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�L\ Commonwealth of Massachusetts <br /> City/Town of Mashpee <br /> ,p Form 11 - Soil Suitability Assessment for On-Site Sewage Disposal <br /> C. On-Site Review (continued) <br /> Deep Observation Hole Number: DOH#2 4/12/11 840 Clouds <br /> Date Time Weather <br /> 1. Location <br /> Ground Elevation at Surface of Hole: Location (identify on plan): See Sketch <br /> 2. Land Use Woodland None 0-3 <br /> (e.g.,woodland,agricultural field,vacant lot,etc.) Surface Stones Slope(%) <br /> Pine&Oak Outwash Plain See Sketch <br /> Vegetation Landform Position on Landscape(attach sheet) <br /> 3. Distances from: Open Water Body >500 Drainage Way >500 Possible Wet Area >500 <br /> feet feet feet <br /> Property Line 200 Drinking Water Well NA Other feet <br /> 4. Parent Material. Glacial Outwash Unsuitable Materials Present: ❑ Yes ® No <br /> If Yes: ❑ Disturbed Soil El Fill Material ❑ Impervious Layer(s) ❑ Weathered/Fractured Rock ❑ Bedrock <br /> 5. Groundwater Observed: ❑ Yes ® No If yes: Depth Weeping from Pit Depth Standing Water in Hole <br /> Estimated Depth to High Groundwater: 50 feet <br /> elevation <br /> t5form 11[1]Mashpee041211 -rev.1110 Form 11—Soil Suitability Assessment for On-Site Sewage Disposal •Page 4 of 4 <br />