HomeMy WebLinkAbout0043 PINEY POINT DRIVE - Health (3) ldo.�77 fill .
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IRASTI?4G4„.Ma
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Town of Barnstable I'a
Department of Health,Safety,and Environmental Services
Op IMF Public Health Division Date - 3 `% -2
Qn 367 Main Street,I Iyannis MA 02601
BARNBT RM .
MA99.
ArEu +"�� Date Scheduled 'Z. — 1 rl 7 Time JQ 4 - Fee Pd. d
Soil Suitability Assessment for Sewage Disposal
Performed B C r r a, - Sh a rZ ;? E• Witnessed By: S
LOCATION & GENERAL INFORMATION
Location Address ��-- � (/Qi Owner's Name Fro,�1 I T n 9 .-•G'. ++-�
'l_2�.�
Address P. eD. -c3 ox -¢ 94
Zps.,ter-,,c_A, MA of 93�3
Assessor's Map/Parcel: r� t tZ y (90 3 Engineer's Name C r- Z.-S,�t ems'C
h 4. tJ
NEW CONSTRUCTION REPAIR ✓' Telephone# J
Land Use )Z.esId e-?t/Q( Slopes(%) Z Surface Stones
Distances from: Open Water Body 9 — ft Possible Wet Area `j ft Drinking Water Well ti f+ R
Drainage Way s^/' R Property Line 3 1t Other D ff• R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
914 y /O 58.5�t- �•0 C�
• fat W• o, �> /s.�s" j h
A �.9�2
x s _ c
10` Y f t
l h y t 0 .Q
Op� 7-Q 9B 90.00ctijo
h w
W
Parent material(geologic) C 4 r Ve.r Depth to Bedrock
r
Depth to Groundwater: Standing Water in Hole: fl•SS Weeping from Pit Face
Estimated Seasonal Iligh Groundwater 7• -f-
t
DETt, MINATYON 'Olt SEASOI�AT. TIGH VATER TABLE
_ ... .. ..........
Method Used: 1!S G.5
Depth Observed standing in obs.hole: 8.S r in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment / r R.
Index Well#All/ 2 9 Reading Date: t 7 Index Well level 7• Z*1- Adj.factor /, O Adj.Groundwater Level 7.4'
x n C�.v.. ..-, on Cti/ h ti c < < C
PERCOLATION:TEST.. Date Time:
Observation
Hole# / Time at 9 p • 4.S
+Y.
Depth of Perc G 0 ` Z'o !�o iv• Time at 6"
Start Pre-soak Time u g Time(9"-V) I' ^ in A3
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
DEEP.OBSERVATION.HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
_Cgn is enc ° ravel
L em a—y 7. .: `//Z
.Saner
oa-- Y z.s'
z� y
Coa rs e.Sa'r CA
i "—
e—o a�
ii L' r Coo.^^rYS"o J 2 .S
^—t
DEEP`<OBSERYATION;IIOLE LOG Ilole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,°oGravel)
DEEP OBSERVATION`HOLE LOG "Hole# .
Depth front Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%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.°o ravel
E_lgodInsurance Rate Maas
Above 500 year flood boundary No_ Yes
Within 500 year boundary No_ Yes ✓� �o�e�
Within 100 year flood boundary No '� 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? Y< s
If not,what is the depth of naturally occurring pervious material? N 15,
Certification
I certify that on Aj � 1 s� (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 2 9,7