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HomeMy WebLinkAbout0042 LONGFELLOW DRIVE - Health (3) � � � /03q _ Town of Barnstable P# Department of Health,Safety,and Environmental Services �z►+E, Public Health Division Date a?L 367 Main Street,Hyannis MA 02601 entwarABIX nt�as /� lEG Njt�Kth` Date Scheduled J/ ''i yY. Time /fir'Q� Fee Pd. 100 Soil Suitability Assessment for Sewage Disposal Performed By: i ET�I c�� R A46 R4 Witnessed By: ..... LI�C A�I01& r + At r I1 (lI1VAT�QN . Location Address Owner's Name C.6NJj-//� Address �/d /-0nl�%£�/Ot�/ r �� � Assessor's Map/Parcel: j�� Engineer's Name )14 / RS NEW CONSTRUCTION REPAIR ✓ Telephone# _ G - Land Use R5,-Xi���✓i i�L Slopes(%) Izz Surface Stones �U�✓F Distances from: Open Water Body ft Possible Wet Area 43 O ft Drinking Water Well 1)10,yF ft Drainage Way ft Property Line �f ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Z..S� CX i4i o°14 p �occs s i � w I . t t PaWarfifafferial(geologic) C)dJ-,✓Rs11 i;9A,r) Depth to Bedrock -SQ0 Depth to Groundwater: Standing Water in Hole: 88 Weeping from Pit Face Estimated Seasonal High Groundwater 3 �r� .�+y ;;i:::::.<;.;..; :; 11 .1 Pi t♦L31 I- i!OR rJE ir7. 1+IT E�i 171��11 �r i L'iR T1�D1�1 s`; i ;>:<:»:;<; _ ........................:.............:........................::.........:....:...................................................................................... Method Used: LLS•�T ;r�/�/�I -Z �� Depth Observed standing in obs.hole: B8 in. Depth to soil mottles: r1o4/11-1 in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well.#� �✓Z9.Reading Date:---- Index Well level. ,�_ Adj.factor Adj.Groundwater Level__ E ::;.:::: :` <::::::: ::.:. :.: P. RCOLATION TEST .::;<' > `vatr m Ttrrie;� 1D0 Observation Hole# Time at 9" Depth of Perc �90 Time at 6" Start Pre-soak Time© /1z/03 Time(9"-6") End Pre-soak le,./.S Rate Min./Inch '4,e?-/Y? Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back--j Copy: Applicant E ................... Er OBS�+'RA`TtC11 MOLE EOG ..............0le# ......: Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) (Mottling (Structure,Stones,Boulderes. % O- G " .19 X6,9-,,7 /oyR -f/z r✓/� '-30� -a a,�,� s,�,a �oy�.s�y -✓ice -Z O y_-�/ C C_O/d r✓E /D C�I3' ��9 TO•✓CJ i �� �/20� C L Co �� /o �G G �✓i� DEEP OBSERVATION HOLE LOG Hole.# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. _ a ....... .... . DEEP 013 VA.--—' LhJ LOG .......:: ... ...... 616. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. % AEEP OBSERVATION HOLE LOG ;Hl�le# .. .:: .. .. . .r.�., ... .. . ........................ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. o Gravel) Flood Insurance Rate Man: O/ SL Above 500 year flood boundary No— Yes Within 500 year boundary No— Yes Within 100 year flood boundary No Yes 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? _Lz--E _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on 9f (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 traini g,expertise and rience described in 310 CM 15.017. Signature .— Date / //!�