /fie 77, 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 absor tion system? Yes �5�� SDiZS LU 6� If not, what is the depth of naturally occurring pervious material? Certification I certify that on 93✓ (date) I have passed the soil evaluator examination approved by the De artment 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. Date Signature �� "�`� ��� DEP APPROVED FORM-12/07/95 FORM 12 - PERCOLATION TEST 112 PaAA 4 of 4 D Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS -;1r7W4,e- , Massachusetts Percolation Test* Date: Time:. :.. :.. Observation Hole Depth of Perc T1 Start Pre-soak ��; L 3; � A/►� End Pre-soak Time at 12" /,4, Time at 9" 12 Time at 6" Time Z 9"-6") S; 2 1 �a /� G Rate Min./Inch Minimum of i percolation test must be performed in both the primary area AND reserve area. Site Passed B Site Failed ❑ Performed By: Witnessed By: a1i i.�i r Comments: DEP APPROVED FORM•12/07/95 C.�t i�c j� /°YR171.3 SANDY G G oyti/ Igo ToM ,4,eE.4 = /o S/�� A/PFA = �ZD-�-eo, x Z = ZOo S•� /O YR1713 SA!vv y GZ 7Z77 /�.?O✓/s/opt/ = 600 S F. LagM /ZO + I EL. 68.3 7 134, q,fdaA/OW,47ZX NOT ENCOU/VT�2ED -7Z ST DATE- /Z- so��s El/��uATaP= ✓. aoYL E . 'ERC. 1T,47--4 /N "c A Y�.CS �.l'CA1/.97oR 1,dAy�/E �Go vE� -5 7Z G c.�•¢ss=.a' P i5T►- GV IQ \ 76 76 9f �O� N07"E : .D/sTANG'� fi�c .`�0 TANS S¢ .75 LQ r ' , I,' ►�' ' ' EDGE of $. , P � .ti� 0 - qo- - ✓�G�TATE� J^/ETZ AND SO/L S TEST XfSC/G TS .SE}1/AG E 5Y�TAM DES/GN : CAL CL/LA TONS A0ES/Gill /�4 y �ow A7- //D a�PD P�iP BEl�.eOQM o O woo0 3 B D.QMs, X //O = 330 a,41-. Re,2 .2>AY. 7SYR/7/1 �" s o E �<, G,�Y S�IN.O B L DAMy G DAMP /O YR/��G SAND B 3.30 VPd 3, U.SE S/.Y�6� /NF/LTA-47V e G.EAcy Gy,9M.8��es LEi✓ eED /N /d' l 11.0 E x ev'L.o va 7wemeG'f/ A117 y GI/�S/tEl� J'70N� G'G-SY Z,SY�G/3 Go,9M C, AeD//Nh AND /2" S7-OA/,!5- !J,A/DEiC ENT/,2E Si�STEM.. 7� Z,p vy .90 T ToM ,4,oe4 4 = AO',' S/mac- ARFA = �Zo f Bob X 2 = Zpo S-� V Y/Z/7/3 S,IAIDY CZ �agM TvT� Pi`�O dis/ory = 60o s�' GRDU't/Okl,9TER NoT ENCOU//T 'ED .B. ��'y. ,5'O/L S E'f/ALuAToP= ✓. hoYG,E PERK•. f{ATE //V .c -GAYERS SD/L S T�XT�/,E.gG Ct..gSS�.7l P w Q D 7 U\ P�OPOSEl o O � // o c \ LIZ It V�GC--TATE,r-' - _ r . ETL ANDN HOEARING � MAY 2 3 2000 1�6 0 23 ri 72 DATE p ►i MAR 3 0 2000 0 R�8 BARNSTARLE CONSERVATION >1, A of p'lss�'c\ LOCUS M'9� SC9LE = / ZDOD ' JOHN yam` P. Cl DOYLE,tIl N No.33539 " P2E/,4RZE Fad QEGI S T O, pQ`, � SUM,,- v Z WOP05-E Z) 3 l�Elj li'O DPI D LI/EG L/NG r:f � B ` ZH or g L O T NO, .3 SER V/C E /T O 4,b ja JONN `�' Bg�A/S'TfJBLE, MA. �,, u•1 SCALE /"=SC ' NIAiPG�! ZZ� Z040 <, i-KYLE, ter 4.� No.33589 GRAPH/C SCAB E /NEE FT �s'` �' t,� tSTER pQ Su���y O' SO• /DO ' s ,00YL E 4S,SOC/A7Z,5' 7Z = .SG3- /99 0 3•Z$-Zo o '¢ 3"Z,'��� PD. SOX 3'93 lV. �.9LMOU7i-�, MA• 02S7g