HomeMy WebLinkAbout0616 HUCKINS NECK ROAD - Health 616 Huckins Neck Road
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Departiment of Regulatory Services
Public Health Division -
� Date _l
rEDA�� 200 Main Street,Hyannis MA 02601
Date Scheduled Time ! ��
Fee Pd.
Soil Suitability Assessment for' SWARe Disposal
Performed By:
Witnessed By: �S
LOCATION& GEN INFORMATION ^/ /
• Location Address //_ ' J��C, 7.
�t Owner's Name GC)�l� /Y/ C/-
CQ�J Address ew—f f-
Assessor's Map/Parcel.• Engineer's Name
NEW CONSTRUCTION REPAIR Telephone# .. �
Land Use: Slops(` ) At� Surface Stones
Distances from: Open Water Body ! S $ Possible Wet Area 1'�r.0 ft. Drinking Water Well N� ft
Drainage Way /SO ft Property Line `1L0 ft Other
. ft
SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes).
5 0 5 7: l
0
7;
_ I
` (,3
U 3. 4
w n . "�' .
Parent material(geologic) Z' 14 f Depth to Bedrock
Depth to Groundwater. Standing Water in Hole: `/Uait Weeping from Pit Face
Estimated Seasonal High Groundwater
DETERAIINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing inobs.hole: In. Depth to Sol]mottles: In.
Depth to weeping from side of obs.hole: in, Groundwater Adjustment f[.
Index Well# Reading Date: Index Well level_ Adj,factor. _. r Adj.ClroundwaterLevel,,
PERCOLATION TEST >b ds � i Time o M
Observation '
Hole# rn Zi '3 Time at 9"
Depth of Pero 30 .- `f Z 3p — Time at 6"
Start Pre-soak Time @ w 101.13o 10:/1.'/0 Time(9141)
End Pre-soak Z 64-4- 11 46; d 10,J1: U
Rate Min./Inch
Site Suitability Assessment:'Site Passed Site Failed: Additional Testing Needed(YIN)
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
Barn
stable Conservation Division at least one(1) week prior to beginning. ,
Q:XSEPTICU'ERCFORM.DOC
DEEP-OBSERVATION HOLE LOG Hole#,/ _
Depth from Soil Horizon
P Soil Texture .Sdil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones;Boulders.
o i ten_y°%Graven
R313
Z�y SALT&0*,V J s A 111
7-6 C AL
T
DEEP OBSERVATION HOLE LOG 'Hole#' L
Depth from Soil Horizon Soil Texture Soil Color Soil I Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
colisiatelicy.%Gravel)
0e 3�
7,s yA
L�-mil G, . s � 1s•y�Q%f� w Go�.Bc-ems
DEEP OBSERVATION HOLE LOG Hole# 3
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
Consistency,%Gravel)
Z;
�d 3 A-T L o.4 n'1 7 Sys
30 g c s•
1
DEEP OBSERVATION HOLE LOG Hole# ,
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stottec Boulders.
- v
Consistency.
p �9 .spa,oy 2,��� ��
/m L9 & 5ipT ,42)4NI 7,SIA
y 2 37 -A 7,Sy/1 7VF
37 - J z G G " S` %
Flood Insurance Rate Map: -
Above 500 year flood boundary No_ Yes
Within 500 year boundary No 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?
If not,what is the depth of naturally occurring pervious matarial?
Certification l
I certify that on 19 9s (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 required training,expertise and experience described in 10 CMR 15.017.
Signature Date
67
Q:ISEPTlWERCFORM.DOC