HomeMy WebLinkAbout0038 PAWNEE COURT - Health (2) Cw4-, Gnn�`S
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Town of Barnstable P# 31 L
Department of Health,Safety,and Environmental Services
Public Health Division Date Ll--1_5-tY$
SI. 367 Main Street,Hyannis MA 02601
iHARMABLA
MARS
Date Scheduled ! Z ' /-- ��� Time/,Q) Fee Pd. e7`ao
Soil Suitability Assessment for Sewage Disposal
Performed By: �E_( �(]! /�(/ Witnessed By: U
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Owner's Name 0(>3
YA9►.t I," �j Address /�T�fLL STD!�,�/ �� I�E41176 t,J
Assessor's Map/Parcel: �IiB� / C,� Engineer's Name 1P�c
NEW CONSTRUCTION REPAIR Telephone# 1 Z-- — 3"
U a;*vevEL-nFEP
Land Use ►pEiruCl t Slopes(%) 1.O% Surface Stones I4o vu
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Distances from: Open Water Body Uo ft Possible Wet Area No ft Drinking Water Well -70— R S£L Qe.A,y 1 EW
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Drainage Way 14o It Property Line t-6 R Other R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locale wetlands in proximity to holes)
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et.-U•n Gc. 29.d
C�crSr.
ffSL'
/3 i -t
15L19-5
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Parent material(geologic) QUTWA,S t"l LAIN Depth to Bedrock '�00
Depth to Groundwater: Standing Water in Hole: IWC u Weeping from Pit Face "t.ty 6
Estimated Seasonal High Groundwater EL t9
:>:>.DETERNRNATI(J1�tR: .EASONAL:UGH wA'IdER ; :>
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Method Used: tLtvtioTEi2_ SE 932'7
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Depth Observed standing in obs.hole: A1bKA E in. Depth to soil mottles: klokA C5 in.
Depth to weeping from side of obs.hole: X0 N a in. Groundwater Adjustment 14,!�t ft.
.Index Well q+^�t�U_ -Reading Date: pK _ Index Well level•_.9.A Adj.factor 4.9 Adj.Groundwater Level_
Z9 9 b
( ....ATIC1N:TEST.::.:::::.:::...:n$re......#..........:T.,m ..Y.l.
2S GjA m—o%LS I w L.Gas 1,14401
Observation ,. 1 I tM v
Hole# Time at
p De th of Perc Time at 6"'4$
Start Pre-soak Time® STaP Time(9"-6")
End Pre-soak �V Arr
Rate Min./Inch Z rA rV rge—Imv-ii I
Site Suitability Assessment: Site Passed� Site Failed: Q0 Additional Testing Needed(Y/N)
Original: Public Health Division . Observation Hole Data To Be Completed on Back j
Cnnv: Annlicnnt
DEEP DBSI�yATIbiTI�L �.f41G. Ia1e#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) 1 1- Consistency-(USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
0 - 3
fT�b Ls two.Q/C;ka
S�nJ1d �O�(2A/ 1 se2.�E- 6 e,VL
16- U. SA�cf l to\(R 416 (J
A.1
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DEEP OBSERVATION HOLE LOG
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface.(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
64N%C-S
4—t 5^ e4
Co RASE to`j2 71.3 "60kVb&L,E rip toa.WIV
21- 12 Z s tti t��
t�lo 4`c�2 tool�
DEEP OSERVATYpNYU>t.E.LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
DEEP OBSERVTIOl�i H(!LE LOG Hale#.
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
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Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No_ Yes
Within 100 year flood boundary'No_CQ_ Yes
Depth or 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? _
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on KeLt L. 9S (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 tr ' ing,expertise and experience described in 310 CMR 15.017.
Signature
Date l2 30 99