HomeMy WebLinkAbout0360 LAKE ELIZABETH DRIVE - Health (3) fP y r
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Town of Barnstable P#
O{ \a I G 'NA L Department of Health,Safety,and Environmental Services
DIME Public Health Division Date d''�, S�-
367 Main Street,Hyannis MA 02601
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Date Scheduled ` 7 Time Fee Pd. _
Soil Suitability Assessment for Sewage Disposal
Performed By: Witnessed By: -tit 12...�«��u
LOCATION & GENERAL INFORMATION
Owner's Na
Location Address �� me'S'Etk �"PV4!►tJN� �- ..
LA tW F"t�•7R.. Address �lt,t,>artS3�lR Gi t YQ
Assessor'sMap/Parcel: Engineer's Name STEPHEN J. DOYLE & ASSOC.
42 Canterbury Lane
NEW CONSTRUCTION _ -V REPAIR Telephone# East Falmouth. MA 02536
Tel one: 508/540-2534
Land Use7� - Slopes(%) Surface Stones
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Distances from: Open Water Body ft Possible Wet Area )p ►So ft Drinking Water Well —4&—ft
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Drainage Way -.2>0/ ft Property Line `3 Z ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
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Parent material(geologic) Depth to Bedrock 1,�.&
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face )10
Estimated Seasonal High Groundwater < O
bETERMINATIOIV FOIL SEASONAY,IIYG�I\'WA\T`EIt'Y'ALE
Method Used: C.APt: u11, tJJ ir-A— A-Uk`C-+a���l�- `�� `�NtT.12- �j3St`-QUr�
Depth Observed standing in obs.hole: _in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# •Reading Date: Index Well level.-,--- Adj.factor Adj.Groundwater Level
pERCOLA'fION TEST uate `Z u tmc 1t :30
Observation
Hole# Time at 9"
�t Depth of Perc 3(l Time at 6"
Stort Pro-conk Timo Q 10 V3 0 Time(9%6")
End Pre-soak �L s,� lu'.31 LAJAAX .-
Rate Min./Inch �IAbA i= LO
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
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DEEP OBSERVATION HOLE LOG Hole;#�
Depth from Soil Horizon Soil Texture Soil Color Soil er
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistencv.° Gravel)
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DEEP OBSERVATION HOLE LOG Hole#'
Depth from Soil Horizon Soil Texture Soil Color Soil
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°°Gravel)
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Z` 4 t�—13 5L 10 (1_ l,' L
l z o" ��C a ��t�F�►•1 c ,��S `� � L t� � �-�
DEEP OBSERVATION HOLE LOG Hole#
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Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.% ravel
DEEP OBSERVATION HOLE LOG H01e#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.° Gravel)
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes v F'�1J►�,� j
Within 500 year boundary No_ Yes
Within 100 year flood boundary No— Yes
I 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?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that do __ 3 (date)I have passed the soil evaluator examination approved by the
Department of Erivir nmental Protection and that the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.
Signature Date --ZSte►y .