HomeMy WebLinkAbout0054 GLEN ROAD - Health (2) S� 6 ►� i2aUc�, N-hc�nn�s
age (oaa�
Town of Barnstable P# �4c)
f Department of Health,Safety,and Environmental Services
T' Public Health Division Date
O� 367 Main Street,Hyannis MA 02601
I .
% BnBNBreBM
Date Scheduled l 1time/ iJ -99 � ' Fee Pd.
Soil Suitability Assessment for Sewage Disposal
o a
Performed By: H . E . L 1a M_E R V Witnessed By:
` LOCATION & G ERA . INFORMATION
Location Address R wner's Name'I p,1,J E T R 1 S C H M A N N
1 )`II�N)JI�POi�7 MA Address 54 GLENN R )_
l-1`I ANMISFORT MA,
Assessor's Map/Parcel: 2 a� y Engineer's Name A \ 5
NEW CONSTRUCTION REPAIR Telephone#
Land Use S 1 N�LE T 1-�I R E5� Slopes(%) �/Z %a Surface Stones AjY\ _
Distances from: Open Water Body ),003 ft Possible Wet Area 3 0 ft Drinking Water Well/�2C>O ft
Drainage Way 1 0 ft Property Line 1 Z ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands in proximity to holes)
I
RODAb
_T� 1
Parent material(geologic) G L A CI OV T W A S I Depth to Bedrock ' t •A
t� n
Depth to Groundwater: Standing Water in Hole: 9 G Weeping from Pit Face V •!�
Estimated Seasonal High Groundwater
TE NA`t'ION FOR SEAS;ONA ,l—HGH'V A"t'1 R TAIB]Ll
Method Used:
Depth Observed standing in.obs.hole: 9 6 in. Depth to soil mottles: �• - in.
Depth to weeping from side of obs.hole: /0 0 in. Groundwater Adjustment ft.
M
Index Well# 1
• •- _w,_.-_29 Reading Date:/o - Index Well level.__ Adj.faotor3 2,1 Ada.Groundwater.1.,evet•65",,_ .r......,m, •
g f RCOLATION T�+ST Hate ;:. ) .. [tare 1 1
Observation
Hole# Time at 9"
�1
Depth of Perc —1 5 Time at 6"
Start Pre-soak Time @ Time(9"-V)
End Pre-soak
Rate Min./Inch <
Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
J
DEEP;OBSERVATION.:HOLE LOG Bole# !
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
LOAM lC3\)'K NDN
13w t_oAMy SAN i0yR6/4 F14E SNµo
6e" 120s C MEID. 5AN 2.5 V 6f z " N-EAsl
DEEP:OBSER'�ATION HOLE LOG Hale#
Depth from Sod Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel)
O—ll O 'er LC>)\\\ IoY��'�13 �c'
soXM �0Yit4/4 oE. 8AN'D
C Mai . SgrlD d.5 Y 6)Z '' C LEAA
..............
P OBSERVATION;HOLE LOG Hole#
.xx..
be from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
DEEP OBSERVATION HOLE LOG Hgle#
. .._;
Depth from Soil Honzon Soil Texture Soil Color Soi( Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,%Gravel
i
I
Flood Insurance Rate Map:
Above 500 year flood boundary No_ Yes
Within 500 year boundary No V 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? �� S
If not,what is the depth of naturally occurring pervious material?
Certification
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of E vironmental Protection and that the above analysis was performed by me consistent with
the required ill g,experU e anq expgience cribed in 310 CM 15.017.
Signature — Date �' `