HomeMy WebLinkAbout0097 BUCKWOOD DRIVE - Health (2) OWL
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Health,Safety,and Environmental Services s
Department of Hea ,
Dcparl Dale.
Public Health Division
olt 367 Mein Strcet,ilyannis MA 02601
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I WOMAKAL 1 Time Fee
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t°s eduled
9 Date Sch
ssess►nent for Sewage 1)lspostrzl y
Soil Suitability Assess
Jt►�Iti� D�NN��V C3o �
Performed By:
�gNiC1, L� oj6,`r►arti06 WlbwmdBy:
LOCATION & GENERA INFORMATION ATName �IOIY QVES °�Irj
Location Address c. A Addrea aRy }}y.,NN�S
i
. Englrteer's NOW -D°�,.j r•J
,-a MapPael: " ° Z
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Li
Assesso TelphA5035
yEW CONSTRUTON REPAIR en I
D 5 Surface Stones
v Slopes('Y.) R
Land Use tit Drinking Water Well
p n Water Body '^ it Possible Wet Area Odw It Rom: Pe
— It property Llne -R
Drainage WAY __---
SKETCI I: Street name,dimensions of lot,exact locations of test holes&Pere tests,locate wetlands In proximity 10 hales)
—1 6 "'KC1
Ors" lg � t i
710
GLAL1�- 0-1TwA1-,1+ Depth to Bedrock
Parent materlal(geologic) r-
� -- Weeping Aorn Pli Pntx
Depth to Groundwater: Standing Water In Hole: 0 v N D w 1'C n J N +
Estimated Seasonal High(Iroundwalcr N
TERMINATION F"8EA80NAtAlG11-WAT19R TADL �o
N/ — In. Depth to soil mottles: il-
Method Used: 11. ��
Depth Observed standing In obs.hole: in Oroundwater.AdJustment
Depth to weeping from side of obs.hole: ) _Ad.groundwater Level_.
Index Well level Ad•factor J
Index Well M__...._ •grading Date: -
pEIYCtII:A�`IOf 'I'IS�'.,``: `>:...ulatr<''t���� iittneA�
Observation �r 1"7` Tim b r .,
hole N
Depth of Pere
a Li Timat(r 4l
Start Pre-soak Time® '
12--� 13'.2
End Pre-soak ih GZ�.M�IN �Z yr:h/1v�
Rate Min./inch . l
Site Suitability Assessment: Site Passed
Site Felled: Additional Testing Needed(Y"
ri inai. pu
blic Ncallh Division Observation Hole Date To Be Completed on Beck—�
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original: ,
Copy: Applicant --
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ItUL Snll UIl
1)Ir.lrils 0Il51�i��VA1 tUN SolI Colnr Moulins (Slnrclure,Stones,noalderes.
Soll'fe.rlure (Munsell)
Ikp!Ir from Soll ilorizun (USDA)
surface
(In)
)
o N3h-
LS y
p"2" �%
2-H LS VC
Go AND F,•�y of Z
bo-12�O LZ MlF y N� wkn 11-
Soil t„her
llrcr ousc[tvATItlN ttoL�Ltl� `. . st�rel�rc•Stones.
o,„lderc,:
So!!Texture (Munsell) Monti. — (
)leprh from soil Ilorizon (USDA)
Surface(in.) )0 "IA
>,5 I oyti7/1
ti-`'1 C- 1 o yNWb
� � -
2sy�%
GZ Mt/ ShND 2•5 ' FND
Soil (riirer
UIIII d11SCttVA'i'1d 110Ls it C)tl (suucl^Stones,"Oulderes.
SoilIlorizon S (Munsell) Mottling
1)cpl6 ( 1 N from (USDA)
Surfece(In.)
1
► VATION'IIOLC
llCL10USr" soil t)Iher
Soll'fexture soil Color Moulins (Stnrcturc,Slopes,nonidercs.
Soil I lorizon (Munsell) •��••�l► -
Ikpih from (USDA)
Surfece(in.)
I
rll
-•..Above Soo yeer good boundary No_._.- Yea
. r
No
. Yes
Within Soo yeerboundery _
.Yes�. ..,.._ ..,.:�. ..
within too year flood boundary No-�
`- ` II O rrrin I'ervioua_Mailltlttl . ,, A .
t least four feet of naturally occurring pervious material exist In all areas observed throughout the
Does a ..
area proposed for the soil absorption system?
If not,what Is the depth of naturally occurring pervious material?
1 cer(ify that on IVOV `�h (date)I have passed
the loll ev
aluator
uator examination approved by the
bep artn►c!,' �.f t;nvironnlcntal Prvtcction and(hat file above analysis wnso'�fotmed by me consistent with
_ �„� described in 110 CMR 1 S.