HomeMy WebLinkAbout0302 SKUNKNET ROAD - Health (3) 20
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Department of Health,Safety,and Environmental Services '
Public Health Division bate
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367 Main Street,Hyannis MA 02601
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A Date Scheduled
soil Suitability Assessmentfor Sewage Disposal
Witnessed By: �J
Performed By:
EOCATION & CENEttAL YIVFOIt1NATI 1V
n AJJress Owner's Name �j
Locatio �-DT S W►J k>Jt.T ('J 302 PAU L, 17O w►a s, P V ILZE;'L. ,
C IJ 1—LSrLv'1 L-L Address Pp SOX Zoo
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Engineer's Name �Vy Tt�,� y
Assessor'sMap/Parcel: Nl� i�lp PCLL G9
NEW CONSTRUCTION REPAIR Telephone
o (2 Surface Stones
Land Uset3S Slopes(/e)
Distances from: Open Water Body
2 cV D D it Possible Wet Area 0 00 R Drinking Water Well R
Drainage Way
R Property Line 2 R other ft
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SKETCH:(Street name,dimensions of lot,exact locations of test holes dt pere tests,locate wetlands in proximity to holes)
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Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: �1 Weeping ttom Pit Pace
Estimated Seasonal High Groundwater
DETERMINATION FOP.SEASONAL HIGH WATER TABLE'
Method Used: in. Depth to soil mottles:
Depth Observed standing in obs,hole: p ft
Dcpth to weeping from side of obs.hole: in. Groundwater Adjustment
Index Well N_ .Reading Date: index Well level,..___ Adj.factor Adj.Groundwater Level
PERCOLATION TEST ;iie(i`,
Observation i Z Time at 9" '
Hole tY {,..
Depth of Perc4-0 Titre at 6"
Start Pre-soak Time® V IJ A60F M Time(9"76")
End Pre-soak
t/3 2AALIJ �5s
Rate Min./Inch
Site Suitability Assessment: Site Passed ✓ Site Failed: Addift-na!TeVing N-eded(VAQ _
Original: Public Health Division Observation Hole Data To Be Completed on Back--�
Copy: Applicant
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Hole# t —
I)h,I;1, OIISI;RVA'1'10N 116LC E6) soil
Snil Texture Son color
Ikptlt frnm Soil I lorizon (USDA) (Munsell) Mottling (Structure,Stones,Douldercs.
Surface(In.)
4-3
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413
CYJ ~ 14r7
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UCEP OBSERVATION 110L a color soil other
Depth from Soil I lorizon Soil Texture (Munsell) Mottling (Slruclure,Slones,Douldetes.
Surface(in.) (USDA)
Lo
f3 � to 4
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-- cnM25cs Sam l0 2 G� a `pb o r1✓
N,c�o` Gt 4- &Wb7 r
CID - '
I'1' 013SCItVA'I I(3fV HOLE L +f tl�its#
UI•, % Soil other
Dcptlr from Soil I lorizon Soil Texture I Soil Color
(USDA) (Munsell) Mottling (Structure,stories,Doutdercs.
Surfnce(in.)
---------------
llCrl' 0I3SERVATION 1IOL8 LUG ilnlc Soil other
Dlhc
Dcpdr frnm Soil I lorizon Soil Texture Soil Color
Mottling (Structure,Stones,lJoutderes.
Surfnce(in.) (USDA)
flood[nst!ra_nce Rate Man:� / ,
Above 50o year flood boundary No— Yes
Within Soo year boundary No Yes
within 100 year flood boundary No ✓ Yes
llenlh o[Naturally Occurring Cervious Mate�al `
Does at(cast four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? 4E17
If not,what is the depth of naturally occurring pervious material?
S'¢rtidlaatlor� - . . ;
1 certify that on /vtA� IagS (dale)i have passed the soil evaluator examination approved by the
Department of l;nvironniental Protection and that the above analysis was performed by me consistent with
,r._—,.,—i Pvr,Prti• -:ul exnerience descfihe,' `° ' 0 CMR 15,017,