HomeMy WebLinkAbout0019 OCEAN AVENUE - Health (2) age I ►aa� aa�
i
1'01Vn Of IL11•11st"IUle
Department of Ileallh,Safely,nod Cnvironrnetttni Services /
Date
Public RCIAl"I "'Vision
of 367 Main Street,I lyannis MA 02601
A-l '
nAMRTADi D
res� ,
Vine� Tee I'd.
A. Date Scheduled /eies
isposal.
Sort Srrtrbr ity Assessrertfor Sewage U
—7�
W1lnessed Dy:
e�ey
I �� �
Performed By:
Q. e r• • 4 nw►
LOCATIOiV �& GEM,RAt tolnOINna�A`130N �^ o`a�(►i
Location Address i� OcaaKnme
XjC
nve 20o Peon- Fi►e c4rr. C"w.
ahr�► " _$ Address Sv►iz JIG PA /9q
lac�t Caa+ehaek��•
Assessor's Map/Parcel:
287/►Z2—I Bngincer's NRme 5h%m W:1 su. ®prilL�lR!• ��
►� REPAIR _ Telephone N 42M"`r 13 I
NEW CONSTRUCTION
Slopes(%) Surface Stones
Land Use es
n n -L..
Sc dk n Possible Wet Area_______R drinking Water Well 'vim n
Distances from: Open Water Body n
i
Drainage Way_ —n property Line /�—n Other
' ' exact locations of test(toles Fe pere(ests,locate wetlands In proximity to holes)
SKLICII:(Street name,dimensions of lot,
�Grcaw Avg .
1
�st r
�x/SE• .
1 �
J
for ti. izi
r
F 4k
3 I Depth to Bedrock ______
Parent material(geologic) [<
Ucptlt to(jrouudtvatce Slanting Water ill I tole:_
Wccping from Pit 1'nce _-- —
b Estimated Seasonal Iligh Groundwater
1t(111tvATION VOIiS( A,80NA ITYPII
hlelhuJ Used: ___---------__._ tit, l:iepth to soil mottles: _____
h,.
_..
Dcplh Observed sondinlr in ul,s.hole ---_ _ lit. Grrnmdwatcr Adjustment----...----_—_
I)cplit to tvccpinl,from side of obs.hole: -___ _-..--_---'— AJI.f'rctor _ A•Ij.GtounJt;ntcr Level
latex Well le��l _..______
Index Wcll N •R"ailing Dale:_,.—_ .
777
— ------
j" Iwl 'FEST tiwo.G 9_�`I'Int� /o:oofl•�r
Observation Time at 9"
lolc#
i hne al G'
Depth of Pete -- --
- w,..�r:..,,..,.r.•rb„.Pau � r /ble.s'avq
rna Pic-sonk
oeuP 24
Rate Min./Inch .._-- '—
/4 Site Failed: Additional Testing Needed(YIN)
Site Suitability Assessment: Silc I'asscJ_.__�• —
PubliclieallhDivision ObSel'vattolt 110le Data'1'o BeContpleted'on Back
Original: ----
Copy, Applicant
I)EEI' OBSERVATION HOLE LOG hole#
Dcpth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
e
y,,.,�..,.. s.../ /o Ye a/I n
Zq v�7 C
/o t,o? 713 na•c e
76'= /9 4 5 s-a
Ale C.,,* - ob ♦veaP�
DEEP OBSERVATION HOLE LOG hole#
Depth from Soil f lorizon Soil Texture Soil Color Soil : Other
(USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Surfac
e in. o
S ( )
UECP OBSERVATION HOLE LOG hole#`
Dcpth from Soil Horizon Soil Texture Soil Color Soil Other
Mottling U SDA (Munsell) �'t BStructure,Stones,Boulderes.
Surface(in.) ( ) o
DEEP OBSERVATION HOLE LOG Hole#
Dcpth from Soil Ilorizon Soil'rexlure Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Slntclure,Stones,Boulderes.
e
i
Flood Insurance Rate Mao:
Above 500 year flood boundary No— Yes
Within 500 year boundary No ✓f Yes
Within 100 year flood boundary No wl'� Yes
Depth of Naturally Occurring Pervious Malgrial
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil absorption system? f�cs
If not,what is the depth of naturally occurring pervious material?
Certifrcetion - V
I certify that on 9s (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and(fiat the above analysis was performed by me consistent with
the required training,expertise and experience described in 310 CMR 15.017.