Loading...
HomeMy WebLinkAbout0093 LUMBERT MILL ROAD - Health (4) __ I(�"s16i-ISM C�+erc�fl� e i Town of Barnstable P# Department of Health,Safety,and Environmental Services �99 Public Health Division Date 3 367 Main Street,Hyannis MA 02601 6axrrarAOLK J HAM�OrFOMa 90 +��� Date Scheduled 4/3 �'/� L Time 0 Q"V! Fee Pd.� Soil Suitability Assessment for Sewage Disposal y, o b /tk/y J ,�o�y/e Witnessed B ;fP r QUsor�is-!4 Performed B � Y LOCATION &°GENERAL INFORMATION Location Address Y3 �uvM��rT i6/ /�oQa/ Owner's Name Grpq a* Address �pd G4/s�,ov� /loin G�siir yE' /ylas Assessor's Map/Parcel: Ma"a /6fl Engineer's Name G y- �N9'/YiNP7-�yi q NEW CONSTRUCTION v REPAIR Telephone# ,c/ Land Use to6aenle Slopes(%) 5'Po Surface Stones Distances from: Open Water Body A/601 ft Possible Wet Area 4//,4 ft Drinking Water Well .f///A ft Drainage Way N1W ft Property Line XfO1 4 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) berT /syi/1 /foaU —> y�105,00 J#L 4b M 45' Parent material(geologic) DvTwasLl �Oi/! Depth to Bedrock /t/Jf� Depth to Groundwater: Standing Water in Hole: A414_ Weeping from Pit Face /y_4 Estimated Seasonal High Groundwater V0 roe r dfgj 4PI-o9POv sc�c✓u�pi- CmW7b d 0' rncr� DETERMINATION FOIL°SEASONA:E MIGHANATE iABi�r. Method Used: Depth Observed standing in obs.hole: Ao� in. Depth to soil mottles: X114_in. Depth to weeping from side of obs.hole: A///9 in. Groundwater Adjustment ft. Index Well# Reading Date:_ Index Well level. Adj.factor Adj.Groundwater Level ''PERCOLATION TEST' Uate3/ % Time ma3o¢'. Observation Hole# Tla'I Time at 9" Depth of Pere -10��`/a� /� Time at 6" /0 yC.sec. Start Pre-soak Time @ Time(9"-6") End Pre-soak Rate Min./lnch c7,33/hir!/i�c� Site Suitability Assessment: Site Passed_/� Site Failed: Additional Testing Needed(Y/N) IV Original: Public Health Division Observation Hole Data To Be Completed on Back-j Copy: Applicant '`DEEP OBSERVATION HOLE LO;G Hole# p Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) 0 -F 14p Loam y_sa4 w Iavf `— Leroy e If-130 41 /tiPc/Sanc� /oYR s 8 — d0se M- 93 G, 4951 6/0 -- L o0 Y3-/ o G rHPa!S¢aa0 v?SY"�/ — 2o0s� DEEP OBSERVATION HOLE LOG Hole# 2 Depth from Soil Horizon Soil Texture Soil Color Soil ' Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°o Gravel) 0-/0 4,0 le,y,e S 3 — Lmos e- l0- 3/ /a Yf S ' o Ld o.s e- y+rrd-coa�'se - 96 C► sand o?sl'6/b — limos e 6 -/aa Ca ec/ sand a s1'6/f� — GoO (f- DEEP OBSERVATION.HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) `(Munsell) Mottling (Structure,Stones,Boulderes. Consistency.°o 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.°° ravel Flood Insurance Rate Man: Above 500 year flood boundary No_ Yes_Jell Within 500 year boundary No_�/ Yes Within 100 year flood boundary No_JC 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 OGT/99S (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. Signature ,� � � Date 3//9