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NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Address t)n et,'CLA4- U,/
Lot #
444 OM— P B
Owner �.i' [!wn / +a-
Enginee anrtarian
L
Pert R min/in
Depth to water
C74.
min/in
min/in
a ID'
min/in
3
s
3
op
ea -i-ofvvvt4424L.
Sketch of Lot w/ Location of Test Holes
Witness Fee
tnessed
Y
174/
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Perc Rate
min/in
Depth to water
min/in
min/in
L min/in
all 7tprei / V� s,%� SQJ'
be AV _rd ILL J a.A sysleW
Sketch of Lot w/ Location of Test Holes
cfint
Witness Fee Witnessed by
Deep Hole Number: R
Location(identify on site plan):
Land Use
Landform:
Distance from:
Date: 2
Vegetation.
Position of Landscape:
Open Water Body
Possible Wet Area
Drinking Water Well
Time: Weather:
Slope(%)-
Surface Stones:
Feet Drainageway
Feet Property Line
Feet Other
Feet
Feet
Feet
TP
OBSERVATION HOLE LOG
DEEP
Depth from
Surface
(Inches)
Soil
Horizon
Soil Texture
(USDA)
Soil Color
(MnnseH)
Soil
Mottfmg
Other(Structure,Stones,Boulders,
Consistency,%Gravel)
Parent Material(geologic)
Depth to Groundwater: Standing
-i
�" �i - - - e/
Water in the Hole: Depth to Bedrock: > 70 _6
High Ground Water: `// Weeping from Pit Pace.
Estimated Seasonal
TT
DEEP OBSERVATION HOLE LOG
Depth from
Surface
(Inches)
Soil
Horizon
Soil Texture
(USDA)
Sod Color
(Munsell)
Soil
Mottling
Other(Structure,Stones,Boulders,
Consistency, % Gravel)
—t
L
Parent Material(geologic)
Deoth to Groundwater Standing Water in the Hole: Depth to Bedrock
Estimated Seasonal High Ground Water: Weeping from Pit Face:
Certification: 1 certify that in November 1994. I passed the soil evaluator examination approved by the Department of Environmental
Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in
310 CMR 15.017. Mass.Soil flat Approval No.5E1543
Signature:
Peter J. McErlain
Date:
oC
Project Number:
Performed by:
Health Inspe xor_
NORTHAMPTON BOARD OF HEALTH
212 MAIN ST. , NORTHAMPTON, MA 01060
TEL; 413-587-1213
Site Suitability {or On-Site Sewage Disposal
Site Address
I.
j .. 'J,.^-✓--. .
NewConsaemioa
Date: • f•
Equipment Operator: ,
Client Name&Address
Office Review
Published Soil Survey Available: No it
Year Published Publication Scale
Surflcial Geologic Report Available: No x
Year Published Publication Gale
Flood Insurance Rate Map:
Above 500 year flood boundary it
Wetland Area:
National Wetland Invetory Map(Map Unit)
Current Water Resource Conditions(USGS):
Range: Above Nobel x Normal it
Other References Reviewed:
Yes 7t
Soil Map Unit
Yes x
Ge k gir Material
Within 500 year flood boundary it
Month
Drainage Class Soil Limitations
(Map Unit) langhlorm
Within 100 year flood boundary it
Wetlands Conservacy Program Map(Map Unit)
Below Normal ,
•
%ti's'- -/I11 '
Time
Measurement
Time
Measurement
Begin Saturation
1 l 5
I
Bean Saturation
End Saturation
I C1 ; 2 (j
End Saturation
9"depth
Measurement
C , _
1 °
9"depth
Measurement
6"depth
Measurement
r �,'C
6"depth
Measurement
Elapsed Time
9-to 6
%
Elapsed Time
9"to 6"
reolanon Rate - --
Bottom of Percolation Test Hole: ', 'j
Method Used
❑ Depth observed standing on observation hole!inches ❑ 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
Adjustment factor Adjusted ground water level
Percolation Rate:
Bottom of Percolation Test Hole:
Determination for Seasonal Binh Water Table
Depth of Naturally Occurina Pervious Material
Does at least four feet of naturally occurring pervious material east in all areas observed throughout the area proposed for the soil
absorption system?
If yes,what is the depth of naturally occurring pervious material? TP+ TP'-
If not,what is the depth of naturally occurring pervious rnateral" TPX , TP _
On-Site Review
T.P. A