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HomeMy WebLinkAbout0059 OTTER LANE - Health (2) r J-,OTTER LN. 1 BARNSTABLE y�FTHE t TOWN OF B_ARNSTABLE <.. � OFFICE OF a� t BsaasTesia MADL : BOARD-OF HEALTH- . 7 �p 163q. e� 367 MAIN STREET HYANNIS, MASS. 02601 o August 6, 1986 ` Mr. Edward Kelley ' Mary Dunn Road " Cummaquid, MA. 02637 1 ' Dear Mr. Kelley: t' c You are granted a conditional variance on behalf of your client-,' William Swift, from the Board of Health Marginal Lot Regulation to install an on-site sewage disposal system on Lot 3A, Otter Lane, Barnstable, with the following.conditions: -' 0 a (1) An engineering plan ;for fthe{on-site sewage disposal, system meeting all of the requirements of Title 5, of the State Environmental Code, and the Town of Barnstable Health Regulations must be approved. 1 (2) After approval of the engineering plans, the designing engineer must be on 'site and supervise construction of the septic system and certify in.writing to the Board of Health that his design has been strictly adhered to prior to.the issuance of a Certificate of Compliance. (3) After the removal-.of the clay and the placement of fill, a percolation test must be scheduled with the Board. The percolation rate must be less than-two minutes per inch. r _ (4) The septic system must be installed at the exact location of the test pits. This conditional variance is granted because the, lot has 50,448 square feet of upland. There was four and one half feet of natural pervious soil.above groundwater prior to making the adjustment demonstrated ' in the U. S. Geological; Service Publication, "Probable High Ground Water Levels on Cape Cod". .,In addition, the ,bottom of the leaching facility would be eight feet and eightinches above adjusted water.levels. T. ' variance expires September 1, 198�. v truly y A r t hil Chairman BOARD OF HEALTH , TOWN OF BARNSTABLE JMK/mm cc: Mr. William Swift I > ',T i ,�,.4 •, ".�, t ! r .;3''. >F'.� v ,...i r tT / } 4 S t,f A 4 t�v..s L f r ",, d a, ss- i i ti xr• .rc:<? r s 1n g.., .1 , .,� t z 1`E r t,$'E . }'i i '.,wi v7�c L ai �♦r e t t r! x:" . aK ✓f.; -.r� c k .. a , i,t i e,,y '- % ir, 4 f >y.. , .". ♦ � a � ' ��—�. F ! t r! "a % _1 3�f: ' r' !4 t"T ,}.4 t q r a-r,r ., > - - a vy. 2 r'" J f -":: ,.r -" r .4 7#. r` R "L> r ..Lys x x '"' _ rf p' 1, ,;. 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T- ♦ -fir t. - •1 c r i ,, v♦ x.% , i .a.•,. +.. r n' I Mr. Edward:Kelley 4.� t _ .,, r, ar w ; A Mary D"unn Road .a. � t , N ti.t ! s ."^•S•`" yR 4,. t. t .*i°� \ f r �w.: fa.µ • :t1> '-"S !5 +• i� ! , r S+ ' z •W'N ,1' , ! I. t t..W J.., f s n �• r r oFT'+.• rk�� � - rrJ.��irt I r,; ' r� }'�. a c, , Ciimina uid 'MA 02637,'. .,. r �.. !> - x , ,..-' t f ♦ , r I. r 1A'•-1 ♦ , I r '•' /� 1 yy L •„t f t; r A a ,� 7% r• 4 1 •'r4 �' „Y�0..•/" t{�V 'T .q, '4 �44 } l F*f�3-, i • K,: .a 4 4r,y '6 D "♦a> t '.*:l , !. r1 i f •r "*r a �:. E ` '� .,a td K '` t ', 4 S 9 J 'A�„ `,t :t s �+ •. Nr N1'y �. e =�:}' $ 7't t� rt r -i.4. M '� •r n . N. .F ;!. , • 'a ! ..'Si *1 a ..r >,r.,... y,� :+ ' r.ti,•w ", .,1,'e ♦`f 1ftx++e, ra&4 "`> +' a S `i . k r "' 7t r,• �,l 1 ,.. , > �,,; r r, Dear abir Keeley ! 'i,r ;,e," nn � ?, a >' jl ,\ 1�1k r d, t R L O M' yr'� ,w 5., .t1- r+ �jj! i;>x;a i , O rd, ;> a`et 4�5. �a s" 3 ` -4: p 3 3..• r+r ,s; at. :� , it Ft Y,l.,a t 'i 'r r 4 ..,f,'t• ♦rY m -{i' ',�­� 0 , �i' -• �'�j ta'S r'•`rst , u♦1✓=L� t'� .+..*i .'�:.> �t `.� 'l tis''"'off r�, _htrt� 'Lt a -w are ianted 5 a connitiozial: variance_on 'beh 1 I g a f of gout 1.yceient; #- .illiam�Swift,=from :',A. ' " .*':'�, ."�y*� the Boacd of Health MaxginaI Lot Regulation to.install an on-site`sewage=disposal'system ' r,�. f , •h, .� fir. }-. 11 �,, t�,� r on�Lot 3A, fitter Lane, Barnstable, with this following conditions f 4iI t ,t - , � .1- l ;' { r 's i. ,'r twin _ ., 1 ^:4 <�` r 4 yr a t, ; .7 *�",.4� 1 Fi•+r' i_.. -mot .v ,a' 't �5 ..#!�fF. ypi 4 4.! # `•e $ , `r ,aa a. .r ta.~y . a .!^.AA .�r r[. ,~ yi. y ,. s ,� 'y%.•.i ?.:t' y.f r'e i,{Y.if t "�' . ,l-:� ,�, (l) An`leng neering' "plan, fov thef-on site;'csewage.disposal'system irneeting`all ;of the �., requir'eme is 6G>Titl��5 :r - „ r." n '". ,�aof the Staten'Enirironmental bode raanct'`th+e rTown Hof k`4 ' = Barnstable Healtli,Regiilationis _must lie approrred:; t '` „� ' it , ; �E ` $ x { + t tit ? t.....F ut, 'Lst r z tied, k S �`, i o.k r. r ti '• f r� 1eii; -, ', � w.s 3 'ifry-. ¢t _� ti S,,�t t 9'�+ xt♦�."� �., I s ���` I",a Y .h n ?..�♦- ��j r'ar .+�`i -� �75'<'s�'- +,s' i" I'i `'l� t ,1 ( ) After approves of.rthe engineering plans;,-the designing, engineer'Lmust:I on site . ' s r > r r ,�"zt `r�,and supervise constructiofn of the,septic,-system-and certify,',n,writing'.to the'Bbai<f y� -; ;'.'f � of,,,Health that his'°design ;1ias,,been,strictly adhered��td, priorv,to:;-the`.issuance of f. �t` , y ,. a Certif irate of,Compltance�r r {;. e $i��• `' �' s t s t: }' a f}r "* Y c a ..,te, '"", 5,,. + t,. f. y ,r ti 4�:v ". rr. .. it 11 #s x k4 7 +1...- a;y �r in r 1 K i tit t 1, ,k' s.o-." .. r , t '> f .f's S ..' y * ' j 4�- r 7.) *i a. t' { T 4 k t� •. t .. 'k t+�" �' r A � r.wKi?,•..f r }-,.p rit e F r _ v, r T ;+ �e"? 4i t te^ rI l,�;,ti; .,.oL . r � t* 1.;''(3} Aftert the reinov,,,of then clay"�and;=the�pl.acement of•�fill,-a percolation'ttest,=must',,, t`. ` ,{ r'r. pi 3. �f4 s �' bey scheduled£wfth�the�Board The percolation rate must`be• l ss ti an two minutes-- , c. '" r ✓ a ^'� { 3'k t 44 is ,f,}J4, a *^r r t ti t x F Y "r„ --f a { s y a hpey♦inch 4�'�x �- F * r.}r ���' ' i ,. �• .4 `� ,4?','�� � "A� ,_ * c ,e, •'• x" .,a'4` t •.� '' at�a ayv' x, ..,, �•` 1. G::f'r �' <Y•y,. *. n V. :`, ? i, a .��(4) aThe Sept cf-s . mustYbesinstalled at;the exact location of:the tot pits: i tom ': 1 r ;Y' 1�11f �, i" r ,.q ✓ 4 . '�. �fa1 v mow=: , w tr IT1 1, �; r.;w„ ty " ^'a •, Y i ttO, ;.., $ V, •R + � i.. •� a s.R; r S' -~ x ,lti�` M1� -�~ W L �.. .�15 f Y t a 'K'� S P� Y i R!- #h '�"•§y ,�? I` 't CiirS y,��`. ,-, , - •,t*, �'! {.- This conditional varianee`.is ranted abecause�;they lot;has S�t4,48 .s u "=:A p n ' r,,t g ,� J,, r gt• . t , J. �,., . q acre feet3.of`, u la d.:,: ,' ", '. ..f V i ..�. .i ?.. �• There "wasr four and':_one,,half feet_`ofvnatdial.pervious soil-above• groundXwater*prior to > ( •K „y z ,,, raking, th3e �ad'justment ,dembnsttated inz°the .'U. S. Geological Service Publication,'*` h fir, o.. ti ' liprnbabfe high,brbund .. atei` Levels ton Qa " n' dditfon '` - - '` ,--`� ': ' _ . ; , y �' > -, _ ,. pe ;Cod". I e a , 'the bottom of the* k; tK T �f s o ,r Vie- f,i1" v - { tit 1+`' ,f , �, . eaching`facili y wouid.be eight"{feet'ond eight inches above a usted`water levE18 ' � „`� . ,,L ;`r r, ``k `- ,. f '� 3 w 4 Q *6 .*. t tr . r 5, c- i 1'r, 7t. l . ti * r r��,.} j r4 l r � * T % : f t f '• 4 t. �"'*• r E v r t .} 4 r-! s, ti. F - i .S. Tlii iV `"f %, �;r.... ♦�- r ..y sl - _ ,, `< tf J f -n i' K`' t c { °� {t } �w # " s a, . ; e,Z ,, 'September,.•1,C.., ..87 ,� r', r" �' Y .. '. > ' _ . u ,, n .e, '# r of i1 'fP�e 1U '4' r F �• • Yf 'c''r ,�•' �W s very ty s ; . u�, t �1 i t . � , . �1 f. .r s`v J f#✓r tr. �r_ 7 i ^ , c`k'.. KS l r -"t✓. 1 R t.i'• rF t , �.r,+ z , *I�._� h '' ,,—ri f t r 1 Ty,.x,�k l s d � r�,-s 4, al r.'t_-, r Y .,4y, -,.` 1 #i• ,i 'S • ;i,i4 - �,.,^ t.. y� ,r . v e i^ r X r e' y :�S J" ♦ f yy, ! a 7. . ,,i }, a t_y_♦t<r'� - " s' ..,r x :N � i .f' �• ♦ _'A',r >• .a.,; •y 4 ,�e�'y ,ti%� rs� e� r .r •f f'S �F ►`f. x , .r ,e N"� RS fire ` ! S'' •t 'i Ir i e ti.0 _'1 4 gwju ,a i i ° e ' ' , g k �% S $ v ra S '. 7 u fi, € r 4; }':t: t ,4"S,x !x.'c ti j y r!. 4 ' V it i'{f '"`+ � , s., . �r y°a ;> 1} s a: a. q s f r jt ,'# .k t+ Yis ,. � s ` y e / `rt `" � _ i,♦.. {'' i4 1S "'�e ,• St F _ °'r. il ,,r.s. }r > 4, '"Y+ „+,' a ,# ' ?r ` `+.� ��•r.. eirman-* . 7 K r r C {{ ' r` +i �r¢ '.f+ `t E:' ,k ` s ,,p j c ,,:,•' .*'- -s ', *1 ,l r 4';,.•�, ,• r f t. y.. te.• ,�5 T h +•f tt y S ;¢ , "�, a F .r ?' .j ' �� � -` xB AZtD'OF H ALTI ��,; , f� , ` . , , ,` t t - f f f t i r ti Y < !.. .r-a r;,. t 4 . .';S• t r f ti t, TO N F BARNSTABLE�;= txi4 f 4 :., �. _�,'' i. rs r _ . - 4yn�,.t••' r{ �+ { ✓.�.{'`•r J •te e_ .� �, rY, d ,• �,i'Y,t t`�'•�' -♦ 4 a a+r r , . t. '4." ! 7 �O, rX 1 �i' s �,....5a Y`�1•;; *; x?.t s; it -t .[ �,a �` r w $ `"""�'t. , a t tt ' e `. Y. J lei K m m 'S o-S M1 '. rr +t ru'r t 4.'O h's 4 (* i f 5' t a 4T " `t 'w C, err-.t.` ,•r- r t y �; r 4%i.. +c L •{ � k r 's a 4♦ > �" fY• a•. r♦ o•�.. `tr Y :� rf im 1 4 i � ,, �f (I "cc" Mr`"lyllliam Swift 't i, ; *�}:}`f 4 fl� /`t z 1i tr t y/ ti• . ; p r '4.'•s4ry wt "sP)), .w _ - .• r!. 7 ` ; a. F.. r.. 8 t"i! it;>ra I', 1,.4�, V � f.•} 's ip c 4.. .R •. ":`> #`'"r� x r r ''F'',♦ t{. ,'' „ 3' x- -Jt+t ,,k + rn ''}t f. `s ti l e f"I J6 4-.a 3~ 4 f{ w t ,t,r. ` s: -��. 1r r 4" j«. ','�* e ` f 0 't •s r'. x n n a� r;.r s us _ S ♦r"�' f `'' r r ,it y •,"t`�!� " t s. `• - r. ; 3 .aS 4 ..'�: (r .` d v # r. , .. .r. J ,. ;i'•'rg's'�4' .'S �f ! .:,. a ,n•+`tit. • r ' e. it � f" ' ¢ „#y� a tt rf t '.fir j i i. + f s ..t Y^t F.♦.✓,^� A p-Y y.•r„tr' .,,#:d f..n-a eT k-' I �. 1 I., t. t:,>{ •! i . r�.k, c+ Y ' S1 '4 _ 1'' h+ (' "{'�`•y� tf `lt, 2 #tar ra } �'. ''�. A N r 'r i 3 !t a r t ''c',.'.. r i7 - n't" `. 4' . y r s f 't s r v n Y rr't�^�y, ' ''�. .:,, '�! r "I rs+ r.. is - •, . ,.-, u $�; 11 L .r ti k t• s a .re e'ft+ �' : -{a a i..en �,tx r a t f t N 1 r.`,#.+"r '..,. 35 4`tirS" r y P.�,^: . t _ -. t. K$'- ti_ ,� ,i Swi #. tkE 'f ,11 r tL #4� i� t n [ rr r,;t rrrt t ,f,..tc.yi'�x�,,'v r... t-4 4 `f 4 _e"!^;,Ta,x ,• '�'+:.�y a t✓ *. ;,vf-f t + S `p. � t r '* ..tt' r No. -�� r DATE FEE o?S= y FTHE TOWN OF BARNSTABLE /�Q t ( � OFFICE OF �p yBAHN"& : BOARD OF HEALTH 2639. �0�' r �f k* 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (5) days prior to the scheduled Board of Health meeting. NAME OF APPLICANT SW/FT' TELEPHONE NO 77S-/.S7S ADDRESS OF APPLICANT 90IV B, MA1S7—`}-8G& OZ4 3o ' NAME OF OWNER OF PROPERTY -54'-t'cr LOCATION OF REQUEST 077Zr Z 44A/6� Foc,2 of ,0&-XVIOV5 VARIANCE 'FROM REGULATION (List regulation) ey'57-I,v6 6IBoVd- '-VIC'/ WATz:e GEYEL VARIANCE REQUESTED (Specific request) VAA-W/AA/ce REASON FOR VARIANCE (May attach letter if more space needed) Lac,47jo.y o C- 47-,y&?9,e /s "'oT- ,A�� �D 8y IS/AT Leyte 11vT�sTME�vT ,Aa.a f' s� SS/sTE�i I^//GG l3E- 8.B �A.BoVE- /�'�.T.ST�a - WAI�'z• G�Y�-L , PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman A Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE JW/6'1-/4-0te J 77Tio�v�.� i C �• 4" PVC SCj/. -40l. STnNL� /o Au /e !y/ � S✓gSo�G ALL t�NSti/7�' � HA7E'q./A L/N 7a /3E ,P,�-iovC� W/T1/ CLL�4x� .SS� SR-n/D SS/ � c�56S /9-DT ►tip Lc-VEz. • - �Z. 3.�'c � WATfIL G�EZ ����8� MCrD Si}-rt/D &Z. Z.SO r Co.­-ipleted by l HIGH GROUND-WATER LEVEL COMPUTATION Site Locat ion: 677Z-7e <��/ ��'`�A4�/ D Lot No. LcT YV3 Owner: �///LG/i>�i P SW/T`'�" Address: 9,-9V?-,0V..S779-0,(.Z_" Contractor: Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. date STEP 2 Using Water-Level Range Zone and Index Well Mao locate . site and. determine: ro riate index well .. APP P . A) . . ... . B) Water-level range Zone . �N . . . .. i STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to 4 7 Z water level for index well . . . . . . mo yr STEP 4 " Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine /. Z water level adjustment . . . ... ... . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . STEP S Estinate depth to high water by subtracting the water- level adjustment (STEP 4) : from measured depth to water /7 8 level at site (STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Figure 3 _7_ i APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS LOCATION 0/—/07e 7- -3 NO. l�58•�7 VILLAGE Cu ryy q yv/Z> DATE 91- 141,9e APPLICANT W/GG Id7- FEE �' ADDRESS TELEPHONE NO. (Non-refundable) ENGINEER �G1/r9e_p ,LlerZ_e_!EX TELEPHONE NO. .34 Z- ZZee DATE SCHEDULED­,, yA/e-s (Applicant' s signature) ASSESSOR'S MAP & LOT NO: 0 0 0 /0-3 SOIL LOG �-8.�, /85 PG.3/ SUB-DYVISION NAME DATE n/G Zd, ./hBe TIME EXPANSION AREA: YES i/NO ,ee:z4Ey ENGINEER TOWN WATER.PRIVATE WELL e/ya�s /yG/CG-agz� BOARD OF HEALTH 1P-0e 72T & Dui. 2;IC. EXCAVATOR SKETCH: (Street name,etce ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : -S/4 ���Zoo" Gu,crr9 S�3-.Soy c. � CG9y Z/or! ZZZ" HLrD. SAar� \ S/ 1"/47W)e AT LZ31rOt �) y z •6 V o"-ZZ4r' Lo4yy Sul3-Sort *I ce gy wATb�A: AT Z Z¢'r - o s)-ry� /.3 SorG �GLAy "f ern. CLE-A9vv s4lp-o Wye .41r/ ZZ8 OT�l� Gr�til� PERCOLATION RATE: L&ss 71A17,.- 7We> &i,v,�/N /A/ "-/G-Zk 5A7*-/C- TEST HOLE NO: I*/ ELEVATION: TEST HOLE NO: AA Z ELEVATION: 1 l 2 2 3 3 4 4 7 7 8 8 /,�.,� 9 C64y 9 1 10 10 . 12 12 13 13 74' 14 WgrW A-T 68"14 a V/s�-2 A r Z Zo'' Z28 ' zA. 16 sgNn LZs"16 SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS : NOTE: ENGINEERING PLANS MUST SHOW NUMBER .ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY BY P . -F.—AND RETURFED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT i NO. s DATE _ FEE o*THETo TOWN OF BARNSTABLE 1 OFFICE OF i 13AR13TMZ IWAZL M1�aR : BOARD OF HEALTH - y � ppo, 63 q. $� v 'ED ypY k� 367 MAIN STREET HYANNIS, MASS. 02601 VARIANCE REQUEST FORM All variance requests must be submitted five (S) 'days prior to the scheduled Board of Health meeting. NAME OF APPLICANT `.I SW//cJ' TELEPHONE NO. 775-/S7� ADDRESS OF APPLICANT 90W A/37`�}8G� OZ( 30 NAME OF OWNER OF PROPERTY LOCATION OF REQUEST 4--17'7Z7Z LL}A/4Gr ez"A1'V'jq)L-'/ 2> ,roc.2 ��i'T" of p�7zV/o�/S HRT�'7Lii}G VARIANCE 'FROM REGULATION (List regulation) EX�STi.v6 .9Bcy� ,�/iGf1 W�y�� GEYEL VARIANCE REQUESTED (Specific request) j�A�e/qwc� of p, 7� /ee4D STE"D REASON FOR VARIANCE (May attach letter if more space needed) ZacAWo•., ooc lo7-Av&�-9,e '4VW LSL/ /S NoT /a��KT�D 8�/ WA'Tc�,� L�'Y�Z �vST�1E��vT ��D P.�yioSBD PLANS - Two copies of plan must be submitted clearly outlining variance requested. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL Robert L. Childs, Chairman Ann Jane Eshbaugh H. F. Inge, M. D. BOARD OF HEALTH TOWN OF BARNSTABLE yl//GL/�J-o-� f? SWIFT -_- i I i C /000 GAL v � } P/ T Wi VeD smitr AV- /s Lv S✓gSoi G_ SIDes HA7MR L /N i TNE- GE�cH ' Az&&-w to 1 13&,/e�/D 7D B6- 96`'?OVeD Ao..D )e.-P -)cKfl Wi73/ CL&�9�v SAa✓� 3.3 / EZ. 3,bc ' WAT&�G G6vb2 ��zO/8� Sfl�c/D Completed by HIGH GROUND-WATER LEVEL COMPUTATION Site Location:-077zr74 6,qle'- r D Lot No. LoT r-/3 Owner: V1161-/i)l-g P 5'wlll�i- Address: 9ir�,0/S7_,_3_0LZ Contractor: Address: Notes: STEP 1 Measure depth to water table rest 1/10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . to nearest _ date STEP 2 Using Water-Level Range Zone and Index Well Map locate . site and. determine: A) Appropriate index well .`. . .�''�. B) Water-level range Zone O Z - STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to 4 7 Z water level for index well . . . . . . mo yr STEP 4 ` Using Table of Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3) , and water-level zone (STEP 2B) determine �• Z water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP $ Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP ]) . . . . . . . . . . . . . . . . . . . . . . . . . . . Figure 3 7- ' APPLICATION FOR PERCOLATION TEST AND OBSERVATION PITS -LOCATION -- 07707e G~6— Lo7 3 NO. /�5857 VILLAGE DATE APPLICANT FEE ' ADDRESS Bf /.sj/I-3G� TELEPHONE N0. (Non-refundable) ENGINEER 4!5 IW,q?ap NO. .34 Z-ZZ.1e DATE SCHEDULED­,, v,y6'' (Applicant' s signature) • A•S E S S•O•R'SM•A•Po • • L•O•T o N O•: • 3• •�... . . . . . . . . . .. • • • • • • . • • • • • • • • • • • • • • • • • • • • • • e • • • • • • • • o • o • • • e o • o • • • • • / io-3 SOIL LOG SUB-DIVISION NAME Ne;Pf17"Al Ac,2&:3: DATE Ale Za, TIME EXPANSION AREA: YES v"NO G�/,�,q,-yp G-: .�/� ENGINEER TOWN WATER PRIVATE WELL .� Ti�Diy,�}S /1G/��'�9•.v BOARD OF HEALTH �IJC EXCAVATOR SKETCH: (Street name, etc• ,dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : � cCRy c Z/O! 2ZZ" HGrv,. S4-,v o / k/sf-rah2. 9-r 2id„ V '�2 G O rr_ZZ¢�� �p SvQ'Se/G V C64y Bo ATy� /3 So,G $�CL.A�I 077W7Z PERCOLATION RATE: L&ss 71/4p,-, 77WO M/64 /ti /A/ ">CD. TEST HOLE NO: 0/ ELEVATION: TEST HOLE NO: Z, ELEVATION: 1 1 2 2 3 3 4 4 5 5 6 Lo j 6 / i 7 S,8-SeiL 7 5vQ- Soi L 8 8 9 a4y 9 10 10 11 11 12 12 13 w47&7Z. 47- l�8"'13 µ A-ane +r Z Zo 17,p 14 Z2B'� arc-n, ui 15 Min. cLev-,o Zoe• 16 ss►�. i� Z ZB."16 (SUITABLE FOR SUB-SURFACE SEWAGE: LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS : NOTE: ENGINEERING PLANS MUST SHOW NUMBER .ASSIGNED ON PERC TEST APPLICATION ORIGINAL: COMPLETED IN ENTIRETY 13Y P . E. AND RETURNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT ' Y t // .t -79 1 ___ __ ,,;� ram' „� , ' � ��, �- • „�-,q ', i � ''�. �tot1 N ` 3 }7t5 r A40k& r ...firPIP ' ^i^ `-.. ,�f� Mace � i ... _---•- ��. l / 7`6 /''ZA9,00P.1 ^."/9<Fv �2 3tp�ly� O F MASS 02 EMNARD ��J, E. =� 1E LLEY L-=�iN -� No. 26100 .;��•�-sr�st'7¢�..it� ASS, �0�''L L�'` 5- A i • � i D 'y . N v Is rcl -SVX7 7- l 7 ssr ► 'C Nc �_, �7 u�'.3'� So. FT Ilk , Vjry \. ` ell 5' Y � � I j If 'Al E s�P�l� o F Mqs� ;?�'aG' •S��` Z s /�8l -S�•9G GS / = 40 o EDWARD G' E. LLEY CC .a o 26100 �o �7.,.�v�Jl�f/E7/rG,r� 1 �s�OMAI Lkkv� uMr7A¢✓iG ASS.