HomeMy WebLinkAbout0039 GOLDENROD LANE - Health (3) ��..(yalGPeh�o�� Lame,'C�tl"e/�i�l
avo:4=Y,
XASTINGS...MN
Ak
a � y
a
•c c+ai�e +-S �-_.•rw .� n._-n_• _ _..� Aga.. _., n��w.. ••i.ire H �•. _ ... .. '
�' +A;�f�•. a4w. � -0�.�' 'ah Win.n� J Eih rc� ���?�Mo+* Y'�� n�i w f
c
'•9T _a'4 {�'34$a°`�dY 'C`m'..etarvn d
r -
Town of Barnstable P# 9 9" 9
Department of Health,Safety,and Environmental Services
Public Health Division Date
' 367 Main Street,Hyannis MA 02601
HBAPYWASM �
6MKt6 Date Scheduled - / c7 Time ,mil` Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: C.Gf/Y� /I J. DoKLe Witnessed By: �T l Y dUs�i��794'
LOCATION & ENIRA[,tNFOR1vtA 'ION
Location Address Owner's Name rz .. R +
Address rtzr (4
Assessor's Map/Parcel: � Engineer's
ineer's Name
�r,7 ®O
y
NEW CONSTRUCTION _X— REPAIR Telephone#
Land Use /,r/Daa�/g&z Slopes(%) o—3°�d Surface Stones /,;V;YP
Distances from: Open Water Body T/ ft Possible Wet Area A/�ft Drinking Water Well y110 ft
Drainage Way 111,41 ft Property Line ft Other -ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
�39
rd o-r ' 4P
ao
A• t:.
qq O Pv
if^ ,
(V ? . -
2
rw
Parent material(geologic) w" tJ4S�/ ��Qll f Depth to Bedrock �� 1
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
Estimated Seasonal High Groundwater
riETEINATICy1V 'OYt SEASONAL,HYGH'VVATEYt'I'ATE.
.
Method Used:
Depth Observed standing in obs.hole: _ Ald in. Depth to soil mottles: d///¢ in.
Depth to weeping from side of obs.hole: Al/ in. Groundwater Adjustment ft.
Index Well# Readine Date:_ Index Well level Adj.factor __.__ Adj.Groundwater Level
PERCOLATI0NTEST Hate T,me
Observation
Hole# Time at 9"
r
Depth of Perc 0 //—/2 47 Time at 6"
Start Pre-soak Time Q Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back---�
Copy: Applicant
y'
d °
DEED O$S RATION 1IOI I.OG dole#_,
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
11 1oAo lv)ve 3/� ��� G le
a y /o Y/e Y149 ab/e
CPLY-ya
Ya--6 6 G �i`/7� o
66-l<3o G ��'-lar tse s d/ '`�I�
DEEP OBSERF.VATION HOtt ING Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
:f
{
.
I1El O$SERVATt01�HOLE
Rode#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
J.0 OBSERVATION HOLE LONG
Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) JUSDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
DEEP OBSERVATION IIOIIE I,OC llote
. ..
Depth from Soil on
Soil Texture I Soil Color Sod I Other
Mottling (C�_ture Sto-Ps Boulderes,
Surface(in.) (USDA) (Munsell) --.-
0
a: