HomeMy WebLinkAboutSoil Suitability Assessment for Sewage Disposal '1'own of Yarmouth •
Depsrtment of Health,Sa(ety,and Environmental Services
Public Health Division Date s/27/i a
Date ScheduleA 6�2���4 Time 3:00
Soi[Suitability Assessment for Sewage Disposal
e�rto��auy: Daniel Gonsalves wimus�asy:Amy Von Hone, RS
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LoatlonAddrw ownePsN+ma Joan & wlliam A Nelson
2 Pine Cone Drive Po eo: 553 _
West Yarmouth Add�' Schohaire, NY 72157
pyi�yyp��y�.{ep/py��; Englnttr'sName Down Cape Engineering
NEWCONS77tUC710N X REPAIR Telephone# 508-362-4541
Lend Use wooded Slapa(X) �-5.'6 SurCace Stonu none
Dislvrcutrom: OpenWalcrBody >700 ft PoseibleWaM<a >100 Il DrinkingWuuWell »�0 11
Dreinage Way >100 ft PropertyLine »� IL O�her It
SKETCH:(Slrul nemq dimensbns of l04�xKl laealfom of lul Iwlw&pero ksb,locele wellends in Oroximfty b holu)
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Pumtm.terid(geologic) Glacial Outwash oep�haeedr«k >200
Dep�h to(ho�mdwaler: Slmdia6 Wakr 1n Hole: NIA Weeping Rom Pil Fece WA
Estimeted Seuond High Oroundweter N�A
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Mctlwd Used � soi� dam a bottom of iH 2�� �
Dep1h Observed standing in obs.lwle: in. Deplh�o soil moWu: in.
D<pIh w werying from side ofobs.hola: in. droundwater Adjusunent ft.
Indax Well M__'"" 'R�ading D�le:____ Index Well Iwel,"_'_ AdJ.fwtor_ AdJ.Groundwtler Levei_
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Obaurmion � Time LL 9"
Fiole Y
DeplhofPac 51" Time�lb"
Slert Prcaoek Time� 3:00 . Time(9"fi") �
End Premek 3�09
IWeMinllnch < 2min. inch �
Si�e Suilebfliry Assasmenl Site Passcd X . Sitc Failcd: Addi�ionel Tesling Needed(Y/IJ) N
Origind: vubl�e xea�m uivtcion � Observation Role Data To Be Comptehd on Back—j
CopY; Applieant '
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Deplhfrom SoflHodzon SoilTexWrc SoIlColm � Sail Olher �� �����
Surfua(inJ (USDA) (MureNi) Mouling (Slrvelum,StoMa,Bquldves.
0-4 A LS 10YR 3/3
' 4-8 E LS 10YR 5/2
8-30 B LS 10YR 4/6
30-120. C FS 2.5Y 7/4
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Deplh from Soil Horizon Soil7exWre Soil Color � Soll Othtt
� Surface Qn.) (USDA) (Mm�ell) Moaling (SwUure,Stones,Bouldua.
0-5 A LS 10YR 3/3
5-9 E LS 10YR 5/2
9-26 B LS 10YR 4/6
26-144 C FS 2.5Y 7/4
�3�5�}{� yry4. lg{L"���t'5{��' {� $ ��Y,C� SL��y'"�` d'� r 'T� 3 Q.:
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Deplh from Soil Horimn Soil Tezlurc Soil Color �Soil Olhcr
Surface�nJ (USDi�) (Munseli) Mmlling (Slroc�urc,Stnna,Bouldercs.
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Deplh from �Soil Hodmn Soll TncWa Soil Color Soll Olhcr
Surface(in.) (USDA) (Munsell) Mouling (Swelurc,Slones,Douideru.
Flood Insurance Rate Mao:
Above 500 year Oood boundery No_ Yes X
r Within500yevboundery No X ya_ �
Wllhln 100 yev Oaod bou�ary No X yu_
DeptN of Natural�y Occurrine Pervfous Material
Does at least four feet of naNralty occurring pervious material exist in all areas observed throughout the
area proposed for the soil absarption system? YES
If not,whal is ihe depth of naturally occurring pervious material7
Certifieatfon
r '
1 certify[hat on �i ( ��� (date)1 have passed the soil evaluator examination epproved by the
Department of Environmental Protection and that the above analysis was per(ormed by me consistent with
the required training,expertise end experience described in 3l0 CMR 15.017.
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SignaNre _ _—"' Date v �� �