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Misc. Lots On Site Reviews _ _. __. l yl FORM 12 PPA CO un ON -1 — ' A -_ ._...,-_ _ �, c r oaa, arniol Nct p. a ,....w..._ ..__I____ _. ..-€OMMONwe� �� .. . ._ EACTF7'OF'ft7PA'SS°ACNyGSEf'fS Obserden Pete . - !— 3 Depth of lsak -- Stan R.-soak EM%.-soak rf 14°C—,Ma rota 12' V. i a rune at s- — r at 9 ima 19 fi) . .. a -_. __ T. nasva WY. 9a1/ennaJ in bath M prinaty ara.M'D ...-�.��__... . .. rd.PasaaA ❑ _Sty fYW ❑ • - - Mimed witnessed - _..._ cwn eats. W 0n-Site Review Mike 1.40 f J't silks Address or Lot# 17' .:'ole Number Dale rit,241 /if Time - Weather L.r"Was Location(Identify en site pan) Lend Use yV I save(%) I I Surface Scones I _ -- Vegetation Sol Other (SWmre•Slams.Boulders Consistency.%Garcfj Landarm A �� ( Son on landscape(sketch on the back) Meet 1-1A- from: yen Water Body i'J OY 0 Drinkkng WaterlriWel feel I Property Lae ' feet male Wet Area feet Drainage Way feet Other feet I DEEP OBSERVATION HOLE LOG* 3 now O. - -MWIUM OF TWO HOLES REOUNED AT EVERT PROPOSED DISPOSAL AREA TIM kom ee(Inches) Set sbdmn Sol Temp (USDA) Sol Cob. (Wesel) Sol Other (SWmre•Slams.Boulders Consistency.%Garcfj � ? ,yam a- ry f A �� ( rs � Sy S C_ lO7 37K S�/ )/)- cJ o $ .... M1 Mawbeotgi[1 I f^r=-.'• .;. . Depth b&Woc I Depth bP ales SlaneigWash be Mae /SLR I WKPbfanPSFw I ( 9ci Es6naYd SemnMWI GWMM Wafer .. •_• Hole C: DEEP-OBSERVATION HOLE LOG* 4WLIWY OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA b}um Sd lb�imn .. ' - SriCr:r- - Other L....n L•J:d ,,,•' • — .... Wri2Si.1 .:I"•i i.d •S :. .. . `....,. b Egrbd •• •h G WadWder le ® •"iquPtFam Seasaml WgA Ground Was - POIU.(13 PERCOLATION IE{t touuen addressor Lot NO - COMMONw aLiTrpF1G{suaktreetig .Massachusetts Depth el Pere � S Man tan Pro-soak s End Ra-soek Tani at 13- Tune at 6• � Erne at B- r� � rime(9-'1 rite Mnjbxh Me -- . .. •Miimncottpidhashon bit must bar perfam.d M both the pinery Was ANO Man.red . . _- Sas Passed ❑ Site Failed ❑ Performed By: witnessed By. - Comments: — • IT ._.__ i. • Ons"eR i M t-`J .,w..._.. ,a.1 U,_ „_. . . , n ,._ Rule Number Dale .(%�i7Tf/, Weather !li y -i :."�' " '�`- W cation(identify on site Wan) �1 Land Use s) }c. I ../,cti- 1 Slope(%) I I Surface Stones I Vegetation — Landfofm lip) , ter , / >h / ition on Landscape(sketch on the bad() I ,� ,7/UM �"� ... Distances from: yen Water Body ) ) Jr feet Drinking Water Well feet Properly Line feet aside Wet kea feet Drainage Way feet Other feet DEEP OBSERVATION HOLE LOG' a note l: I - ' - 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Oh tram ex( ) Sot tort= Sol Tahoe (USDA) Sot Cob Mnsat) Sot AbSbn Otlw (Sham twin.Sooners.Conistmy)%Grbel) 1 : ;ia, ,..• c lip) , ter , / >h / _ ,_i . l mtwtrwlgedwcl I e" - , I Dent bBeam I Death ng r4.tIer. S'aaSioYAttb the Rae I h I I Went]hem Pi Few I -')/ C-sEnoted Seasonal KO Gras Watt %"• - DEEP OBSERVATION HOLE LOG' Hole I. /— *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA t horn e(letles) Sol Radian SDI Tataa_.,. (USDA) Sal CCw- - IAmutl)_ . Sol - MMbt. Caber - (Stunt Slams BadQas.Danikrty.%Gravel) 1 : ;ia, ,..• _ c QibiW . .:.:u - 6epQibEndo*.. Depth bgrwdgir Standing Wattle Me Hale ..(Wake =-1- 'weep/ knm Pt Face I Ed/RAW S w,w cam ran Start Pre-soa End Pre-soa Time at IT Time at 9- Time at 6' Time(9"_6") . - Rate Min./Inch T• Time(9"–6") Rate Min/Inch 'minimum of 1 per colation test be performed in both the primary area AND reserve area Performed by Mtnessed by Comments- NORTHAMPTON BOARD of HEALTH- Title 5- Site Review tioLot Address or t 1 _ p Q / ( Owner --rid J` I IL 1 0 Time L/Cio?r✓-• C✓`??. lJ� / ey ,Owner's Address Doll)to Bedrock r1D De,thto'roundwatec Stand i •Water in th e Hole eer I livN ij I&U Weather l%WA-Cott-t Phone# Land Use (11 trtY I %Slope I Surface Stones Landform Vegetation coition on Landscape(skett on In Water Body sible Wet Area Distances feet Drinking Water Well Start Time Stop Time feet Property Line fer feet Drainage Way feet Other ter Hole#: DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA th fro m Inch es Soil Horizon Soil Texture (USDA Sal Cobr Mu Soo MoNi OU;er Suudure.Stones,Boulders,Co ten Gravel n L, may, I ii Vi IU7v^ LII& L/Cio?r✓-• C✓`??. lJ� / ey n •eol••ic Doll)to Bedrock r1D De,thto'roundwatec Stand i •Water in th e Hole Ids Wee•i •from Pa Face Es6mated Seasonal H'h Ground Water Hole#: DEEP OBSERVATION HOLE LOG* *MINIMUM OF I W O HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA th from e(lathes) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (SOUctre,Stones,Boulders,Consistency Gravel) onl Mahal Itleobgic) De to roundwte Estimated Seasonal HO Ground Water Depth to Bedrock — ,__ I1-411p-i1r311 i 4tiIrS-§,(i) [ PERCOLATION TEST(S) I Time: I j Time: Observation Hole #1 Observation Hole #2 Depth of Pew S 3 y Depth of Perc s---/` x Start Pre=soak /v Start Pre-soak , /�/ 5 /0 Li D % End Pre-soak ,, End Pre-soak Time at 12" Time at 12" )u ; 3 < // Time at 9' lime at 9' 10 -, 1 Ct Tmeat6' /01 Timeat6' /I , , 0 Time(9'—6') Time(9'—6') Rate Min./Inch ,t._ a I/`-- Rate Min./Inch 'minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed by I I Performed by I Witnessed by Witnessed by I Comments: On-Site Review ,nAddress or Lot Date 3ineering Firm tily on Site Plan Land Use Vegetation CONA;t, tut, Land form on Landscape Time r C2 Engineer or Samtenan F Slope% Surface Stones dokAyr Distances from en Water Body sIble Wet Area feel feet Drinking Water Well Drainage Way feet feel Property Line Other feet fee, Hole#: .ucnem DEEP OBSERVATION HOLE LOG* MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil lorizon Soil Texture (USDA) p f2 `0r - c � Soil enter 1 Munselb Lily 10 14I0 Soil Mottling Other (Structure. Stones Boulders Consistency 2 , _ 3 - r _ W � - }c- /, i°c," `/ c---It Material(geologic)ii Depth to Bedro ck 7 1 1 to groundw ter. Standing Water in the Hole 1 N/k Weepin from PC Face 4,c1 throated S asonal High Ground Water 1 > 1 I V Hole #: i 'MINIMUM DEEP OBSERVATION HOLE LOG* OF TWO HOLES REOUIREDAT EVERY PROPOSED DISPOSAL AREA Ih from z n;"''s' !`N Soil lorizon iWI CZ Soil Texture (USDAI ESL_. Soil Color itAiinsors; Soil Mottling , (Soucture Stones i5A Other rs Canso M " --,--, `15 yr_, Material(geologic) _ DeptAto.@etlrgck ' _ I to groundwater.-Standing Wale?in the Hole ` ILL" Weeping from Pit Face N o sti mated Seasonal HighOfounyWat er, < I I U Hole#: .ucnem DEEP OBSERVATION HOLE LOG* MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil lorizon Soil Texture (USDA) p f2 `0r - c � Soil enter 1 Munselb Lily 10 14I0 Soil Mottling Other (Structure. Stones Boulders Consistency 2 , _ 3 - r _ W � - }c- /, i°c," `/ c---It Material(geologic)ii Depth to Bedro ck 7 1 1 to groundw ter. Standing Water in the Hole 1 N/k Weepin from PC Face 4,c1 throated S asonal High Ground Water 1 > 1 I V - r Date, Y vl PERCOLATION TEST(S) i Time: I I Time: I i Observation Hole #1 Observation Hole �.. , #2 Depth of Pere - Depth of Perc , Start Pre-soak Start Pre-soak i— End Pre-soak — End Pre-soak Time at 12" c .6 Time at12" ir, 75 Time at 9" - - '_ Time at 9" Time at 6" r Time at 6" - (f 0 Time (9"-6") - j- . Time(9"-6") ,- I. I Rate Min./Inch Rate Min./Inch 'minimum of 1 percolation test must be performed in both the primary area AND reserve area. I IPA PASSED _ ,(1 FAILED .i PASSED _ I I, SITE FAILED Performed by Witnessed by I �kiAA ' - i Witnessed by I I Comments: I NORTHAMPTON BOARD of HEALTH— Title 5—Site Review D Die#: from nches) DEEP OBSERVATION HOLE LOG* Soil Horizon Soil Texture (USDA) Soil Color (Munson) Soil Mottling Other (Structure,Stones,Boulders.Consistency.%Gravel) '.H .. /Iy S/( latedal(geologic)'I !groundwater..Standing Wafer in the HoiB"v (mated Seasonal High GrouneMater `...; oegCl bedrock I SF IWe Pit Face I %4 ' Ur— sole#: from (Inches DEEP OBSERVATION HOLE LOG* OF TVJO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel - --eommersrvvEAL - netzaie entrialemi Eat • 116=11Mallieriali pat...din both the pdmary area AND . trio Paned at*Taal ' Perfermed wroussed ar Comments: benenonstow.._nn .L ZtC . arategt' ■ • • • 1:. AltA tnInp,:t• • des) Sod Hahne DEEP OBSERVATION HOLE LOG' °It0I0NY OF IWO HOLES RECURS)AT EVERY PROPOSED DISPOSAL AREA Sot Tenn Sot Odor (DaDA) (Weep sal Odra (Studies Stem.Oa en.Caobterm.%Gmo WSW Nab*, esb beaux/Sec Vandal Wale:bM HOB EgnnYA SeatauNDrb Gamed Water C- Oepbbeede4 I Weeping ianPtFace ale t ) DEEP HOLE LOG' limmum OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Sad Horton Barman pdSi+Ai SoICahr- Sol Weir — Ober --(SOUdae,6MarBaAderstaekla:cT.-%Gavel) i-.. b• • . . Watrh the Hole Estimated Seasa ffahGiandWatr •••••• °-- •- - . . Q.. _tt_.. A— Address or Lot Number — Date nn',rata Time Wan) I i Weather . ... Son(identify on Use site :. `U k. .` I SIePe Surface Blanes ad 'etatlan ndfann Landscape(sketch on the back) I in Distances from: Water Body feet Drinking Water Wel feet Property Line - feet le Wet Area I feel ) Drainage Way feet Other feet des) Sod Hahne DEEP OBSERVATION HOLE LOG' °It0I0NY OF IWO HOLES RECURS)AT EVERY PROPOSED DISPOSAL AREA Sot Tenn Sot Odor (DaDA) (Weep sal Odra (Studies Stem.Oa en.Caobterm.%Gmo WSW Nab*, esb beaux/Sec Vandal Wale:bM HOB EgnnYA SeatauNDrb Gamed Water C- Oepbbeede4 I Weeping ianPtFace ale t ) DEEP HOLE LOG' limmum OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Sad Horton Barman pdSi+Ai SoICahr- Sol Weir — Ober --(SOUdae,6MarBaAderstaekla:cT.-%Gavel) i-.. b• • . . Watrh the Hole Estimated Seasa ffahGiandWatr EZTYttli.4.77Ert....;] PERCOLATION TEST(S) Time: Time: Observation Hole Observation Hole #2 Depth of Pere Depth of Perc Start Pre-soak F 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. • Ill Performed by Performed by Witnessed by Witnessed by Comments: itle 5- Site Review NUN I flRIW I VIII nvnr•v ve ••--^-••• Address or {a-} `` L--- It Owner 'D Wu= ot# /1�/3 D ( Time I Owner's Address I /�� / C % / Weather /r 4• PhoneN Mn `e Use 1 / U 00 JOAN %Slope I Surface Stones i I Ve•elation Stst Time lform i on Landscape(skekh Body on the back) feet Distances Drinking Water Well S!oo Time feet Property Line feet ater Area feet Drainage Way feet Other feet .Wet DEEP OBSERVATION HOLE LOG' *so IA OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Sail Horizon Sod Texture (USDA) crj fr (MunseIS (ShurWre.Stones.Bon ,%Gravel) 'atrial thee c) I yth to groundwater Standing Water in The Ho Estimated Seasonal High Ground Water Depth to Bedrock Wee p'rg from Pd Face y9, de ram ndu So Hommn •MINIMU Soil Satre (USDA) DEEP OBSERVATION HOLE LOG* OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Sod Color (Munsell) Sod Other (Stu re,Stones,Boulders)Consistency,%Gravel) nMatnal(geologic) Depth to groundwater. Standing Wate r in the Hole Estimated Seasonal High Ground Water 1 Depth to Bedrock /UB/✓—L- /Do 2g -7/ ee from Pft Face 1 Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" PERCOLATION TEST(S) #1 Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12' Time(9"—6") Rate Min./Inch Time at 9" Time at 6" #2 Time (9"—6") Rate Min/Inch 'minimum of 1 percolation test must be performed in both the primary area AND reserve area. DEEP OBSERVATION HOLE LOG* Hole#: I 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other h(rams Sod Horizon t Soil(USDA)re Soil Color Sod Mottling I (Structure.Stones.Boulders. Consistency re Gravel) Penes} _ (USDA) (MUnselp 1— * t n 1 yr to, (. dress or Lot# )ate ering Firm )n Site Plan M Use etation idform Landscape UQ[\(In*1-m On-Site Review - V/r 5 / i/j Owner % FF /^ r °") /y/ C Time U Addre Weather E gineer or "nitanan I Slope%J Surface Stones Distances from'. Vater Body e Wet Area feet feet Drinking Water Well Drainage Way Property Line DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon I Soil Texture F Soil Color (USDA) (Munsell) I o r Cho -^ Soil Mottling Other (Structure, Stones Boulders,Consistency 'A Gravel) fir material(geologic) )groundwater. Standing Water in the Hole timated Seasonal High Ground Water ''— .A I Depth to Bedrock (/ w \— =-�__ --L. Weeping 5� oni Pit Face L 11/ 41-1/ n to groundwater. Standing Water r _ Depth to Bedrock g rt Material(geologic) I 1 _ g er in the Hole Weeping from Pit Face_ _ --- - — — — Estimated Seasonal High Ground Water P9 0-4.0173a.%4-451-- 0 ;s I 1, o 1- i 11 �t:.x --°a I v / orD PERCOLATION TEST(S) I Time: I Time: Observation Hole #7 Observation Hole #2 / Depth of Perc S 3 Depth of Perc N 1 ,A/ End Pre-soak Start Pre-soak Start Pre-soak ,10 t- I/ - End Pre-soak s Time at 12" ; 1 c9 Time at 7 — ) D Time at 9' Time at 9'' ' /-' r- . . ?-}7 Time at 6° Time at 6° U Time (9"—6°) Time(9°—6') Rate Min/Inch , _ Rate Min./Inch 1 "minimum of 1 percolation test must be performed in both the primary area AND a area. f Performed by I Performed by I I Witnessed by Witnessed by Comments: I RD of HEALTH- Title 5 - Site Review dress or Lot if �,,p _ I s) Soil Horizon Owner P,_ p V f`^ (/-y%r- I �/� Time ^� Other (Stmcture,Stones, ulders. nsistency,%Gravel/ Owner's+` Address /�(/� 93d lti� - .,.,�,.,, -!/` . �.-�. q/ /V Weather Co -��(>v+Ul�+.l hone# Use 1,0np i w( °A Slope Surface Stones I Weeping from Pit Face NM Vegetation Start Time /)J ,Landscape(sketch on the back) Distances Stop Time 3'/ S Drinking Water Well feet Property Line feet er Body feet Jet Area feet Drainage Way feet Other feet DEEP OBSERVATION HOLE LOG* 1 _ 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA s) Soil Horizon Soil Texture (USDA) Soil Color (Munselp Soli Molding Other (Stmcture,Stones, ulders. nsistency,%Gravel/ )b 6 O R Cam. C c`lNA J L FsL-- r.„. )..a/ c icyT/,, a . Cr LA Jkll/ t s1 lb. q/ /V .—/_,../4 al Co ologic) I Depth to Bedrock I to groundwater Standing Water in the Hole We ping from Pit Face stlmated Seasonal High Ground Water I Weeping from Pit Face DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA s) Soil Horizon Soil Texture (USDA) Sail Color (Munsell) Soil Mottling Other {Structure,Stones,Boulders,Consistency,%Gravel) (3 c: S L Vivre' u ). doh /./ nal I Depth to Bedro ck (geologic) Stand Water In the Hole I Weeping from Pit Face l to groundwater Estimated Seasonal High Ground Water End Pre-soak Time at 72° Time at 9' — Time at 6" Time( 6") Rate Min/Inch Time —6'y Rate Min./Inch mum of Percolationie mu be performed area AND reserve area. Comments' 4 NORTHAMPTON BOARD of HEALTH- Title 5 - Site Review Owner (i I O Time nsef) Owner'd Address Otter (SMI Lure.Stones.Boulders,Consistency.%Gravel) I F SL .,; w y /„ , „ Weather Phone d Use I Y.Slope Surface Stones dform ` Vegetation Start Time 1 on Landscape(sketch on the nac ) Distances Stop ilme - Drinking Water Well feet Property Line fe. 'ater Body feet Wet Area I feet Drainage Way feet Other to DEEP OBSERVATION HOLE LOG' REA #. '' 'MINIMUM VY snit:noaca ncwm...•m•-........ - - al So Horizon S(USDA R nsef) Sc Soil Molting Otter (SMI Lure.Stones.Boulders,Consistency.%Gravel) I ) l ( F SL .,; w , , , r la✓ A rom ocher) 7h Soil Horizon DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA d Mahal(geologic) Dedh to rmundwatec Standi •Water in the Hole Estimated Seasonal High Ground Water Soil Texture (USDA) 5L V Soil Color (Mu nse II) Soil Mottling Otter Structure,Stones,Boulders,Consistency.%Gavel) `✓I Depth to Bedrock eosin from Pd Face End Pre-soak Time at 72" Time at 9- Time at 6" Tim (9"_6") Rate Min/Inch per giation test musE t»performed in both the primary area AND reserve area Address or of# d Use dform �I Tme ice Landscape(sketch on the back) a feet Property Line ater Body V )oe D feet Drinking Water Well yl _ Other ,Wet Area *ow,*ow, feet Drainage Way j i x, feet NORTHAMPTON BOARD of HEALTH- Title 5- Site Review Owner 9+CA 14 ' Time �( 1 . Owner's Address Weather %Slope 1 Vegetation 1( 49 6c2•.AD-• Phone ft Surface Stones to > I A fe lei fr: DEEP OBSERVATION HOLE LOG* *MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Sod Horizon hes C Sod Texture (USDA) S L t,1344 fsI- L cral Soil Cob (Manse (Structure Boulders.Consistency,%Gavel) oy+� g-14 ioNikd SP/ a .= vJ9 Mabial(geologic) epth to groundwater. Standing Water in the Hole Estimated Seasonal High Ground Water Depth to Bedrock Weeoirp from Pit Fa ole nom Inch ii .5 le - ql Sod Horizon DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY EVERY PROPOSED lePOSAL AREA ROPOSED Soil Texture USDA Other Structure,Stones.Boulders,Con ten .%Ga De M to Bedrock entMatdal eo b _ Depth to groundwater Stan Estimated SeasonalH Wee Ini from Pit Face Water Ground the Hole ater PERCOLATION TEST(S) Depth of Perc Start Pre-soak EndPre-soak Time at 12' — Time at 9" Time at 6" Time (9"-6-) Rate Mln. nch Observation Hole Depth of Perc End Pre-soak Time at 12" Time(9"-6-) Rate Min/Inch NORTHAMPTON BOARD of HEALTH- Title 5 -Site Review Address or Lot# It d Use #3 un94-4,,1_ Time Owner's Address Owner Wye Phone dform n on Landscape( 'ater Body I Wet Area etch on the bark) *7 Ib e l feet Drinking Water Well p-.nnll feet Drainage Way %Slope Surface Stones Vegetatio Start Time Stor Time Distances feel Property Line le feet Other fel DEEP OBSERVATION HOLE LOG* 'NININUN OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA m hes) Soil Horizon Sod Texture (USDA) Soil Cob( (Munseth Soil Mottling Other (Stmcture,Stones.Boulders,Corsislency•%Gravel) 1 Pe. S L z, , ,:yk3/`/ r°YK t2 $ Tny, . L .. — — Istria) I I e4:,r� '- I Depth to Bedrock ? (geologic) ♦.I.;te. Sandig Water in the Holee.. I Weeping from Pit Face 1k4\R I pm togroundwatec Estimated Seasonal HO Ground Water> 1 DEEP OBSERVATION HOLE LOG* INIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA om Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other {Structure,Stones,Boulders,Consistency,%Gravel) tthce) 6 v� 3 SL St- c.(144 IDyp4'6 a.r, IVly $ Tny, . L .. '.Mahal{geologic) IChC A kpth tog oundwater Sthndlnq Water in We Hole tine. Estimated Seasonal Hqh Ground Water 7 7 eeping from Pd Face f, °Prt!� V NO THAMPTON BOARD of HEALTH- Title 5- Site Review Owner Address or ot# V d Use dform Time r Wtd, % -i TrrT (1 49-4 fiCg %Slope 1 ion Landscape(sketch on the bad;) ater Body feet Wet Area feet Oe es Address Weather OV r".j r 'V i- t h70.17 m Phone If 0407 Surface Stones Drinking Water Well Drainage Way feet Property Line feet Other feet feet DEEP OBSERVATION HOLE LOG* MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA hes) Horizon ) Soil Texture (USDA) NaMal(geotogb) I C.L =.pih to groundwater: Staudiig Water to the Hole Estimated Seasonal High Ground Water Depth to Bed Sod (Studure.Stones.Bouldeo.COrSter0y.%Gravel) 5v i6 Y4 5 L3r9 eeoirg ham Fdiace I /l�/1N-A" kC ale Si from Inches) Soil Horizon DEEP OBSERVATION HOLE LOG* *N/NINUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other Sol Mottling (Structure.Stones,Boulders,Consistency.%Gavel) /_ Soil Texture (USDA) L Soil Cobr (Munset) 4� ' ,nt Matel . th to roundwater. Stand) •Water in the Hole Estimated Seasonal H'•h Ground Water ® Observation Depth of Pere I Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"_6") Rate MT finch PERCOLATION TEST(S) Observation Hole Depth of Perc lMs- m_ n'o�test must be End Pre-soak Time at 12" Time at 9" Time at 6" Time(9"_66") RateMin/Inch Performed in both the p /man/area reserve area. labial(geologic) I yth togroundwater Standing Water in We Hole Estimated Seasonal Hgh Ground Water NORTHAMPTON BOARD of HEALTH - Title 5 - Site Review •ressor k Lot# III I Mt✓ / d -1-Dcid CC v -e,-- Time Ow Address rs �!�� Ili d Use Weather Phone# �(Munnseeti) q �1 1 V,-;t '� 'St kls^ %Slo•e Surface Stones dform Vegetation Start Time ion landscape(sketch on me naa) Distances Stop Time Line le( Bod feet Drinkin•Water Well feet Prose ater :Wet Area feet Drainage Way feet Other fey DEEP OBSERVATION HOLE LOG' REA #. MINIMUMVI'mVnva.co rtcwm....•� �........ . 1 11 .....) Soil Haling Soil Texture (USDA) Sal Color Sot Mottling Other (Structure.Stones.Boulders,Consistency.%G el) �!�� LL))jj �V� ,, / �✓ �(Munnseeti) q �1 1 V,-;t '� , l ShI Hy ,.__..._n......w I Weepino from Pit Face I c " de#: ram nches) b ock DEEP OBSERVATION HOLE LOG' `MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon tt Matial(geologic) I Depth to groundwater Standing Water in the Hole Estimated Seasonal Hgh Soil Texture (USDA) Soil Color (Mu n Se FL) Soil Mottling Other (Structure,Stones,Boulders,Consistency 5 6 b Depth to Bedrock Weeping from Pit Face Mrar.IT 1.1.11.......11111111111111 r[#` - PERCOLATION TEST(S) laMINME.- Time: - Observation Hole I Observation Hole Depth of Perc 5/ Depth of Perc Li 7 ® / r S Start Pre-soak End Pre-soak End Pre-soak I JibTime at 12" a I Time at 12" Time at 9" Time at 9" 6 Time at 6" Time at 6" Time(9"-6") Time(9"-6°) Rate Min/Inch Rate Min./Inch PASSED �• ■• •SITE FAI ED ■ SITE ■ PASSED FAILED Performed b =#: a nn Performed b Witnessed b �� .�.!!�� Witnessed b Comments: NORTHAMPTON BOARD of HEALTH�Title 5— Site Review owmr . I vJO le#: Y)q ' DEEP OBSERVATION HOLE LOG* 'MW IMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Dm Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel) chest } ri C lb L nay ° y L / � • /,qrQ C CC =a Itenal(geologic) ('{j "" "0-^—>t bEedroclR 7roundwater. Sanding Water tlia47ole ( I' ?@epin8from Pit Face I ti noted Seasonal High Ground Water y i) ' from Inches) 1 DEEP OBSERVATION HOLE LOG* 'MINInun OF NJO HOLES REQUIRED F.T EVERY PROPOSED DISPOSAL AREA Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel) deferral(#eakti) I (-i• - —CaV agmtindwater"Standing Water in MHOS Billeted Seasonal High GrounE.Water x,-,t Licl • J i Location Address or Lot# Date PERCOLATION TESTIS) Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time (9"-6") Rate Min./Inch MEM 'minimum of 1 percolation SITE PASSED I Time: Observation Hole Depth of Perc Start Pre-soak End Pre-soak Time at 12" Time at 9" Time at 6" Time(9"—6") Rate Min./Inch 2 t must be perform din both the'rima area AND reserve area SITE FAILED SITE PASSED SITE FAILED Comments: NORTHAMPTON BOARD of HEALTH- Title 5- Site Review n Lot INew) W {, OOwd/ne�r's LAL r aJd CAL -�- i. l°w'?v peg eterBody t Wet Area feet feet feet feet feet feet le#: /� e DEEP OBSERVATION HOLE LOG* MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon ches) 0 LD ,03 Soil Texture (USDA) 5L ,L Soil Calor (Munsell) a /4/5 aterial(geologic) I groundwater, Standing Water in the Hole mated Seasonal High Ground Water tole#: from Inches) I /V Soil Mottling Other (Struct re.Stones,Boulders,Consistency,%Gravel) .kylsi_.yA '/�%�-. / tr _RR) 4 C4 t,,, I 'Deptli to-eegrack -I /0 3 Weeping from Pit Face I pit y L 93 37 " DEEP OBSERVATION HOLE LOG` 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPO L AREA Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Matenal,.(geWogic) I a groundwater. Standing Water In the.Hole Rated Seasonal High Ground Water Soil Mottling Other (Structure,Stones.Boulders,Consistency,%Gravel) Pit Face 4pcatid(i;4ddresttk s . _. Date . # PERCOLATION TEST(S) Time: Time: - Observation Hole in Observation Hole #2 Depth of Perc Depth of Perc 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 Min /Inch Time(9"-6") Rate Min./InInch Rate Min/Inch 'minimum of 1 percolation lest must be performed in both the prima area AND reserve area. SITE SITE SITE PASSED _ FAILED SITE PASSED FAILED Performed b Performed b Witnessed b Witnessed b Comments: NORTHAMPTON BOARD of HEALTH— Title 5— Site Review Ej de#: DEEP OBSERT • • 1 ' • • 'MIN .1 OF T .L,HOLES REQUIRED ET EVERY PROPOSED DISPOSAL AREA om Sail Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders.Consistency,%Gravel) lches) 3 r - VI 1 t 5 Y 0 - f- �_, 'O-d -ti /_/-" Aerial(geologic) I peel, edmck I I �• g(eundwater: Standing Water in the 7. - i "ar'6 l gfran,Pit Face I /,-; rr mated Seasonal High Ground Water / A 1 �/7 Z Iola#: from ;Inches DEEP OBSERVATION HOLE LOG* MINIi.1UGi OE T.A HOLES REQUIRED S EVERY PROPOSED DISPOSAL AREA Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel) Materiarl'(g ,i o g7trydiketeftMnding'Walerin the Wrested Seasonai'Hlgh Grouts Wat a LocationAddress,or`t_o ,.i mirrairearenni ,` =F�� . . Date t,..- PERCOLATION TEST(S) Time: Time: Observation Hole Observation Hole p #2 Depth of Perc G - Depth of Perc 111 _" Start Pre-soak / / . End Pre-soak ® .C7 End Pre-soak Time at 12" Time at 12" Time at 9" Time at 9" Time ate' ( ( '.3/ Time at 6" Time (9"-6") __ ;C�� Time(9"-6") Rate Min /Inch all SITE VIM SITE ■ SITE " PASSED SAILED SITE � ��'�..._�.. PASSED': FAILED . . Performed bi Performed b -Aerc?a1/0/ Witnessed b Ittparagmm Witnessed b iiiiiill NORTHAMPTON BOARD of HEALTH— Title 5— Site Review DEEP OBSERVATION HOLE LOG* MIN!MUN OF TVVO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon Soil Texture (USDA) Soil Color (Munson) Soil Mottling Other (Structure,Stones.Boulders,Consistency,%Gravel) IDI (ole#t ' DEEP OBSERVATION HOLE LOG* 'MIN11.1Ur 9 OF TVVO HOLES REQUIRED hT EVERY PROPOSED DISPOSAL AREA from Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure.Stones,Boulders.Consistency,%Grave l) (Indies) `y /./ � ' !. /0 � , t „" = �� 3i F- .1.4mai . A_ 4 ! ... 1 7 .4.4016.7 ./a-i Sde.APIE ma:awas 0 siamaila PERCOLATION TEST(S) Time: Time: Observation Hole - Observation Hole Depth of Pew i', Depth of Perc / 0 ' Start Pre-soak Start Pre-soak End Pre-soak End Pre-soak C7 Time at 9" Ira Mini= Time at 9" f 0 Time at 12" Time at 12" id • -,=, i_ Time at 6" atm Time at 6" 1 i ■ _5-- Time (9"-6") ORM Time(9"-6") (>1 /7_, w / -/ Rate Min/Inch . Rate Min./Inch ,-N ; ,1 f ' L---- -minimum of 1 percolation test must be performed in both the prima area AND reserve area SITE SITE NI SITE n SITE III PASSED III FAILED St. PASSED FAILED Performed b rerrninAna. p e r-- Trarr----lairmws elm Witnessed b Egavamms Witnessed b annul Comments: NORTHAMPTON BOARD of HEALTH- Title 5- Site Review re •Lot# etatlon Weathee om fiches) feet feet feet feet feet DEEP OBSERVATION HOLE LOG* Jh1 OF T RYSJ HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Soil Horizon Soil Texture (USDA) C 1j Soil Color (Munsell) 161 r' [l3 C 'Ur Soil Mooting Other (Structure,Stones,Boulders,Consistency,%Gravel) 7 ✓r rtedal(geologic). Pte — Cy groundArater.Standing WaieY+BMe*idd Hated Seasonal High Ground Water Dal Bedrock' ID 's Face S-7 f ft ,\� Tole#:`, DEEP OBSERVATION HOLE LOG* I -MIHIr,�ura of nno HOLES REQUIRED HT EVERY PROPOSED DISPOSAL ARLA from Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency %Gravel) Inches) c /7 ,t , D � Q ,o � I S. F 1 } '3 3 - ■-1 t da%'lul ) I > I P d'g ng Wa kW18°.. ILeePi Irtiiri PR FacE i ° , .timated Seastlal Graz sYr. / -27 77 H �,.. °LZ3cgfio4?A seek`t.':, . �M z . .. „ 'Jute , ' .,* / - 7-D PERCOLATION TEST(S) Time: Time: - I� 1 '1 Observation Hole #1 Observation Hole #2,� If Depth of Perc 5 Depth of Perc y Start Pre-soak /1 53 Start Pre-soak 7 End Pre-soak End Pre-soak / / s i , %° f /9- /3 Time at 12" ' o-1 Time at 12" _ Time at 9" a� p �� Timeat9" Time at 6" /2 r` f D- '' 9 Time at 6" Time (9"-6") ).> L 2(-1 -, Tne(9"-6") I i Z7 Rate Min /Inch Rate Min./Inch 'minimum of 1 percolation test must be performed in both the primary area AND reserve area. SITE SITE SITE PASSED I FAILED I.PASSED SITE X FAILED Performed by _I�_,&,t& Performed by B 4-(x.4,442/ I Witnessed by I > I Witnessed by { EP Comments: I NORTHAMPTON BOARD of HEALTH- Title 5- Site Review >n •Lot it 7112C17a7 -F,D rd etobn In Owner c6 LELLA, Paler Body Wet Are • feet feet eet feet feet feet ',--' ale#: Ile#: I— DEEP OBSERVATION HOLE LOG* -MINIMU F TV.SD HOLES REQUIR ED AT EVERY PROPOSED DISPOSAL AREA om ches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders.Consistency,%Gavel) i C � 3�� J/ 'F d. S b l ✓ ti �/sti nor ' Y"'/'P-. - ' is r - r medal(geologic) I f C.C. (319----t.^-"s.-" "'Meath 1q;Socked( I // �- hroundwater. ¢landing Watettin ths*ible Poe] 77) 4- ;/ +/.-'u- (' 1 noted Seasonal High Ground Water /IeeyHI�NOm /0 v' ',--' ale#: I DEEP OBSERVATION HOLE LOG* MINIMUM OF TWO HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA from Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munson) Soil Mottling Other (Stucture.Stones.Boulders.Consistency.%Gravel) (�I .7 b4\ (r:: ::-err > D L from PR Face �. tYnated .a.nali-RfGrarinHWateF, .` ,: II 9 W tl a >4Ct=kt[eSSyo 1 {> Pile .. ` =nap-O PERCOLATION TEST(S) Maitta- Time: — Observation Hole Observation Hole #2 Depth of Perc L/a H Depth of Perc ® / j o Start Pre-soak Ch- 'i /End Pre-soak -1 i; End Pre-soak Time at 12" lime me at at 12" Time at 9" Time at 9" v Time at 6° 11 !/ Time at 6" Time (9"-6") 1®-1 D �.J Time (9"-6") ®® Rate Min/Inch Rate Min/Inch 'minimum of 1 percolation lest must be performed in both the prima area AND reserve area. SITE � PASSED 1 II FAI FAILED PASSED SITE II FAILED Performed b Ittrargarl Performed b �, '- Witnessed b `� t-,� �1 Witnessed b ��►i Comments.- NORTHAMPTON BOARD of HEALTH- Title 5- Site Review n Lot# 4,10n Owner -To�d Owner's Add Weather Slope% I'surtaj t I- Phone#. DIWances feet feet feet feet feet feet ole#: from inches 7 DEEP OBSERVATION HOLE LOG* 'MLN11.:ur.1 OF MO HOLES REQUIRED MT EVERY PROPOSED DISPOSAL AREA Soil Horizon 4 C Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel ierlk "4b ;orb, 4atedaMaog'la) )grotIndsrateenSianditt tenated Seastanarllga% I - t le#: DEEP OBSERVATION HOLE LOG* 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA rm Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Mottling (Structure,Stones, Other Boulders,Consistency,%Gravel) ohe s) 77 ty io' 4Ity�Ce I— c L V° L = w 3 to 9e ic) CV—A- L/" �� DePtlt to Bedrock j `� rWwater:"Scanding WateYin the de r � ,) �s PId ttm Pit Face ,v : gnu nated Seasonal High Ground Water ole#: from inches 7 DEEP OBSERVATION HOLE LOG* 'MLN11.:ur.1 OF MO HOLES REQUIRED MT EVERY PROPOSED DISPOSAL AREA Soil Horizon 4 C Soil Texture (USDA) Soil Color (Munsell) Soil Mottling Other (Structure,Stones,Boulders,Consistency,%Gravel ierlk "4b ;orb, 4atedaMaog'la) )grotIndsrateenSianditt tenated Seastanarllga% I "- a _ a s e a�T1' D O '{•iii L&- cL, ,` y/9Vitj PERCOLATION TEST(S) Time: I Time: I I Observation Hole #1 Observation Hole #2 Depth of Perc tic 1 Depth of Perc 4 Start Pre-soak C �� 3 , 4.1 3 Start Pre-soak f End Pre-soak a- 5- 1 End Pre-soak ') V,J Time at 12" ' Time at l2° h Time at 9' Time at 9° /- Time at 6" Time at 6" Time(9'—6°) Time(9"—6") Rate Min./Inch Rate Min./Inch kav ), / 'minimum of 1 percolation test must be performed in both the primary area AND reserve area. Performed■ t ed by I I Witnessed by I Performed by Witnessed by Comments: I • . 4 4 _ f HEALTH- Title 5 - Site Review ress or Lot# I_ . y)n Owner f'tr I �� 1 Q/ �� t The Soil Color (Munson) ness Address _�j jO y p / lll.(,W Q � / ' �i,cc�•�.(� /�-r/� l 5L 7s IN/ ij U Weather Ph e8 ass lope Surface Stones xm al(geologic) to Standing Water In the Hole Veeetation Start Time 4,2 :[v 'Landscape(s ett on the back) Distances Stop Time 3 i Drinking Water Well feet Property Line feet ;r Body feet let Area feet Drainage Way feel Other feel t DEEP OBSERVATION HOLE LOG' 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA s) Soil Honzon Soil Texture (USDA) Soil Color (Munson) Sol Mottling Other (Structure.Stones,Boulders,Consistency.%Gravel; I0 —i_ CI 5L 7s IN/ ij U Ot"rk I ' I Depth to Bedrock al(geologic) to Standing Water In the Hole I eeping from Pit Face groundwater stimated Seasonal High Ground Water Estimated Seasonal High Ground Water ^� DEEP OBSERVATION HOLE LOG` 5 — MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA . ) 1 O s) 4 Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Motuinq Other (Structure,Stones,Boulders.Consistency,%Gravel) > (3 C in V.'S (----- 7s IN/ ij U ti I ' I Deotho Bedrock I — tial(q ologlc) htogroundwater. Standing Water in the Hole I Weeping from Pit Face Estimated Seasonal High Ground Water ■ WO .0 tail(c+. l o M r II tit ' :+ • f-t;. PERCOLATION TESTIS) Time: I I Time: I .161 Observation Hole #1 Observation Hole #2 1 Depth of Perc I I Depth of Perc i, ` j Start Pre-soak Start Pre-soak f - - End Pre-soak End Pre-soak Time at 12" 6 7 7 Tlme at 12 Time at 9 Time at 9" Time at6" ) I Time at6" 10 Time (9"-6") _ Time (9"-6") vit Si Rate Min./Inch I Rate Min./Inch IC of 1 percolation test must be performed in both the primary area AND reserve area. SITE - SITE ,I I 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 Hole#: I DEEP OBSERVATION HOLE LO * -r:.IVIr. uLi OFn!uH LE FQU!RE TEVLRVPh _�D ,. ., tit from a(Inches) Soil Hodson Soil Texture (USDA) Soil Color (Munson) Soil Mottling Other (Sbucture,Stones.Boulders.Consistency.%Gravel) I {/} ----- --- r}'1 7 4 hii ,, • N LE Y ? - E rdMaibrgl• r •�•- • Material(geologic) I )101 W J-i---- Depth to Bedttr''�o�..c..k�'__� to groundwater!Stahl rgWatazltIl9?Hble =. f�(Tr•� 1 Weepag from Pit Face''I 'ID Estimated Seasonal Spit OroW1d.�W ',^ 3 Da " 1 Hole#: I DEEP OBSERVATION HOLE LOG* •MINIf.1Ur.1 OF 1W0 HOLES REQUIRED HT EVERY PROPOSED DISPOSAL AREA pm from e(Inches) Soil Horizon Soil Texture (USDA) Soil Color (Munsell) Soil Moping Other (SWcture,Stones,Boulders,Consistency,%Gravel) I {/} ----- --- r}'1 7 u _�:.- - 1_.- - ——-- - -- - - - - - - rdMaibrgl• r •�•- • : . .Pt Fade 4 b"1g °4 rya -e • 1 ce Esytimated Baas?M r^'Yc •, A „ '' 2--