HomeMy WebLinkAbout0060 KIDD'S HILL ROAD - Health Bamstle
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Town of Barnstable. . P#
_Departiment of Regulatory Services - !
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Public.Health Division Hate 7MASS
200Main Street,Hyannis:MA 6260I"
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Date Scheduled a l/ (/ -®'0`� Cold
Time Fee.ti
of
y S l Suitability Assessment for.Sewa a Disposal
Performed By: aJ,- v-- Witnessed By:
L CATION& GENERAL INFORMATION
Location Address 60 K;d 1 T1) Owner's Name ++ __ S� 0-1 Lr '
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} `,�`✓"`S'v1,6� Address ��. » c�� 'CO Y�� 01 vv1��s 0 1
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Assessor's<Map/Parcel: �R� �OZ� Engineer's-Name e lam,✓6V\C
NEW CONSTRUCTION REPAIR Telephone# 7 Zj 7
'Land Use. Slopes Surface Stones
Distances from 'Open Water Body �u ft Possible Wet Area ' ft Drinking Water Welly ft
Drainage Way ft Property Line 'l-ces�� ft .Other` ft
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SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands fn proximity to holes)
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Parent material(geologic) J � Depth to Bedrock
Depth to Groundwater. Standing Water in Hole:—_. Weeping from Pit Face
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'Estimated Seasonal High Groundwater
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
.T.Debth Observed stardingln obs hole:- - ram. .Depth to Sall mottles:Depth to weeping from side of obs.hole-, in. Groundwater Adjustment ft.
Index Well:# Readin Date: `:. Index,Well]eel, ,_��.--_A !.Actor ���,G!C�andw�tar Love!_
PERCOLATION VEST Date Time
Observation 1 QQ
Hole#
Depth of Perc , -3 Time at 6"
Start Pre-soak Time® 13', ,1 Time(9"•6")
End Pre-soak
Rate MinJlneh. t t:. .
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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, r
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIMERCFORM.DOC
1
DEEP.OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture .Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure;'Stones;Boulders.
cwsistevcZ Gravel)
Z.'1
DEEP OBSERVATION HOLE LOG Hale# 2—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. .
- - . ns er^ mod.`- "l
Lei
6. . 34 cd
-r rt-c sty
DEEP OBSERVATION HOLE LOG- Hole# 3
Depth from, Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA)' (Mansell) Mottling.. (Structure,Stones,Boulders.
consistency, Gravel)
6 A
6-3 5 s`- ld ✓l18
3`l-1 c t4 C4;,:;t 2
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DEEP OBSERVATION HOLE LOG Hole.# -f
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling. ,(Structure,Stones;Boulders.
. . ,.V. sr
-z
Flood Insurance Rate Man:
Above 500 year flood boundary No_ Yes .,.., _ r
Within 503'year boundary No Yes
Within 100 year flood boundary No Yes
Death of Naturally OccurrinnPervious 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 pervi us material?Cerli
I e ffc that on l l 1. (date I have assed the soil evaluator examination approved by the
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Department of EnviI.ronmental Protection and that the above analysis was performed by me consistent with
the required trai ing,expertise and experience described in 310 CMR 15.017:
Signature Date 7 � 1 .
Q-.\SEVnCf PERCFORM.DOC