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HomeMy WebLinkAbout0117 NORTH PRECINCT ROAD - Health (3) �u� l�►��lUOz I ti �n on ® ors.aos:� 1,IASTINOS,MN ' - ' x Town of Barnstable P# 8931 / Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 'IRMA LA Date Scheduled (".i' /�6� . _ Time I Z y� Fee Pd -- /a 0 Soil Suitability Assessment for Sewage Disposal Performed By: tk&e ' •4• Witnessed By: Y LOCATION & GENERAL<INFOM: 110N` Location Address 117 NOrt Pr irict Rd Owner's Name John FalaCCi Hamilton Homes, In Address Box 1224, Hyannis Assessor's Map/Parcel: 14 8/14 6-2 Engineer's Name Jeffrey R y t h e r BSS Design, Inc NEW CONSTRUCTION XX REPAIR Telephone# 5 4 0-8 8 0w 5/ Land Use VCi4 P"• Slopes(%) �(/►� Surface Stones Distances from: Open Water Body /J V=ft Possible Wet Area V V ft Drinking Water Well — ft Drainage Way -- ft Property Line Zd ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) C'1� G� l � 4p1 r r C Parent material(geologic) ,N Depth to Bedrock A �l Depth to Groundwater: Standing Water in Hole: V Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION FOR SEASO' AL h1kift Vi%A 1 ErR Method Used: Firl w•Pfe-v Q Depth Observed standing in obs.hole: 00 in: `Depth to soil mottles: -d s in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment Index Well# Reading Date:_ Index Well level Adj.factor Adj.Groundwater Level -.. ..... PERCOLATION TEST Date b Time. Z �V Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time© Time(9"-6") End Pre-soak Rate Min./Inch Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N) /Y O Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant 1 t J f DEEP.OBSERVATION HOLE LOG ,Hole.# ! " , Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistencv.% O- " X n� lbYx?`i t hlD A -fs— pieA �Ad 16 GdeaK Sid s��«�y lb yp 4lb Kd G , Wed. saMd 't/3, � f DEEP OBSERVATION HOLE LOG Hole Depth-from 1 Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottli�og (Structure,Stones,Boulderes. Consistency.%Gravel) L ;DEEP OBSERVATION HOLE LOG Hole# _ Depth fromFt" ?SOil Horizon Soil Texture Soil Color Soil Other Surface(in.) rr (USDA), (Munsell) Mottling (Structure,Stones,Boulderes. 1Consistency,°i a� f f ai _d ' ,e • w a ' 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) t - t Flood Insurance Rate 1✓iap:Above 500 year flood boundary No X Yes Within 500 year boundary No^ Yes •Within 100 year flood boundary No x Yes Depth of Naturally Occurring_Pervious Material I 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 4 qS (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 n' xpertise and a perience described in 310 CMR 15.017. Signature I'l.�N Date V 619 7