HomeMy WebLinkAbout0010 HILLSIDE DRIVE - Health (3) W,6- 4c
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1 wl it ul 6i Fllstittutt~
Department of Health,Safety,and Environmental Services Date
Public-Health Division
d rtr �1 367 Main Street,I lyannis MA 02601
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I wtr+sr�ars I Fee Pd.
i61 t► Date Scheduled
Time l
e D e osal
Suitability Assessment for Sewag P
Soil S .Y �vNN106- (i3UH )
t,,;N uG-�Ntt rgi ltncssed By: —
` A1-\ OJh LJ� (� � —
performed By:
LOCATION & GENERA INFORMATION 'Co�c sr►
owner's
Location Address MfrP 10�3'P(L20 -Poi-5 67 5
S°l-1 I4\LL.5\bC c Address
^^A engineer's Name VJ"A <-tW C_1`k6 Et=ftt
Assessor's Map/Parcel: /040r'l? I(D3 'P(-L- -z,G 2 - 5 LA
L%qEW CONSTRUCTION ✓ REPAIR
Telephone 0
slopes(%) U'- Sumac Stones
Land Use p R
'7 toa' ft prinking Water well
R Possible Wet Area._----
Dlstances from: Open Water Body�-- ft
Drainage Way
ft Property Line
SKETCH:(street name,dimensions of lot,exact locations of test holes do Pero tests,locate wetlands In proximity to holes)
_ '� e�' �).mot 5 , . . . . •
n `5/ THI
JOD
s l �
Mi'rP i`1'3 pc t_
f-) 14 3 e-
2 I
I
�� Depth to Bedrock
Parent material(geologic) 0`m '�'s
�N 2. —-7.2/ Weeping ttom Pit Face
Depth to Groundwater: Standing,vetec In Hole: ,r � 701-
i
EsiimateE Scones High Groundwater _.,
DETERMINATION FOR SEASONAtIHO WATER'�`A��E
' Z Depth to$oil monies:
Method Used: Z�L�l u�' �.2 �1 In. tkP R. ,
Depth Observed standing In obs.hole: in, Groundwater Adjustment G.�1,
Depth to weeping from side of bs;hole: Ad factor O,�_Ad).Groundwater Level__ �r"1XL
1W y1 Reading Dale: Index Well level ,ZI 3 j —
index Well#
PERCOLA 0 Al
-!ON VEST 10 -� 1
Observation `T�4 Time at 9"
Hole M
Time AV.
Depth of Perc N,L90 Time ��„ „)
�
Start Pre-soak Time Q —
G'-Z o
End Pre-soak
l2 M�N�IN
Rate Mln.flnch
Site Failed: Additional Testing Needed(YR
Site Suitability Assessment: Site Passed
t� N
original: Public Health Division Observation Hole Data To Be Completed on Back-�
Copy: Applicant
r LUG 110
1c# 1
110 ' SO Ua,er
U115I;ItVA 1'lUN Soil Color gtnreturc,Stones.no,ddercs.
.Soil Ilorl>un Soil'I e!cl„re (Munsell) Mottling
Ikp111 from (USDA)
Surfnce(In.)
3 l.r 42
10`t't'
W qTY (a.t.
11016 0�2
IIOL1;LOG :: sou other
jjCCr OUSGIt� l Texture Soil color Mottling (structure,Stones.Doutdercs.
soil I[of ton Soil Texture (Munsell)
I)cp,h from (USDA)
Surface(in.)
3�
L
Uhla' 011iSCItVA'I'10N 110LC L00
son color son
Soil Texture Mottling (Structure.Stones,Doutdcres.
Ucpth from
Soil horizon (USDA) (Munsell)
Surfnce(in.)
llolc#,r____._
Soil other
llLr1) OUSLItVA'1'ION 10LsoiLUG Slnlclure.Stones,Douldcres.
Soll'fexlure (Munsell) Mottling
I)cp111 from (USDA)
Ilorizon (USDA)
Surfnce(in.)
Ur
0o ear flood boundary Now Yes„`
Above 3 1+ .=_
Within 30o year boundary
No Yes —
. - --• Yes
within 100 year flood boundary No ___
U.
Occurring envious material exist in all areas observed throughout the .
Does at least four feet of naturally oc g p
area proposed for lire soil absorption system? _curring pervious material?_---
If not,what is tl,e depth of naturally oc
certify that one (dale)I have passed the
soil evaluator ex/urination approved by the
bcpartmcnt of Ln
vironmental Protection and that the above nnalysis was performed by me consistent with
;—I ,r:,inino.exr,rtise and experience described in 310 CMR 15,017