HomeMy WebLinkAbout0091 DEACON COURT - Health 91 Deacon Court .,,.
Barnstable ' I
A= 300-033-001
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Town of Barnstable P#
Department of Regulatory Services
.BAMMABM: Public Health Division "Date A LZ ZOLS
P
200 Main Street,Hyannis MA 02601
Date Scheduled l /ZJ � Time / 14-�'7 Fee Pd.
Soil Suitability Assessmenit�for Sewage Disposal c
Performed By: "/"'w`1 OS/'4imessed By: "• w U
LOCATION&GENERAL INFORMATION
Location Address _. - Owner's Name A
C( I
Assessor's Map/Parod: 5 OO/�3 001 Engineer's Name
NEW CONSTRUCTION ✓,REPAIR Telephone# �5-0 =3 6�t(J-61763
Land Use W00 c4 ( w YL Slopes(%)_1 Surface Stones
Distances from: Open Water Body 2 ft Possible Wet Area_2�00 ft Drinking Water Well�X(�,}It
.. Drainage Way 'Z 4 D +ft .Property Line 7 ® It Other It
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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Parent material(geologic) O ^ li (4 a l WQS tpth to Bedrock [ l�
' Depth to Groundwater: Standing Water in Hole: � t�(,� �Weeping from Pit Face. -
it
Estimated Seasonal High Groundwater
DETEI�IATION FOR SEASONAL HIGH WATER TABLE ~
Method Used: d+--�� es `�7
r Depth Observed standing in ohs.hole: [ 6 ` in. Depth to soil mottles: t z- in.
Depth to weeping from side of obs.hole: A5T t' in. Groundwater Adjustment ft.
Index Weil# Reading Date: Index Well level- Adj.factor Adj..Groundwater Level_
PERCOLATION:TEST pare Ak, Time"I
Observation /�
Hole# - �_ Time at 9'• G/-L�•-�9V�
Depth of Perc Time at B' AIL
Z
Start Pre-soak Time Q //,o S Time(0-6,)
End Pre-soak ��7�2 / 7 �i ' ..Z
RateMin./Inch G•C C►. L
• Site Suitability Assessment: Site Passed —site Failed: Additional Testing Needed(Y/N)
Original:Public Health Division Observation Hole Data To Be Completed on Back---------
***If percolation test is to be conducted within 100'of wetland,you must first notify the t.
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC e
• r
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon - Soil Texture Soil Color Soil ' Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
[^) _ Consisten °/Gravel)
tr OH L
Ir / *
^fr �5' l'o�` o
—
DEEP OBSERVATION HOLE LOG Hole# Z
_.
Depth from _Soil Horizon Soil Texture Soil Color Svil Other
Surface(in.) - (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
Consistency-%Gravel
i
a
Ir
S r�2 zo
e Ltd
DEEP OBSERVATION HOLE LOG: Hoe#f 3
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.)" (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency-%Graven
Z It to '5
l2,00t G' J rJ ��
DEEP OBSERVATION HOLE LOG Hole#
_ Depth from Soil Horizon Soil Texture Soil Color .Soil -
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
n isten el
A 6
fC14
w` C. ed 5S 2,S' o ,-e a
_
Flood Insurance Rate May:
-- Above 500 year flood boundary ,.No_. Yes ,_ -
3 y
Within 500 year boundary No VI Xes
Within 100 year flood boundary No Yes_
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious m terial exist in all areas observed throughout the
area proposed for the soil absorption system?
If not,what is the depth of naturally occurring pervious material?
Certification --
" . I certify that of't � (date)I have passed the soil evaluator examination approved by the
Department of En ironkental Protection and that the 841e analysis waWperfonmnedby e consistent with3 the required training,expertis rid exp nc descri in 310 CMR 15Signature Date �
Q:\SEPTIC\PERCFORM.DOC