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HomeMy WebLinkAboutLot 2nmomrealth ofMassachusetts Soil Suitability Assessment for On -Site Sewage $150.00 I)U New I AU 0 6 r,her _ Location address: '7i pbL Applicant: liI " '1f r.SixFu r t r7� c eC Subdivision/Lot: LOT 7- L-ANC Address: qqy �y tip,°> ✓ r)'t ras✓7�� OwnemTHcrl4s P. WAusH GHR,fTtAN g Fe'av eo/4(Telephone: 60 WeSr GAr°�' RD. 4ay STEA2NS AVc' A-rrc.e'8AX0, MA. 02.?03 MA. 020y8 Performed by: t, I7d) F__i tg , e r 3 Witness: Scott Leite, Health Agent (Site Evaluator) Address: st" "'s e Address: Six Park Row, Mansfield Telephone: >r> -.39<1 " ;,,? t Telephone: (508) 261-7366 Office Review Soil Survey published 1978 Publication scale 1:20.000 Soil Map Unit d4- H Drainage Class Soil limitations Poop, Parew Iw r-6g_ 649'0 "J6 , 9A(,Jp PEKMGR6ft'IT(, F&V l Surficial Geologic Report not available.L / Geologic Material GAC/AL OVTwA5H Landforra av�V'rW/kSN Flood Insurance Rate Map: � Above 500 year ❑ Within 500 year ❑ Within 100 year, flood boundary Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit) Current Water Resource Conditions (USGS) Month 07 Range: ❑ Above Normal u Normal ❑ Below Normal Other Summary TH TH Z Soil class Z T Percolation Rate y ►BPS Z MPT Adjusted ground water 17 11 60 Locus Certification to I certify that on April 30, 1993, I have passed the examination approved by the Department of Environmental Protection and that the above V-) analysis was performed by me consistent with the required training, expertise and experience _J described in 310 CMR 15.017, w Scott Leite Date M / Lo T Z\ LOT I LoT 3 On -site Review d,oeationL-772 Mcke-1a2l LAIvC DateT(,LY ISf Z012- Page J of I Land use VAcAN'r- GgAVE"L. P»- Landform (7LJ3 1 rJ Vegetation G;Ra 55E5 Surface stones FEW Slope 0 -3% Distance firm: Open water body 0 Possible wetland 9W ' Drainage way _( Drinking well Af Property line �0_5'' Deep Observation Hole Log Test Hole Number i Parent Material GLYNc ] A t C)vTw,4-s4 Depth to bedrock 1 Z Depth to GW 9 7 " ❑ Fl-v ❑ weep ❑ seep pf arched 0 w<:Sor Depth of naturally occurring pervious material rl8':- 132 ';= 8`/ " ❑ 1igh ❑ Low ❑ Drip 148-60" G1 c5 Z,5y712- NoNs 60"- 13L G2 F.c LS Z.5Y71Z NOfVe FfLIA6Ce' Test Hole Number 2. Parent Material Cc A c r A t_ OLrr� ASH Depth to bedrock 13 9 " Depth to GNNT LSrr _ o Plm 0 Weep o seep ur mhed ❑ W&msoil Depth of naturally occurring pervious material `lV- 139 9 Z " 0 Higl ❑ Los. o Drip D pthlsur fiszu I Texture Color Mottling Cons sianee Oar �loiiafiers 0—d-6" FILL- _...__. t16"-139" c I i F1tlo LS Z,5Y7/Z 6o" F(Z.(46 L e- Percolation Test Determination fat- Seasonal ;3iah Water dotes Test t`sole _ TH I Z NItitfiod used .... TH -1- _ T17 2� _. Depth of Pere $ r Depth observed standing 97 '601, ..Dep hweoping_. _ NoN.: Norm Begin Presoak 1: L17 pM Depth to soil mottles AMWEE 60" End Presoak Z:o2 Ps'1... Z. $� pr7 IndexWell, Time at 12" Z:o2 m Z.t 55 Ptw A l Berry School 91, Z:.12,. Piz Z:59 p)y 9 2 Gilbert.Street._. o„ Z:2Z F/I ;E 3 Fruit Street Time (9"41") Ia ml, s y M;"5 ll. . _ _ 11SGS well _. Rate MIMIN L4 MPZ Z MPS i � Index Well .§,erel.. _. _.... _.. - - Less: ladeN vvell high - Adjumo ent factor` . _.. .. .. ._ ... - _.. Sett T evel [,es,: Addjustmeit Factor —_ i r fif ueiLl, rom. euhnaier DWCP No. DISPOSAL WORKS.CONSTRUCTION SUMMARY TOWN OF MANSFIELD BOARD OF HEALTH DWC LOCA SUBDIVISION LOT NO. APPLICANT TELEPHONE STREET TOWN STATE ZIP. FEES: _$150.00 Perc for New Construction Date Received - _$150.00 Construction, Upgrade Date Received _$ .75.00 Septic System Plan Revision Date Received _$ 25.00 Septic System Repair Date Received _$ 25.00 Disposal System Reinspect Date Received _$ 25.00 2nd Reinspection Date Received r SDS Certification Inspection Date .Received INSPECTIONS:. 1 st Inspection Date Approved Disapproved 2nd Inspection Date Approved Disapproved Comments: Reinspection Date Approved Disapproved Comments: word.dwc I / > O O D ® $ / 0 _ § \ \ / a § / \ f \ 1«0"D 10 0 co \ LL a m « w o e i/ 0 2 �\ ƒ \ \ \ > } \ O O ) r \ 3 , 4 = ) } J v \� \ \ \ \ � { ) ! j c w \ / \/} / \ ° \ \ \ / M o a O n O V) J �> �gv IwN Z d ❑ la c f0/1 d d Ip (0 N W f0 I ME o: w (Q m a 0 0 � � � » � 5 \ cQ J 0 ® 0 \ 3 (D & 2 k § \ $ k62 / ) ;\' 0 2 �»® / } 46 \0 > w o / \ 0 0 00L Q ) 0 # / }\ o/ \ L/ _ /« ; a gE � / \ \� \ \ _ g \� 2 \ / \t . , I / /2 § 2 } f f \ k J � \ . f ! e 2 _ L a \ \ J / d w 2 / \ g ! ! k El � 93 7 2 � - t ) \ { o / ƒ m ' o e ©\ {n ^ a { 0 ) , [ $ o { / \ ; 2 / f { 3 2 / / 3 a k � � m ■ \ 2 / 2 � \ � J J / 2 \ k \ d 2 2 f � / oa— k\\ 3 \ 00L d / 0 ; f )a \\ \\ §« < Ll TM I E ) \ } � & _ \ ` \ \ _ : c \, N L m G m • \� N t U C m min c QIC QIc QIc a (1) 0 L c 0 Z 0 0 0 () v @ 0 m C Q v 3 L a m x N 0 E io w U L 0 0 0 N O 0 0 oa \'1]m u li VI N i V1 d a L G. d le o; O N 0 @ N � h C � N N c E 0 @ o' a 2 a � N O_ O) c O o � � >. Z m � � o m C O o N E ❑ O � O 0 N 0 } N a ) N 9 a 0 b k CL 3 � 3 } Cl) CO /0 /0 \ � 6 2 \ � � f � �zk �d7 I\m f{. k0— k\ k 3GLL m LL qi- } { U) 0 CL _N Q d 3 a� I� d z= �N 10 W 0 J y'a (� N O d% N Q N 7 LL CO w h 0 y CO N' 30r o 3 0 TL o - 0 0 U LL Q if; V m rn m V! � E L3�vJc� W 1� L L u Y 0 m Com onwealthofMassachusetts Town of Mansfield Soil Suitability Assessment for On -Site Sewage Disposal oi/ Fee $150.00 Ld'New ❑ Upgrade Site Number Location address: iZEET Applicant: Tt-komAS ice, fl�l_SN Subdivision/Lot: Lo 2 Rol Ll 1q(1 FtFZDS V t CLAddress: (D o we (G/LTr✓ i<;- � !� i 1 r_E�R-0 , MA, oz-7o3 Owner: Telephone: 5-ot I Coa`3 2-911 Performed by: IR M ef- Latt,1 CZLt�Ca Co.� (N C , Witness: Scott Leite, Health Agent (Site Evaluator) Address: l SO t_loR-i 1-\ MPtN t jZa✓E —1 Address: Six Park Row, Mansfield Telephone: (So'8 33q -3-731 Telephone: (508) 261-7366 Office Review t� Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit �T J-\ Drainage Class 14t IACILL.Y Soil limitations W(!y ,, Sur6cial Geologic Report not available. Geologic Material �-1UV_- l(,(.� Oul A-,S GA Landforra R_4<t - 14 Flood Insurance Rate Map: IJ Above 500 year ❑ Within 500 year ❑ Within 100 year flood boundary Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit) Current Water Resource Conditions (USGS) Month I 11 Range: El Above Normal tJ'Normal ❑ Below Normal Other References reviewed: Summary TH l TH 2 Locus Soil class Percolation Rate Adjusted ground water Certification I certify that on April 30, 1993,1 have passed the 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. Scott Leite Date rw IIL m y • n 1� O fn 0 e O r. O 3 r E L UULL c E L. 40 zo 2 IN c E L. vJ r U) 0 ,- N 6 9 O U' LL 4 P, } r i I PC I F r O P- E Z r. i h n / � k k / \ o � m $ / { D % � /\ 2 m k \' g R \ / � � \ O 2 .- k 1 2 . 4.0 � ■ \ E 7� � k � / Q § t 2 cu f \ � 0 ƒ �0 \ ) - B`\� 3 CL 2 \ )/LOL (j � k , 7 \ ` ) 0 a) ( � ) & \ a \2�E2 \ \ \ k Al E \ { ! m U) O M U) 0) i O L. i VI d N U) d �= N V n � 3 0 r O 3: r E T () 0 LL v �N _ m .o 'vr N � C O U _u 'O u OR W etl N y N w E a C 0 UN �o LL � o'e m Ifi U � F N U N e w u 5 a m IL N u W G of U E 0 O 0 `O o w Utn m "o o O > N 2 O " w F m a Q N raw r lV O 0 N U m Y U V c a 3 C J i a c C U r oC u _v Nye G v O U 9 _ O w N � N N E a o o m LL � N e U �l FN _p m C u � w LL ti L of c E" .o 0 c N N m S _ J UL N t 0 Em w 4 m a } \ / E ) k f ; # j q ) « 0 t _ � \ ` ) \ ! 2 { = � ) | \ k ) a £ 2 \ / \ ma cli / j \ k / k \ 0 4.0 k ■ IL § \ k 0 0 \ / k � / w w k \ m § \ ) / 0 \ \ k Coo 2 El \ � � _ | x \ Cd E 9 )\ Irm { 2 I 0 as