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0192 GREAT MARSH ROAD - Health (2)
rep.# I'n a rs�P„ 12o ar�- Clle j `� Town o1.Barnstable Department of Health,Safety,and Environmental Services Public Health Division Dale o� 367 Main Street,I lymmis MA 02601 RARNSTABM yAA AfA99. / /• / 200Mrr Date Scheduled Time tree 1'd._A Soil Suitability Assessnneltt for Sewage Disposal I'errormed 13y: Witnessed 13y: LOCATION& GIs. NL1tAL lNI ORi1'IATIOiV L.ocalionAddress ,l1vt- C _A:%— Owner's Name Address Assessor's Map/I'arccl: Z\1�` li STEPHEN J. DOYLE & ASSOS:, nginccr's Name 42 Canterbury La e East Falmouth, 02536 NI;W CONS]RUCTION REPAIR 'Ic1cphonc11 Telephone: 508/540-25.34 Land Use 7i�C.S16 te��- Slopes(%)_��,Y• Surracc Stones_ i Distances from: Open Wafer Body 11 Possible We(Arca 11 Drinking 1Vatcr Well y//f Il Drainage Way 1 tS Il Properly Line to ! Il Other SKETCH:CH: (Street name,dimensions of lot,exit(locafions of lest holes fi pert tests,locate wetlands in proximily to holes) 94,E 4� 1�64 � S/11 4 Parent material(geologic) Depth to Bedrock KA Depth to Groundwater: Standing Water in(Tole: 10 A Weeping from Pit Pace �•-� Estimated Seasonal I ligh Groundwater `34, I)EIV4 1MATION TDIt SEASONAL IIIGIIMATEA TABU Method Used: Depth Observed stmidmg in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjusimcnl Index Well N _ Rending Dalc: hrdcx Well level Adj. factor Adj.(iroundwalcr I,cvcl I'EZZCOLA I'LON`EES'I iaie i il;;� Observation Mole fl ( I imc at 9" s� , ll �Ci Depth orPerc �(p I.i0 0.• \ Start Pr U c-soak"finre @ �l9`.S PI ill 9" — End Pre-soak Rate Min./Inch L 2 Site Suitability Assessment: Site Passed Sitc hailed: Additional'I csling Nccdcd(Y/N) Original: Public Flealth Division Observation 1101e Data To Be Completed on 13acic j Copy: Applicant 1 DEEP OBSERVATION HOLE LOG ept Hole Dh from Soil 111orizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,I3oulderes. Consistenc %Gravel ,Au ZA u i,.S -5 4 l_©®y_ No � vrwii 40 C�11 -Z.574 %-A ��. S02ug 40 u I Z" �l'z z s L-V D.E1..E....F. OBSERVATION HOLE LO;G Hole# Depth from Soil Horizon Soil Texture Soil Color .Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,I3oulderes. Consistenc %Gravel DEEP.OBSERVATION HOLE LOG qe Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,I3oulderes. Consistency,%Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,I3oulderes. Consistency,%Gravel 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? 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