1370 On Site Review 1998 On-Site Review
or LocEngineering sFirmot# E
ItS
Owner
lr- �C
Address
r -°: .- �.
Date
S I� `
'd
/
me
Weather
r
,,
gineer or Sanitarian
Engineer
fl Identity on Site Plan
l t-,
Jai
u
Land Use
Slope% Surface Stones
Vegetation
f.
x
.,1%
Landform
t
Position on Landscape
u
•_
t
Distances from Gnu.
Open Water Body
IL°Lt
Possible Wet Area
feet
feet
Drinking Water Well
Drainage Way
1[U feet
!n. O feet
Property Line
Other
r
iiII Deep Hole U.
Depth from
Surface(inches)
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
So+i Horton Soil Texture
USDA)
Soil Color
(Monsen'
Soil Mottling
lit' `,11(.6
Other
Strccture. Stones Boulders.Consistency %G�
i Parent Material(geologic)
i Depth to groundwater. Standing Water in the Hole
Estimated Seasonal High Ground Water
Depth to Bedrock
1 Weeping from Pit Face 1
li Deep Hole#:
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Soil Horizon
Surface:Inches'
1
Soil Texture
USDA'
Soil Color Soil Mottling
(Monsell)
Other
!Structure Stones. Boulders. Consistency 'oC
Parent Material(geologic) 1
Depth to groundwater. Standing Water in the Hole
:intimated Season!High Ground Water
Depth to Bedrock
Weeping from Pit Face
I 3 7 0 A2 ell z ;--Y ilia.
1
PERCOLATION TEST(S)
Time: I
1
PERCOLATION TEST(S)
Time: I
I Time:
Observation Hole #
#1 O
Observation Hole #
#2
Depth of Perc D
Depth of Perc
Start Pre-soak
i S
i
End Pre-soak 4
4 E
End Pre-soak
Time at 12" G
G T
Time at 12"
Time at 9" T
Time at 9"
Time at 6" I
I (
(, T
l
Time at 6"
Time (9"-6") -
- T
Time (9"-6")
Rate Min./Inch R
Rate Min./Inch
*minimum of 1 pe folalion test must be performed in both the primary area AND reserve area
Oa
1-21 y
1U-€* U
Performed by
Witnessed by
Performed by
Witnessed by
Comments.
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