HomeMy WebLinkAbout0317 FALMOUTH ROAD/RTE 28 - Health (3) Imat4h mace
Town of Barnstable P# q36_�
Department of Health,Safety,and Environmental Services
of1HE Public Health Division Date
Q, 367 Main Street,I lyannis MA 02601
RARNBT UM
MASSL
ate Scheduled
lfornw+" � Tilne IQ Fee Pd. 100
IS
Soil Suitability Assessment for Selvage Dis osal
Performed By: J2A V1,-_ U�til y !(� WiUiessed Dy l 1�
I� CATa�v
a- RAID llVi`ORMATQI
Location AddresJF Cadiz w er's Name G F{6Z_.STyS
(«o&'r}'g S �pN i Address
Assessor's Map/Parcel: Z01Z 3 1-7 Engineer's Name )P Vtp
NEW CONSTRUCTION _ REPAIR Telephone H(6te —zle j
Land Use Uvll vim. ry i,l e.� Slopes(%) 2 U �/b Surface Stones
Distances from: Open Water Body R Possible Wet Area NA R Drinking Water Well fl
Drainage Way N b R Property Line O R Other R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
__J
r—ALMlSV i H R20Al�
c�
Parent material(geologic) Depth to Bedrock
Depth to Groundwater: Standing Water in hole: N Weeping from Pit Face ►v,A
Estimated Seasonal High Groundwater
...,:.:..:;... ... ....
DETI✓I NATYCJN.Y.. R SEASONAL,HIG 'VVATET TAT3 ::: : : ;:
Method Used:
Depth Observed standing In obs.hole: in. Depth to soil mottles:
Depth to weeping from side of bs.hole: _ in. Groundwater Adjustment R.
.-Index Well NA(WJ L3,o.Reading Date: ��� Index Well level._'Z3LI— Adj.factor__R A' Adj.Groundwater Level
. PEI2Cp�LATb1 TEST Arty 7itn
Observation ✓�
Hole 0 C� Time at 9"
Depth of Perc Time at 6"
Start Pre-soak Time @ 0 �� �(7 Time(9"-6")
End Pre-soak ((): D U 0',oo
Rate Min./inch G � .G Z
tU-� C IO tM1V1
Site Suitability Assessment: Site Passed ✓ Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Conv: Aimlicant (A
t
cur UiEi1t ,�TZUrrr � Y; Gnt #
Depth from Soil I lorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Or �vA r1 7,S ill`& N A YVGIO��
NA Ft-1C-1,11C
cock^scSa�J IdY2 6�6 I`t t7a�ti ravv,
b l.A av v ✓
DEEP OBSERVATIO HOLE LOG Hole;#
_ ::
Depth from Soil Horizon Soil Texture Soil Coior Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
o
Qr E✓lc.`oIC
3s�&
ClIGJsc- .1,CV 9P �oSL
D ,P. bI35WRY-An N IIdi.1' LUG dole#
...
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
e
DIa;EI' OBSEIVATIOI�t HULE LUG Hole
Depth from Soil Florizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Cn
0
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary __ -No Yes -
Within 100 year flood boundary No_ 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? lS — C V
E
If not,what is the depth of naturally occurring pervious material? M
Certification
I certify that on (date)I have passed the soil evaluator,examination approved by the
Department of Environmental Orotection and that the above analysis was performed by me consistent with
the required train' ,expertise d .x rig "ce described in 310 CMR 15.017.
Signature i �J
Date /t�
.. » _ w
�. _ _
,. _ ..
-. ...
, ,
> ,
..- - .,.. .:..
ro n � , _
s a of ;
, ., � rest t t .. -
corrosion r n in Corr P )'P PYi
.: ,_
_ ore reach
able.' The 'cable shah be o f sufficient length t a
W A cketed c e , 2—wire, .JU 9
i minimum =of 1$ ' gauge, ? S
,'housing, w th 'a , _ , hou n
9
_
; `!
ass .
terminal block
n a boxclamp type, ter a c
i I ` ' terminate into
> r s shall to
II ncomin w e
r nd and a ►
exce t for . ou P YP
, ; <� P 9 ) 9
r .. _
_.
_ -..
_9
., se
without he u
from o starnless may be -.done w► o t
eeves control§ shatf be sys ended am
tfie nction ,.:with nb:rs iices Th i p Yr.
. -
r Celsius.
W for 11a5"de ees .0
. , 4 e TE rated
ICwirs`hallb e 1 GA. t
i n om►n o wer . A e s exce t i c
I s re." 9
f enc o
d bottom o the u YP
1 m ntin feet on the to ;an b P
nclosure s all a provided With externs ou p � P 9
The h b p 9
, . , _:♦, ,,
.'box
_
_ _ -_ .,
ois. Level . , . _
n to _. a ,.
Y >
A irs ed _
rols s t e CS t
hal b 11l cont
h n I s re
I r f the e o u
Integral at o s an int
°These a G
9 the, inside o the
ed to h hit be erman w color),shall
, i diagram (showing ire c o permanently fasten
A schematic d a Y
w ...
,.. �.
, _ ,. ., w
... _ _ ,. .... ..
-. 1.
e included ed rl' panel. with each control
I hall also b r c d
Service Manua s
n and S c ! t Ratio a enclosure. An ns a P screws,
f r o 10 sc e s e su e.
I inum onui held in place b ou
1 hail e o m►n►tnum of , .080 a um i�
The back ane s b P Y �)
,4
..-. .:..,..n .... .. :.:.
_.�
:. ... ....
.... . e n .N ,::q _ ,
e enclosure. `r d into the `
f ; wh rcfi are unoide
t ndof s eaded standoffs, i will ate to four
thr , which m
), t' 11 be U.L.I1Llisted a a n assembly.
The panel shall
SHEET' 2 OF 5
» . -
1
»
-`. ',6. 1r
N:...-s,.�?,c i. v.....,:.,+..a, w... C,Y.e: ,..n.k.. ...,w .
-
.:..., : i ...;.5_5, ... ..,. ,.-}�. -,.s n?!n.">,e ,.. _,:. :,•. a..,r.>�w., .tf ;..
_.
:
, .