HomeMy WebLinkAbout0041 DROMOLAND LANE - Health 41 Dromoland Lane
Barnstable
334-007-002
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Towu of BarfistaWe
1Dep,,rkinCxat of Regulatory Services
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Public Health DivisioRl la��e
BARN I.E,
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* 200 Main Street,Hyanuis MA 02601
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__ Y Messed
]LOCATION & GENERAL INF OI&IATION
Location Address r fJ V�(1 Owner's Name
/�f ( Yea\ GQt.y�pC
LA Address
Assessor's Map/Parcel: , —C7 � Cngiueer's N' r
C '�U`W h e (/
NEW CONSTRUTION ' REPAIR Telephone It C5 o& ) 3 6 a.R
Land Use• L Slopes(%)
Distances from: 'Open Water Body ft Possible Wet Area ft Drinking Water Well /_V//eft
Drainage Way'eVIA--ft Property Line O ft Other rt
SKETCH., (5trecti,ame,dimensions of lot,exact locations of lest holes Sr per.tests,locate wellands'in pronindly to holes)
C� N
°
parent materel(geologic) `C. Depth tQ Bethock �7d
Depth to Groundwater: Standi ig Water in.l-Iole: �V!,�V - Weeplhg Iloln Pit ROB%
Estimated Seasonal High 0ioundwater
DE,TERMINATION FOR SE AS ONAL 111011 WATER,TABLE
fvlethod Used:
< Depth Observed standing in"obs.(tole: r!`���^ In, ,.pill to s4117t191 l.g: III,
Depth,to weeping;from side of obs.hole: e bi, Groutidwater,Adjustment.
Index Well fl Rcading Datc: Index Well leVal Adh f..lttot _ A41,C1Yt7untlwu¢eY UVel
][�]CRCOJ[:�.�TIO�`�171'JLST A'1>nm
Observation. r Z5
iiolc IF` Tttite tli 9" 7 Lr/
Depth of Pcrc j'. r Tln'ie at G" ---l-1 -� 1Zi
Start Pre-soak Tiiiie @ I! Time(9"-6")
End Pre-Soak JV30 ,
Rate Min:/Ineli
Site Suitability Assessment:, Sile Passed_ r✓ Site-Failed: Additional Testing Needed(Y/1\1) /D�
Original Public Health Divil,ion ' Observation Hole Data To.Be Completed on Mack' --`----
*."*Xk hexcolatiom'test is �® lie conducted,) idithi 100' of welliand, you must firsit ua0ta�y'�Rte. '
Barnstable Conservation Division at lend: one (1) i'Veelc plrior.a 6\I egiuuing,
*,Q:\S EPTIC\PCR CFORM.DOC
1 ,
DER 1[b.®BSE]f2VATION TT-0 —'__—
Depth from + LOG Horizon ��®le3 #
Surface(in.) Soil Texture Sdil Color
(USDA).. Soil• Other
(Munsell) Mottling (Structure,Stones;Cg',
uiders,
0� Con istenc ,%Crave_�)
r
SL y
Depth from Soil Horizon ]FT®.1e 7
Su:Face(in.)_ 1� SfUS�Ature Soil ColorSoil
) I(Munsell) of MntNiri Other g (Ssu,,ture,Siones, Boulders.
�r, & C /G` y✓ Consis enc %Orave)
°- E]E
152- c z
a ..
D P OBSERVATION HOLE �'®G
Depth from Soil Horizon ][�[�l�##�
Surface(in:) Soil Texture SolI Color .
(USDA Soil
N ) (Munsoll) Mottling (Structure,Stories,Boulders,
/� S t /v J b� ('•o iste cy,90[]ravel)
L^ N
19r,4 'T' 02SlEl[RVA7C.>tONHOLE LOC
Depth fi-om Soil.Horizon Hole#
Surface(in.) Soil Texture Soil Color Soil(USDA) .• (Munsell Other
Mottling (Structure,Stones; Boulclers,
Consl2tancv� Y.Q�pX.el)
� y
Fgood insurance
_ ance late Ivgap.-
Abnve 500 year•flood boundary No Yes
Within 500 year boundary No Yes. _
Within 100year flood boundary No�
DO�l�l>I o�'1'�l��ot>r HY Ocetirring Pervious MaLerisl
Does at least four feet of naturally occurring pervious material exist in all areas observed throu ghout the
area proposed for the soil absorption system'
Jiff not, what is the depth of hattrrally ncrrti,;.,n
CeHification
I certify that on►lacl I �! (date)I have passed the soil evaluator examination approved
Department of Environmental.Protection and that the above analysis,was performed by me consistent with
Vile required training, exper 'se and ex rienee described in10 CMR 15.017.
Signature
Datb
Q:1S.P-PTICIPERCrORM.DOC