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0944 SHOOTFLYING HILL RD - Health (4)
CP-ut�t��lle, a►�I coo Plo:403;Yf ,a OASTING5.?My �v ,7 Town of Barnstable P# Department of Health,Safety,and Environmental Services �t►+arq Public Health Division Date 3-I� 367 Main Street,Hyannis MA 02601 0 unrretnet$ HAM Date Scheduled ' ���� Time 1 A� Fee Pd. ...Soil Suitability Assessment for Sewage Disposal Performed By: N 0.3,A 9�j�wN CjT &J61AIeM1i r4 itnessed By: e�t ll��l' Du1lAll N� C at) LOCATION`&GENERAL INFOR-MATION. Location Addres Owner's Name sj\-Ati► t'21J�N1� . Address 2.0 W 'L6-P^15"L ST 'a""i ia9 Mt't ®'-kO% Assessor'sMap/Parcel: MR/'� Engineer's Name �tNa CAM- ►J toG-IK NEW CONSTRUCTION ✓ REPAIR Telephone# 67— LAC;Lj k Land Use V CA N-T— Slopes(%) �� 1�� Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well i ft Drainage Way ft Property Line l60 ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) 1-05 160 � e G SNP B�j J Parent material(geologic) o%j'fVJf'S t'1 Depth to Bedrock Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face Estimated Seasonal High Groundwater DETERMINATION:FOR SEASONAL.HIGLI.WATER TABLE Method Used: Depth Observed standing in obs.hole. m NIA Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_ PERCOLATIONi;TEST ate D 16 , tme VA �4M Observation Hole# Time at 9" Depth of Perc -Tbp Time S at 6" } $ O'.f9C7 Start Pre-soak Time© Time(9"-6") End Pre-soak �At,. 1N �,•�� t ` ® Z Rate Min./Inch M�N�1 N D '�wtj �E' Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)J4 Original: Public Health Division Observation Hole Data To Be Completed on Back Copy: Applicant DEEP:OBSERVATION,ROLE LOG ` Hole# TN� Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. 0 d_zy A L. 0IffL3/1L T�) s-6/6 G1. o-��-� DEEP OBSERVATION HOLE L:OG Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. 0 0- 9 L-5 _ I o*frt.3/z �- - W--Le i3 5� �•SY 5/F, DEEP:OBSERVATION [O .E LOG mole Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling Structure,Stones,Boulderes. % DE&OBSERVATION HOLE OG Hole L Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. istency.%C,ravell i DEEP'OBSER?VATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. %