HomeMy WebLinkAbout0460 GRAND ISLAND DRIVE - Health (3) � 66 qr6ndISLarck Plik,
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Town of Barnstable P U 9 2 99
Department of Health,Safety,and Environmental Services
�,1ttE, Public Health Division Date k Qg
367 Main Strect,Hyannis MA 02601
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Date Scheduled ,(x -12 Time /2%a, Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: Witnessed By: L •
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Location Address yL p G r/aND 1 SLAND Owner's Name poNALD QSC3b(2 N
QSTErvl L LEl Address l 2 S Q1'!JA D
Assessor's Map/Parcel: ;$'/ /[f_3 Engineer's Name
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NEW CONSTRUCTION x REPAIR Telephone 0.S-0&-33 41 L)
Land Use MWE,LINALV1cLaPED Slopes(0/0) D- g Surface Stones �1/N
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Distances from: Open Water Body 12.00 R Possible Wet Area NO ft Drinking Water Well Wo _It
Drainage Way V a ft Property Line 50 ft Other ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes do perc tests,locate wetlands in proximity to holes)
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233 `A �-'
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pl 50� � LOT
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2l5.90 -- , ' — 2 I
r� 172
V NM No /1Js,0,&,Y
Parent material(geologic)04/tAWS11 P44/11-, Depth to Bedrock
Nvrt Il0/✓�
Depth to Groundwater: Standing Water in Hole:ENOi�uivtEA Weepingfrom Pit Face
Estimated Seasonal High Groundwater LS.S-5 _MA A' ,61-- 5-O NlrP D
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SEASOA .:HY.G:...::
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Method Used:'r"oG/N Or yS�tAl3L.>= G hOUil✓gyU/i�7
Depth Observed standing in obs.hole: WO Nit in. Depth to soil mottles: 1Vd/l/6 in.
Depth to weeping.from side of obs.hole: No N6' in. Groundwater Adjustment IVONG ft.
.Index Well# -Reading Date: Index Well level.... Ad).factor Adj.Groundwater Level_
...•:........:..: .... . •:::.:::Tirol::.....:: ..;:.:::.::.:..:..:...
Observation
2 ���LLOAis� LESS f/t•AAA l S/vl r/�'
Hole tl Time at 9"
Depth of Perc Go Time at 6"
Start Pre-soak Time @ 5 lM e Time{9"-6")
End Pre-soak
Rate Min./Inch 2 AV//Y. /2Wr
Site Suitability Assessment: Site Passed E-S Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back—�
Copy: Applicant
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Depth from Soil Horizon Soil Texture Soll Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
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PIME Ntr�rDi t6s
t3 9Np s� /Q y2 S�3zlip 2oa-ls
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2- 32i YE RsAyn to `I R 6-11, z� i rave�-
c t yet-•13 R
32-12o1f C ro �• io 2 G i r ��
DEEP OBSERVATION HAL
. E LOG
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Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
P1Y6 N6COl�
y„ o ✓ At L
1.0 em GaA/-rO �d ` r .S/f p Nn s
� Y6L B l"N
R lU yr
Lt YsL 13rN
DEED' 4SERVATN.MULE LUG Tole
Depth from Soil Florizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
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DEEP OBSERVATION HOLE LOG Hialc
...
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 year boundary No X 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 41 L 975 (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 require7tr ' g,expertise and experience described in 310 CMR 15.017.
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Signature Date �
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