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Home My WebLink About0120 NORTH PRECINCT ROAD - Health 1150 ti r .r� J�i e , I C I ILRD 4034 G �ASTING$mm +NFran Town of Barnstable P# 8930 Department of Health,Safety,and Environmental Services Public Health Division Date 367 Main Street,Hyannis MA 02601 BMWffABM MABB. � / sass �� fro gr'l� r= Time I l'% tO •k Fee Pd. /©0 rEotrta+" Date Scheduled p �-�/ / l , f Soil Suitability...Ass'essmentir,Sewage Disposal' Performed By: e�. �• •E• • -�Witnessed By: 4 � ' - LOCATION & GENERAL INFORMATION Location Address 120 N. Precinct Rd Owner's Name John Falacci Hamilton Homes, In Centerville Address Box 1224, Hyannis Assessor's Map/Parcel: 14 8/14 6—1 Engineer's Name Jeffrey R y t h e r NEW CONSTRUCTION XX REPAIR T Telephone# B S S Design, Inc Land Use V 4 V 44i L"'e.-S • Slopes(%) ! Surface Stones �0 Distances from: Open Water Body /Z V ft Possible Wet Area b ft Drinking Water Well ft. Drainage Way d ft Property Line 20 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) PON D POI r-"m P&MV G e Parent material(geologic) a I. at 441 Depth to Bedrock N A Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERh�INATIOlV FOI2 SEA501AY, GTI WATER TAB1L Method Used: Depth Observed sta ding in obs.hole: 1(7� in.• Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. UVG�/`��r c Index Well#_ Reading Date:_ Index Well level Adj.factor Adj.Groundwater Level_ /q 7 PERCOLATION. EST vate.5 !� ''Trnte l : bU: Observation Hole# Time at 9" Depth of Perc Time at 6" Start Pre-soak Time @ Time(9"-V) End Pre-soak Rate Min./Inch 2. u tel t4 t`Q Site Suitability Assessment: Site Passed x Site Failed: Additional Testing Needed(Y/N) No Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant i BEEP OBSERVATION HOLE LOG Hole# / Depth from Soil Florizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. I.Consistency.° to yt-z/z �b to w i►.ov�'-s ¢--q„ sad �o �I� clew► s��, Zs�, !� �,� ,` lied•SAP -Z.s y '�3 a,H `5' 6`z: ' v `Clods DEEP OBSERVATION HOLE LO:G Hole# Depth from Soil Horizon I Soil Texture I Soil Color Soil Other Surface(in.) (USDA) (Munsell) I Mottling (Structure,Stones,Boulderes. Consistency.'N Qravell • r DEEP.::OBSERVATION HOLE LOG Hole# < Depth from Soil Horizon Soil Texture Soil Color Soil Other ' Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ° 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.%Gray 1 + , P Flood Insurance Rate Man: A �• `N�,t Above 500 year flood boundary No X Yes ` } Within 500 year boundary No X Yes Within 100 year flood boundary No X Yes Depth of Naturals 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? G S 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 train' ,ex ertise and experience described in 310 CMR 15.017. Signature Date 6 Cl7 r'