HomeMy WebLinkAbout0563 OLD JAIL LANE - Health 563 Old Jail Lane
Barnstable
A= 276-058
vie T own ®f Barnstable P#
1�. Delpartiment of Regulatory Services
MAR& Pabii Health Division Dare 73 4K �, -2411
200 Main Street,Hyannis MA 02601: Wm_
Date Scheduled ,/./
Time Fee Pd.
Sod ►S tabil -Assess ent for Sew'' e Des � r
Performed By:' U trly K M O'� �SaG
t n Witnessed By: .Z
LOCATION& GENERAL WFORMATION � l`i�
Location Address'`7 2 /0 1 a s� f 1 �� ner s Name �
. J "l 1
Ogddress �V-5 - T�
Assessor's Map/Parcel: 2 RSTbN 21�3 - C
r��
7� Engineer's (� _ -�
1 Name C6� LgOli/
NEW CONSTRUCTIOTJ t Y t) '�
REPAIR Telephone#.i S( p 36-4
.aa 1 E
Land Use _t e�7 i111 Utl SJo es 90 ''
Surface Stones
3
Distances from: Open Water Both (o
YR Possible WetArea?
'q i Ft DrinkingWatcrWell 160 ft
Drainage Way (1 R Property Line' L, () p.
Other ft
SKETCH:(Street name;dimensions of lot,exact locations of test holes'&Pere tests„locate wetlands in prozindty to iiaics) w
a
&QKl,OX Rift;" To L-5 J�'AIL LV
L
"S t t• 3
CD
o n 2!3
�-r
tJ— .:
e 2f ate.
- ZOQ.,&
Pareat material(geologic) GI 6 V fi,w't 5 Depth to Betirock
Depth to Groundwater. Standing Water in Hole:_- •1VO Ile- Weeping from Pit Fnee Now
Estimated Seasonal High Groundwater -3D
DETERMINATION FOR SEASONAILMGH WATER TABLE
Method Used: 1Z10+-K1 hGr
Depth Observed standing in obs.hole: in, Depdi to soil rnottlej,. 0'� 4- Itt. (ZA Z(3�
Depth to weeping from sideof obs.hole: ln, Groundwater Adjustment fr.
Index Well# Reading Date: Index.Well level .Adj.thctor• ,-_„� Adj.ClrnundwaterLevel
Observation
PERCOLATION TESL' Data: `z7Jtt Tana t.1 A \
p '
Hole# rJ Z Timn Ar9
Depth of Pero •� ` t n S�' /
f vl. Time At 6„ 3 YJ
11 Start Pre-soak Time @ lZ W. 2-7 Time(9„•6")
End Pre-soak `j '
Rate MinJlach ft1�l 1 1
Site Suitability Assessment: Site Passed V Site Failed: Additional Testing Needed(YIN)
Original: Public Health Division Observation Hole Data To Be Completed'on Back-----
•� r
***If Pereolation test is to be conducted within 1001 of wetland,you must first notify the.
. ` Barnstable Conservation Division at least one(1)week prior to beginning.
`y,r Q:\SEPTIGU'ERCFORM.DOC
DEEP.OBSERVATION HOLE L00 Hole#. - A Depth from Soil Horizon Soil Texture .Scs11 Color
Surface tin.) Soil Oros
(USDA) (Munsell) Moog (Strw
_ ctnre.Sronrg;Boulders.
0,90 t:oRrl 10 R 2l. '�10 N E FR I 4 8,,C
S " C LoAm`f SAUp 4U YR 1
7 � 17- A t_dhmt ;gPD to yK 3/3
12'�6 Q �oemY. SANp Id Y R L pOSE
36- t34 G t:DIvME10 YR 5/+ SC
DEEP OBSERVATION HOLE LOG Hole#
DeptSurh (11L
Soil Horizon Soil Texture Soil Color Soil Other
(USDA) (Munseiq Mottling (Structure,Stones.Boaiders.
C� INoop LDArA jp z�2 �I G FRI{�
_6 Lo LqS u t0 4'R 4/I
Z � �RlAi3�.6'
G -1
io!M 54N a kO R 3 V91 A-g L6
12thaMY sQrV,n to k R Q6 SC
3�- i3 Sl*Wp td YR, 91A. v LvosE
DEEP OBSERVATION HOLE LOG Hole#
DeProfrom Soil Horizon Soil Texture Soil Color Soil — p
Surface(in) (USDA) (Muoselo Mottling
(Sducture,Stones.Boulders.
0._3 d Woo LOAM IDYL I �IdN� 1�4BLE
q A I.oAM Si uD �� q7,3
a -33 MM SWO �D �'6 LDDSE
Nlt?o��tA S�� 1p �� s p
DEEP OBSERVATION HOLE LOG Hole# 2 i
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in•) (USDA) (Munsell) Mottlin
g (Structure,Stones,Boulders.
�D A LoAmY 5avm 10�R 3 pp',
LD K SAND (4 q R 416 I.LYI SE
1A1 VM SRND l SE
__j
Flood Insurance Rate Map:
Above 500 year flood boundary No Yes
- within 506 year bouudary -- No✓+ Yes — — —
Within 100 year flood boundary No,Z Yes
Aenth 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? 4'E S
If not,what is the depth of naturally occurring pervious material?
Certification
I 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 consists
the required training,expertise and experience described in 410 CNIR 15.017. ZH OF MgSS9cy
�• C, L� t!S� Date 3�he 2-5r 'Z6 ��° DAVID Signature o D.
COUGHANOWIR
�10ENSS p�
Q-=PTlWERCPORM.DOC