HomeMy WebLinkAbout0005 MINTON LANE - Health (3) % �� M i r►-h'i Vie,�c��eiV i Ile. ��
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Department of Health,Safety,and Environmental Services. -
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Public Health Division Date-
367 Main Street,Hyannis MA 01601
s SANWA" •
Date Scheduled -
Time Fee Pd.
Soil Suitability Assessittentfor Sewage Disposal
Performed By:
- tC--L— A. OJ.pt �-A Witnessed By:
LOCATION & GENERAL 1Ni♦ORMATION '
�1 N L-A E Owner's Name 3f vt qv\- 'Z3ROS T7�V
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ca on A�Id O ��a
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'��1`r\ z oov�i 5�D\�• Address So ��
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D —Iy "], x l errc.. EngineersName S'7ot )rJ C.^?E C—NG-NN-
Assessor's Me /Parcel: 1
NEW CONSTRUCTION REPAIR Telephone N 1 r �O$ �'�62
°/,) r7 r Surface Stones `
Land Use ��-'4 t''rT Slopes(� W oo'A� P
Distances from: Open Water Body ft Possible Wet Area
ft Drinking Water Well ft
Drainage Way_ It Property Line ft other ft
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SKETCH:(S(reet name,dimensions of lot,exact locations of test holes do perc tests,loc."te wetlands In proximity to holes)
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Parent materiel(geologic) Q5�'^ ejRND. MdMt. efoy -S Depth to Bedrock
Depth to Groundwater: Standing Water In Hole:
�—� Weeping ftom Pit Face
Estimated Seasonal High Groundwater
N�i°� No trno.3N�wr�E`IL. �'----ov N7i
DE TERMINATION Foil SEASONAI 'MeM WATER TABLE
Method Used: in. Depth to soil mottles: In.
Depth Observed standing in obs.hole: In. Groundwater Adjustment ft
Depth to weeping from side of obs.hole: Ad.factor Adj.Groundwater Level
Index Well k__-•-._ •grading Date: Index Well level...___ j
PERCOLATION TEST
Observation j2 Time at 9"
Hole#
Depth of Pere Time at 6".
Start Pre-soak Time Q Time(9"•6")
o
End Pre-soak
G'z W%;V% ian
Rate Min./inch /
Site Suitability Assessment: Site Passed ✓ Site Felled: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back
Copy: Applicant
Ilole# 2 �
I)I�,I;1' Ol)sERVATION ROLE LOG Soil other
5all'I'cxlure soil color Mottling (Structure,Stones,pouldercs.
Dcptlr from Soil I lorizon (USDA) (Munsell)
Surface(in.)
—36 13 Ve.
�6 -By G1 �^!F�ANA
5AlI>
UCC1' 0I3SCItVAT10N 110L1; soil other
Soil Texture Soil Color
Ueplh from Soil I lorizon (USDA) (Munsell) Mottling (Structure,Stones,pout arcs.
Surface(in.)
2�
C— LS 2-ti 6/ti
2.57 Gib
------- Ml F SAND Z-K
Cq
°it'o�lr!(o C2
MEb SAND -L-Ky$/ L --
. 11ole#
DEEP OI3SC1tVAT10N I10LC L0 Soil r
Soil Texture (M Color
I)cpdi from ,Soil I lorizon (USDA) (Munsell) Mottling (Structure,Stones,pouldercs.
Surface(in.)
---------------
------
I1ole #
llCCI' 0135);ItVATION IIOLL'' LOG Soil other
Ucpth from Soil I lorizon Soll'fexture ae SM Color Mottling (SInrclute,Stones,poulderes.
(USDA)
Surface(In.) ( unsel'I)
r
.r•�.,..1 Insl�ranre Rote Ms[! /
Above 500 year flood boundary No—
Yes V
Within S00 year boundary No
Yes
Within 100 year flood boundary No Yes
. a n..rnrrin Pervlo,rs Material
ng pervious material exist in all areas observed throughout the
Does at least four feet of naturally occurri
area proposed for the soil absorption system?
if not,what is ilia depth of naturally occurring pervious materlal7
I certify that on O v r 5 (date)I have passed the soil evaluator examination approved by the
Department of Gnvironniental Protection and Ihat the above analysis was performed by me consistent with
lbe rrrnrired Ir.'� expertise and(-Yl,cricnce described in 310 CMR 15.017.