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Commonwealth of Massachusetts <br /> City/Town of Mashpee <br /> Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal <br /> A. Facility Information <br /> Town of Mashpee <br /> Owner Name <br /> C/o GHD 1545 Iyannough Road 61-3 <br /> Street Address Map/Lot# <br /> Hyannis MA 02601 <br /> City State Zip Code <br /> B. Site Information <br /> 1. (Check one) ® New Construction ❑ Upgrade ❑ Repair <br /> 2. Published Soil SurveyAvailable? 1993 1:25000 EnA <br /> ® Yes ❑ NO If yes: Year Published Publication Scale Soil Map Unit <br /> Enfield Silt Loam <br /> Soil Name Soil Limitations <br /> 3. Surficial Geological Report Available?® Yes ❑ No If yes: 1986 1:100000 Qmp <br /> Year Published Publication Scale Map Unit <br /> Glacial Outwash Mashpee Pitted Plain Deposits <br /> Geologic Material Landform <br /> 4. Flood Rate Insurance Map <br /> Above the 500-year flood boundary? ® Yes ❑ No Within the 100-year flood boundary? ❑ Yes ® No <br /> Within the 500-year flood boundary? ❑ Yes ❑ No Within a velocity zone? ❑ Yes ® No <br /> 5. Wetland Area: National Wetland Inventory Map Map Unit Name <br /> Wetlands Conservancy Program Map Map Unit Name <br /> 6. Current Water Resource Conditions(USGS): 4/11 4111 Year Range: ❑ Above Normal ® Normal ❑ Below Normal <br /> Mont7. Other references reviewed: <br /> t5form 11[1 IMashpee041211 •rev.1/10 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 1 of 1 <br />