On Site Reviews PERCOLATION TTES��T(S)
Time: Time:
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
Start Pre-soak Start Pre-soak
O / i
End Pre-soak End Pre-soak
d (
Time at 12' - a lime at 12'
Time at 9' -- Time at 9'
Time ate' Time at6'
Time(9'—6') lime(9'—6')
Rate Min/Inch Rate Min/Inch
'minimum of I percolation test must be performed in both the primary area AND reserve area.
■ ■
Performed by I Performed by
Witnessed by Witnessed by
Comments:
On-Site Review
onAddress or Lot p
}r Q I
/ i 57-r- 7
Owner
s
Address
- - -
Date
Time
a r 1 --s-
Weather
C7-/ y /,f i 7,44'r. i,
lg neer ng Firm
�` 4r
Engineer or anRarian
-A�� _ - r(
nityo Site Plan
/�r.
Land Use
r `�r n. - .,?
Slope%
Surface Stones 1 `.
Vegetation
5 ° '
tL �.r., 1 I -
Landform
- - - - --
monLantlswpe
- -- -- - --
Distances from
mn
feet
feet
DnDrain Water Wy
Drainage Way
feet
feet
Property Othr
Other
feet
feel
ssible Wet
ssible Wel Area
1- I
I Hole#:
I DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED
DISPOSAL AREA
,th from
e(inches)
Soil Horizon
Soil Texture Soil Color
(USDA) (Munsell)
Soil Mottling
Other
(Structure, Stones.Boulders,Consistency Vu Gravel)
�, .
-1/1 r I
LI
Material(geologic) I
Depth to Bedrock
to groundwater. Standing Water in the Hole
Weeping from Pd Face I
estimated Seasonal High Ground Water
Hole#:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
th from
e(Inches)
Soil Horizon
Soil Texture Soil Color
(USDA) (Munson)
Soil Mottling Other
(Structure. Stones Boulders,Consistency.a/Grave l)
- /,I,
n
/
/y�
( '
I✓
7
rt
Material(geologic)
Depth to Bedrock
I
to groundwater. Standing Water in the Hole
Weeping from Pit Face 1
stimatedSeasonalHighGroundWater
-
PERCOLATION TEST(S)
Observation
Observation Hole
Depth of Perc Depth of Pero -
®-111111M
Performed b
Witnessed by - Performed b -
Witnessed by -
•
or Lot p
Firm
e Plan
on
m
lscape
On-Site Review
T ner
Time
i
Address
Weather
Slope% - - - 1-Surface Stones
Distances from:
eel
feel
r
et Area
#:
m)
Drainage Way
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Color Soil Mottling
Soil Horizon Soil Texture
(USDA)
trial(geologic)
ater. Standing Water in the Hole
at Seasonal High Ground Waler
ound
Ile#:
Soil Horizon
',chest
el I
daterial(geologic)
o groundwater. Standing Water in the Hale
'mated Seasonal High Ground Water
(Monsen)
Depth to Bedrock
Weeping from Pit Face
Other
(Structure.Stones.Boulders,Consistency.%Gravel)
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other
Soil Mottling
(Structure, Stones Boulders.Consistency.At Gravel)
Soil Texture Soil Color
(USDA) (MUnsell)
Depth to Bedrock
Weeping from Pit Face
alliallasis
PERCOLATION TEST(S)
Observation
Observation Hole
Mal
Depth of Perc
® Depth of Perc
anliaiiiill /e; f id.
— o <- r—
Tinsaallaillantiallialli
RteM ®
Whilaillar
/ Q
'minimum of f percolation test must
Performed in both both tb®
ry area AND rese
Witnessed by Performed by —_ �
Witnessetl by —
_p 3
- - - ---
f Slope Surface Stones f
°1° I -
On-Site Review
r`. _
I . U j-.__—
�-- -
Engineer or Sanitarian
Address
Weather ±
ape
:re
,rea
3 on Sod e%IWe
usra
DEEP HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERMPROPOSED DISPOSAL AREA
,ruct
Soa -----
ow
DEEP OBSERVATION
at(geologic) —
mdwater. Standing Water In the Hole
edSeasonal High Ground Water
� DEEP OBSERVATION
HOLE LOG*
other
'MINIMUM OF TWO HOLES REQUIRED AT EVENED DISPOSAL AREA B01 lothe e. rs�srencv
G Color (Sl cture Stones
-
—TSOIIHOnron Sod Texture IM se�li _ - -
(USDAI
i , I A Jc ion^133
�
�� / 3
I0
Ve! rc k a 13/3
latedal(geologic)
a groundwater. Standing Water in the Hole
:omaled Seasonal High Ground
Depth to Bedrock
Weeping from Pit Face
hX"<1f[}91 o{rtr
PERCOLATION TEST(S)
Observation®--
® Observation Hole
Depth of Perc
Depth of Perc
®-®®- 30
Rate M -
'minimum of 1 -
percolation test must be 1
■ performed in both the primary area AND reserve area
Performed by
Witnessed by - PeAormed by
Witnessetl by
at 44
In
Pe
On-Site Review
Owner
Time
i, Sloope%
l
--- T Andress
Engineer or Sanitarian_1
- iSurtace Stones !i
A
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
oil MoYdnq to
Sal Colo S
al(geologic)
mdwater. Standing Water in the Hole
Seasonal High Ground Water
e
ed
Soil Hannon
w
tA-
If `di
Cfft
Depth to eedrpck
Weeping from Pd Face
•
M
other
DEEP OBSERVATION HOLE LOG* o
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
n tones Oo 1he Con ore
God Tenure tMU
Ipti
Iukygib
I ti
2
Material(geologic)
;o groundwater Standing Water in the HoleT
sLmated SeesonalHop Groom
Depth to Bedrock
Weeping from Pit Face
PERCOLATION TEST(S)
Observation�-®
Depth of Perc
® Observation Hole
Depth of Perc
1116111_® �I la a I 116"1 I I Ma
RateRate lH® 111111_
minimum of permiabon
test must be performed rmed m both the primary area
,'�> AND reserve area
1111 Perfor
Performed b 1�
y
Pe
Witnessed by rtormetl by
Witnessetl by
-
__f
On-Site Review
Owner
me
Slope
Engin er or Saul ta nan
re Distances
feet Drinking Water Well
ly I leei — Drainage Way
a I _
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
ont
sonc 1 -
2
rA
41
,
tl(geologic)
ndwater. Standing Water in the Hole
;d Seasonal High Ground Water
Address -- .I
�,--Weather
Surface Stones II
Property Line
Other
ti
Depth to BeG!gck Face from Ph Weeping {✓,�
A__
1l
DEEP OBSERVATION HOLE LOG' Other
tM�,s Boul
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
ones Go ns n sle
Sod re+
(USD,
1I
daterial(geolo9 )
Water In the H�
o groundwater Standing Hig Woe__
1 een�9n,r.,
l z
Depth to Bedrock _j_
-ntReeping from Pit Face
PERCOLATION TESTIS)
Observation
Observation Hole -
Depth of Perc
• Depth of Perc
Start Pr -soak
e 1"I I iI lI lI.II111 Iliaillaellaiiilaill
RateRate Ma -
RateRate M _
'minimum of 1 eemolahon-
■ est must be performed io both the prima
y� area AND reserve area.
Performed by 1111...... ■ ■'
Witnessed by Pertor
metl by
Witnessed by inaas
bn'S t Review
Owner
Eng
or Sandarian ---
SudaceStStone l_
Honaon
DEEP OBSERVATION HOLE 1.OG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Other
Soil Stones.h Consistent t
YSt I
Sod Teskee
(l1SOA1 _
Ly
I
soil Color
Munse111
/0 •,1 %i/>-.
/0716
a � ' i3 1 la
,
I(geologic)
Idwater. Standing Water in the Hole
d Seasonal High Ground Water
Soil Horizon
I
DEEP OBSERVATION HOLE LOG"
TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Othe
`MINIMUM OF TW Soil Mmuin9 -Structure Stones Boulders,Consistency
Soil Texture
(USDA)_
Soil Cob,
tMunsclll
SUt' wly
125
Aalerial(geologic)
groundwater. Standing Water in the Hole
almaled Seasonal High Ground Water
Depth to Bedrock from
WeePln9 Pit Face_ _ --
PERCOLATION TEST(S)
Observation -®
Depth of Perc ® Observation Hole
Start Presoak Depth of oak
®_ Start Pre-soak
nil
Time at 6' _®_
Ra11111111/Inch Ra
1 e mi of nimum _
Oercolatron test mu■ performed m both N®-
■ _ ■ reserve area
Performed '
�-med by
- Performed by
Witnessed by
On-Site Review
C�-nk_ rs+-Po
Engineer or Sanitarian
-r surTace Stones I
Sort Ho
I�
OBSERVATION HOLE LOG*
DEEP EVERY PROPOSED DISPOSAL AREA
(Ste
'MINIMUM OF TWO HOLES REQUIRED AT�nq
S°'I $vuaare Stones carters Coosa
Sod Color -_ - - -
on Sort Te*tUre
If',DA,
J1/
geologic)
water.Standing Water in e
Seasonal High Ground Wate
Soil Horton
sl � -
( 1
s (6II A'») 'P
Li I
Depth toi_.
/ 6—.--N C4k
I r
DEEP OBSERVATION HOLE LOG*
'MINIMUM OFIW O HOLES
Other
S REQUIRED AT EVERY PROPOSED DISPOSAL AREA
(Structure Stone Ca steno
soli Me Orng
I l
Sad Te Burn
(LIMB%)
So Colo.
lM sei0
U FYI.
( `4
1S Si)
I
alerial(geolo9i9)! r e Hole
groundwater. Standing Waterin
.mated Seasonal High
aIIIIIIIIIIIIIIIIIIIIIIIIMms
PERCOLATION TEST(S)
Observation
Depth of Perc ® Observation Hole
Start Presoak Depth Depth o/Perc
/61 r A. Start Pre-soak
__
RateRate M y� �_
minimum of 7 percolation test must be peso
y _ ■ ■ rneym both theprimary area AN0 reserve area
Performed by J. ■
111.111111.11a
Witnessed by .' .
- Witn
IIIIIIIIIIIIIIIIIIII
s
On-Site Review,
U\°ip\ (\_
ime /O ror Sanitzrianl
Enginee
Surtace Slones I 1
Slope
en, � �� _
Address
1 N R ather
oil Horizon
DEEP OBSERVATION a OLE LO LOG* AREA
REQUIRED AT EVE p1°
OHOLE6 REOU ill.q
'MINIMUMOPTNI „dare 5lones tsa.nder
sod color _-
-
sodre.wm
(USDA)
r / i3b,
1 I
), A S�� I
\ y \D / C/v
} J
.Are,,i £i Cgt
eologic)
.ater Standing W
Ieasonal Nigh Ground W
DEEP OBSERVATION HOLE LOG*lsaosALAREA Other
EVERY PROPOSED
--� REQUIRED AT ste' r
O HOLES e mars-Con
'MINIMUM OF re Sot Color Sod Mmnmg 15l mule Stone Sort Texture _
lMOnsedi
Soil Horizon (USDA) - - -
aterlal(geologic); Hole
groundwater standing water inthe
coaled Seasonal High Ground Water
Weeping from Pit Face
PERCOLATION TEST(S)
Time: Time: -
Observation Hole #1 Observation Hole
#z 7— - ;
Depth of Perc j7 C 4 Depth of Perc
Start Pre=soak / Start Pre-soak
End Pre-soak J
End Pre-soak
Time at IT Time at 12'
Time at 9' (D r 7 1 _ Time at 9'
Time at 6' . 5 Time at6'
Time(9'-6') Time(9'-6')
®a Rate Min./Inch
'minimum of t percolation test must be performed In both the primary area AND reserve area.
Performed by Witnessed by Ei� Performed by Witnessed by
310„,_74 g ;36 0,1,
dress Or Lot p F16-):ate
:ring Firm
in Site Plan
d Use
elation
idform
Landscape
b
.I1)On-Site Review
fOwner �. (41—.
Time
312_
Engineer or Sanitarian
r Slope%
N fiSti L• C
Address rr++'' nn
Weather wpm �BY1 ttieV(
Surface Stones
Distances from.
Dater Body
Wet Area
feet
feet Drainage Way
feel
feel
Property Line
Other
I feet
II fee!
le It:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Son Horizon —1 Sod Texture
(119)M
7 03
P
5 �
51-
Soil Color
10 114/Zr
nuns,.e
Io _ka5ib
Soil Mottling
Ai
Omer
SVUCwre Stones Bwo-lers Cnnsisl.:n,.r
aerial(geologic)
groundwater Standing Water in the Hole
gated Seasonal High Ground Water
Depth to OecISC)
Weeping from P' Face
f
ole#:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Horizon Sod Texture
(USDA}
Son Color Sod Mottling "l Other
(MunseiI
(Structure Stones Boulders. Consistency '
aterial(geologic),
groundwater Standing Water in the Hole
!mated Seasonal High Ground Water
Depth to Bedrock
Weeping from Pit Face
10 - 33
1
PERCOLATION TEST(S)
Observation
15, Observation Hole #2
p Depth of Perc
k 77i���""��� I-) ' Depth of Perc —
ciA0 _� to lmmliam
0 f - �
cf
®-
. = v
Performed by • -- for �e E;
Witnessed by Performed b•— — ■
Witnessed by In c w . m q li.lia ..
On-Site Review
F Address
—T �� Owner �g�< r S Weather !'saw Cr -
jeW 102 ((JO P 7 _. Time
I(7 �a J �1 Engineer ar 5 anan ,.� C /Jr 11
�P
- ----- -I Slope /- LSudace Stones r _
r - t
irr
e Plan
se
talon
form
andscape
ater Body
Wet Area
Distances from
#:
SadHOnm
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other
Soi'Melling Stones Boulders < noy %c, aael
' lS.r,, - ---- he
Sod Texture
(USDA,
C
laterial(geologic)
groundwater. Standing Water in the Hole
timated Seasonal High Ground Water
Hole#: -
oI Honror
Cl
Soil Color
lunsei0
Itl
Depth to Bedfoct
Weeping from Pit Face
J
DEEP OBSERVATION HOLE LOG* I
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA _
(Structure Stones M ti q Boulders Cof»sret.g -dates!
Soil Texture
tU DA,
It
)
F r
nt Material(geologic)
th to groundwater Standing Water
5
Estimated Seasonal High Ground Water
Sou Color
Mu nselil
Other
Depth to Bedrock _ "-
Weeping from Pit Face- 1
PERCOLATION TEST(S)
Observation Hole Hole #2
Ir% - >9— �
Depth of Perc Depth of Perc
® )D 5 �®
® 11 D `i
mainessa Time (r-6 ) Ern
Tij1R+rm..®�
■
Performed by -"
Witnessed by Performed by
Witnessed by linallina
ss or Lot
ig Firm
Bite Plan
Jse
aion
orm
Indseape
ter Body
Net Area
to
Cwt' 1[I a
Sod Hanson
feet
feet
On-Site Review
Owner
Time zif 3 0
r r L Engpeer or Sanitarian
Address
Slope Mo
Distances from'.
Drinking Water Well
Drainage Way
:1r'<-1'^ 2—n
Surface Stones T -- -- -
feet
feet
Property Line
Other
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Texture
(USIJAI
•
Soil Colo
terial(geologic)
Iroundwater. Standing Water in the Hole
iaed Seasonal High Ground Water
>� 7
ale #:
Sail Horizon
I ?j
I Soil Mottling
(Structure
or
Depth to Bedrock ZZ
Weeping from Pd Face
Other
.ti 'hers Consieterrc.
feet
feel
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
(
Ly
dater al(geologic)
o groundwater Standing Water in the Hole
tot:toted Seasonal High Ground Water
Soil Texture soil Gas
(USDA) M tise
Ic
'r '
Soil Mottling
Depth to Bedro
Other
Structure. Stones Borders Consistency ()navel.
i
U
Eteassitec
Weeping from Pit Fact
rantraa
PERCOLATION TEST(S)
Observation Observation Hole
Depth of Perc
1?h Depth of Perc
taianmminam
sammatiimi
® Ft 0
Performed by i;
Witnessed by Performed by
imrpasonn Witnessed by gatifiritegan
On-Site Review
Owner �(✓ h T
or Lolp C Weather2(j1 7 LdT
Q�e P Time '
��• , a�7 ��` -t Engineer or anilarian ` -- -Firm l % J - _ - _ - ---- Surface Stones
rc,w
e Plan r x r Slope � � � - I - -- -
lscape --------
a:
ii
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Sall
Soil Horizon T
Soil Texture
(USDA)
t,
J
trial(geologic)
oundwater. Standing Wa er in the Hole
ated Seasonal High Ground Water
Soil Color
rnunseii)
HD
19 jr C11(9
Ii
III
Other
le.Stones.Boulders Crosioency. Good)
�' ;( .-!a
y// 5',
Depth to Bedeack
szyz
II
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Texture SA Solar
(USDA)
dl,. t /
OH (6I
y
ytt)h '
Ylz,
,sew
Material(g 9c)
o groundwater. Standing Water In the Hol
somated Seasonal High Ground Water
Struc'.
I
Other
Stones s Co sstency
Depth to Bedrock
— -- -----: Weeping from Pit Face
114i*t_;i /cqr 471 1
PERCOLATION TEST(S)
Observation
Observation Hole
Depth of Perc _
ta 5 Depth of Perc
®
Taraiallanl
3 ' o -.7) -man cD2
Performed by ��
Witnessed by °R'I�am! Performed by
����� Witnessed by ���
On-Sfte Review
{ �
is 12 c --� Address �
-�-- ? Owner b Wealhe L
tot pp ��, - (�L P - Time_ -! -( trier_
( � .�'u - En g'neer Sanitarian l ! "^ I I Surface Stones I
'tan , r I Slope% 1
;ape
r^74 } t /^
/T✓' -a
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil
oe
Ito n on• Sod Te+m
(USDA,
L
L
ial(geologic)
undwater. Standing Water in the Hole
led Seasonal High Ground Water
I
5�
r0
c ,
A
74/ic
Other
�..
rf
Depth to BecIpck
Weeping from Pit Face f1--_. —
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soo Texture
I (USDA's
5
daterial(geologic)'
a groundwater Standing Water in the Hole
aimated Seasonal High Ground
Sod Color
Munselh
It -, •
P4J
Other
Structure.Slopes. Boulders:cons'
Depth to Bedrock 4:
I Weeping from Pit ace
C
ii A3
PERCOLATION TESTIS)
Observation®
Observation Hole
Depth of Perc #2
Depth of Perc 3 _
®fa RateRate Min./Inch
Performed by
Witnessed by 11 , Performed by
"��2ra Witnessed by �ao_I�+��`
On-Site Review
Pox__ q Owner i- ,t H�__. N_crni C'o c/c_
Lot# �)&±' _ - Time
\ yJ
C > _-- Engineer Sanitarian _
o T Su ace 14,C J.
Ian --— __ __TSlope%� �_
ape
ody
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other
So.l Color Soil Mo:thng es Boulders Cans r -_
T Thou Honzoi
F
s� h
Id ' s I r , t ,
Son Texture
(USDA)
lSt t
lal(geologic)
undwater. Standing Water in the Hale
ed Seasonal High,Ground Water
e #:
Sol)Horizon
ill
DEEP OBSERVATION
HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other
Soil MoWing Stones.Boulders.Cons
iwtructure
Soil Texture
(USDA)
i /
/
rJ
5,1 Cdo
daterial(geologic).
o groundwater. Standing Water in the Hole
;nmated Seasonal Htgh Grountl Water
epth to Bedroc
Y✓-. Weeping
/ o r
- -
omPitFa Ca-1 //✓
PERCOLATION TEST(S)
Observation�-®-
® Observation Hole
Depth of Pert �_
Depth of Perc
®_aall
'minimum of 1 percolation test must be performed
in both the primary area AND reserve area.
Performed b
Witnessed by flaw Witnessed by mama
On-Site Review
SOLI Horizon
ai(g(geologic)
rndwater. Standing Water in the Hole
ed Seasonal Hig h Ground Water
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Texture
(USDA)
Soil Color
(Monsen)
Other
(Structure.Stones.Boulders Gravel)
e
SOLI Horizon
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Other
Structure,Stones.Boulders.Consistency.%Gravel)
Aatenal
o groundwater. Standing Water in the Hole
;timated Seasonal High Ground Water
Depth to Bedrock
Weeping from Face ---
jG "
PERCOLATION TEST(S)
Observation Hole Observation Hole
Depth of Pert p Depth of Perc
1.1.11111111ana n C2(
.17mnium percaaKo
wea AND reseme wea.
Performed b a a Performed b
Witnessed by Witnessed by ra......mma
r Lot#
rtn
Plan
cape
Sod
Area
•
On-Site Review
lope%
Engineer or Sanitarian
urface Stones
Soil Horizon
ial(geologic)
undwater. Standing Water in the Hole
ed Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Texture
(USDA)
Soil Color
(MUnsell)
e #: 7
m Soil Horizon
:hes)
—T.
TTTTi
III
II
Depth Bedrock
Weeping from Pd Face
Other
(Structure.Stones,Boulders,Consistency,%Gravel)
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Texture
(USDA)
dal(geologic)
lwater_ Standing Water in the Hole
Aasonal High Ground Water
Soil Color
(Monsel)
uI
0
Depth to Bedrock
Other
(Structure,Stones.Boulders,Consistency. /Gravel)
Weeping from Pit Face
Illanatalta
PERCOLATION TEST(S)
Observation
Observation Hole
Depth of Pere
Depth pth of of Pere
Performed b
Witnessed by Performed by -
- Witnessed by -
J
On-Site Review
Engineer or Sanaarian
rm
Plan
n
scape
Bod
t Area
Slope%
Surface Stones
Distances from:
feet
feet
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Horizon
nil
Soil Texture
(USDA)
Soil Color
(Munsell)
Other
Structure,Stones,Boulders,Consistency.%Gravel)
vial(geologic)
iundwater. Standing Water in the Hole
led Seasonal High Ground Water
le
DM
ch
Chen)
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Mottling
Soil Horizon
Soil Texture Soil Color
(USDA) (Munsell)
Other
(Structure,Stones,Boulders,Consistency.%Gravel)
laterial(geologic)
r groundwater. Standing Water in the Hole
timated Seasonal High Ground Water
Depth to Bedrock
----- Weeping from Pit Face
ic2u f1 a'_7x-Trefi f .oS! of ; l �; r1
PERCOLATION TESTIS)
Time: I I Time:
Observation Hole W Observation Hole tr /
J
Depth of Pere Depth of Pere ti --, ;,
Start Pre-soak Start Pre-soak /
// , / f.' .'
End Pre-soak / End Pre-soak
Time at 12" .-,/ Time at 12"
Time at 9"
II c 4(7 Time at 9"
Time at 6" , —/ - Time at 6'
Time(9"-6") Time(9"–6"
)< i ; I
I "
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 I Witnessed b Y Performed
Witnessed by by I
Comments: I
On-Site Review
Iress or Lot
ate
FIB
ring Firm
n Site Plan
i Use
station
dform
Landscape
CA)
Owner
Time
Address
Weather
Engineer or Sanitarian
r-.
, ) Slope A.
Surface Stones
later Body
Wet Area
feet
feet
Distances(Tom:
Drinking Water Well
Drainage Way
feet
feet
Property Line
Other
feet
feet
DEEP OBSERVATION HOLE LOG*
le #: 1 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA .
am
ches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
r
Other
(Structure,Stones, Boulders,Consistency.Vs Gravel)
_ `
li
I
/
I ..
/
i
) -
.�—
denial(geologic)
II Depth to Bedrock
/
�I
)roundwater. Standing Water in the Hole
I0 CC
Weeping from Pit Face l /
noted Seasonal High Ground Water
Ll /7 >
N.i—(o
ole#:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
from
Inches)
Soil Horizon Soil Texture
(USDA)
Soil Color
(Munsell)
' .!. fe71
c) I
Soil Mottling
Other
(Structure. Stones,Boulders,Consistency.%Gravel)
-
I ..
�
i
) -
/
laterial(geologic)
Depth to Bedrock
-
igroundwater. Standing Water in the Hole
Weeping from Pit Face
/t/si _ _._.-
timated Seasonal High Ground Water