HomeMy WebLinkAbout0068 THIRD AVENUE (HYANNIS) - Health (2) A-venue, P1404r�S
Town of Ifi,rnstable Pry 5
Department of Health,Safety,and Environmental Services
�,ltE� Public Health Division
o� 367 Main Street,I lyannis MA 02601
HARNSTA131.F
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prfDMAl Date Scheduled 0 C*tar / R9 9 Time /Lo.'DO )9m Fee 1'(1. a /DD,ed
Soil Suitability Assessment for Sewage Disposal
Performed By: S LJ11 IQh eP7 j)' Ut/M -Z-)7c. Witnessed B'y.—q. m L0(2-P.k)D )
LOCATION &'GENERAL INFORMATION
Location Address G X 7--/V,,� YehH e- Owner's Name rh n e, raAlW/G/L
Address GV • 11�a nntiSPdr/-,m 4 oot e, 7oZ
Assessor's Map/Parcel: /77 a-? oZ#0 P''oZ L O+S Engineer's Name Pet r oS7u//i lac p,,e'
of W
NEW CONSTRUCTION PAIR =KTelephone H Yoe' 41qa>-33 y
Land Use 26A Gl P Z05 i0c-t-t-n or(r SloPev" )�Oiu C Surface Stones ko,4 E
Dislances frorn: Open Water Body M U Il Possible Wct Arca to o n Drinking Walcr Well N6 n
Drainage Way I_Il Properly Linc ID _It Other )KIC) Il
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
AVENUE
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6o ^ 26`
VzS
Go
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N
2so
•O o I 1
'7" �I12 � 19Y�A�u �
I (geologic) DUTwA 4
Parent material eolo 1c LPo/.� Depth to Bedrock 3�� ��-�S
I t
Depth to Groundwater: Standing Water in Ilole: b Weeping from Pit Pace__ n \\
Estimated Seasonal Iligh Groundwater T-G 992 l)AVS IJ'�`( -2 ,`�Z MOV 15a )
lliJTEI2I NA'tYC�I�i '(�RSIJASONAL' TGH'WA'I LY2'Y'AI3L //
Method Used:
Depth Observed standing in obs.hole: 1,_ _ , ,_ in. Depth to soil mottles: ( _in.
Depth to weeping from side of obs. . Groundwater Adjustment n.
Index Well#_ Rending Date:._ _ index Well level. ____ Ad.i.factor Adj.Groundwater Levcl
TRCOLATION'I1;ST uate �:: 1 �tiie 1C>:!s`t^^
Observation _
Hole H Time at 9"
t-
Depth ofPerc ZSGALe-olas Time it 6"
Start Pre-soak Time Q w)o t `' S Time(9"-6")
End Pre-soak I,o t-WD pO � 1 S tIK t t1�
r����� � 2�`', IpGZ
Rate Min./Inch s Z MW3�>CQ,\&l C"
Site Suitability Assessment: Site Passed YIZ Site Failed: l� O Additional 7'cslittg Needed(Y/N) IV b
Original: Public Ilealth Division Observation Hole Data To Be Completed on Back
Copy: Applicant
BEEP 013SEUVATION IIOLE LOG Hole# l
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
Z,0
Q L.o r�vv`
g,4�u.0 opt
p- 2 A
Cc,o,2l-b
2q- 12D C sr�.o
;IAEPOBSERVATION>HOLE LOG Hole # 3
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Iloulderes.
Consistency,% ravel
p-24 �1��12f15 At&C 5P-oV C> GW— r V'i L,
30-lzfv
l 2EZ I2 96"-t-
DEED.OBSCRVATION YIOLE:LOG Hole#
Depth from Soil I lonzon Soil Texture Soil Color Soil Other
Surface i (USDA) (Munsell) Mottling (Structure,Stones,Ilouldcres.
Consistency.° 'ravel
DEEP;OBSERVATION;HOIE LOG Hole#
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Houlderes.
C nsi tency.° 'ravel
l
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
w Within 500 year boundary No Yes
Within 100 year flood boundary No 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?
if not,what is the depth of naturally occurring pervious material?
Certification
I certify that on AMIL,Y5 (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 ' '1g,expert is and a erience described in 310 CMR 15.017.E Z�
Signature
O Date ti�l �� C ✓