242 On Site Review 2003 Location Address orjjot#r II L-1
Date j A.) ` Li _.f
PERCOLATION TEST(S)
Time: Time: I
Observation Hole #1 Observation Hole #2
Depth of Perc I / Depth of Perc
1
Start Pre-soak - Start Pre-soak
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.
SITE \/ SITE ISITE' SITE
PASSED r FAILED PASSED _ FAILED._
Performed by ti ' T , T .r Performed by
Witnessed by --, (2, . o. I Witnessed by
Comments:
i
,i
I
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Location //,, Ovrner
Addressor Lot it i owners �n
Date / _ „p .Address
Engineer —Iw . ..:
Ag. aU• -:rfatiMNIMMEITES
Open Water Body �)1 � feet r :. Myra feet ��/T— feet
Possible Wet Area ` ' feet EaLFaiaailli feet .,a. Other ,_— feet
DEEP OBSERVATION HOLE LOG*
Deep Hole#: l 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Soil Horizon Soil Texture Sal Color Soil Mottling Other
Surface(Inches) (USDA) (Munsell) (Structure,Stones,Boulders,Consistency,%Gravel)
✓ — I ) pip L IP 17-1
J / / Y7 '' s ��- $mac
/a A/ ..- /G lv erf� vs
Parent Material(geologic) I I Depth to Bedrock I -7/411
Depth to groundwater. Standing Water in the Hole /r/4.//t I Weeping from PR ,,,...t../7,4/Face I 77 _
C
Estimated Seasonal High Ground Water 7 , t/OW'e..
DEEP OBSERVATION HOLE LOG*
Deep Hole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Soil Horizon Soil Texture Soil Color Soil Mottling Other
Surface(Inches) (USDA) (Munsell) (Structure,Stones,Boulders,Consistency.%Gravel)
7-j , N
Parent Materiel(geologic).I I DepBi,,lo Bedrgok. I
Depth to groundwater. Standing Water in the Hole Weepingfrom.Pit Face. I
Estimated High Ground Water