51 On Site Review PERCOLATION TEST(S)
Time: Time:
Observation Hole #1 Observation Hole #2
Depth of Perc - Depth of Perc
G � n
Start Pre-soak - l Start Pre-soak
End Pre-soak End Pre-soak
Time at 12" Time at 12°
I, 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.
t. • -... ■ g i.. ■.
Performed by I Performed by - -
Witnessed by Witnessed by
Comments:
Address or Lot N
NORTHAMPTON BOARD of HEALTH - Title 5- Site Review
5 1 �� I Owner _
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO
n
'1es)
Soil Horizon
Soil Texture
(USDA)
i c)-10
Time
Time
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
„. Owner's
),)
C
e
7
1
(pl
VA-c4
Weather
Phone It
Id Use
1 We ping from Pd Face 1
%Slope Surface Stones
idform
Ve.etation Start Time
n on Landscape(
later Body
ketch on the back)
feet
Distances
Drinking Water Well
Stop Time
feet Property Line
feet
D Wet Area
feet
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO
n
'1es)
Soil Horizon
Soil Texture
(USDA)
Sod Colo
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
),)
C
e
7
S
M -�
°
,-.-� -
INS— c" L_
Ib! ,fr.)
ti
/
MI(geologic) I I Depth to Bedrock I
I to groundwater Standing Water in the Hole
1 We ping from Pd Face 1
Estim ted Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
*MINIMUM OF TW
'-s)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency.%Gavel)
al eol k Death to Bedrock
to groundwater Standing Water in the Hole
I We ping from Pit Face
slim ted Seasonal High Ground Water