HomeMy WebLinkAbout0052 CURLEW WAY - Health (2) �� o1otoaa
Town of Barnstable P# f 5,3 R
Department of Health,Safety,and Environmental Services
Public Health Division Date a J 7'
367 Main Street,Hyannis MA 02601
eAnxarABU&
Or 0 Date Scheduled Time oo Fee Pd. 10
Soil Suitability Assessment for Sewage 'Disposal
Performed By:
J L1L1L l�N D �� Witnessed By:
LOCATI
ON,
� q&.GENERAL IN
FOR MATION
Location Address e_'uEL -Vo W / Owner's Name N ONu V 1t._P
Address
Assessor's Map/Parcel: ,o- Z� Engineer's Name J, �_4Uot-e6> » C„fL 1v
NEW CONSTRUCTION v REPAIR Telephone#
Land Use ep ' P Slopes(%) D Z° Surface Stones 1AD�. z-
Distances from: Open Water Body 4W�! ft Possible Wet Area l�:Dd.°eft Drinking Water Well
1
Drainage Way I ft _ Property Line ���'Mir\ ft Other. ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
a
L-")T
__ De th to Bedrock
Parent material(geologic) 1J��1!il.� G1J� P
IUo�t Weeping from Pit Face GO
Depth to Groundwater: Standing Water in Hole: p g
Estimated Seasonal High Groundwater A
bETEIt1VIIAmION F Oft SEASONAL HIGH WATER TABT�E
:
Method Used:
Depth Observed standing in obs.hole: --�0 1 A in. Depth to soil mottles: £ in.
Depth to weeping from side of obs.hole: IJ I A in. Groundwater Adjustment ft.
Index Well# 4_ Reading Date: Index Well level _ Adj.factor Adj,Groundwater Level_
PERCOLATION 7EST Dat ime _ :
Observation
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ ��D ,u Time(9"-6")
End Pre-soak 15, 3Z
Rate Min./inch rr 11
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back--�
Copy: Applicant
DEEP OBSERVATION HOLE LO Hole'#G ' I
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
O-3 'l 0 — —
lC) fL U
IZ"-3�° G allo 41
3 "-I Zp" �.2 f�, Sa►�a IZ 1 roam
DEEP OBSERVATION HOLE LOG >Hoe
# 2
_ .
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° Gravel)
D —4'1 O —
u-1 or
1-4 CZ M. Sa►.�n In 2 3 �''= I+� v 2tn
DEEP OBSERVATION HOLE LOG Hole#
Depth from. Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
n
� �rkr �T.1i.=,,�.-_ ___— ` _—_ __ Tv„sr�--__..�•,- y� +.-.-.-.-.ea«....�" ,. --:..ems- :�`•'" _ r..-+..
• F I i
,
DEEP.:OBSERVATION HOLE LOG:.- Hole#
Depth from Soil Horizon Soil Texture Soil Color Sail Other.
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
I
Flood Insurance Rate Map: /
Above 500 year flood boundary No_J Yes V
Within 500 year boundary No v Yes
Within 100 year flood boundary No `� Yes
Depth of Naturals 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 examination approved by the
Department 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.
Signature Date OZ-