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Home My WebLink About0058 NYES POINT WAY - Health (3) Win,+�ui Z CItt ' , 9 � V f• • RONALD J. CADILLAC, PLS,RS PROFESS101JAL LAND SURVEYOR REGISTERED SANITARIAN Page 1 P.O. BOX 258 WESTYARMOUTH, MA 02673 1 f No. �.. . Date ../ ' Commonwealth of Massachuset � � Massachu e' :ts w Soil Suitabilitv Assessment or On-site ag Di&sal Performed By: ---- RONAiD J. CADILLAC. PtS;RS.................. 4 , g .. ....................... Witnessed By: iJ►vstrl ........ .... . ........ ... ..... �.. ..... ....0.... .... . ..e..Y.... ...1Z ................. .. ................. ... .......... . .... ........ ....... Location Address or 56 NY6J PD 1&,/ ��/� Oww's Nam,- )C Zj5,rDerlC�- (/r �Qfl�,)6��1J L.ot o L.o7' CC1,,21//LL yMA C7 I Address.and / Telephone r r�rn Z 3 3New construction ❑ Repair Fx. Office Review Published Soil Survey Available: No ❑ Yes Year Published _�3 Publicatiorl Scale 4 45,_000 Soil Map Unit ... c" cci ('C` Drainage Class S�I LOimitations _ 2e i7 � kv......................................_........._ ..... . Surficial Geologic Report Available: No ❑ Yes Year Published $6 . Publication Scale /' ,ago Geologic Material (Map Unit) ....... _( jrt Landform ._. ...... vLffw/ASt, Flood Insurance Rate Map: Above 500 year flood boundary No ❑ Yes �❑ Within 500 year flood boundary No ❑ Yes LI ��6 " Within 100 year flood boundary No ❑ Yes ❑ Wetland Area,: ` National Wetland Inventory Map (map unit) ................ %Uo 7 .... ..... .. . ..v.J it ia........... ................................................. Wetlands Conservancy Program Map (map unit) ............................................................................_.................... Current Water Resource Conditions (USGS): Month ...... .......... Range : Above Normal ❑ Normal ❑ Below Normal Other References Reviewed: �� 6S qu,1+4 J Page Z Determi.hation for Seasonal High Water Table Method Used: B Depth observed standing in observation hole .....�'`' .7.. inches ❑. Depth weeping from side of observation hole ... .... ..... inches ❑ Depth to soil mottles inches ❑ Ground water adjustment feet rw�-ki:r Index Well Number ..... ....... . Reading Pate.................... Index well level .................. Adjustment factor ................. Adjusted ground water level ............................... ..................... 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? r + S If not, what is the depth of naturally occurring pervious material? Certification I certify that on Poo. C43 (date) I have passed the 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 �z �. RONALD J. CADILLAC, PLS,RS PROFESSIONAL LAND SURVEYOR C_ RECISTERED SANITARIAN P.O. BOX 258 WESTYARMOUTH, MA 02673 err c Page,3 i On-site Review Deep Hole Number ...... ...... Date: .. J 161 q /® Weather �JJ.�. _..... . _....._....�'r'�'I Location (identify on site plan) ..._.........S; � Time:CC ... '... _6,-- P.._.. WA., l �.�. /..........__... - . . �......�......P . Land Use r.: .......... Slope (%)-..f..Fa`�v Surface Stones .........../20-......._......................................... ..... Vegetation .................... ............ ._......................_................:_......................................................................................---.................. _...... Landform ........Gv... w,,q-,��...: . �It„�..... /.70 ..................... ........................................................... Position on landscape (sketch on the back) .............................................................................................................................:..................... ... Distances from: Open Water Body ...'.70... feet Drainage way__°........_.. feet Possible Wet Area ..... ... feet Property Line .... �i... feet Drinking Water Well .. feet Other ........._........... ...... OBSERVATIONDEEP HOLE LOG Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other (Inches) (USDA) (Munsell) (Structure, Stones, Boulders, 3cf, f/ Consistency, % Gravel) Uri �r. loyi- 616 87 /Zv`r Parent Material (geologic) ....................... ............................................................. . Depth to Bedrock: .... �j . . .................. . Depth to Groundwater: Standing Water in the Hole: .....67ff Weeping from Pit Face: ...:'- - Estimated Seasonal High Ground Water: . 3 8 VjJ COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test �4. � .. � ` �• r�.A'ti.v -.^a w - .. :.v �>A ♦r �. �� lh -. � .. a.. � v . > .... a Date: _ Time: _... .. .. .. Observation Hole # Depth of Perc rr' (77-D Start Pre-soak 16 End Pre-soak 10 Time at 12" Time at �tj %O•` / i Time at�°` L' 5 6 Time (9"-6") Rate Min./Inch C Site Passed IJ Site Failed ❑ ............................................................................................................................................................. RONALD J. CADILLAC;, PLS, RS Performed By: - - Witnessed By: cowxh-la N �' Comments: _ .. . .. . j4ae- u. .....e. .. ..✓ 4-ti . ._.._..._....... 4 APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATIONd ®Y,��Q�1 f�y�� _ NO. J= 7 VILLAGE _ s= _ir�.fZ� _ DATE APPLICANTto or FEE ZAP _ ADDRESS /PD• /.3OX G C,v75-P- /JU-IS / oz63ZTELEPHONE NO.362-6711 (Non-refundable) ENGINEER TELgHONE NO.-7 9�d� DATE SCHEDULED �'��r' p�.... Z'rL.�c,1�_ (Applicant' s nature) . . .. . . 00 O O O O O . O : O . . c O .-. O O . ....O . O . O O O . . . . . . O . . . O . . . . . . . . O O O O . . . . . . . O . O • . . O . . O . . . . . . ASSESSOR'S MAP & LOT NO: v �" SOIL LOG SUB-DIVISION NAME DATE ij d/—� ^ '�'4,-_'TIME EXPANSION AREA: YES NO ✓ TZdNX�e-,a J, CA o -� R- - TOWN WATER PRIVATE WELL ✓ 6DwA-n/J /,5AfZ0y BOARD OF HEALTH J. 1-7 IT2A 6o rn be,- EXCAVATOR SKETCH: (Street name,etc. ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes) NOTES: �e � Q %/Z e A)o . 66 G PERCOLATION RATE: C Z 2tiv (,./c/{ NGUp TEST HOLE NO: ELEVATION: 37.( TEST HOLE NO: ELEVATION: - g 2 c �a^ iv 3bs /3 C ei- 3S v 3 5 5 d�J�10 .fitld 7� e( 7 `-3 ''- /� o c`3�'3s � ` 8 Z � 8 9 9 10 fbo�fr�ram. 10 11 11 12 12 13 13 14 14 15 15 16 16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS: NOTE: ENGINEERING PLANS MUST SHOW NUMBER ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN. ENTIRETY BY P . E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT