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HomeMy WebLinkAbout0000 SHOOTFLYING HILL RD - Health (7) 0 Slootflyirig•Hill Road , West Barnstable' r�. A = 2I _016 - N Town of Barnstable P# Department of Health,Safety,and Environmental Services of11 Public Health Division Date �Jlqlqq �. 367 Main Street,I lyaimis MA 02601 :I eANwarAar$ Date Scheduled q Time—� Fee Pd. 100 if Soil Suitability Assessment for Seivage Disposal Performed By: �aV L►_ Witnessed By: ewe ::': :::<:::< < ::.::.;<.... .LOC;�TIp1 & E�iE1ZAL INIiORMATQ:N : :>::.Location Address /.... .. . ..:. ..... . ...... L0 Z �_ Owner's Name�1 jk 'Ti V-: I � '301� ►��-l1XLSr:-� �C�i Address Assessor's Map/Parcel: \\o Engineer's Name STEPHEN J. DOYLE & ASSOC. 42 Canterbury Lan NEW CONSTRUCTION _� REPAIR Tel,ephoneN East Falmouth, MA 02536 12eiepnone: a u-2534 Land Use ALA Slopes(%) 0L Surface Stones o � Distances from: Open Water Body `-OU it Possible Wet Area� !b R Drinking Water Well S_U It Drainage Way rO R Property Line y 1p / R Other n SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) t!o -ra z �o t Parent material(geologic) Q5M— � , \v\64.Y1\µ�:. Depth to Bedrock 'tA� Depth to Groundwater: Standing Water in hole: 14Weeping from Pit Face V� Estimated Seasonal High GroundwaterzrJ2ok < D ..::: .. A'�.10 �0 SEA.SQN'AL TIGI VVA�'R TAT3LE ::... ;:::.: Method Used: 1`�as Depth Observe&slanding in obs.hole: in. Depth to soil mottles: in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment It. .-Index Well N _ -Reading Date:_ Index Well level...--- Adj.factor Adj.Groundwater Level >.`1ti;ty.yGa:::iGi%C '?:...:::.:::.::.;..;:::. :,;, :::.:;::::.:::;::.::::.;:;:.;::;::;;:;;;::::;:;::S;i:;;;>::;;:.;:;y.:'i :`:;::;`:::::i::i;:2::;::2:;i t�LATIOI�.TEST: ;:::;:;..:::.n�te:.... :.t�......: .... ::::.. .;:. .. ......... .:..�.M :.....ti... rE �� Observation Hole N ( �_ Time at 9" Depth of Perc 4O F 4�It Time at 6" Start Pre-soak Time® \o:4S 11; 1D Time(9"-6") End Pre-soak 11"00 1y.z5­ "ZA -l.DlaS Rate Min.Anch 4 Z t p.\� Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(YIN) `� Original: Public Health Division Observation Hole Data To Be Completed on Back > 1) Ti✓P OI31✓1tA'I Tbl� TOX. LpC ......... _.. Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. 0 _ 9 Gravel) -moo 5L �noSn: loll' ti ... .......... ............. ...... . .......... ................ 1�EEP OBSERVA`I'I ?N HOLE LOG klole# Depth from Soil 1.Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,1oulderes. % o d `t A- 5L 10�rz 1e�(N O \o ' (��sati►s DT' OT3SRRVATbNIbLT+; d(�.. dole#' _ :.. _ Depth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. % DEEP OISI';RVATIOIV IIOLL LC);� Il ole#. . Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Houlderes. a Flood Insurance Rate Map: / Above 500 year flood boundary No Yes y Within 500 year boundary No 7 Yes Within 100 year flood boundary No V 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 MRS (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 �j � Date