HomeMy WebLinkAbout0158 BAY LANE - Health (2) 12)a� 6��4nfevc)dl(f�
Town of Barnstable P#
Department of Health,Safety,and Environmental Services
�n+erq Public Health Division Date /0 99
367 Main Street,Hyannis MA 02601
D wwer�eua, i .
03
Date Scheduled 0CVbcr__,3A 1 9� Time �/'V 0 RM Fee Pd. '4 V DU• D(�
Soil Suitability Assessment for Sewage Disposal
Performed By:JL UI'VA,*7 r nQ/�j,.,M -ZnC Witnessed By:.- 102A ti i Q
LOCATION� GENERAL INFORMATION
Location Address 16- a Owner's Name 9'��Ot!I•+t�'
616263.2 Address Od
Assessor's Map/Parcel: 1VO p if4F AAA44'4--2 7 Engineer's Name P•,��_• .�GR lair pE
NEW CONSTRUCTION REPAIR _X Telephone# T 01- NotB'33 y y
Land Use Slopes(%) O T"%%7s tOY.VAOT&Fface Stones Nl o,A C
1Ltcga.fvrr�u��
Distances from: Open Water Body $50 ft Possible Wet Area eF aE; Drinking Water Well �O ft
>rEa2(o+ut�e+L
Drainage Way oFP¢aPeel�j -ft Property Line t 07 ft Other bX,cz it
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
o
t sg aaY( OWe
L:.xtsT1e16
46 AC
too
' $ 19y ��• _
N
Parent material(geologic) UT 4U p"S to RP.i u Depth to Bedrock 4 Sb r Ec i ?t..L7 S
T4-•• tot"
�OTY1
Depth to Groundwater: Standing Water in Hole: ?1i - 15" Weeping from Pit Face
Foe „ OCILo 'It+A -SO-A 1 AV LA,U
Estimated Seasonal High Groundwater �OU� � � 4��� '��'�'�'
/♦� .. .. .
TNHRTA BLE*bTERM ACION E '
Method.Used U S C�S GAPE W tr O O'A wl1�J 10
Depth Observed standing in obs.hole: IOd" i S in. Depth to soil mottles: in. ~•
Depth to weeping from side of obs.hole: in. Groundwat tme ft.
Index Well k Reading Datea t;3.,� Index Wel level..,3_3 _ Ad.factor �.3" dj.Gro ater Level r
PERCOLATION iTEST nriie t�� i imp to s'
.............. .. .
Observation
Hole fl Time at 9"
Depth of Perc Zo a Time at 6"
Start Pre-soak Time® bb l S '. Time(9"-6") 2 vH 1'N 25
End Pre-soak
Rate Min./Inch L cs`5 T)A^-M Z v-t%w QE(L t t',-�G L-( '
Site Suitability Assessment: Site Passed _ Site Failed:� Additional Testing Needed(Y/N) O
Original: Public Health Division Observation Hole Data To Be Completed on Back—�'
Copy: Applicant
DEEE OBSERVATION HOLE LOG Hole. - 1
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
oee rNI LA-MaOF L.hwjFpe
+- Grtn�+ N O e'PLrkt LANv
S„
0, 51 Low%--e 1.0yQ.a�Z, M+n�o¢ 2oor5
3- to $ C,of,-esF. -7w.Q8 Ao5 43
w- ItD+ CI
�N� ►avt28/3 �' ��t� pep tog" 1
DEEP QBSERVATION HOLE LOG Hole# i 4
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
..
t� (pYeZ!
9- (1 A IaY231z
12- zo St -3 v HZa� tS �t
` <. D»E OBSERYA `TbN MULE X•OG. . . Mole#
Depth from Soil Horizon Soil Texture Soil I.Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
Lewwt o
3 - ICE„ CohaZs� �YQ s1$ yJc,vC,
l0- 38 5r�¢bt_. loaf Q8( Novu c zm Li �G
3 a L G5S T1.4-ok-K.�)
ZwtA
DEEI?OBSERYAT�ON HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color 'Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.-
0
I
Flood Insurance Rate Man:
Above 500 year flood boundary No X Yes
Within 500 year boundary No_ Yes X
Within 100 year flood boundary No x Yes 12 CA rb ?02T1 o ry 0 r LOT W,rrk-.w I o otif (Z
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? pF IZV S >1yA1a LF- to iP_ts�a`l
If not,what is the depth of naturally occurring pervious material? /
Certification
I certify that on VQ.a t.9'�' (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 'ning,expertise and ex erience described in 310 CMR 15.017.
Signature( Date l�l 28
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