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132 Site Review 2001 . �A r ear 1 I i wetyvvw.), . 1 rT saw,:. �.. cu )--7 ( o I PERCOLATION TEST(S) ii ,( Time: I I Time: I I 1D� r���°� Observation Hole #1 Observation Hole #2 /WI ,a Depth of Perc c Depth of Perc �" (� 4 aiG� - Start Pre-soak (-7' Pre-soak a . , End Pre-soak a z End Pre-soak Time at 12" Time at 12" 3 1— Time at 9" 3 - Time at 9" Time at 6" ' Time at 6" / /r � Time(9"—6°) // Time(9"—6") Rate Min./Inch i / Rate Min./Inch - «waiw '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: I -J. j CI NORTHAMPTON BOARD of HEALTH- Title 5 - Site Review tion Address or Lot# / 3 itJ. Tom" ,-.,. P---) Owner /a // 0) ef Lt�? `�ld! Time Soil Texture (USDA) Owner's Address z !� Je /1, �': ;: .fir ,(V -/i neer AA- — Weather Phone# Land Use `� %Slope Surface Stones / ,n f° ' Landform I Weeping from Pit Face Ve!etation Start Time 0/0 / C Poston on Landscape(sketch on the had) Distances Drinking Water Well Stop Time feet Property Line feet mu Water Body feet ssible Wet Area feet Drainage Way feet Other feet DEEP OBSERVATION HOLE LOG* I Hole#: `MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA pth from ce(Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel) - r) k I :, ,zILA) ` L- 5 r,„ 9 rJo" �U 'f' �� L ,6r6, I r/ `� ✓_ Li � >,/L 1- �'� f l rent Mathal(geologic) I I Depth to Bedrock I Depth to groundwater Standing Water In the Hole I Weeping from Pit Face Estimated Seasonal High Ground Water a Hole# DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA :pth ham Ice(Indies) Holton Soil Texture (USDA) Soil Color (Munsell) Other (Structure,Stones,Boulders,Consistency,%Gravel) vent Mahal(geologic) I Depth to groundwater Standing Water in the Hole Estimated Seasonal High Ground Water Depth to Bedrock I eepirg from N Face