717 Septic Perc Tests 1996 FORM 13-PERCOLATION TEST
Location Address or Lot No.
COMMONWEALTH OF MASSACHUSETTS
Massachusetts
Percolation Test
oare: .42.
Observation Hole$ / /
Depth of Pen
Start Pro-soak
End Pre-soak
T at lr / I /
Time at 9'
lime at 6' '—
Time l9'-69 ,J (/
Rate Min./Inch
•Minimum of 1 percoledon tell matt be performed in both the primary area AND
reserve�,e r/ay
She Passed LJ Site Failed C
Performed ey:_
Wenessed By: �m
Comments: __.
arrit0179 IOW 1117
0n-Fife Review
Location Address or LOtN
�l -/ - /O C(''',1('''`"
(� ;
Deep Hole Number Date
I — a LI — S;o
Time
O ', , J TWeather rQ-
Location(identify on ite plan)
r_v"_-c
(-)
Land Use
I Slope(%) I I Surface Stones
Vegetation
Landform
Depth to groundwater Sanding Water in the Hole
Position on Landscape(sketch on the back)
Distances from.
Open Water Body
feet
Drinking Water Well
feet
Property Line
feet
Possible Wet Area
feet
Drainage Way
feet
Other
feel
DEEP OBSERVATION HOLE LOG`
Deep Hole K: `MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Sudace(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Oskar
(Munsed)
Sod
Mowing
Other
(StA¢Mre,Stones.Boulders,Consistency.%Gavel)
4' 3(�i
1--.,"
r_v"_-c
(-)
l_el--`_
IL I, s�[s
�V 5I
Parent Mahal(geologic) I Depth to Bedrock
Depth to groundwater Sanding Water in the Hole
Parent Mabial(geologic) I I Depth to Bedrock I
I Weeping from PA Face I
(J C.
Estimated Seasonal High Ground Water
Li
DEEP OBSERVATION HOLE LOG`
Deep Hole IF *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Cola
(MUnselp
Sol
Mowing
Other
(Stricture,Stones,Boulders,Consistency,%Gravel)
Parent Mabial(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
I Weeping Iron,PA Face I
Estimated Seasonal High Ground Water