HomeMy WebLinkAbout0018 PAWNEE COURT - Health (2) g ��n�e. C.ou.rfi� Ifi.�hniS
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Town of Barnstable P# 9
Department of Health,Safety,and Environmental Services
�nterq Public Health Division Date 12/ )%S1925
Q, 367 Main Street,Hyannis MA 02601
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Date Scheduled CIOEo rau+ � 1 - 6 7 - �� Time (yQ Fee Pd. �i /�t�'
Soil Suitability Assessment for Sewage Disposal
Performed By: R�� V//tr4--i1 Witnessed By: J-
LOCATION &CE VI+BRA I tFOIt11(A 10N
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Location Address Owner's Name
Address 4i'�*CC-S7x 1A,'_ /ZI;>WIC
Assessor's Map/Parcel: Z�y�/37 Engineer's Name R_ _ .S(/�(1V4
NEW CONSTRUCTION L,,," REPAIR. Telephone N qO-8-3,`-/
Uw��v C—�
Land Use �.Ee,LDG)-X'R Ak c- Slopes(%) �Q% Surface Stones r"I O
r.
Distances from: Open Water Body l ft Possible Wet Area , (�r ft' Drinking Water Well It
-r
Drainage Way Im- ft Property Line ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
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so'
�C - 1~L28b ®
04 Ar2
m( EL k9,S'
" IOCo.eel t c'7
�2A�F't6 G
` C
r
Parent material(geologic) OuT%U 14S i-1 {c-A t 1k Depth to Bedrock 3�
Depth to Groundwater: Standing Water in Hole: 1?p 8 1 Weeping from Pit Face U drJ to
Av,to S rw �Estimated Seasonal High Groundwater
.... .................................. ...
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DETE NATIOlr1. .OR: .EA ONAL 'VVA�' II.TALE
Method Used: i2 w��P:1.:<:: .....................
Depth Observed standing in obs.hole: k zo in. Depth to soil mottles: 'y6 NA E in.
Depth to weeping from side of obs.hole: 14e"A a in. Groundwater Adjustment ft. =6Rv,1=+t0E_
+-Index Well H A4t�Al_ •Reading Date:� _ index Well level.•(�T� Adj.factor y Adj.Groundwater Level
:>:::. :::;::>::>::>::>::>::>::>::;;:::;::::.:PERCOLATION TEST:.............;hate:.:
.. ....... ; :.: ::::::: :::.:::.::::.:::::::::::::..:::::::::::.:.
Observation S(7CAt_l..CtJ S
Hole# ( Time at 9"
Depth of Perc �' Time at 6" t"ESS TH
Start Pre-soak Time @ �,a Time(9"-6") 1 5
End Pre-soak W A,.TL VA,
Rate Min./inch 2 vH Jb Ply t%CA
Site Suitability Assessment: Site Passed�e' Site Failed: NID Additional Testing Needed(YM) �D
Original: Public Health Division Observation Hole Data To Be Completed on Back
Copy: Applicant
.
DEEP,OBSEIY�; TION)IQL Y.UG -H 1, # 1
Depth from SoiI Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
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t a^V%&l vv%oV "drT5
SAM'P w-q Z alb s 1, -
Go 404GS it t-pos G
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G mo o rta0 ra-ra-L
vK 6¢,ot wi?
taQ o a �i�4)L@•.
DEEP OBSERVATION;HOLE LOB Hols#' s rw�c.e
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.o
Consistency.
Gray 11
1.0
�0`lR 4 0 5owe c��Zom�rs S-" ►o-o
1.6Av%oti�{6*%V -2 �a6r1DloL� 6QAnrV� A03 az)
Zh g ba.av tby2 �!6
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DEEP 013SERVATIO1IbT� LOC Dole#
.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
DEEP OBSERVATION HOLE LOB Hots
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
Grave
Flood Insurance Rate Man:
Above 500 year flood boundary No— Yes_
Within 500 year boundary No— Yes %
Within 100 year flood boundary No_X Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring perv)ous material exist in all areas observed throughout the
area proposed for the soil absorption system? E5
If not,what is the depth of naturally occurring pervious material?
Certification
1 certify that on AP9.1 t- 95 (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 training,expertise and experience described in 310 CMR 15.017.
Signature J _ Date �Z 98