Misc. Lots Site Review FORM 12-PERCOLATION TEST
Location Address or tot No.
COMMONWEALTH OF MASSACHUSETTS
,Massachusens
rune at 9'
•Minimum of 1 peicoleffon tent must be performed In both tM
reserve area. PrMerY area AND
Site Passed ❑
Performed Dye_
Witnessed 8r
Comments: _
Site Faded ❑
r
On-Site Review
A i4.1-4 C
Lccation
Hole Number Lot 11 I- N �xTime if-, • Weather s °0-0' s-o
Deep Hole Number Q Date `/ I 7 '
Location(identify on site plan) I (%) I Surface Stones
Land Use
Vegetation
tandform
Position on Landscape(sketch on the back)
Distances from:
Open Water Body I feet I Drinking Water Well I feet I Property Other Line
feet Drainage Way
// DEEP OBSERVATION HOLE LOG'
Deep Hole a: ' ) - I `MPIIMDMOE TWO HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA
Other
Depth from SW Hodson Sol Testae Sail Ct Sol
Surface(In& ) (USDA) (Munseth MoI1 (Swoon.Shoes.Bathers.Consistency,%
e> 1 at
b _ ,u 6 vas — o
r-,k L.sA-Al- E,,, ,,
"I —., !�- 1 Dcr Vat- IDTch< IL'ir
1
C . r $ 0 �
a ^I yy`(W1,4 G� 5 '' J ko 64
rill
n
Parent Matte(WINO I�K - � if r I Depth Bedrock I
Depth bWeS )lx. ado in the Hole I iL2t I I Waxing from Pe Fan I .✓en"�`
Esfmathd Seasonal High WeW - R^
DEEP OBSERVATION HOLE LOG`
Deep Hole#: •MWONM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Other
from Sea Hodson Sol Teases Soil Color
Surface(Inches) (USDA) (MUmel) MaIlm (St ire.Stones.Bothers.Cesisten.Y•
'0- e]" P? v z_- / br 21( w ,-, .„-
C U%
t) 1 C IQ w 1/y
�$ l s L.-- Ib.,G ' D/1
k1 L ' SL
I�� 5 '/0 p v st7
Parent Mahal(georgic) I /n�p/'V AU ~—/
Depth b grwioaate: Slacking Waters llde �i I Odpmueee�odr Weeping from Parisi I
Estmakd SeaaW High Grand W 2
Location Address or Lot No.
FORM 12-PERCOLATION Tesr
COMMONWEALTH OF MASSACHUSETTS
.Massachusetts
Percolation Test'
Observation Hole r
Depth of Parc
Stan Re-soak
End Pre-soak
Ti at 12'
Time at 9'
Time at 6-
Time 19'-6'1
Rate Min.Anch
•Minknm a/1 percolation twit performed be perfond M both the prknary ems AND
Site Passed ❑ Site Felled ❑
Palomar!Br
Witnessed By.
Comnents-
S
On-Site Review
Location Address or Lot#
Dee. Hole Number M_ Date a/`afira Tme Weather NV _
Location(identity on site plan)
Land Use Mt i1-7rik (2i 9—th f(pJ 1 ice(%, I I Surface Stones I
Vegetation yini.e�Rn.P D 1fC-4r-tai iS ,-ttJ`
Landfam
Position on Landscape(sketch on the back)
Distances from:
Open Water Body feet Drinking Water Well feet Property Line
Possible Wet Area feel Drainage Way feet Other
//, DEEP OBSERVATION HOLE LOG*
Deep Hole d: (4 I hMNWUY OF TWO HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Sol Halm SW Texture Sol Cnbr Sol Other
Surface(motes) (USDA) (M4nneg) Meting (Stare.thanes,Balers,Consistency.%i
D — `1) v 'S/ � iut ,- 1i
C v5z ID �r11�Y
PareMMaIWI(9eoogic) I I Depth b Bedrock
Depth to 1pounfoaer. Starting WSW the Hob I WeepYg from Pit Face I
Estimated Seasonal High Gmind Water _
/ DEEP OBSERVATION HOLE LOG'
�
Deep Hole II: t 'YNDNY OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from Sol Hutton Soil Tatere Sol Cot( Sol Other
Surface(Inches) (USDA) (Monad) Meting (Stage,Senn.Routes.Cons eery.%(
D- V SSG it `ti '/f - 41eJ , ( %
Y p� r1 ,
C Vf-6 0 S
!MA-4 ,,
/ I�
Parent MAW(geologic) I .Depth .
Depth b maaleater Standing Water W es Hale /nSaf Depthe&dma Weeping from Pit Face -I W „
Esimaed$easasl High Grand Water *11