HomeMy WebLinkAbout0078 LADD ROAD - Health (4) 78 Ladd R.or-�9, Ce.�nferv� I►�
7
Town of Barnstable �
P# 3 a �
Department of Health,Safety,and Environmental Services
�,t* Public Health Division Date
367 Main Street,Hyannis MA 02601
S anrtrreuet r, - -
nuaA � I
Date Scheduled - ,
E Time 0
nn�+ � � � � �; A.t•� Fee Pd.
Soil Suitability Assesshien+t for Sewage Disposal'
Performed By: Witnessed B e rr
i y. T� 0% L I'!th
LgGATIQN&GRNERL INpRMAT1ON
....... .
Location Address Owners Name JIM PEDULA
Address 7 Brown Road
/ Grafton, MA 01519
Assessor's Map/Parcel: 206/56-2 10 Engineer's Name, C,r+�i y 12. SA or'
NEW CONSTRUCTION REPAIR X Telephone# (If
O 8)
Land Use e_S r J et-, C'a..-► Slopes(%) Surface Stones No
r
Distances from: Open Water Body O± It Possible Wet Area gm t ft Drinking Water Well ft
Drainage Way ft Property Line It Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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L � DD
4`
rl I
F�is r
Parent material(geologic) C a r-V'C r` Depth to Bedrock ^
CCL
Depth to Groundwater: Standing Water in Hole: . s Weeping from Pit Face
Estimated Seasonal High Groundwater
4'
DETEIt1VIIlYATIOlr1 E+(3Ir S ASO IAL HIGT WAT II' 'A I� '>>
Method Used: t�.f �S
...... : ..
Depth Observed standing in obs.hole: 8. S' in. Depth to soil mottles: ^ro in.
Depth to weeping from side of obs.hole: /04- in. Groundwater Adjustment et/e ft.
-Index Well#M_rti✓dg-Reading Date: 1 t}/2I s$lndex Well level _ Arlj.factor 2, s Adj.Groundwater Level 4
PERGOLAT1ION TEST ;Rate :'.<.::::>;:':` Trme
Observation
Hole# Time at 9" /O : Z 71 Z I&
Depth of Perc G 6rry 7V d Time at 6" /o tZ 7 SC
Start Pre-soak Time @ 7-4:Ca Time(9"-6") 2 Z S« of-S
End Pre-soak 1 0 L7:to
Rate Min./Inch < 204 r.1 e-
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
DEEP OI3SII'�� T'IOl�MOLE LOG Isle
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
oGravel)
k Sa--..df y �o YR
0- 1 2 G a a obn 3 f
i S0'` r3 A. r r2 414 y
30" Cj ,( d.J-y 414-
r4 ec(.v.. r. 2 .67 7/'F ►t
/o i C L Coarst S•►h
.
:DEEP OBSERVATION HALE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) I (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Gravel)Consistency.O/o
DEPOBSERVATINHOELOG $O .Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° Gravel)
5
DEEP;:OBSERVATION HOLE LOG Hole#
:.:,..
Depth from Soil Horizon Soil Texture Soil Color t ;`Soil, Other
Surface(in.) (USDA)` (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency, Gravel)
Flood Insurance Rate Maw
Above 500 year flood boundary No— Yes
Within 500 year boundary No_ Yes
Within 100 year flood boundary'No_ Yes ✓ A / 3
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? re 3
If not,what is the depth of naturally occurring pervious material?
Certification
r
I certify that on A/C v °/4 (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. a,
Signature Date l�'S