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HomeMy WebLinkAbout0620 MAIN ST./RTE 6A(W.BARN.) - Health now 620 Main St. A— 157—004 i y' :..'W. Barnstable l7�- Ch,�.-c1-� Town of B�rnStable • d - 'h� DepartmentT of Re ttlatory Sernc �J ya�C4�3CL'- Date / erns Public Health Division !r"�• $ 200 Maio Street,Hyannis MA 02601 / IOv D0 Time`0 Date Scheduled i toil Suitability Assessment for Se I ag"eDU. 1s al \� 1"torff,97 -11 Witnessed By: . performed By: " i LOCATION&GENVRAL ,ORiViATION Owner's Name /; (� J3DvN n i L tocalion Address'. ��f'S /6 Address ' / c '� L.I I�Cii✓-no�RAfk I EngioeeraName Q�� Assessors Map/Parcol: ONS7RUtC1TON NEW C ✓L REPARt j Telephone 0-10 Surfaceslones --t � Zo S Slopes(b)� tend Use Q/) R Drinking Water WelIR Distances from: Open Water Body_t_"—R Padsible Wcc Arca ---2 R Line./eft Other Drainage Way�R. Nvperty g� SKETCH:($tree t name dimensions of too exact locations of rest holes 6r perc tests,locate wetlands inProerhrtty to holes) �. l I i L-36N N t ES � FIN ' - U( Nor, y �E CONSTnu So v*t 1677 � j w—TLA-0 Al �PDt ) i Depth to Bedrock N Parent material(gedlogic) Weeping from Pit Face Depth to Groundwater Standing Water in Hole: Estimated Seasonallligh Groundwater WATER TABLE D4ERI INMtTION FOR SEASONAL HIGH WA Method Used: lo, Depth to soil mottles: �..-" A Depth dbperved standing in obs.hole I in, OroundWatef A�usA�noroundwa-- t� Vey Depth lolweeping from side of obs•hole�d�Well to Ad-{aetor --- _, Index Well W - Reading Datc I PuRCOLATION TEST . vale S yet (St c4 2 Time sit 9" Obscrvadon J N Hole# , r !_/ Tameat6" -- N Depth of Perc l i Time(9••_6") - i Start pre-soak Time.(sr J17�—ynJ)-,1 I End Pro-soak A/ Rate Minllnch Additional Tasting Needed(Y/M Site Failed:�- -- SiteSuitabilityAssc$smcoe SitiPassed_�� , Original: Public He'p11h Division Observation,Hole Data To Be Completed on Back---- �I� 1' , on must first notify the t�. ***If percolali test is to be couduc d within 1Qwe&prior to beginning- Bamstnbl¢CdOS rvation Division at least one(1) 'DEEP OBSERVATION HOLE LOG Hole# [Dcpth Sell Horizon Soil Texture i .Sall Color Soil i Other ) (USDA) (Mrinsell) Mottling (Structure.Stones,Boulders. Consistency. my 1 LIS ©r!zZ-S; DEEP OBSERVATION HOLE LOG. Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other ' Surface(in.) (USDA). (Munselp Mottling (Structure,Stones,Bouldtss. Consis c % ra el �S - zS L S 0 r rG ZS- C1 SrLr Z DEEP OBSERVATION HOLE LOG Hole# _ Depth from- Soil Horizon Soil Texture Soil Color Soil Other Surface(in) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. ns"t c Grav q '2 —Z LS .( �S ,DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil , Other (Munselp Mottling (Structure,Stones,Boulders. Surface(in.) (USDA) Rt.- - Z, — L S o8 Flood Insuranr`e Rate Mau: / Above Sp0 year flmd boundary No_✓//Yes ; Wilhin900ycarboundary No/ Yes ar .__. Within too ye flood boundary No— Yes! Depth of NaturFall O�WurallY Pervious material Does at leas[fo r feet oc�can tag Per`'tous material exist in all areas observed throughout the area proposed r the stion system? If not,what is the depth df naturally occurring pe us material? Certification I cerdfy that on• �� Z Z (date)I have passe istent with d the soil evaluator examination approved by the Department of)rr on ental Protec�eflli and hat the above analysis was performed by me cons the required trai g,ex rtis t desc" in 310 CMR 15.017. i Date Signature Q:%5�EPTICVERCHDRM.DOC