HomeMy WebLinkAbout0008 CAPTAIN BELLAMY LANE - Health (2) C ;h
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Town of Barnstable P#
Department of Health,Safety,and Environmental Services
�VQ Public Health Division Date -
367 Main Street,I lyannis MA 02601
BARMABM
faMn+"�� Date Scheduled S- z9- `�1 Time /Q Fee Pd. _
Soil Suitability Assessment for Sewage Disposal
Performed By: Gp/04j/ 'T Qo E Witnessed By:
LOCATION & GENERAL INFORMATION
Location Address �^3 L�—''�'�� e_.r.� Owner's Name y a 0-
Address
Assessor's Map/Parcel: L� �i /! Engineer's Name
NEW CONSTRUCTION ✓ REPAIR Telephone# ✓ 7�'G✓S�
Land Use l✓40a4eC/ Slopes(%) 3 Surface Stones W/4
Distances from: Open Water Body ft Possible Wet Area N/l� ft Drinking Water Well ft
Drainage Way 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)
/Dey 30
-
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�i ° (X
ti
Air l3ELL.��'fy L.oWc
Sb' w,a8
Parent material(geologic) Depth to Bedrock 411A
Depth to Groundwater: Standing Water in Hole: Alj Weeping from Pit Face 1V1/4
� S01.
Estimated Seasonal High Groundwater 30 = aty be(Ow Ur-adc
Max 6•4,e*✓-
DETERMINA T ION FOR SEASONAL HIGH WATER TABLE,
McthodUscd: MuX. G.w cu.rfDt•"MdP
Depth Observed standing in obs.hole: N//71 in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: N//� in. Groundwater Adjustment ft.
JI
Index Well#_ Reading Date:_ Index Well level. Adj.factor Adj.Groundwater Level .1O
PERCOLATION TEST bate Time r)
Observation 11
Hole# 71P-vZ Time at 9" pl"Iy
Depth of Perc ii O'' Time at 6" 11,f3.00
Start Pre-soak Time c@ Time(9"6")
End Pre-soak fy9 jo SCG/i3nc�7
Rate Min./Inch
Site Suitability Assessment: Site Passed h Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: .,Applicant
DEEP OBSERVATION HOLE LOG Hole# /
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° I
prchHiCS�/PGrC3j
�ict_vly loam /o ve Y1Y — rtio ble
13—y0 134) 5d,74 Loa rot o /R .s/6 _ rtly le
yv- 63 c�a--► o a4,le
b 3 -loy CX /o y s/e — Loos e
�izcvp Ya�bb
/oY—l30 Ga,� y&/y (,005e
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° Gravel)
0-5" n hooTs 7W,1 6 /oY�e
/2 /o /o ye y/ _ On b le
1611.1 '1 /cwm /o ye S 6 a33 b/e
5a y/noM
al 6, w rove / to Y� /lam — �„•uble
�Dar3C
Yd'-- 9 9 � w rareifa bad la y�s/8 — '�ov,S
Y 6/y Loo e—
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil I lorizon Soil Tcxture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones.Boulderes.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure.Stones,Boulderes.
Consistency,°
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No ✓ Yes
Within 100 year flood boundary No ✓ 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? e.5
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on ZQZ 9S (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��fl j� T Ao�� Date s�9��