HomeMy WebLinkAboutLOT 5 MAIN ST./RTE 6A(W.BARN.) - Health MAIN STREET, LOT 5, W. BARNSTABLE
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Town of Barnstable P#
DeR,artment of Health,Safety,and Environmental Services
�9 Public Health Division Date
367 Main Street,Hyannis MA 02601
HARNEMABIA
Date Scheduled /_51woz?,� Time Fee Pd. --�,
Soil Suitability Assessment for Sewage Disposal
Performed By: 2i AVJ✓� Witnessed By:0 AYf}
LOCATION&:GENERAL INFORMATION
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Location Address I /y�� /A /�} m�/ Owner s hame /Ki� /�lTL'NZZ{
VV6 , jp,� ,'Address W. &,I�PATj�gBG�
Assessor's Map/Parcel: Engineer's Name90YJY6jj �Q �_7L�c/
NEW CONSTRUCTION REPAIR Telephone#
Land Use gA�106Wr215t Slopes(%) ;3.—8 Surface Stones ,t/6N6�_
Distances from: Open Water Body N/ff ft Possible Wet Area /6'0 ft f Drinking Water Well ___400 ft+
Drainage Way ---IYIA ft Property Line 45— ft f-Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
AIN
`TH i TH Z.
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Parent material(geologic) ,. lTs Depth to Bedrock
Depth to Groundwater: Standing Water in Hole: , 01C) Weeping from Pit Face
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Estimated Seasonal High Groundwater .D/ (&Lev, //.9J
D TER HNATTi Ili '€ �t SEASONA ,H O T'VS�A'PE TA
Method Used .. ...
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Depth Observed standing in obs.hole: /2- in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment Le) ft.
Index Well#-Sr7W._. •Reading Date:.�� j6 Index Well level.,y1� Arlj.factor �� Adj.Groundwater Level�OJ
_..... _25 v ZoNC A
PEIR OLA. . TEST: 'Dais
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U 6 7ZS G CS 1� ir�EA�i CCU
Observation ]/� //%�,
Hole# Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
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DEEP OBSERVATION HOLE LOG Holy## /`. ....
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
101VX ,� ANC
S/C7"<0,17Y1
2.zS-13. C e D AIVI' y :� t sic%
DEEP OBSERVATION HOLE LOG Hole
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Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.)" "' (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistenc %Gravel
./ 6. r SA Oc pV 11"R60is
0 2.33 6 46 d- i>r1 oJ0%= X/4 7
S/t.TGC�fT� 6�IG , F//YL- d.P/W/n/15;VY0>aD C Si- 9ND �O /� 13 IJNL, ky -9s'C- S/GT
;DEEP OBSE -VATIO t HOLE LOG Hple
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Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
DEEP OBSERVATCl►S1 HOLE LOG Hobe
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Depth from Soil Horizon SoiI Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes Y
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 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? 0
Certification
I certify that on -/ - (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 a Q� Date
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