Lots 5-8 Perc Tests lye wl(fc7a, 7ie(i XXy:el(t s:ok71 I `/
PERCOLATION TEST(S)
Time: Time:
Observation Hole #1 Observation Hole #2
Depth of Perc _ Depth of Perc
Start Pre-soak Start Pre-soak ,
End Pre-soak End Pm-soak
V -
Time at 12° Time at 12"
Time at 9° Time at 9"
Time at 6° Time at 6"
Time(9"-6") Time(9°-6")
Rate Min/Inch Rate Min./Inch G __
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
• ■
• •
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Tide 5- Site Review
Owner
Date
.9
-,
Time
Depth
)
Owner's
Address
.� �.�. .. _ .
�!
Engineer i
Sol
Molding
Ni-,l Iii--'J
Weather Phone
Land Use
%Slope 1
Surface Stones
Landform
Parent Mahal(geologic) I J Depth to Bedrock
Ve•etation Siert Time
Position On Land"ap°(sket on the
Distances
Drinking Water Well
Stop Time
Open Water Body
feet
feet
Property Line
feet
Possible Wet Area
feet
Drainage Way
feet
Other
feet
D
DEEP OBSERVATION HOLE LOG*
Deep Hole fl:
C
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth
)
Sol Horizon
Sea Texture
(USDA)
Sol Color
(Mansel)
Sol
Molding
Other
(Structure,Stones,Boulders.Consistency.%Gravel)
_
fatiblure.Stones.BoiMexs.
C--
Parent Mahal(geologic) I J Depth to Bedrock
Depth to groundwater Standing Water in the Hole I
I Weeping from N Face
Estimated Seasonal High Ground Water
De•tu Co Bedrock
Depth to growdwaler Standing Waters the Hob
D
DEEP OBSERVATION HOLE LOG*
mini
we Jr my nwcs REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(intlres)
Soil Horizon
Sai Texture
(USDA)
Soil Color
(Mutsu
Muff g
_
fatiblure.Stones.BoiMexs.
C--
Consistency,%G
Parent MaWM(geologic) I
De•tu Co Bedrock
Depth to growdwaler Standing Waters the Hob
.Weeping from:Wane
Estimated Seasonal High Ground Water
r'C,7�iCc 7,t Ic7t�. olF a®i1:71 //
0
PERCOLATION TEST(S)
Time: I; Time: I
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
o _
7:4 Start Pre-soak Start Pre-soak
Th`) /�
End Pre-soak / End Pre-soak
Time at 12' Time at 12'
Time at 9' Time at 9"
Time at 6' Time at 6"
Time(9'—6") Time(9'—6')
Rate Min./Inch - Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
• ■ • •
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5-
Deep Hole it: /
Location Addressor Lot# i 1 Owner
Date
Time
�
Sod Hmrimn S
Owner's
Address
I _
•'�
Engineer ELLA t R-t<�
Weather Phone it
Land Use
%Slope
I Surface Stones
Landform
V •etation Start Time
Position on Landscape(skeet
Open Water Body
on the bark)
feet
Distances
Drinking Water Well
Stop Time
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
Deep Hole it: /
f9 D
DEEP OBSERVATION HOLE LOG'
Depth from S
Sod Hmrimn S
Sod Texture S
Sod Calve S
Sol O
Other
�....,
Parent Mahal(gmegk) I I Depth to Bedrock I
Depth s groundwater. Standing Water in the Hoe /
/!��(i/ -c I Weeping from Pit Fire I
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG`
MINIMUM Ur I AURUtESREQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Sod Horizon Sad Tenure Sad CtM Sod Other
Surface(Inches) (USDA) QAunsen Maefg (Shoolure,Stones,Boulders,Consistency,%Gavel)
Parent Mabial(geologic) I Depth to Bedrock —I
Depth to groundwater. Standing Water n the Hole Weeping from El Face I
Estimated Seasonal High Ground Water
ffi.,e .- fC7al_'9`.\if<)7XC ?Ta�Y',R-f Lip -+"
f 1 , 1
PERCOLATION TEST(S)
Time: (; Time:
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc ..
J
Start Pre-soak ' . - Start Pm-soak
i
End Pre-soak End Presoak
_
Time at 12" Time at 12"
Time at 9" Time at 9"
Time at 6° Time at 6"
Time(9"—6") Time(9"—6")
Rate Min./Inch Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
:�.:.
• • ‘ • 'r ' ■
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Owner
Date ( 1 If )
V I I
Time
Owner's
Address
. _ _•
< rI .
Engineer l
p•yi fr, >
Weath r ✓,r- - I ! -
Phone
Land Use
Sol
MdGng
%Slope 1
Surface Stones
Landform
✓
V:eetation art ime
P051tionan Landsape(sVSbn
Open Water Body
on thebadp
feet
Distances
Drinking Water Well
Slop Time
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
Estimated Seasonal High Ground Water
Deep Hole#:
Depth from
Surface(Inches)
Sal Hadzon
DEEP OBSERVATION HOLE LOG*
*MINIMUMOFI HOLESREQUIRED AT EVERY PROPOSED DISPOSAL AREA
Sal Texture
(USDA)
Sod Color
(Aunsel)
Parent Mabial(geologic) I
(DO b groundwater. Stamina Water in the Hole
Estimated Seasonal High Ground Water
Other
(Studure.Stones.Bolden,Consistency,%Gravel)
I Ixgb b Bedrock
I
Weeping from Pi Face
Deep Hole ft:
„"l
DEEP OBSERVATION HOLE LOG'
*MINIMUM OF Two HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
SW HOD=
Sod Texture
(USDA)
Sol Cob
���a�p
�"_"-"`l
Sol
MdGng
Other
(Structure,Stones,Boulders.Consistency,%GreusQ
✓
ICI .
2 he
Parent Mahial(geologic) I
I Depth to Bedrwf
I
Depth to groundwater Sanding Water in the Hole
I
Weeping from N Face
Estimated Seasonal High Ground Water
Deep Hole#:
Depth from
Surface(Inches)
Sal Hadzon
DEEP OBSERVATION HOLE LOG*
*MINIMUMOFI HOLESREQUIRED AT EVERY PROPOSED DISPOSAL AREA
Sal Texture
(USDA)
Sod Color
(Aunsel)
Parent Mabial(geologic) I
(DO b groundwater. Stamina Water in the Hole
Estimated Seasonal High Ground Water
Other
(Studure.Stones.Bolden,Consistency,%Gravel)
I Ixgb b Bedrock
I
Weeping from Pi Face
. r
J
PERCOLATION TEST(S)
I Time: I I Time: I I
Observation Hole #1 Observation Hole #2
S -
Depth of Perc Depth of Perc
j
Start Pre-soak Start Pre-soak
�I 6�' . , "5 I d
" End Pre-soak I End Pm-soak
r J '
Time at 12" Time at 12"
Time at 9° Time at 9'
Time at 6° Time at 6"
Time (9°-6") .--7 on_7, , Time(9"—6")
Rate Min/Inch Cr hi Rate Minjlnch c)
--- -
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
• ° • • •
IPerformed by Witnessed by I I Witness d by
Comments: I
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Location Address or Lot# 1 —
Owner
SoiHot®n
Date l
t"
Time
Owner's
Address
—
-- _
Engineer I M U✓' . p„.,..„
Weath r
'. . il
Phone# I
Land Use
1 Weeping from Pit Face
%Slope
Surface Stones
Landform
V .station
Start Time
Posig000n Landscape(sketch on the bad)
Distances
Slop Time
Open Water Body
feet
Drinking Water Well
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG*
Deep Hole#: •MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth Pam
Surface(Indies)
SoiHot®n
Sod Texture
(USDA)
Sae Calor
(Mundt)
Sod
Motldy
Other
(Structure.Stones.Boulders.Consfslency.%Gravel)
r
Parent Mattial(geologic) I 1 Depth to Bedrock
Depth bgraundwater Standing Water in Pie Hob
1 Weeping from Pit Face
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
Deep Hole#: 'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sod Horizon
Sod Texture
(USDA)
Sod Color
Nutmeg)
Soil
Mottling
Other
(Structure.Stones.Boulders.Consistency.%Gavel)
r
Parent Mabial(geologic) I I Depth to Bedrock
Depth to groundwater. Standing Water in the Hole
i Weeping from Pit Face I
Estimated Seasonal High Ground Water