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HomeMy WebLinkAbout0007 HAVEN LANE - Health (2) �,qne, �Un�4iS ' V SOIL EVALUATOR& PERCOLATION TEST FORMS PRge I of 4 1HE1 Town of Barnstable 0 BARNBTABLE, Department of Health, Safety, and Environmental Services b1 ,•� Public Health Division lEo� 367 Main Street, tlyannis MA 02601 OMcc: 5OR-790-6265 FAX: 502-775-3344 s A.ssessmen for Sen e -�Is osal orl,Sulta,��Vit y� ASMSORS MAP ft Z6 a PARCEL NO' O NO. fW— Performed By: G Xl G L Date: ;,-a xT Witnessed By: � Owner's Name i,ncatinn Address �--- L Address,and AJ DOrC�6S-1Z5-1Z m19 6)Zi Z Telephone a Z Assessor's Map/Parcel: 2 6 y 7— -�n 7_ D Ga NEW CONSTRUCTION REPAIR V'l 508 77/ 43 r QMice Review Published Soil Survey Available: No Yes Year Published NG13 Publication Scale coo Soil map unit CHvwer61 e f Drainage Class C ce I Soil Limitations ROO, /- Surficial Geological R�vailable: No Yes ✓ 00 Year Published lqg6 ._ Publication Scale /; oo.co Geologic Material(Map Unit) /llrN Landform' PU17WAA Flood Insurance Rate Map: Above 500 year flood boundary No Yes Within 500 year boundary No Yes ✓ Within 100 year flood boundary No Yes Wetland Area: uJBi� National Wetland Inventory Map(map unit) f74 f U J�9 Wetlands Conservancy Program Map(ma unit) 12,4 Current Water Resource Conditions(USGS): Month OG/-0hec I9C96 Range: Above Normal ✓ Normal Below Normal Other References Reviewed: US US Q,)4&/ 11,PP7` DE APPROVED FORM-12/07/95 FElRM 11 - SOIL EVALUATOR FORM Page 2 of 3 Location-Address or Lot No. On-ske Review Deep Hole-Number Date.- l 0..I 10 Time: Weather _ Location (identify on site plan) _ Sep Land Use Slope 1%) 0 -Surface-Stones- . ►n o�� .. _- Vegetation . . SS. ... _::._..._...:_:...,.....:.. . Landform Position on landscape (sketch on the back) - Distances.from: I Open Water Body 140 feet -Drainage"way Q A -feet- Possible-Wet Area 135' feet- -Property-Line S'... -feet Drinking Water Welt IV A -feet Other- DEEP-OBSERVATION HOLE LOG* Depth from Soil HWizon Soil Texture_ Soil Color - -Soil other Surface anchesl " (USDAY tMu imml _ Mottling (Structure,Stones,- ulders,Consistency,vell 9b 0 Ft L�(.., l q 11 - lort,�n -]ON r 6 s 413 30 10 Yv_ _ C YYIZ4 Parent Material fgeofft+e) G 0+w_A.Ch. epthta8adrock: ►v — 33 " A, DentktoGroundwater: Standing Watec.in.tfieEl"ate: WeepingRorttPit<aace: — 33 ©aobPi- had r-ecol I'll-ld 0+41_1 Estimated-Scasorw( Ifgt► Groin Water: _ — �ti�ti ONG 'Dt jposA-'I( RSA Pr-0 o3F p DEP APPROVED-FORW-12/07195 FORM 11 - SOIL LVALUXTOR FORM Page 3 of 3 Location Address or Lot No. L D+-2-3 7 PAjc-,j L Detenninakon for Seasonal Nigh Water Table Method Used: Depth observed standing in observation hole inches Depth weeping from side of observation hole............ inches C Depth to soil mottles .....,. _...- inches . Ground water adjustment ................... feet- -hck.-x Well- Number .."..i.W.3A R-eaiding--Date-J4Zf1c16 Indem-well level ....4.��7 /I Adjustment-factor ...... Adjusted--ground water level ........ SE E f+ IA-Cke,4 Ovottv-�Maturalw P-0_V i-al W4 Daes ate least four-feet-of-rvaturally-a-ccurring7-pervious-material exist in--all -areas- observed throughout the area-proposed-for the-soil absorption systerK7 Y ff S If not, what is the depth of naturally occurring pervious material? Certification t certify that ort 00 U, M413 _tdatel 1-have- assed the-sa-evaluator examinatiort approved-by the Vepartmentof-Ehvirc F-PIrotection-and thathe above--analysis--- � was performed-by-rhe consistent With thee required training, expertise and-experience- described-in 31-0.CMR--1-5.017-. Signature G r" u Date. 1 0 10IR DEP"MOVW FORM--IV07/9S FORM 12 - PERCOLATION TEST Location Address or Lot No. Lgt Z 3 -7 r Massachusetts FercoWw TesC --[late, .lU 1 �. I Time:. �.6..1.:. . . m v bservation Hole #_ Depth of-Peres Start Pre-soak 10 : S3 ` +v End Pre-soak. Time at 12" - -Time aVEr rune_ tg"-&Mj(I o-1) 3 - - Rate-Min./tech JN Mirth niFifl_ f- P itL i s A[ Srt: _ - reserve area. Site-R-asse& O� Site-Faaue .................... ...... �..-.. __. ......_.................. Performed. By:. �o w .1�r) messed-Bye w � Comments=. ems- 5A­p-�� /A S Q►'t m�y P�_1 -ram OT E�UEN71JA-,_ r`A4 LU r2. DEP APPROVED-FORM---U/0?/9S- A RONALD J. CADILLAC, PLS, RS Professional Land Surveyor & Registered Sanitarian P.O. Box 258, West Yarmouth, MA 02673 (508) 775-9700 HIGH GROUND-WATER CALCULATION SHEET Locus 7 �pu g� L P,g Date of observed water 1 D I (p 9 L Depth water observed below ground 3 33'" Locus Well Zone C Index well Yy)i w 2 9 Reading 6,57 Month of Reading (2) ZT 19 q t U.S.G.S.(Frimpter) Adjustment for maximum groundwater-- I ,Z ' Well used below hil A t� O=ee 2 _9 Date of Observation I a c 8 of 10 year high reading (from data below) Zone of Well g Year High reading & month (cross out two high readings in 10 yr span) (record next highest reading above) _ (data represent distance below ground) 2_ _J 6k e b , - h i y h Es f r.Q.ad-L?,,� S, tic-E (41 7(�, (JqA,4_ 3 �� Yy► 7 �3 � g �— � 4 � � yeAl E Lev, 4 q6 T-73 N&u 8 6, 70 119�r_ 5=U— 7, 9+R P r 9 i 6 q Z 7, 6z �be� 1 u_ Cu errerr n r minus 8/10 yr. high = J s ment for zone Well Zone Adjustment: rrun ter ne x = (8/10 yr. Adj. zone x) For Locus ED (Frimpter Adj.. zone y) (8/10 yr. Adj. zone_y) 8/ ear Adjustment for zone = "High Ground-Water Elevation--(a) Inland - The elevation above which ui eight out of ten consecutive years the ground water table does not rise." (310CMR 15.02) v 4410STY1CA.J—t VECi�Lt), n4z (A) 20 i S 0 E: Lo u, GccD�� 9 `� s