851 On Site Review 2002 Location Address or Lot#
Date
PERCOLATION TEST(S)
Time: ] Time:
Observation Hole #1 Observation Hole #2
Depth of Perc l Depth of Pew
Stall 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 I SITE SITE
PASSED _ FAILED PASSED FAILED
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH— Title 5— Site Review
)le#:
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#:
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OBSERVATION HOLE LOG*
S1INIMUh1OFrifO HOLES REQUIRED AI LV CRY PFOPOSm DISPOSAL AREA
orn
chest
Soil orison
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency.%Gravel)
1
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tetiai(geologic)
. Depth to Bedrock I 7 1 >_-c
Iroundwater.Standing Waterin fhe+Hoil.
I Weeping from Fit Face I
tatedSeasonal thgh'ramd Water rT'
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)le#:
DEEP OBSERVATION HOLE LOG*
'MINIrv1UM OF NJO HOLES REOUIRED AT EVERY PROPOSED DISPOSAL AREA
rom
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Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil Mottling
Other
(Structure.Stones,Boulders,Consistency,%Gravel)
genial(geolog c) I
ta r
I w
groundx2Jer.:StandlnpwalerNfhe Hole I krneepingirorP Pit Fate