Site Review 2002 _-wit ;
PERCOLATION TEST(S)
Observation ®®
Observation Hole .
Depth of Perc
14 b Depth of Perc
••
Performed by
Witnessed by
- Performed b - --
Witnessed by immossomin
NORTHAMPTON BOARD of HEALTH- Title 5-Site Review
L tJd,9A
Deep Hole ft: l 0
Depth horn
Suracelwesl
L
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Horizon
C
c �
Sod Texare
(USDA)
Soil Color
(Moraem
sw
Honing (Structure.Skra Balders,Casislercy,%Grave)
Other
L-
12"'
Parent Mahal(geologic) I
Depth b groundwater Standing Water in the Hole
Estimated Seasonal High Ground Water
m
Depth to Bedrock
( Weeping from Pit Fare I 6C)'
DEEP OBSERVATION HOLE LOG*
Deep Hole M: 0 A— 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSPL OnrtnaL Aru
�-
Sol Horizon
Z�
D'"
Time
Other
(Structure.Song.Boulders,Consistency,%Gravel)
Oer's
wn Address
U
Engineer i
Weather Phone
Land Use
L7 ,3
%Slope I
Surface Stones
Landform
V ,ela'on Start Time
Position on Landscape(sketch on the hack)
Distances Step Time
Drinking Water Well
feet Proper y Line
fe1
Open Water Body
feet
Possible Wet Area
feet
Drainage Way
feet Other
fel
Deep Hole ft: l 0
Depth horn
Suracelwesl
L
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soil Horizon
C
c �
Sod Texare
(USDA)
Soil Color
(Moraem
sw
Honing (Structure.Skra Balders,Casislercy,%Grave)
Other
L-
12"'
Parent Mahal(geologic) I
Depth b groundwater Standing Water in the Hole
Estimated Seasonal High Ground Water
m
Depth to Bedrock
( Weeping from Pit Fare I 6C)'
DEEP OBSERVATION HOLE LOG*
Deep Hole M: 0 A— 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSPL OnrtnaL Aru
Depth from
Surface
Sol Horizon
Soil Texture
(USDA)
Soil Color
(Munsel)
Sore
Mottling
Other
(Structure.Song.Boulders,Consistency,%Gravel)
(Indies)
L7 ,3
i6
I
I Depth to Bedrock �VI Ia7
Parent MSNal(geolgic)
Depth b groundwater: Sanding Water a the Hole
`I0 Weeping
P'M1 ace
Estimated Seasonal HO Ground Water