Lot 4 & 5 Site Suitability uC
Depth of Naturally Occur-mg Pervious Matenal
Does at least four feet of naturally occurring pervious rm tenal exist mall areas observed throughout the area proposed for the soil
absorption system?
If yes,what is the depth of naturally occurring pervious tatenal?
If not,what is the depth of naturally occurring pervious r aterial?
Ort-Site Review
Deep Date: t�tau Le. Weather:Cool&Overcast
Location(identify on site plan): /' /
Land Use/Vegetation:Lawn/grass Slope(o). Surface Stones. none
landform:
Position of Landscape:
Distance from:
Open Water Body
Possible Wet Area
Drinking Water Well
Fee.
Fea
Feci
Drainageway
Property Line
Other
T.P. t-I
Feet
Feet
Feet
DEEP OESERVATION HOLE LOG
Depth from
Surface
(inches)
Soil
Horizon
Soft Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other(Structure,Stones,Boulders,
Consistency, V.Gravel)
° /p '/
6' V
Z7-3` ,
, "
34 ;c
i3w
G
(Q39'
/O!(
(7,
U-l/o "
/ -J//
y '_
A
94/
�I
SC
is
i 5
56
a
Parent Material(geologic) /�-
Denth to Groundwater: Standing ter in the Hole:
r
Estimated Seasonal High Ground 7 e >3'/can
Depth to Bedrock: > // 50 '/�
Weeping from Pit Fa e: 56. el
V
BOARD OF HEALTH
• MEMBERS
JAY FLEITMAN,M.D.,ACTING CHAIR
SUZANNE SMITH.M.D.
DONNA C.SALLOOM
DIRECTOR OF PUSUC HEALTH
XANTHI SCRIMOEOUR,MHEd,CHES,
(413)587-1214
FM(413)587-1221
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH le
TG' �Si/ / �`//gee died, Ades , Jed
•Site Sui lit4 for On-Site Seuralq Disposal
212 MAIN STREET
R7HAMPTON,MA 01060
Project Number ,/ ...�. . ../
Performed by:
Health Inspector.
/ Site//pdddress
&,t/? LLr (/,��//✓cr y
New Construction?'
Date'. 7/%U 11/
Equipment Ogyerator:
Client Name&Address
W, //1/46.71/1_ A'fl
7;
Repair
Office Review
Published Soil Survey Available: No 'J
Year Published Publication Scale
Surficial Geologic Report Available: No 0
Year Published Publication Scale
Flood Insurance Rate Map:
Above 500 year flood boundary❑
Wetland Area:
National Wetland Invetory Map(Map Unit)
Current Water Resource Conditions(USGS):
Range: Above Normal 0
Other References Reviewed:
Yes ?
Soil Map Unit
Yes 3
Geologic Material(Map Unit) Landform
Drainage Class Soil Limitations
Within 500 year flood boundary 7
Month
Normal 0
Within 100 year flood boundary 7
Wetlands Conservacy Program Map(Map Unit)
Below Normal O
reccvuuvn_ .... .»...-.-
Pere 1-1 VD
Time
Meaytrement
Time
Measurement
n�/ /J
Begin Saturation /7-J
er
rr(„49,
Begin Saturation
End Saturation
. ,N
End Saturation
9".depth
Measurement
9"depth
Measurement
6 depth
Measurement
_
6"depth
Measurement
Elapsed Time
Elapsed Time
Percolation Rate <2 mut id
Bottom of Percolation Test Hole:
Bottom of Percolation Test Hole:
Method Used
Depth observed standing on observation hole> ❑ Depth weeping from side of observation hole _inches
❑ Depth to soil mottles inches ❑ Ground water adjustment inches.
Index Well Number Reading Date
Index well level
Depth of Naturally Occunnu Pervious Matenal
Does at least four feet of naturally occurring pervious m:terial exist in all areas observed throughout the area proposed for the soil
absorption system?
If yes,what is the depth of naturally occurring pervious i uterial?
If not,what is the depth of naturally occurring pervious r raterial?
On-Site Review
Deep Hole Number: 'C 1 Date: T " Tine. Weather:Cool&Overcast j.
Location(identify on site plan): / �
Land Use/Vegetation: L awn/grass ! - 4- Slope(%): Surface Stones: none
Landform:
Position of Landscape:
Distance from:
Open Water Body
Possible Wet Area
Drinking Water Well
Fes.
Pea
Fed
Drainageway
Property Line
Other
T.P.# 1-1
Feet
Feet
Feet
DEEP OESERVATION HOLE LOG
Depth from
Surface
(Inches)
Soil
Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other(Structure,Stones,Boulders,
Consistency, % Gravel)
(0
lJ p
G
G
ir jz
3L i I b
oaLi
J� 30
1-1-;10
C ;f
/,.
A
J�
! 1
l
c
S
VJyr 3/S
; =l3
,ate,
0. rli "
(cam-r ` ` /07)./!35
oi
Parent Material(geologic)
Depth to Groundwater'. Standing Water in the Hole: /
Estimated Seasonal High Ground Water .) 3 ,yN
Depth to Bedrock >
Weeping from Pit Face: -O
BOARD OF HEALTH
MEMBERS
JAY FLEITMAN,M.D.,ACTING CHAIR
SUZANNE SMITH,M.D.
DONNA C.SALLOOM
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
DIRECTOR OFPUBUC HEALTH OFFICE OF THE
XANTHI SCRIMGEOUR,MHEd,CHES, BOARD OF HEALTH
(413)567-1214
FAX(413)687-1221
Project Number ,
Performed byh�<�•
Health Inspector.
0/ 5
212 MAIN STREET
NORTHAMPTON,MA 01060
borp a 4 %V/esc,A 4 /o/s tog
Site Suitability for On-Site Sewage Disposal
Date'. etf�li� it
Equipm tOp rator:
Site Address
New Construction
//�
��// Client Na/me&Address
A i riA stn A-/ -0 re
7/ at,JNk /mv
Repair Ain
Office Review
Published Soil Survey Available: No 0 Yes 0
Year Published Publication Scale Soil Map Unit Drainage Class Soil Limitations
Surficial Geologic Report Available: No 0 Yes ❑
Year Published • Publication Scale Geologic Material(Map Unit) Landfonn
Flood Insurance Rate Map:
Above 500 year flood boundary❑ Within 500 year flood boundary ❑ Within 100 year flood boundary ❑
Wetland Area:
National Wetland Invetory Map(Map Unit) Wetlands Conservacy Program Map(Map Unit)
Current Water Resource Conditions(USGS): Month
Range: Above Normal 0 Normal ❑
Other References Reviewed:
Below Normal 0
Percolation Rate <2 mud. 'in
Bottom of Percolation Test Hole:
Bottom of Perelation Test Hole:
--De(erm9ationf rS aFN'°t'-W+1R Tible
Method Used
Depth observed standing on observation hole> ❑ Depth weeping from side of observation hole _inches
❑ Ground water adjustment inches.
❑ Depth to soil mottles inches
Index Well Number
Reading Date Index well level
Pere 1-1 Jid ,�r+-
Time
Measurement
Time
Measurement
MPP
Begin Saturation (/te'e.
Begin Saturation
y4nn.c)
/
End Saturation
51".dwelt
Measurement
Moasurement
.Yl
9 depth
Measurcmem
urement
6 depth
Measurement
\
6"depth
Measurement
Elapsed Time
\
laps6:ed Time
9
Percolation Rate <2 mud. 'in
Bottom of Percolation Test Hole:
Bottom of Perelation Test Hole:
--De(erm9ationf rS aFN'°t'-W+1R Tible
Method Used
Depth observed standing on observation hole> ❑ Depth weeping from side of observation hole _inches
❑ Ground water adjustment inches.
❑ Depth to soil mottles inches
Index Well Number
Reading Date Index well level