132 Site Review 2001 . �A r ear 1 I i wetyvvw.), . 1
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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/
`�
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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