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Home My WebLink About1950 IYANNOUGH ROAD/RTE132 - Health IGsb I��nnm� f2ocwP ��Cte �3� s �crnS �� - - - - - - ass/ao� f — � _ 'town of Barnstable I'# 10 Department of Health,Safety,and Environmental Services Public Health Division Date ro - 367 Main Street,l lyannis MA 02601 S FLAMMABLE, a „ Fee Pd. EDMKt11. Date Scheduled �uN>r 2 me 74� . Soil Suitability Assessment for Sewage Disposal 'I Performed By: �0 l �J(i .Witnessed By: J�tZ.�� yf�tJtt-�C1T 12f�TA2i� �0 t-t � ° A M>:S _ _ -- -- LOCATION & GENERAL INFORMATION Owner's Name Love i5�"JI✓�A(L1210T'I Location Address �t A-, 132� 10'LAPE A(AY Address i 'rine SSG Civo�l?�I to c. n Q Engineer's Name Assessor's Map/Parcel: 235 1 CJ NEW CONSTRUCTION REPAIR Telephone N G l- ' &50) ' -79� Land Use V A(-61-IT /W ap D Ep Slopes N 'L — 3 O Surface Stones F Distances from: Open Water Body -2 SDO R Possible Wet Area 7 [0 0 R Drinking Water Well '7 0� R R Drainage Way 7 �p0 _R PropertyLine � 00 R Other SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) AC.TVAI� E57' pt't LUGA-frv►JS. _LA0 111A C' ` 1-7;i N� ,$40 _ kAt- 4.oz At, y ti V ; 340 025.E � RV I37 Parent material(geologic) (20 4LA6lAL_OUTWA9A Depth to Bedrock 7 lZ from Pit Face NotJt� OQisr✓�.l EP Weeping Depth to Groundwater: Standing Water in Hole: N6t 01351=K P g Estimated Seasonal High Groundwater DETERMINATION FOFc SEASONAL'-CIO"'WATE-1-R Mcthod Used: MWO A j& FIT Df-FTA 7 44 in. Depth to soil mottles: f'` in. Depth Observed standing in obs.hole: --hole tJ R I)gpth to weeping from side of obs. A in. Groundwater Adjustment I•.l A Indcx Well N_ Reading Date:— Index Well level._ Adj.factor Adj.Groundwater Level_ PERCOLATION TEST Date Time A Observation 3-� Z Time at 9" Ilole N [�Z y Depth of Pere Time at 6", "4 S 2 5 GaU:o N5 Start Pre-soak Time @ 16 Time(9"-V) End-Pre-soak Rate Min./inch ,cpw r� Site Suitability Assessment: Site Passed X Site Failed: AdditionaliTBsting'4ag Original: Public Health Division Observation Hole Data To Be Completed on Back--j Copy: Applicao I. ,. ,f DEEP 0I3SEI1VATION HOLE LOG Hole#_� Depth From Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Mimsell) Mottling I Consistency,(Structure,Stones,Boulderes. % d .�N SL /Oj�/1 S1v NONE �dw 0la rig6/6 Fs fC a.s W 71 z N4ve zo r4 pie �Sdrnh`[�o did/f /oof,P 59'h /� YRi' M5 46 _ See, no if / lee No c 1 q Y �y / 1 r10-f `,e raw•-P l�dn Co��P 1voTe l : �arr.•,f (7,SY 7/3) -lr/ef//cd 1.75 1 P-5le)J y Aloe 2 I1PaT/ W ih DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color I Soil I Other Surface(in.) (USDA) (u,"unsel _.!) Mottling (Structure,Stones,Boulderes. I 6 - 63 ti A SL Go'Y2'5/z None �j Y4YjdJav tq✓�P G _3� FL /a rIL. /hone, r/�lassi'V<, ble l� r — --- ' • �ooSG Si h le �q i Nei t 36 — 90" � 7.5 Y2 y�6 /�%on Q Go-8o ,a. may,' cQ66�cs ,, - I--� --- � loosP. sihylG gro�'ne�f 90 -l�T C z M S 2;5 Y"k. y�`L A14 vi L , A S' ro 51 e.----- DEEP OBSERVATION HOLE LOG Hole Depth from Soil I lorizon Soil"fexture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Cbnsistcn�y.%Gravel) • I DEEP OBSERVATION HOLE LOG Hole# Depth From Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Flood Insurance Rate Map. 6 o V^kAul t ts'( '&JF.t; 2S d 04 l 00o S L Rr:v 15tEf� /�v4, 19J l9 bS Above 500 year Flood boundary No— Yes X 20"& G Within 500 year boundary No x Ycs Within 100 year flood boundary No X Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring perv!Qus material exist in ali 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 5 +��(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,experti and experience described in 310 CMR 15.017. O�t07��•-�_ ,fir SlgnatureC ._�-`! Date a //i Torun ul'Barnstable I'# I95-D Department of Health,Safety,and Environmental Services OWN Public Health Division Date -as- 7 367 Main Street,I Iyannis MA 02601 s aAPMABM F 1 0. Date Scheduled �1�►�� 2� �991 Time 1 Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: .-DoNOVOc►� r .4l GJr'i Witnessed By: �1 E�� ✓vw tN h LOCATION & GENERAL INFORMATION Location Address Owner's Name (_UvC ,d-/MA(?e.10T'r Address �} .� I Engineer's Name I Nt- 541- (401 2 �hc• Assessor'sMap/Parcel: 'L�jg� -741'(j i NEW CONSTRUCTION REPAIR 1 Telephone# Land Use VA,(A"-r jVJ0004,�,D Slopes(%) Z- 0 Surface Stones FEW 7 Distances from: Open Water Body 7 500 R Possible Wet Area T aQ' R Drinking Water Well Drainage Way 7_S v 0 R Property Line N D D tt• Other �- tl SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) Vj FrC _ -ro ,I-l*— Pt_AO 50P (,TV Al. TeG r p t-r 1.0f-AT10>`LS. �Oe XI Xc fJ O C- Pr✓ttc. ls;st5 'fo gE ��l�fuTtK�fl. r�� I� I Lf Parent material(geologic) C0e4LAUA-- 60TWA514 Depth to Bedrock 7 (Z Depth to Groundwater: Standing Water in Ilole: OV6E016O Weeping from Pit Face (60tJ>✓ �8`��le`�EtO Estimated Seasonal I ligh Groundwater DETERMINATION FOR SEASONAL HIGH vr'ATMR T A1;LE Method Used: 06W O TEST PIT veeTN �A in. Depth to soil mottles: in. Depth Observed standing in obs.hole: n Depth to weeping from side of obs.hole: N A in. Groundwater Adjustment A Index Wcll#_ Reading Date:_ Index Well level. Adj.factor Adj.Groundwater Level_ PERCOLATION TEST t I =Z Tlme �/`31— Observation Time at 9" tole# !_ �, Depth of Pere T,m`at 6" ,a Start Pre-soak Time @ f i 3� �tJJ w///!�I , / Time(9"6") _ End Pre-soak Rate Min./Inch Z to Site,Suitability Assessment: Site Passed Site Failed: Additional,Testing'T4'Algid(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back-� Copy: Applicant / • c, r DEEP 013SEIZVATION HOLE LOG Hole# / Depth from Soil I lorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,noulderes. % 0=16'1 SL .:. /ayR 5/2- hah� Y4viv�cryTyiG�� G 26 B� SL, lvY4 s/4 n olle ve �elQ 7 Z Sno fe Sou liP %olo rav �JaTe- 24�t 1-a V 71S 4X 5/'8 ' _ 1-," d�¢ -}-o ura,Q' 'c. Y,9 e @ epfh-aT- .. . i 1 3lo't 50, FM '(/2` Ot i?.��' -f a Ci°. caviSi SAI V1 So - (,o%' e�retve.( �Some. eolobk!-5 DEEP OBSERVATION HOLE LOG Hole# 2- Depth from Soil itorizo. Soil Texture I Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling 1(Structure,Stones,Bouldcres. \` Consistency,o rr . to 361 w� S /Oyr( 51'� cd SaNd o?, h� si k, 3� _�2- r i, nave'/'' S Y /3 /7 a - — 713 G t �R az S�rrrteS - 3z'' � 3 5 a,SY7/Z /�ohe- s�'ti � !`�RinLO DEEP OBSERVATION HOLE LOG Hole Depth from Soil Horizon Soil"fexture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. % 6 f" S l_ 10 Yr. 51 Z. V�a kc-� 5'v 2n u 6 Y ! Jf n—a 4N Sw S L 10 0f 51 4 h.ahG Val a sat'v C - '�iW , 1'7b a _ F S a,s, r�lz 1'1ahe� s Kgle gruitled 1 n"' t'e-k b a ij S of a. ed Graver @ �}�� 90r7 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Ilorizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. ?' o 19 5/� N6N� 30 "/�`�r L,, ��i �.S Y ? �. "' 1O ,jE ,0U"e— S'-)1e r4�re� --------------- Flood Insurance Rate Mao: (!fo0nnvu ty� I?AOlE G �EvtS�U 19�t9�S Above 500 year flood boundary No_ Yes x Zbr..l F- L/- Within 500 year boundary No x 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? _`t)1=- , If not,what is the depth of naturally occurring pervious,material? ` Certification . t I certify that on5fiU 4 W (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,expert i and experience described in 310 CM 15.017. Signature J j�jl�_ Date Ge N�f 1M