15 Site Review 2003 Location Address or Lot;
a
Date
/ 5 w
f / 1 - )-// -
PERCOLATION TEST(S)
Time:
I
Time:
Observation Hole
#1
L
Observation Hole
#2
Depth of Pere
115 '
Depth of Pero
Start Pre-soak
End Pre-soak
10 ID
Start Pre-soak
End Pre-soak
Time at 12"
/0 .` 10
Time at 12"
Time at 9"
Time at 6'
Time(9"—6")
Rate Min./Inch
o l
Time at 9"
Time at 6"
Time(9"—6")
Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area-
SITE
PASSED
E�
SITE
FAILED
.
' SITE
PASSED
`.
SITE
FAILED
Performed by
Witnessed by
c[..,qf Performed by
- I Witnessed by
Comments:
l,.
NORTHAMPTON BOARD of HEALTH— Title 5— Site Review
nndwater. Standing Water in the Hole
Seasonal High Ground Water
I Weeping.from Pit Fa /tr. II
szz1 z ��
■le#:
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF PNO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
om
ches)
Soil Horizon
Soil Texture
(USDA)
Sail Color
(Munsell)
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency %Gravel)
c
ti
50
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/19
616,
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Trial(deolooicl I
nndwater. Standing Water in the Hole
Seasonal High Ground Water
I Weeping.from Pit Fa /tr. II
szz1 z ��
e#:
DEEP OBSERVATION HOLE LOG*
'MINIrvUrs OF TWO HOLES REQUIRED nT EVERY PROPOSED DISPOSAL AREA
in
hes)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)-
Soil Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
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r `fit
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ter
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tndwa ter. S(pnding Water.iJ{the,Ho ;
pang Pi(Face
p
ea Seasonal High Ground'Wap.
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