HomeMy WebLinkAbout0233 MITCHELL'S WAY - Health (2) a�vf o�f3
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Town of Barnstable P# /
Department of.Health,Safety,and Environmental Services
�I. Public Health Division Date a jq1v
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Q, 1 367 Main Street,Hyannis MA 02601
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ie ulld" "Date Scheduled Time+° Fee Pd. (/
Soil Suitability Assessment for Sewage Disposal
Performed By: �t 1�1� V Lt_I V A" 7 Witnessed By: Do N/VA- M i Q 12P N D I
( . A: 'IIpXV&. 1iRX�I�11iGtMA 'XO.N>
Location Address Z 33 Mersl I,'s -(A�( Owner's Name
1��Ar M►.� s _, Address r
Assessor's Map/Parcel: 290 A3 M Engineer's Name Sv"' %vawl �+r a 61 naG
NEW CONSTRUCTION IC REPAIR Telephone N A2%-33 A y
Land Use QE S I D 5A,1h,0 L Slopes(°/.) 3 all/ Surface Stones Alwv4r
Distances from: Open Water Body n Possible Wet Area R Drinking Water Well _Mn
Drainage Way R Property Line y0/ R Other J1
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
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�^I TC N ELLS WAY
Parent material(geologic) Cuut L414 S 14 P4,4 I A/ Depth to Bedrock CFO
Depth to Groundwater: Standing Water in Hole: Ize,Nth Weeping from Pit Face Aid
Estimated Seasonal High Groundwater 4 1 S IVF V D
......................................
Method Used: Towty vF DA/"/✓Sl19RL6 Crr.0i4NDGv/47b'rL �►9�1� ,
Depth Observed standing In obs.hole: N A in. Depth to soil mottles: NA in.
Depth to weeping from side of obs.hole: IVIA in. Groundwater Adjustment It.
.-index Well#_ _•_ -Reading Date:_ Index Well level.•,___ Adj.factor — Adj.Groun water Level
::<::::::>;< i:;i::':::::•:::::::; :::::::a;:<•<::::::;:>:,•:»ss>::;>:>::<::: . :::.:::::::::::•xa;<:is•<•:;:•:<a.:
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::.:: P......... C1....A...:..:U.:..:..................:........................
.:.:::::::::::::::.::,.:...::.........................:.......................................:.:........:..:.::..::. .::.:.:..::::::::::::::::::::::..::::::. k�:..........
............................................................................. ........... . .
S S G f�LLo/✓S l O M I N
Observation
Hole N Time at 9"
Depth of Pere' "1. Time.at 6"
Start Pre-soak Time Q (11,47LC ff Time(9'-6") '
End Pre-soak
Rate MlnAnch LC'SS r�iq/1/ Z.MiN%�E2 !IVG}f '
Site Suitability Assessment: Site Passed YES Site Failed: No Additional Testing Needed(Y/N) JO
�.��, ��• n..tin.n.�i�i.ns.,,., ., nhcn.-:"H„n tr t� rl i� m M,
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EEI' OI3SL�'R'VA"Y'YC►N ROLE LOG. I(ile# ,
.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Mottling (Structure,Stones,Doulderes.
Surface(in.) (USDA) (Munsell)
e
- O fLGANI G
2."_ (' M A 1621/t L
�aAN►y Mt:D.:9'"
A 7`1-WE SANA 10�/2 3� 2�i GrAvst_ r s ,
F t N4T SAN/> R'�w Root t
to YR S O .Z 91 a arAvb c_±-
FiVrr siaC-L c Arne
ss/VA 2•S y2 GIqFlN6 FeAv ac�fr
V6'Ry 77_11V6i S/A aLw G/'arlt/
yo'= 120 c s z.S-yR e/A
NO W +8-R --A,64 a Aoofel>
DEED:OBSERVATION HOLE LOG. Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
e
OfiGgNlL _
a?�n1aL 0
Lo pM y fy t>:D fZoo S
p — yt' A f=ide�sAwr� to Y2 3 Few Gt2aats-L
Fl /0.y12 6r Zy t
va-ay FtNG S//-t5P.LG GdAiw
7 .. �// r✓� s.owD 2.6 y2 Fr/v� Ft:w f2fr�7 s
VO•IZY F/war siti'6L6
yl" 120"
Nj DEl!.1 QSRVA� 'IONO •C LOG:.. )Elolc# :
Depth from Soil llorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
a
DEEP OBSERVATION HOLE L0 Hdle#
...
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
%Gravell
Flood Insurance Rate Man:
Above 500 year flood boundary No— Yes n
^..� Within 500 year boundary No X Yes
Within 100 year flood boundary No X 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? Vb=-S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify-that on XA&C, JJ- (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 g,expertise'and exp ce described in 310 CMR 15.01./7.
Signature
' Date 3l 16 ✓
Town of Barnstable PM /
Department of Health,Safety,and Environmental Services
Public Health Division Date
<j11, 367 Main Street,I lyannis MA 0260126 yy��
t �aAali, i � I
CFO MKt�`� 'Date Scheduled V Time A I Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: ��Me GU 1..L1y A" Witnessed By: DONNA- M t b 12/A N b 1
.>.:.:...:.;.:.::: :.:.;;.;:.:;:: .
Localion Address , Owner's Name
"A to wry%$ Address
Assessor's Map/Parcel: 290 1 q3 Engineer's Name Sv urt v A%PJ KG
NEW CONSTRUCTION K REPAIR Telephone N A2-t-33 A y
Land Use 2E S 1 D 61✓t/A L Slopes(%) 3 Surface Stones A1d/1116-r
Distances from: Open Water Body R Possible Wet Area R Drinking Water Well -AIV R
Drainage Way. R Property Line y0/ R Other R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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t,4 Tt_,N ELI-S WAY
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Parent material(geologic) out LAIA s N (ALA} i it., Depth to Bedrock -a CFO
Depth to Groundwater: Standing Water in Hole: Na N I;- Weeping from Pit Face L O
Estimated Seasonal High Groundwater 4 1 S N!F V D
:;;......:........,....:...:,....;:.:........;:::::.,::.::.,:.;;.,.:.;,,..,.....::........:..:.:::.............:..................,:...:;::.;::.;:.;:.;:.;;;:.;:.;;:.;;:.;:;
. <> .. :R.. A . . . ;HY.G :'W.. EXt:'X'AT3I� ::::::::::.:::.::.:::::.:.
.NAT.0 1. 'p.....: .::::S.QX!1AL....:.::::::::: :.:.::: .:........:..:.................................:.::....::.::.:.
Method Used: Towiy vP DAYVStAPL& rrrD4lfiDW.47'6�Z"" ►7i4'l' '
Depth Observed standing in obs.hole. N f} in. Depth to soil mottles: NlAr in.
Depth to weeping from side of obs:hole: IVA in. Groundwater Adjustment_UZ& _R.
.-index Well H_=•_,_ •Reading Date: Index Well level...-. Adj.factor Adj.Groun water Level
;::<:>::::;«:<><:;::::.. >.>: :ER to e
P........ (7�...................:.N.......::...:...::,.:.::::::::::::::::::..:
25-
GALGo/✓S IO M I N
Observation
Hole 0 Time at 9"
Depth of Perc 4 8 t) Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak „
Rate MinAnch LOSS 7 0Al Z M IV Ale,
Site Suitability Assessment: Site Passed YES Site Failed: NO Additional Testing Needed(Y/N) Jo
n.i..,...,h n..{.Ii�n..,id,nt.....,." •�(ll.cn.-.,"}:,,,. IT.,1� il.,f•.T.. R,. ('`....,..t���.t ., Tl•,-1•
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DI'J r'OHS
EI2'�ATTa�i.�O.L LUG ITore# 5.
Depth from soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munseil) Mottling (Structure,Stones,Doulderes.
%
0caGANI6
2." O 0 1"4 t'Glz i a L.
�oR1Ny MLtD.,Routs
p - 26 A F I NE smvr) 1 '3� - �i GrAvsc. r
Q F I NA: SOdVr> Few moor t
3" - 1 5°1 P to YR c-r141/di 9-
16°'- 4or� C 5.(Lf INt3 s1aFt,« c,rA►n�
�.•SY2 (i FINE FFAV cavfr
WBRy �INlr' S/A/GI.6� ti./•/4//I/
yo 12o C y slaty*
2.SyR 6' LoorF
DEEP` OBSI,JRVATION:HULE LOG Dole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munseil) Mottling (Structure,Stones,Doulderes.
a
ORGN 1✓t L
.4,MnI*L f i
GD CLoo S
0 - 4 " A L weF A/VA /O Y2 3 z oyo G►#kw-L.
y _ i7 B FIIVIF SAND YR 8 Fit~ rlo y-x
/a s 2 t
V6ItY F1NS SI�LG C-A14111!
7�= y/" �'� S,oyD 2.s-Y2 &A F1,VF FEW ft.rw>s
yl" 12a' C soars' 2.S XILs woSet
DEE1 Q SI•JRV...... IY HU •C EOG orc#
: .
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other.
Surface(in.) (USDA) (Munseil) Mouling (Structure,Stones,Doulderes.
%
DEEP OBSERVATION ..
HULE LOB Hale#
. ..
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes.
Con istena-%
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes h
.-� Within 500 year boundary No X Yes
Within 100 year flood boundary No x Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout(lie
area proposed for the soil absorption system? YES
If not,what is the depth of naturally occurring pervious material?
Certification ff�� ,-,
I certify that on ka), . lJ (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 will'
the required g,expertiMandex, ce described in 310 CMIt 15.017.
Date
Signature
' 3l 6