HomeMy WebLinkAbout0043 IRIS LANE - Health 51 Iris
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34 Barnstable
ne
1
1
1
Town of Barnstable P
s Department of Health,Safety,and Environmental Services
�t ]Public Health Division Date 1/00
Q, 367 Main Street,Hyannis MA 02601
3 sartrtsraat.e, +
Mass
i639`°rEn Me't" Date Scheduled b �Time A
Fee Pd.
Soil Suitability Assessment for Sewage Disposal
Performed By: cR Witnessed By: 0,,Pj,4 r' i cIPMJ Q
0
.... ..
l�l?CA ( Nc GETIiAL INt+ORMA'I SON
Location Address ;/)/ al l �� Owner's Name Df
Address
Assessor's Map/Parcel: � f Engineer's Name CAT IL
NEW CONSTRUCTION REPAIR Telephone# 3/pZj'-
r(�-t a�(�. --d�e Slopes("/o)_ /
Land Use 4 "'ro 7d Surface Stones
Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Wellft
Drainage Way VIA— ft Property Line 1Zft Other
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)
N
L
1 1
44
IT
f-2 G�f�•r L"
0-0
Parent material(geologic) CIL N' IA(, G Depth to Bedrock y
Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face /V O/V f
Estimated Seasonal High Groundwater
Method Used: JVli�
Depth Observed standing in obs.hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: _ in. Groundwater Adjustment ft.
Index Well#_ Reading Date:--- Index Well level...----- Adj.factor .__ Adj.Groundwater Level
PEttCOLTO%V`TEST tate�� T,me ;E' 1
Observation
Hole# Time at 9" _
Depth of Perc 5� Time at 6" L��
Start Pre-soak Time @ �J���N ��%d ��' Time(9"-6")
End Pre-soak �� 3
Rate Min./Inch
Site Suitability Assessment: Site Passed _ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back j
Copy: Applicant
DEEP MR.* �ATIU�1 Hl7LE I,O� lIol�##
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency.%Gravel)
(9—Z d1-4— 0 4 6V( CU ItAplrC 'i—�
iay�
13 a
1O&AY544 Z•SY Se�
yle
DEEP o�sER�A�rroN xoE xoct,r
Depth from Soil Horizon. Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
°o Gravel)
D Z � �- 01
-32 G.•fw' /b Y(25�
f w-e.S&,A AIVZ.617 y w J
�yy 41N c-�, s y /y
DEEP OBS�RUATT�N HOLE LOG Isle
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(i (USDA) (Mansell) Mottling (Structure,Stones,Boulderes.
--CQp2istency.°o Gravel)
DEEP ERVA"i'IC�NJfOLE LQG H[o�e
Depth from Soil Horizon Soil Texture Soil Color Soil
Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
ronsi5loicy.%Gravel)
Flood Insurance Bate 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 material?
Certification
I certify that on 9 (date).1 have passed the soil evaluator examination approved by the
Department i of Envir
onmental onmental Protection and that tlle above ana
lysis was performed by me consistent with
the required training,expertise and xperi ice described in 310 CMR 15.017.
Sienature