HomeMy WebLinkAbout0549 HUCKINS NECK ROAD - Health (3) Camiawu II
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1 uwu ul Bal-listable
Department or Health,Safety,and Environmental Services _ 9 �
Public Health Division Date
367 Main Street,Hyannis MA 02601
t .,urrarents
1° Date Scheduled )
Time Fee Pd. !ya'
�il Suitability Assessment for Sewage Disp
So osal
1. Witnessed By: 6i d_ ��'� �.A
`:''Performed By: %3n:3 7G�i z GF.ad[,.•5
LOCATION & GE NEIlV�'+OItMATION
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t acation Address 5-4� /-f u e�L��✓s NKK �f A�wner's Name , /A, ,,�'}
V f C.Lie Address S 4�
nI�'K�o 'Y
J
<a. Engineer's Name A-L` � �,"F_ 'j�e—
Aslessor's Map/Parcel: z /39
/ Telephone U 779- oa 5 5
Nt� rONSTRUcTION t REPAIR
'' "ib Surface Stones
Lend Use Slopes(%) c2' '�
Distinces from: open Water Body 'LC70 R Possible Wet Area
1� ft Drinking Water Well ft
R Property Line 2 o� ft Other ft
Drainage Way�.—
SKETCH:(Street name,dimensions of lot,exact locations of test holes dt perc tests,locate wetlands in roxtmtty to holes)�
.,e 11D1
i
IV
I531v '
Depth to Bedrock ZOvt
Parent material(geologic) N
Depth to Groundwater: Standing Water in Hole: ND�A- Weeping from Pit Face 1Da
Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used: LJh, In. Depth to soil mottles: In.
Depth Observed standing in obs.hole: in. Groundwater Adjustment R
Depth to weeping from side of obs.hole:. Ad.factor Adj.Groundwater Level
index Well!!_ -Reading Dale: Index Well level...--_ j
PERCOLATION TEST ` brie .�inie:l`; o
Observation 1 Time at r
it'ole N 'i
' b 0
� Time at 6" �_ �
Depth of Pere ;: .
Start Pre-soak Time Q
End Pre-soak
1'3 Mla
plate Min./Inch VA 1.1 1
Site Suitability Assessment: Site Passed _ Site Felled: Additional Testing Needed(YIN)
original:.Public taealih Division Observation Hole Data To Be Completed on Back —�
Copy: Applicant
11o1e# 1
bi; 11i O1lSI'RVAT1ON IiOLC LOB Soil o,l,er
Snil 1•exture Solt Color Mottling (Structure,Stones,tloutderes.
I).cplh from Soil Ilorizun (USDA) (Munsell) •
Surface(in.)
21 g r
u � Lu �; •t,►a�p 2'S`t i0 ZD o coda �s '�
r '1
(J 7
1�0 I�iY
UCI;r OBSCItVA'1'IC�N 1IOLC LOG soil other
Soll Texture Soil Color Willing (Structure,Stones,Boulderes.
Ueplh from son Ilorizon (USDA) (Munsell) •
Surrace,(in.)
kU4(LI
I�M 7�1A
T1 ® � I --
•
UI IW OI3SCItVATION HOLE;LOO soil other .
Soil Textore Soil Color SUuclure,Stones,Doulderes.,
pepllr from Soil I Iorizon (USDA) (Munsell) cc
Mottling ( •
Surfnce(in.)
--------------
DEEP njOUSI;ItVt�T10N IIOL LUG soil Other
L(USDA)
xture Soll Color mottling (Slnrcluro,Stones,tlotllderes.
ikpth from Soil Ilorizon (Munsell)
Surfnce(in.)
I I
--r i+c ri;
. .-..aa�p ate Matz
Above S00 ye flood boundary No .Yes
Within Soo year boundary No_-- Yes
Within 100 year flood boundary No
Yes
( ' to ail Oc urrin Pervious Ma�l'1g1
ast four feet of naturally occurring pervious material exist In all areas obsery
Do
es at le ed throughout the
area proposed for the soil absorption system? �—
iCnot,what is the depth prnaturally occurring pervious material?
pproved by rti cation +
certif that on (date)i have passed the soil evaluator examination
s aerfolmed by me cons slee v'
Y.
Department of i;nvironmental Protection and that the above analysis p
d—.....116011 Irlinine.exnertise and experience described in 310 CMR 15.017.