HomeMy WebLinkAboutLot 10Commomeeallh of l/assaehuseas 91V7t 2,f l Q)1SfC1l„
Soil Suitability Assessment for On -Site Sewage DISgSa1"
Fee $150.00 New ❑Upgrade Sitedumber '
Location address: Ro llily 7ieA4 sab-6*v%Tian
Subdivision/Lot: Lor to MckGvv7_1 LA1E"
Owners: THoMAs P• WPrbM CHRISTIA14tFE4C Dev.
Co We5T6A' e (LA, 494 STe-A2NSAVM
ATrL¢80P0,MA. 02703 M,4'oSr- 1 CLO' MA. 02og8
Performed by: R�
XAI ,'neer;ny Co, loc.
Address: I S-C> No. WLai'i 5 • fy4l,R611 e )
-37.3 I
Office Review
Applicant: O'krIS+1A^ +- Fick ��V
Address: 4q`♦ SteoLrn3 4ve. ft16L/z ''eW
Telephone: gog —878 -o'lg5
Witness: Scott Leite, Health Agent (Site Evaluator)
Address: Six Park Row, Mansfield
Telephone: (508) 261-7366
Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit �l^t r4 _ Drainal-e Class
Soil limitations Poo& 1oTe7vr11+L Foa �A�,±trr�l.4 12 P=1`,MeAaILITY FeEjj
Surticial Geologic Report not available. Geologic Material Gott el A L.andfornn
Flood Insurance Rate Map: fy Above 500 year [I Within 500 year ❑Within 100 year flood boundary
Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program clap (unit)
Current Water Resource Conditions (USGS) Month 47 Range: ❑ Above Normal Normal ❑ Below Normal
Summary
TH I TH Z
Soil class Z _ _
Percolation Rate M P) _ 1-7 mPI
Adjusted ground water6 36
Locus
Certification
1 certify that on April 30, 1993, 1 have passed
the examination approved by the Department F
of Environmental Protection and that the above V1
analysis was performed by me consistent with
the required training, expertise and experience
described in 310 CMR 15.017.
�.1
Scott Leite Date
MCKENXI LANE
AN R 7}{7-19\
REA t TY T2 a $'(—
rw
LOT to /
L0 r 9
On -Site Review Loeatior,Lan_0 Mc 1{ L.AjE_ DatcTuyy tgg ZO/, Page _I of {
Land use Vp LANT �kA_veZ_ i�+`i— Landform >U L.A
Vegetarion �2 t SSCS _ _ Surface stones Ff=� Slope 0 - 3 °fc
Distance &om: Open water body _.____ Possible wetland 910 Drainage way 0 Drinking well _�0' Property line Z0, b
Deep Observation Hole Lob
Test dole Number I
Parent Material Gi-AtIAL CST-tvApl Depth to bedrock f 2.o �Depth to CjW 81__. 0 F'to%v o4cep [I S::op U P,�hvd o Wit &,i]
Depth of naturally occurring pervious material q? •,-_1 ? "= 7$ " ❑High ❑i.o•.v O Drip
rl Stcanc ! i Incncncinn r
DepthisrI:
o-36
Htza,
F!i_
Texture -
^olor
_
ilofth as
Com-, tence
_
3b"-H2'
FELL
,iZ'-12o"
I ct
I MS
25-Y71Z
( 36'
GoMPA
I '
I
Test Bole Number Z
Parznt Material 6(,PIG)A t Dtrrr%,tiASYJ Death to bedrock 1 _ _5�_ Depth to (iix� �i i rr G Fkw, ❑ Weep ❑ Seep '✓n_aeh"n: ❑'Bret Snit
Depth of naturally occurring per} ions material - 156 1 Z p ❑ High t La w ❑ Brp
j Deptia!r sur
j flm3
i "e=ture
I f'o;oe
;1ottiirg
Ccnsistance..l—:sue,:
j a'"Iddi eta
FtLC-
136-t56"
cl
FINE ! -
2-5 Y 7/L
36
compq�y
I
Percolation Test
Determination tnr Seasonal High Seater Nome
-3esi Hole
T14 I
-FH Z—
>'iethodi used ..
.I TH I
TFf Z
Depth of Perc
,46 -4q -
q6 "—brJ"
Depth observed s:andmg
I So"
8,j "
1
Depui weeping
"
Nome
_.
E3egm Presoak
{'.1bPM
Itco Pm
Depth to sod mottles
36'•
36"
I Eed Presoak
I ! 31 em
1: Is Fri
Inde" Well .
.....
(
_ .
Tama at 12"
1 :3 E Pm
1 c +5 em
!t' I Berry School
1:.38 PM
- ? Gilbert Str-ct
�
ti"
2q 6nc.�A
2•; Z�; Fri
i 3 Fruit Street
Fim,- 9--;')
SI M
d/ 'USGS'Nell
Rate l4ii:\/?N jZmel
17mPi
i
Less: Index well high
I
1 d,'i33t3R-^RS ?aCi Da' f
I
1
j
Site Level
l ss `d?lls`melit }'actfw
DWCP No.
DISPOSAL WORKSCONSTRUCTION SUMMARY
TOWN OF MANSFIELD
BOARD OF HEALTH
DWC LOCATI
SUBDIVISION LOT NO.
APPLICANT TELEPHONE
STREETTOWN
-STATE zip_
FEES:
Z$1 50.00 Pero for New Construction
Date Received
50.00 Construction, Upgrade
Date Received
_$.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
SDS Certification Inspection
Date Received
INSPECTIONS:.
Ist Inspection Date ---------- Approved
Disapproved
Comments:
2nd Inspection Date_L ....... Approved Disapproved
Comments-
Reinspection Date Approved Disapproved
Comments:
worddw,i
ommomvealth of Massachusetts Town o,%MR7JSfCI[I
Soil Suitability AAbssment for On -Site Sewage Disposal
Fee $150.00 MNew ❑ Upgrade Site Number -
Location` address: ELY 4 S l E'F_T Applicant: 1P, vjAc1 s H
Subdivision/Lot: LG j l0 KCE =s: A �Owne: iCLb5 VI�Telephone: ILIEo"Ao_7C,3
t
50S 1 C,99 , -2911
Performed by: R 1 N EW,1 NEE _� t Arl Co, I N C , Witness: Scott Leite, Health Agent (Site Evaluator)
Address: 150 r\lo K—t k Address: Six Park Row, Mansfield
Tele hone: a 339 — Tele hone: 508 261-7366
Office Review
Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit IA-P PSI- Drainage Class 4 I hC
Soil limitations Surficial Geologic Report not available. Geologic Material 6 i (1C' I Al n( )T wP S 4 Landform Pi,N Lt
Flood Insurance Rate Map: LEI 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 2 Range: ❑ Above Normal P Normal ❑ Below Normal
Summary
TH I TH Z, Locus
Soil class
Percolation Rate
Adjusted ground water
Certification
I certify that on April 30, 1993, I 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
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