HomeMy WebLinkAbout0000 OAK STREET (CENT./W.BARN) - Health (13) 0 OAK STREET
WEST BARNSTABLE
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Town of Barnsia ble
Departinout of Regulatory.Services
MAM
Public Health Dzvlislon Date /O
.T 1079'. 200 Main'Street,Hyannis MA 02601
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Date Scheduled O
Time Fee Pdt,
Soil S itability Asswmentfor Sew, This as
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perfvrmed•BY:- 64--, f'!ar f { �'' j
V Witnessed By;
0- LOCATION& GENERAL INFORMATION
Location Addres OQ�lL j �jl�le e�
p v r ' /B Owner's Name M�
Address...
Assessor's Map/Parcel: �r
. Engineer's Name � 0
NEW CONSTRUCTION REPAIR Telephone C� 26 of
Land Use: o a "�t ',"0
Slopes(96) -'elf Surface Stoacs
Distance's from: Open Watcr Body o ft possible Wet Area• ey fk Drinking Water Welj>--��6 f[
Dralbaga Way. ft Property Line -- p ft Other
ft
SIM"TC1-I:(Street name,dimensions of lot,exact locations of test holes&pare tests,locate wetlands,In proximity to holes)
u--rc-
9
r JJ .«.
6-6
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Parent material(geologic) Depth t9 BaSjr4clt � A4 R
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Depth'to Groundwater: 5landing Water in Hole:_ ��=?/�Jc 0A—,.x
• � Weepin$firomPlt,Pnnc'
Estimated Seasonal High Groundwater
Method Used: l)E`A'ERyffNA,TION FOR,SEASONAL H1G'H WATER TABLE
Depth Observed standing in obs.hole: 1p, Dep[]l to 5411 tzl9ttlaJt �O � Itl,
Depth to weeping from side of obs,hole: ln, GtnundwuterAdJudtment -- — .
Index Well tit Reading Date: Index Well leYol pdf, cttix _ A dtputltlwt[terLaval m,
Observation
PER.COL.A.TI.ON� TEST �tac� ® 6 x'Inld
q ,
Flvla# -3� Thno at 9"
Depth of Peru Time At G" � f <�
Start Pre-soak Time @ !1; f l i��'�
. Time(9"-6")
End Pro-soak Z 01f•` ___-
Rate Mln.flach. ffjt ,Af 4�3
Site Sul tabillty Assessment: Site Passed. 5itp Falled: Additional Testing Needed(Y/N) Ali
Original: public Health Dlvlsica Obse6ation Hole Data To Be Completed on Back---------�
***If percolation test is tea be conducted within 100' of wetland,you must first notify the
Barnstable Conservation Division at least one (1)week prior to beginning.
Q:1S HPTIC\PERCFORM.D O C
DEEP OBSERVATION HOLE LOG Hole# /
Depth from Soil Horizon Soil Texture SM.Color Soil• Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stoned,'Boulders.
• i to �y.9b'(iravel)
P2 �.s
s I
DEEP OBSERVATION HOLE LOG Hole#
Depth from Sall Horizon Soil Texture Soil Color Soil Other
Surface(In.) (USDA) (Munscll) Mottling (Structure,Stones,Boulders.
Congistmov.95 G ve
DEEP OBSERVATION HOLE LOG Hole 0.
Depth from Sol Horizon Soil Texture Soil Color Sall Other
Surface(In.) (USDA) (Munscll) Mottling (Structure,Stones,)douldars.
ConsistmLro p ❑
16
DEEP OBSERVATION HOLE LOG
Depth from Sall Hodzon Sall Texture Sall Color gall Other
Surface(in.) (USDA) (Munscll) Mottling (Structure,Stones;Boulders.
Ca si t❑ '
lei
4;;o 4
Flood Insurance Rate Ma .
Above 500 year flood boundary No_ Yes
Within 500 year boundary No Yes
Within 100 year flood boundary No. Yes.
)Depth of I atarally Occurring Pervious Material
Does at least four feet of naturally occurring pervious me.terlal exist in all areas observed throughout the
area proposed for the soil absorption systeml - A •--•---
If not,what is the depth of naturally occurring pervious matarlall
Certification - •
I certify that on Oee. V L. (date)I havepassed the soil evaluator examination approved by the
Department of Bnvironmental Protection and that the above analysis Was performed by me consistent with .
the required training,expertise and experience described in�10 MAR 15.017.
Signature' -- lbatb
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