HomeMy WebLinkAbout0025 MERION WAY - Health 25 Merion Way
Barnstable `
a A= 350-023
- I own of ijai'11 stains
Department of Health,Safety,and Environmental Services
�Im Public Health Division Date
SG 367 Main Street,I lyannis MA 02601
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Date Scheduled `/s /01 �� Time �, Fee Pd.
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Soil-Suitability Assessment for Sewage Disposal Witnessed By: a
Performed By:
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LOCATION & GENERAL:INEORMATION
Location Address ZS/�1 � Owners Name
Address �6 '//,�i¢,� �l•1'L
Assessor's ap/ ar el: 3 S� �Z-� Engineer's Name
NEW CONSTRUCTION !✓� REPAIR Telephone#
o. Surface Stones r• `, �
Land Use Slopes(/.) -
Distances from: Open Water Body R Possihle WetArea Drinking Water Weil R
Drainage Way R Property Line tl Others _ R
SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes)'�
3 p ,0 , .
41
i r
t �, ..•„4-w ';S.d^;;6^.._s,,:r y..�!'rk�` y„-Y-.�+ .� --'� ..wb•.r$!`�°..�.-�-Y�" "may,^-„^*��..'.P �.�..�. :+y. a- yy.e�.,.,-� - ::
R^ y • .. P -
Parent material(geologic) 9 a� (r�IAAW Depth to Bedrock
Depth to Groundwater: Standing Water in hole: T1 Kr a, Weeping from Pit Face r l In% +"
Estimated Seasonal High Groundwater
r
OETERMINATiON FOR"SEASONAL,HIGH'WATER TABtE
Method Used:
Depth Observed standing in obs,hole: in. . Depth to soil mottles: in.
Depth to weeping from„side of obs.hole: in. Groundwater Adjustment tt.
Index Well# Reading Date:_`_ Index Well level. Adj.factor Adj.•Groundwater Level
H
" PERCOLATION TEST :"Time 10:3a
Observation
Hole Time at 9" ,
Depth of Perc 6 ..1 r� a Time it 6' v
Start Pre-soak Time @ 0 C)' Time(9"-6 )
End Pre-soak AnmA 16 /Y m,4
Rate Min./Inch
Site Suitability Assessment: Site Passed I/ Site Failed: Additional Testing Needed(Y/N)
Original: Public Health Division Observation Hole Data To Be Completed on Back-�'
Copy: Applicant
DEEI' OBSERVATION HOLE LOG Hole# 1
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
0-3" o
It- 015', r3u✓ L• 10YR I/6
a5- 6a C V. F. S. a.S 4 7/3
6 a= 13a . C2. M . S a. 5 Y '/3 _ .
DEEP OBSERVATION HOLE LOG Hole#
Depth from I Soil Horizon ( Soil Texture ( Soil Color - Soil — Other
Surface(in.) (USDA) I ;"".unse!l) McItling (Str:ctmc,Stones,Boulderes.
%
3u 11 N 10JR w3
a.5' S. to S
asf 6a 04C V.F-. S. 2.s 7
61-' ►3a C2 PA.S 73
DEEP'OBSERVATION HOLE LOG Hole,# 3+
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
//��
o
0
3- 1 L.S. Io R V
l - a6 a yj L . , 10YR '/6
c I V. r-. 5 . ?�
•- lab C a M .S
- 136 C 6 L 5y -5/ )D` R `fig
DEEP OBSERVATION HOLE LOG Hole# 5
Depth from Soil Ilorizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
%
Or 3„ O _
Po P L .s, 10Nf? y�3
Il- as L.S. IpIR sus
n. 5f, v-i=• S, a.
r. G
g- y � S.l,. , a,5� /
'J
9a'' C 3 I C . S. a•SN %6
a 5y
Flood Ins!ranee Rate a� M 3
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
1 certify that on (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 310 CMR 15.017.
Signature I� , `� � Date I D°!