HomeMy WebLinkAbout0695 SOUTH MAIN STREET - Health (2) SQutf,
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7
'l'own of Barnstable
Department of Health,Safety,and Environmental Services V
Public Health Division Date 9�� 367 Main Street,Hyannis MA 02601 '
BARNUANA
161�'� led ' ! Time /Q Fee Pd �27O d
� Date Scheduled
Soil Suitability Assessment for Sewage Disposal
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Performed By: F,J • CA D l L-L Af--, Witnessed By: ��62ts: trni n�t u la
LOCATION&"GENERAL IN�'OIZMATION e1 *
' Location Address Owner's Name \) 1AP",b t -}
695 5ao-f-4 /4,40V fit' Jo) �1r lDk Y
C e Av ?"z pl v / L E Address ¢/0 J o y I-I� ,
Assessor's Map/Parcel: l 196 / 64-7— }(,0 5 Engineer's Name 1Z j ,CAGQi JJA-c,
NEW CONSTRUCTION
REPAIR ✓ Telephone N 50 e
Land Use C>r•4S5 -r rti�e 0J 0W Slopes(%) O 20 307o Surface Stones Il b
1
Distances from: Open Water Body Z$a' ft Possible Wet Area 01 :t-- ft Drinking Water Well Nip ft
Drainage Way 1 b o' ft Property Line ?�I ft Other ft
SKETCH:(Street name,dimensions of lot,e,ct locations of test holes&perc tests,locate wetlands in proximity to holes)
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41, i
Parent material(geologic) Depth to Bedrock Al A
Depth to Groundwater: Standing Water in Hole: b r l Weeping from Pit Face
sit
Estimated Seasonal High Groundwater
DETERMINATION FoR SEASONAL MGH WATER TABLE
Method Used:
Depth Observed standing in obs.hole: n. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft'
Index Well N_ •Reading Date: Index Well level._.___ Adj.factor Adj.Groundwater Level
PERCOLATION`TEST Date 'Tltne
Observation i Hole N Time at 9" N CI tFn
Depth of Perc I qlU 60 Time at 6"
Time(9"-6
Start Pre-soak Time
ip• '�
End Pre-soak 0
Rate Min./inch 2 Ylwti
Site Suitability Assessment: Site Passed +'. Site Failed: Additional Testing Needed(Y/N) AI
Original: Public Health Division Observation Hole Data To Be Completed on Back---�
Copy: Applicant
DEEP 01) ERVATION HOLE LOG 11019# _
Depth from Soil I Iorizon Soil Texture Soil Color
Soil Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Surface(in.) °
r!
ii F-I LL
rnecl 'Prvl 2S 63 hb
/os 14 91,11,
DEEP OBSERVATION HOLE LOG Nole#
Soil Other
(U ( �
Depth from Soil I Iorizon S Texture M(Munsell) Mottling (Structure,Stones,Doulderes.
Surface(in.) (USDA) ) e
DEEP 0I3SEItVA'I ION 110LC LOG `" Mole# ''
Other
Depth from Soil horizon Soil Texture Soil Color
Soil
Mottling (Structure,Stones,Doulderes.
Surface(in.) (USDA) (Munsell) nc
er
DEEP OI3SI;RVATION HOLE LOG 1101e#
Other
Depth from Soil horizon Soil(USDA) f e Soil Color Soil(Munsell) Mottling (Structure,Stones,Doulderes.
Surface(in.) ° '
i
Flood Insurance Rate Mato:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No— Yes
Within 100 year flood boundary No_ Yes
f/
�euth of Naturally Occurrine Pervious MRICEIR
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? NE.5
If not,what is the depth of naturally occurring pervious material?
Certification M
I certify that on J 1Ga 3 (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was perfonpgd—by me consistent w,ith,,n
the required training,expertise and experience described in 310 CMR 15.017. C�