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1162 Site Suitability 2016 IJcolb of Natal-alit Un W111Y PFr nyus Maggoty Does at least four feet of naturally occurring pervious■mt.:trial exist in all atma observed throughout the area proposed for the sod absorption system?_ If yes,what is the depth of naturally occurring pemoue I uterial^ If not, what is the depth of naturally occurring pervious r uitensl? Deep Hole Number. Location(identify on site plans: Land UseNegetanon fawn gnxs t.odform Position of Landscape: Distance from Date 'ht-Site Review iv Weather:Cool&Overcast S(AiN/fy Sin to(•,)'. Surface Stones. none Open Water Body /�/ Fet Drarmgeway Possible Wet Area �7�4 ,Fn' Property Line Drinking Water Well Feet Other 7.P.a 1-1 Feet Feet Feet r ^; -V THIN I e s Depth from Surface Soil Horizon Soil Texture (USDA) cofl Color (Nouse11) Soil Other(Structure,Stones,Boulders Consistency, V.Gravel) &" Ate-,r F3z- Ps /o/, 3 7f, 4e./..7 / ks 7 Poem Material(geologic)1�C,4/r(f/4q PdalkinfanniaiMPL Standing Water in the Hole: Estimated '..'.onus Htgb Ground Water > Depth to Bedrock: > Wcepmg from Pit Face'. BOARD OF HEALTH MEMBERS CITY OF NORTHAMPTON MASSACHUSETTS 01060 AY F%E(TMAN,M.D.,ACTING CHAIR SMARM SWIM,Y.D. DONNA C.SALLOOM OInnCTOR OF SIAM HEALTH OFFICE OF THE MOWS RIMDEOIR,MHEd,CHES, BOARD OF HEALTH (413)507-1214 FAX(413)037-1221 roject Number I//� aformed by u� (calm Inspector])WGSr) /� Site Addrest 16 let AI (14153 — 212 MAIN STREET NORTHAMPTON,MA 01000 Site Suitability for On-Site Sewage Disposal Date 5 „41 I/✓ E9wpm urator fire, L Mam S 4,41,/led /✓ client N me&Addrest %.a/ New Construction D Repair lie e - 1/573✓✓ Qmapairi ubhsbed Soil Survey Available' No O Y a Class Soil Limitations Published Publication Scale Sqn Map Unit Drainage Geologic Report Available: No D Yes D Year Published Publication Scale Geologic Material(Map Caul Landfortn hod Insurance Rate Map: Above 500 year flood boundary 0 Within 500 year flood boundary D Within 100 year flood boundary 7 Vedand Area: National Wetland Invetory Map(Map Unit) Wetlands ConservacY Program Map(Map Unit) :wrest Water Resource Conditions(USGS): Month Range: Above Normal 0 Normal 0 Below Normal 0 *her References Reviewed: rerootattOf lift aV• •• Time Measurement Time Measurement me 1-1 legit Saturation - Begin Saturation _ End Saturation led Saturation " `Z../� iaps 9"depth Measurement ur(enement "depth f:79 J 6"depth Measurement 6awuement ,lapsed Time c'/I - I ov Elapsed Time itle0 'OVOID n'on Rate <2 min. m q�f/ atom of Percolation Test Hole de .7 Bottom of Percolation Test Hole. - femod Used Depth observed standing on observation hole> ❑ Depth weeping from side of observation hole inches 1 Depth to soil mottles_inches ❑ Ground water adjustment inches idea Well Number Reading Date Index well level _ ___