HomeMy WebLinkAbout0130 SHORT BEACH ROAD - Health (4) 130 S'hovf (���, i2oc�
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Department of Health,Safety,and Environmental Services a .z 3—IT
Public Health Division Date
dtMa �1� 367 Main Street,Hyannis MA 02601
It
luRNar Time�� 50
Fee Pd. d
1oy Date Scheduled 2 3 "
Soil Suitability Assessment for Sewage Disposal
Performed By: mw
J�NI�S' po�1oVPN y�JG Witnessed By: d UfJ�1�U
'
LOCATION & GENERAL INFORMATION ; , .
Owner's Name,oSEP i t Svu_I�p r1�T2us f is 6
Location Address JipFre-1- bT•
J JO SMOi?1 '8F-�1a Address BAD, 2 �P1' 307 t35� �' `1
GG�s��-Jtt�-E, Ma 1301A ?_b,1v6 FL S34a1
A f, Zola
PgRG�I, 27 Engineer's Name 8 e, G zo u P) I NC•
Assessor's Map/Parcel: M
NEW CONSTRUCTION REPAIR x (OPGEAvf__) Telephone 0 -70 t (05• v
Land Use
12 rht0 t u�(Ib 1. Slopes(%) d ' Z-a o Surftttx Stones tJ bt 2 �vE�
Distances from: Open W
N 75 n Possible Wet Area
?5 ft Drinking Water Well ft
ater Body
Drainage Way
ft Property Line ft Other — ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes rk pere tests,locate wetlands In proximity to holes)
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PN1
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�JUZ:4
o_ r.
.,,.
• „ II
Parent material(geologic) L OAS TA L DVAJE Depth to Bedrock •7
Pare (g i
a
Depth to Groundwater: Standing Water in Hole: G2 Weeping ftom Pit Face
Estimated Seasonal High Groundwater
. . .... . .....
Dv,TERMINA`fION FOR SEA50NAMGRVATER`SAME
Mcthod Uscd: D115 f'7_H Or STAIJ O hvG 2 n In. Depth to soil mottles: —
Depth Observed standing in obs,hole: in. Groundwater Adjustment ft•
Depth to weeping from side of obs.hole:
Index Well N_ -Reading Date: Index Well level Adj factor Adj.Groundwater Level
ATI
pERC�1LC)N''CEST
Observation
Hole N
Depth of Perc 24" - Time at 6"
Start Pre-soak Time Q I�. 00 Time(9"76")
End Pre-soak
Ratemin./inch L 2 Mel 25 Gh,t-W1•15 I� Co HIOL)TT.5
Site Suitability Assessment: Site Passed X. Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
LUC... 1101c#VF 1
0IISI",ItVATION ROLE soil other
Soll'icxl,rre soil Color Mottling (Shuclute,Stones,ilol,idetts.
I)cpll,from Soil I lorizun (USDA) (Munsell)
Surface(in.) NINE F/Z/A PEE
s` b-/oyg-q/3 uNaBLr- To
EXLAJATr— TEST►-HOLE
6'f7 /6Y� �° G N DtrEPER 'rHAiJ 9�
NONulAOE. MEP GOA125L SANG Ova TO WAt-�S OF
o Bs
2 1 5 Y /3 Laos, �lti)4GE TESTHOL.E 4A✓IAJ4
lb- 16 1Aj. --A .D9516PEIZ
4 l�a�ti�p Nd�E wouL a NA u�
1�b`�✓l0L� �AvyE1�
PA MA4 E 71)
X16JW 4 W4 c,t-
/.i-NO A157UIZ8�P
_— ItVA'1'I�N IXULI;I,C�G 1101 s�,evtcE
UCrl P OBSE Soil other
Soil Texture Soil Color Mottling (Slruclute,Stones,Doulderes.
Soil I Horizon (Munsell) �� :::�•t�—=
I)eplh from (USDA)
Surface(in.)
rp ()135CItVA'1'I diV 110LG L�'� son other
I)r Soil Color structure,Stories,Doulderes.
Soil Ilorizon Soil Texture (Munsell) Mottling
1)cp111 from (USDA)
Surfnce(in.)
14
llLI%I' 013SLItVA'1`lUN � 0�•�1•LOG soil other
Soil'fexlure Soil Color Mottling (SIruclute,Slones,nouldetes.
I)cplh from moil 1lorizon (USDA) (Munsell)
Surfnce(in.)
wwwtiM r
• Co��
pAIJ�� ZSOoaI.: b608 D`
_x
Above 500 year flood boundary No Yes Ltut ITS
1
Within 500 year boundary
No BED IDD-`�fp�tE-fi S6D �EAO
Yes . F�9
Within 100 year flood boundary No Yesx
i f 'atu all Oc urrin pervi observed throughout the
Does at least four feet of naturally occurring pervious material exist in all areas
area proposed for the soil absorption system? Fy
if not,what is the depth of naturally occurring pervious material?
cPrH�n .
� date)i have passed the soil evaluator examination approved
consistent�villt
1 certify that onJn"111-C114117pro,
w�7
Mparlmc►,l of tection and
'`that iicscr described onalysis
performed by �
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