HomeMy WebLinkAbout0040 GOLDENROD LANE - Health (3) qo G���dev►�od l,cr�e,Ce�te�vil�e
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Town of Barnstable P# �
Health,Safety,Department of y,and Environmental Services
Public Health Division Date
367 Main Street,Hyannis MA 02601
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Date Scheduled % - /G. - F7 Time / 41111 Fee Pd. /4 : o i
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, Soil Suitability Assessment for Sewage Disposal
V" Performed By: C'a f-v 7% a y/e,If : Witnessed By:
LOCA't'tdN$c El�i> ZA Ii�i (yR1�IA' `t�N
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Location Address f1 Owner's Name Y. s woo P gi
Address
Assessor's Map/Parcel: 145'- 1 r,v. 'F�Gj�� I 0�eEngineer's Name
NEW CONSTRUCTION _A__ REPAIR Telephone#
Land Use Slopes(%) O—3 CO Surface Stones
Distances from: Open Water Body, ,4VI�Z ft Possible Wet Area 411,4 ft Drinking Water Well ft
Drainage Way A1/,4 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)
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Parent material(geologic) Dv72/41sPo 41al?7 Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: .41114 Weeping from Pit Face A11/¢
Estimated Seasonal High Groundwater OPY-0/- &J47`Pi- 71706 A! L0�7w�S �u�0
D T)�1 NATYt�lr1 E t :SEA O A .HYGH'VV 4TER TABLE...
Method Used:
Depth Observed standing in obs.hole: IVIA in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: �/2 in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well ievel Adj.facto Adj.Groundwater Level
....
PER+C( LATI0 TEST Date Tt ►e
Observation
Hole# Time at 9"
Depth of Pere
�� Time at 6" r
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
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Rate Min./Inch L v� llSSdvrr�c� pGve 7�U GocoC SO 'IS '
Site Suitability Assessment: Site Passed�_ Site Failed: Additional Testing Needed(Y/N) N
Original: Public Health Division Observation Hole Data To Be Completed on Back--y
Copy: Applicant
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DEED UBSERVA'I~ O11 HOLE LOG Tole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
3�O Idea /04"'" 10 Yle ��� N1�9 errcIkle
DEEP OBSERVATION HOLE Lt?G Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
DA Munsell Motd n Structure,Stones,Boulderes.
Surface in. (US ) (Munsell) g
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%
TIEE ' OBsIJR Am-0N HOI E LOC: dole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes.
%
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DEEP OBSERVATION HOLE LCG Hole#
Depth from Soil Horizon Soil Texture Soil COIN Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
DEEP OBSEIZ�ATION HOLE LOG . role#
Depth from Soil Horizon Soil Texture Soil Collor Soil Other
Surface(in.) (USi)A) (Munsell) Mottling (Structure,Stones,Boulderes.
%Gr el)
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