HomeMy WebLinkAbout0270 GREEN DUNES DRIVE - Health (2) ago C�vceut C),AvieA
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SOIL EVALUATOR& PERCOLATION TEST FORMS
Town of Barnstable Page 1 of 4
a"MASS. ' Department of Health, Safety, and Environmental Services
0,9.,• Public Health Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6265
FAX: 508-775-3344
soil SuAqh&1 Assessment for Serowe Disposal
NO. 7 Date: 4 -+&6
Performed By: Date: S 7 y6
Witnessed By: g!rd 49arrw Ayer-Ilia /Xne-
IUJO
Location Address (� �� ZS Owner's Name
7s
/v,nq 86xfc.--/�!ldrar�
Lot#: Address,and
7 Shard- �5d�-cif
I-Zst 414/pd4, 1,04 0 20 3 Z
Assessor's Map/Parcel: /j!/e�, Z45- /4,ece Z6 Telephone#
NEW CONSTRUCTION REPAIR
Office Review
Published Soil Survey Available: No Yes
Year Published /9 13 Publication Scale /:t_� Soil map unit G'cl 6.-1 "`eu. so-40)
Drainage Class Soil Limitations
Surficial Geological Report Available: No Yes
Year Published /9 74 Publication Scale /.•z4 ca-a
Geologic Material(Map Unit) _a,Ga
Landform
Flood Insurance Rate Map:
Above 500 year flood boundary No ✓ Yes
Within 500 year boundary No ✓ Yes
Within 100 year flood boundary No ,/ Yes
Wetland Area:
National Wetland Inventory Map(map unit)
Wetlands Conservancy Program Map(map unit)
Current Water Resource Conditions(USGS): Month 1110.E I qA&
Range: Above Normal Normal Below Normal
Other References Reviewed:
DEP APPROVED FORM-12/07/95
FORM 11 - SOIL EVALUATORgc FORM
Location Address or Lot l4o. Lors !e=' zs
On-site Review
Weather 5�..� '�a�••,
Deep Hole Number 2 Date:. 711I 7116 /o:oo.AM� Time: y
Location (identify on site plan) Slope (%) o—z7. Surface Stones
Land Use
Vegetation
.... ....: .:.::
Landform ... Opt-we•.ti 1��t. AN�� �-+�
Position on landscape (sketch on the back) R��� b
Distances from: Drainage way feet
Open Water Body feet
Possible Wet Area �
feet Property Line feet
Drinking Water Well .
,t/1A . feet Other
DEEP OBSERVATION HOLE LOG*
Soil Other
Depth!rom Soil Horizon Soil
JS xt f e Soil Munsecolor
Mottling (Structure,Stones,BoulGravders, Consistency, %
Surface(Inches}
/0f/R3/2 Alc
7.5 Ya s/ /✓o
Zee
Yltit�tu,•� .,:.,_
O Od k-
OepthtoBedrock:
Parent Material (geologic) 0u+�-���h ��/>osr �-- Weeping from Pit Face: —
Deoth to Groundwater: Standing Water in the Hole:
Estimated Seasonal High Ground Water:
DEP APPROVED FORM-12/07195
LU I i
103
` H ; 421
103 E{ov. � 103.26 Assumed
� 102
i 200.95, 103 1 ,101
LOT 19 -
Ir LOT 26
54,306 sq. ft. �
1 6 e S
,24 acres ,3 /
1 � ,
1 5�7�9G ;
1
P- 790�
E1. 1 l
/ 03.E water
d' b
IV
CQ
0 7,15-
r '
/
/
I 1 , ,fn„�ci.i.•
I /
1 / /
197
103
I
LOT 25
102 '
101 100
SITE PLAN
44
PRC)GRAPH,CS 8 SUPPLY CO
NORM 11 - SOIL EVALUATOR FORM
Page 3 of 4
Location Address or Lot No. Lars is �, G�«� .Dr; /J A
Determinah'o�i for Seasonal High Water Table w/,4
Method Used:
❑ Depth observed standing in observation hole inches
❑ Depth weeping from side of observation hole....... inches
El Depth to soil mottles . inches
❑ Ground water adjustment ................... feet
Index Well Number .................. Reading Date .................. Index well level .... .... ...
Adjustment factor ............ . Adjusted ground water level ...... ......................... .. .
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? YSX -
If not, what is the depth of naturally occurring pervious material?
Certification
I certify that on Ap6l I4-gs (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 zs y
DEP APPROVED FORM-12/0719S
FORM 12 - PERCOLATION TEST
Page 4 of 4
Location Address or Lot No. La-rs is ie is G,-e y��m a- �1 Ig
u
COMMONWEALTH OF MASSACHUSETTS
���� �ll,a,,r•:po^t , Massachusetts
Percolation Test*
Date: . 7. n ay /Y9L Time%
Observation Hole #
Depth of Perc g '
Start Pre-soak
End Pre-soak
Time at 12" /6 ; ss
Time at 9" /o ; S6
Time at 6" 1 o . sa
Time (9"-6") .3
Rate Min./Inch le s, /-/.,, 2,•,,'�„�,
Minimum of 1 percolation test must be performed in both the primary area AND
reserve area.
Site Passed ® Site Failed ❑
Performed By: S&g., bllsa+., Pe:- —
Witnessed By: E-d
Comments: �.:. : ..:::: .rcd,c✓� c.., ..�:.. s. ...... �M .Z��t2. ..X .i.. alp.
. ..:...:::......:.
DEP APPROVED FORM-121VI93