HomeMy WebLinkAbout0052 LONGFELLOW DRIVE - Health (3) Or
7 �
Town of Barnstable
Department of Health,Safety, and Environmental Services
Of ME Public Health Division mate
167 Main Street,I lyannis MA 02601
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y r1AC9,
�°lEvrnry"�� Date Schecluled Time I7ee I'(l.
Soil Suitability Assessment./or Sewage Disposal
Performed 13y: PIOa, CA81,4JaV Witnessed 13y: Ept,iU'-4-'CQ_ B
LOC1VON GI�Nl�1ZALI ]I+OIZn?D/�I`IOiy__.
Location Address / /"fA(rC rH i) /K/u 1 oRF nA 'J
�.�C/��V�j�" 'L/..J�G11/l/ F�f� Owner's Name L.- IT[�
QQ Q /V 1���10 Il Address
Assessor's Map/Parcel: V 8 /38 Engineer's Name P•J•CA bIL.ACi
NEW CONSTRUCTION REPAIR V I clephone 11 SO 8—1-1-5— q7CO
Land Use yNrD Slopcs(%)--&jM J C7 Zo Surface Stones
Distances from: Open Water Body 1 It Possible Wet Arcn I f1 Drinking Water Wc11 N R Il
l�
Drainage Way I4® it Properly I,inc 13 l-f-- Il Other Il
SKE CH: (Street name,dimensions of lot,exact locations of lest boles&perc tes(s,locate weliailds III proximity to holes)
LI'D U—) b iii--
13 ' /� t
Lot s z
00
G (�
3d f
Parent material(geologic) //�� Depth to 13cdrock
Depth to Groundwater: Standing Water in bole: `7(g Weeping from Pi(Pace 4
Rstimated Seasonal I ligh Groundwater 3 Dco '771-j
Y)� 'LRNYYNATION FOR $1 OfVAL'IIIGII IVA`xCZt I'A13LL
Depth Observed standing in obs.hole: e?' in. Depth to soil 1 otlles: ' i„
Depth to weeping from side orobs.hole: in. Groundwater Adjustment
Index Well H_ Reading Date: Index Well level Adj.l;acRir Adj.(iroundwatcr I,cvcl
VOCOLAl'ION.'Z'LS'I l a e 7 inlc /
Observation I ��.`�� l
Bole H Timc at 9" (��
Depth of Perc _ / -3 rime at G' �N _
Start Pre-soak tune @ Time(9"-6") a
End Pre-soak
Rate Min./Inch C n1�Yv
i
Site Suitability Assessment: Site Passed Site Failed: Addilional'I'esling Nccdcd(Y/N)
Original: Public Ilealth Division Observation Ilole Data To 13e Completed on Back
Copy: Applicant
DEEP OBSI+;RVATION HOLE LOG Hole
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
C1 Vy o71 � p
d
It el C+ Co Z,5 S ---
c54D .5 GA.� 0 1, f 57
de-, Y' r t
DEEP OBSERVATION HOLE LOG ;Hole;#:
Depth from Sbil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
DEEP OBSERVATION HOLE LQG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
Flood Insurance Rate Maw /
Above 500 year flood boundary No— Yes v
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?
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on NOd. lq 3(date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was perfonned by me consistent with
the required expertise and expe ' ce described in 310 CMR 15.017.
Signature Date 7