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HomeMy WebLinkAbout0082 HIGHLAND DRIVE - Health (3) ioe C,, r� � ;U ToWilt of Bariistable P U_g Department of Health,Safety,and Environmental Services of Public Health Division Date Qn 367 Main Street,Iiyannis MA 02601 ( s 9AaNIMAUX D 0 erase. ' O 1679. Q y fFoMret" Date Scheduled J Thne Op Fee Pd. _ Soil Suitability Assessment for Sewage Disposal Performed By: L A WT IR'V S Z)C.• Witnessed By: ..........:...... ... Location Address �`�1 G 1-�1 Vet}.) iv Owner's Name ���f).1AON ;1. .N �] Address _ Assessor's Map/Parcel: Iq �l `I E CEN T�T2V1 LLC , N\ n meer's Name NEW CONSTRUCTION REPAIR V' l nKa E-N\1 A S S D� Telephone 3Lb-C`gSZ-4CR9 Land Use Q'Ibl EU JM G Slopes(%) % Surface Stones ).A— Distances from: Open Water Body A) R Possible Wet Area it Drinking Water Well 1\).rk _ R Drainage Way IV.A. a Property Line 2�t R Other .R. SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) tit ) � ) �'� � �•, �2 Q 2 y 1 r i i• i Parent material(geologic) p]Z� �L-A U AL Depth to Bedrock • Y�- Depth to Groundwater: Standing Water in Hole: N F Weeping from Pit Pace AJ (3_NL Estimated Seasonal High Groundwater N ;:::: ;::>::>::.............1JTEY2117I:.ATICIIi:)':OY2.. XX Method Used:, :::::::::::.::::::::::,::::::::;:.:::.;;;:.;;:;::;;:.;>:.:::;:•:;;;;:.; Depth Observed standing in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment fl. Index Well N__ __ -Reading Date: Index Well level...- Adj.factor Adj.Groundwater Level Observation �` I Hole N Time at 9" Depth of Perc . Time at 6" Start Pre-soak Time© Time(9"-6") End Pre-soak ' Rate Min./Inch Site Suitability,Assessment: Site Passed Y Site Failed: Additional'Testing Needed(Y/N) A) ) Original: Public Health Division Observation Hole Data To Be Completed on Back—j Copy: Applicant L• `s :>......... +t :: .:::. " .... ' .0..... 6. Depth from Soll Iior(zon Solt Texture 'Soll Color ' Boll Other Surface(in.) 1 (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. i �,, g,• d �. A LOAM X)Y R�l 3 8 -4D taw t=roa aF'NDy Z,5`/6!4 'bo7' 13Z!, C Mtm^CoPASZSC LAA2S of 1 '6 sn �GMV€t 61i; GR►av>=L :...:...:. .........::.:;;;::;:.:: ; #. :..<.>:;.;;:.;:.:.;;;.::::::::.:::::::.::.;;:.>;:. eplh from So I Horizon Soil Texturc Soil Color Soil Other, Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Con 0 0_ s„ T4L\ 1- 0��� 1oYR5/3 8=�p�� Tat FI>JESP>,Ay 2.5YW4 fZc�T g �C7v�C L0P4t� 4o'�6D" I3 z F1+� s rip Z.5 Y G/3 vtL 2,S'V 612 GP.nVlk, t A"i TR3 Depth from Soil Horizon Soil Texture Soil Color Soil::,:.: USDA Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Cray P. i A )CP:..OBSER.V..:: : : ::. ; Depth from Soil liorizon Soil Texture Soil Color Soll Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % • s Flood Insurance Rate an: Above 500 year flood boundary No_ Yes V 1 Within 500 year boundary No_ Yes i i Within 100 year flood boundary No_ Yes k Depth of Naturally Oc erring Pe r rvimIa Mnfarrnl Does at least four feet of naturally occurring pervious material exist in all areas observed throughout,the area proposed for the soil absorption system? Y S S If not,what is the depth of naturally occurring pervious material? Certification I certify that on FALL q (date)I have passed the soil evaluator examination approved by the Department of Environment al Protection and that the above analysis was performed by me consistent with the required trai 'ng pe ise and experience described in 310 CMR 15.017. i Signature Date