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HomeMy WebLinkAbout0048 HARRISON ROAD - Health (3) a�� � ��- � / �� r /I 1 V Town of Barnstable I a lle(tnrhnent of Ilenitit,Safety,nud EuvirOnmentnl Services ; Public Health Division Dnte � t►+t 367 Main Street,Ilyannis MA 02601 St, R,,RIONAallt `MAPS •.G7 O Pee Time r�. / liorextA Date Scheduled i � 9 7 •. bilit �lssessirtertt Sewage Disposal ,Soil Suitability C. r'u. t ..Sli � Witnessed By Performed By: • )VUCA'CiON & GLNL1ltA�: I►V14ulil�IATIUN s�® A/Lj�LSG� Owner'sNRme $v, Q�-Phi 1r� " Location Address ..>rt eo'r—cr v,//a Address % 4 G S r+m-WOe Ca .•.% br/'41a Enti ncer's Name : Assessor's Map/Parcel: -T444 eC' r Telephone N q 188 3 NEW CONSTRUCTION REPAIR ✓ t A,/ Slopes(%) Surfac e Stones �✓d Land Use 2_ Cam—"It8 ���Q 6/ R Possible Wet Area L XV a Drinking Water Well �"i�=R Distances from: Open Water(lady W4*e'r R.$t�"✓(•f /�'s 4 �CO r R Property Line 4/00 It other � Drainage Way -- _ . SKE .C1 t:(Street name,dimensions of lot,exact locations of lest holes&pert tests,locate wetlands in proximity to holes) • J 0 f w 1 o X u � �e r Depth tU Bedrock Parent material(geologic) Car a C Weeping from Pit face Depth to Groundwater: Standing Water in I late: i — Istimatcd Seasonal 1 tigh Groundwater >)1>,��VTMIN��TION xroxt Sli. �StaNAL dicer[ 8V,. r zi'�'nll><,ti, Mcihud Used: __4J4 4 S 8.3 In. Vg1th In soil mottles:_ N In. Ucptlr Observed standing in ubs,lullcr N�R -- Ill. (,roundwater A I ustmcnt R ucpth to+Peeping G.om side ofubs.Iwlct A,II.faclur 4� Ad}.Gronnd+valer i.evcl�8 Imes Well NLy1/W 29•Reading Date: ®f 9? Indc.r Well Icvcl••.$� �Toine D Observation Time at 9" I[Ole 0 d : 3��Go Depth of Pere �—�— --- 3.r►r 07 �GSCC wl...o...... w .1...NO C]Ci C0 rre•wnk Rnlcblin./Inch ��.,..- ✓. Site Palled: Additional 1•csthlg Needed(Y/N) Site Suitability Assessment: Site Passed — Original: Public Ilealllt Division Obsel•valiuu Mule llala TO Be CODII&M on Bnck Copy. /;t;plicallt :._�_ I)IF I' OBSERVATION MOLL LOG Dcpllt from Soil I lorizon Soil Texture Soil Color Soil other(USDA) (Munseli) Mottling (Structure,Stones,(loulderes. % Surface(in.) L.aa..•.)' 2.sYfG tiro 30 rr d Sand. A.40o.»y 2.s y �0,� C n1ed� CO¢►^se 7/4 r. Z C,�r C Z G a-.-jr t L HOC#'• N LOG DEEP OBSERVATION HOLE Soil i:olor So I Other Depth from Soil Horizon Soil Texture Munseli Mottling: (Structure,Stones,iloulderes. (USDA) ( ) C Surface(in.) ` 11Me# N f+ Uf�E1, O11SCItVATION IIOLC LOG — he r Snit'fexture Soil Color Soil De",from Soil Ilorizon (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. 0 Surface(in.) I IIOIC# A/ 4 DEEP OBSERVATION HOLE LOG Soi1 other Depth from .:Suil Ilorizon• .-_ Soil'fexlure Mottling (Structure,Stones,oouideres. Surface(in.) "^a a (USDA) ` ' (Munsell ) o l Flood Insurance Rate Map: Above 500 year flood.boundary No Yes Yes_� $Z o ter;a:m: •> a '�i' : T o Within 5o0 year boundary No_ „ •,.,,o,p, Within 100 year flood boundary No_ Yes Depth prtyAturally Occurring Pervious M e is ' 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 v I certify that on 9Jf- (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. Date