Title 5 Perc Test Documents, Unlabeled Locations, 1995-2001 v' /
-21 , -fu
0 I „ ;,;2
1
OnJife Review
/Location Address or Lot#
nnM 1 ---r
Deep Hole Number I i Date
,/[V, i��
Le I k (n I Time /(� '(2j 4-n I Weather I Cf22..0 SD i
Location(identify on site plan)
Soil
Mottling
Land Use
}_..,rk----- I slope(%) I -3,9)-2,_, I Surface Stones I M c
Vegetation
5d--
,C<,
FL5
Landform
'/.Q�.
Position on Landscape(sketch on the back)
I
Distances from:
Open Water Body
feet
Drinking Water Well
/(.r' feet
Property Line
feet
Possible Wet Area
feet
Drainage Way
feet
Other
feet
DEEP OBSERVATION HOLE LOG*
Deep Hole#: /— I AMINILWM OF TWO HOLES REWIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sol Horizon
Soil Texture
(USDA)
Sal Color
(Murrell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
l)_ 6
A
C
5d--
,C<,
FL5
/° h ..73
lo,., 5/,
as'ly/`• y
ly
j
ray Ili . 4
. :.; E (6__
j,ri/ a/5
j
,�2s) ( i-t-1-Q
I DryUto Bedrock l
ParenDepthto
groundwater
Depth bpmundwater Standing Water li the Hole
_L
" A/LI ilk., I Weeping from Pit Face I q///av%-
Esttrreted Seasonal High Ground Water
r ( 'S J
DEEP OBSERVATION HOLE LOG`
Deep Hole#: 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Indies)
Soil Horizon
Soil Texture
(USDA)
Sri Color
(Munsell)
Soil
Mottrnn
Other
(Structure,Stones,Boulders,Con sistency,%Gravel)
2(P- 114>
Af
I,
}
/
� ��
10 J�, 1/b
°� C �
E��
5 �l�
I
/�<>If
ray Ili . 4
. :.; E (6__
Parent Malrial(geologic) I I Depth to Bedrock
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face
Estimated Seasonal High Ground Water
Location Address or Lot No.
FORM 12 - PERCOLATION TEST
COMMONWEALTH OF MASSACHUSETTS
, Massachusetts
* Minimum of 1 percolation test must be performed in both the primary area AND
reserve ar
Site Passed Site Failed ❑
Performed By:
Witnessed By:
Comments. .....
DEP APPROVED FORM-12/07195
Percolation Test`
Date: 4117IS(! Time: ..
Observation Hole #
1 ` /
Depth of Perc
ig it
Start Pre-soak
/0
End Pre-soak
ld ; 33
Time at 12"
/0 r 3;
30
Time at 9"
I Q , 43
- C
Time at 6"
Y
i
1
°
r u
is 53
tI .1 0 1
Time (9"-6"1
6.5 fry-
Rate Min./Inch
IS/ _
* Minimum of 1 percolation test must be performed in both the primary area AND
reserve ar
Site Passed Site Failed ❑
Performed By:
Witnessed By:
Comments. .....
DEP APPROVED FORM-12/07195
Prepared For:
Location:
PROPOSED DOMESTIC SUBSURFACE DISPOSAL SYSTEM DESIGN
LnweiL /va zzon
Norf%i n•nr Road No , 1-A any,
Number of Bedrooms: 4 Garbage Disposal: y'm
LEACH AREA DESIGN
4 Bedrooms x 2 persons/bedroom = 9 persons
8 Persons x 55 gallons of wastewater/person/day = 4t4/0 total gallons of
wastewater/day.
Percolation Rate: 2. 6 min/inch
Gallon of wastewater/square feet of leach area for a Percolation Rate of:
2. 0 min/inch = " Gal/SF Sidewall Area
/. 0 Gal/SF Bottom Area
* If a leach bed is to be installed, no sidewall is allowed.
* If percolation rate exceeds 20 min/inch, no bottom area is allowed.
- SEPTIC TANK -
* WITHOUT GARBAGE DISPOSAL:
Gallons of wastewater/day x 150% =
capacity or septic tank.
REQUIRED effective liquid
RECOMMENDED: Septic Tank
* In no case will the septic tank be less than 1,000 gallons (effective liquid capacity;
** WITH GARBAGE DISPOSAL:
Rio Gallons of wastewater/day x 200'%. _
capacity of septic tank.
RECOMMENDED: /SOO Septic Tank
$ S O
REQUIRED effective liquid
** In no case will the septic tank be less than L, 500 gallons (effective liquid capacir
-AfAtPR pHI '\TI FY. (R,.. & ASSOCIATES. INC.
LEACHING PIT DESIGN
Precast Pit Used: /O ' Long x S Wide x 2 ' Effective Depth
Using 4{10 " of stone all around and 6 " of stone under pit.
SIDEWALL AREA:
/8 ' Long x 2• S ' Effective Depth x 2 Sides = 90 SF
/3 ' Wide x 2..f • Effective Depth x 2 Sides = GS- SF
Total of /SS SF (Sidewall Area) x
2 S Gal/SF = 387 Gal/Pit (Sidewall).
30TTOM ARIA:
/5 Long x /3 ' Wide = Z34 SF
3.3 6/ SF (3o[tom Area) x
/. 0 Gal/SF = 23 9 ' Gal/Pit (3otcom)
357
2391
Cal/Pit (Sidewall)
Gal/Pit (Bottom)
6 2/ TOTAL Gal/Pit (Designed)
* Without Garbage Disposal:
Total Gal/Day (REQUIRED)
ENO Gal/Day (Daily Flow) = G G0 Gal/Pit
* With Garbage Disposal: 1.5 x (REQUIRED)
Pit(s)
Using 460 Gal/Day (Daily Flow) : 6,2/
Gal/Pic =
•
AMTC.." •4L[ WOQK W/CL BE LLul/E /4/ AKDFLWE WITH THE STATE EN✓/RONt-IENTAL
soar/.vC
�05ED /3 TO
EOPE 7,/,/,44/ewe SFFOGCf O/ OP DRY WELL APE E6/W
DEPTH OF 7-NE- rate S CTNE
P/T, /V1/GREYER /3
GREAEEA.
GREATEST EFFECT/YE MYD TN OR
ALMER HUNTLEY, JR. a ASSOCIATES , INC.
REGISTERED LAND SURJEYORS I. CIVIL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON , MASS .
' ALMER HUNTLEY, JR. & ASSOCIATES, INC.
Successors to Davis Engineering Co. Established 1870
Registered Land Surveyors & Civil Engineers
Board of Health
City Hall
Northampton, Mass.
Attentions Mr. Robert Landon
Dear Mr. Langdon;
30 CRAFTS AVE., NORTHAMPTON, MASS.
TEL. (413) 584-7444
March 31, 1967
I have made an inspection of the soil on a parcel of land located on the easterly
side of North Farms Road slightly north of the road leading to Harold Fitzgerald's
pond and the Mindagus Park area.
This site comprises of approximately 18 acres of land and is to be purchased by
Mr. Donald Warburton of 62 Acre Brook Drive, Florence.
Mr. Warburton indicated to me where he desired to place his proposed dwelling and
where he would like to have Fis septic tank and leaching field or bed placed. At
this location, I found the following soil conditions' a" to 6" loam and humus;
6" to 24" saturated brown clay; 24" to 36" very coarse to coarse sand mixed with
silt and clay with water passing through it; depth to ground water is 24".
Mr. Warburton proposed to place his house almost on top of the ground at this
location and to fill in around it. He then proposes to place the septic tank and
leaching field in the filled area to the front of the house. The house will set
back approximately 725' from North Farms Road.
It is my opinion that if a permit is granted to this site based on the following
recommendations that extreme care be used in the construction of the proposed
sewage disposal facilities.
To construct a facility at this location, I would suggest the followings Completely
strip off the top soil and the over burden of clay to the coarse to medium sand
strada. I would then fill this area to a minimum depth of 4' above the sand strode
with a clean very coarse sand or a clean gravel. Please note that any type of bank
run gravel will not suffice, it must be a clean gravel with very little silt or clay
in it. I would then construct in the usual manner a leaching bed of approximately
650 square feet. This of course can be made larger or smaller if you so desire.
The clay that was excavated from this site should then be brought in around the
edges of this bed and throughly compacted to form a dike type of construction so
that the water in the leaching bed will go down through the 4' of coarse sand or
gravel into the coarse sand strada which lies below and will not bleed out of either
side or on the ends and thus cause a nuisance. The area can than be loamed and
seeded over in the usual manner with the minimum of 18" of cover over the disposal
pipes as prescribed in the sanitary code.
I feel that this type of situation will probably work provided that construction is
performed and very ridgidly inspected. If you have any questions regarding this,
please do not hesitate to call me.
Very truly yours,
Almer Huntley, Jr.
Registered Sanitarian
ALMER HUNTLEY, JR. & ASSOCIATES, INC.
Successors to Davis Engineering Co. Established 1870
Registered Land Surveyors & Civil Engineers
30 CRAFTS AVE, NORTHAMPTON, MASS.
TEL. (413) 584-7444
April 14, 1967
Board of Health
City Hall
Northampton, Mess.
Gentlemen:
I have made a percolation test on land belonging to John Vollinger located
on the westerly side of North Farms Road. This test was performed for a pro-
posed new dwelling approximately 250' southerly of Mr. Vollinger's present farm
house.
Because of the nature of the soil in this area, it is my opinion that a
large leaching field must be constructed. The material involved is a grey gla-
cial till with a percolation rate of 1" in 20 minutes.
Mr. Vollinger is to live in this house with his daughter making a population
of two. With this in mind, I would recommend a 900 gallon septic tank with a
minimum leaching field area of 450 square feet.
If you have any questions regarding the above, please do not hesitate to
call me.
Very truly yours,
I
/a .����1
Almer Huntley, Jr.
Registered Sanitarian
AHi ss
Enclosure
cc: Mr. Vollinger
PROPOSED DOMESTIC SUBSURFACE DISPOSAL SYSTEM DESIGN
/ pi L A M Q-
Prepared For: Ro6ea7 CrJitOe
Location:
Nomrh Forms Rood/ N ' Ton
Number of Bedrooms:
3
Garbage Disposal:
Yes
LEACH AREA DESIGN
3 Bedrooms x 2 persons/bedroom = 6 persons
4 Persons x 55 gallons of wastewater/person/day 3.3C) total gallons of
wastewater/day.
Percolation Rate: /2• 40 min/inch
Gallon of wastewater/square feet of leach area for a Percolation Rate of:
/?- (e
min/inch = 0. 83 Gal/SF Sidewall Area
O449 Gal/SF Bottom Area
* If a leach bed is to be installed, no sidewall is allowed.
* If percolation rate exceeds 20 min/inch, no bottom area is allowed.
- SEPTIC TANK -
* WITHOUT GARBAGE DISPOSAL:
Gallons of wastewater/day x 150% = REQUIRED effective liquid
capacity of septic tank.
RECOMMENDED: Septic Tank
* In no case will the septic tank be less than 1,000 gallons (effective liquid capacity
** WITH GARBAGE DISPOSAL:
330 Gallons of wastewater/day x 200% _ 444, REQUIRED effective liquid
capacity of septic tank.
RECOMMENDED: /COO
Septic Tank
** In no case will the septic tank be less than 1,500 gallons (effective liquid capacit
‘ , vfcp tlf -Na FY Ift & ASSOC [-AtF . I\C
LEACHING PIT DESIGN
Precast Pit Used: /O.O ' Long x f O ' Wide x 2 .0 ' Effective Depth
Using 4.0 ' of stone all around and he, ' of stone under pit.
SIDEWALL AREA:
$' Long x 3. 0 ' Effective Depth x 2 Sides = /05 SF
/3 ' Wide x 3. O ' Effective Depth x 2 Sides = %6 SF
Total of / 6v
BOTTOM AREA:
/3 ' Long x /3
SF (Sidewall Area) x 0. 63 Gal/SF = /S 14 Gal/Pit (Sidewall)
' Wide = 234i SF
223 SF (Bottom Area) x (2. 49 Gal/SF = /13' Gal/Pit (Bottom)
* Without Garbage Disposal:
4r S/
Gal/Pit (Sidewall)
//,r Gal/Pit (Bottom)
249
* With Garbage Disposal: 1.5 x
TOTAL Gal/Pit (Designed)
Total Gal/Day (REQUIRED)
3.3 O Gal/Day (Daily Flow) _ 4/9J Gal/Pit
(REQUIRED)
Using 549f Gal/Day (Daily Flow) ; z49 Gal/Pit = Z Pit(s)
ALMER HUNTLEY, JR., & ASSOCIATES, INC.
pEEC45r
ter��ZL
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ElL 0C1.41154C
CO✓ER G/w'f
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414(1.� '/Ain'
/0'- 0"
ELL-1/41 T/D/U
MITE •AZL WORK W/LL dE LLU/E /.f/ 4CCOP12.4WE WITH THE 57ITE ENV/RONF4ENTAL
• CODE - 7/7LE S SFFp•4GE P/F QP O.PY WELL .4.PE 'w'
SP.SI,UG wie ,U MOPE TNA.0 OVF
USED 19 r0 SC7W.rE THE GREATEST EFFECT/YE I✓/OTH OR DEPTH OF THE
PIT, IVH/CHEYER /3
GREATER.
ALMER HUNTLEY, JR. Q ASSOCIATES , INC
REGISTERED LAND SUR JEYORS L CIVIL ENGINEERS
125 PLEASANT STREET
NORTHAMPTON , MASS .
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Address
Lot #
Date
Owner Engineer/Sanitarian
Perc Rate
min/in
Depth to water 2±,L,
min/in
min/in
min/in
Sketch of Lot w/ Location of Test Holes
$
Witness Fee
y
Witnessed by
J
s
s: ', ' 5 / .
r3
3- > , Sig
s , (0 i %S
/ ' '
Address
c
Owner
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Lot lb
v/ /fy
Date
o ,
Engineer/Sanffarigh Excavator
Pere Rate 34 min/in
Depth to water 5 /C-1 b
HD
min/in
min/in
min/in
Sketch of Lot w/ Location of Test Holes
$ It
Witness Fee
Witnessed by
II
I
,./ it
3/
Q
Address
Owner
NORTHAMPTON BOARD OF HEALTH
PERCOLATION TEST DATA
Lot #
�/Engineer/Sa [arian
5l;741
Date
Perc Rate 3gV min/in
Depth to water
min/in
min/in
min/in
Sketch of Lot w/ Location of Test Holes
Witness Fee
Witnessed
NORTHAMPTON BOARD of HEALTH- Title 5-
Location Address or Lot ✓ • sc-. • Owner iv,
rtCWUN t WY MI CYCRI IRLIrLIOW UlartMAL Alfte
Date 6-/
7
Time
1
Owners
Address
j
t c %0-c_ J
Engineer I
Weather
Phone#
Land Use
7 �1
%Slope
Surface Stones
Landform
V •etation Start Time //,do /a N
Position on Landscape(Sketch
Open Water Body
cntheback)
feet
Distances
Drinking Water Well
Stop Time / '(rD /1:
feet Property Line feet
Possible Wet Area
feet
Drainage Way
_
feet Other feet
DEEP OBSERVATION HOLE LOG`
it-
Parent Mabial(geologic) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole I Weeping from Pit Face
Esti mated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
---r••-•-^ MIWMUM Ur mu RQLESREQWREDATE#ERYPROPOSED DISPOSAL AREA
Depth from Soil Horizon Sol Texture Sol Color Sol
Surface(Inches) Otter
(USDA) (Memel) Molting (Stricture,Stones,Boulders.Consistency.%Gme)
(7 A
i•
•; �.
�(a v�-- .;
li r
Parent Mahal(gedogc) I I Dent,to Bedrock I
Depth to groundwater. Standing Water in the Hole I Weeping from Pd Face
Estimated Seasonal High Gmund Water
rtCWUN t WY MI CYCRI IRLIrLIOW UlartMAL Alfte
Depth from S
Sol Horizon S
Sod Tete S
SW Color S
Sol O
Other
rI
J
� n �
� . � 7
7 �1
�r,-°L d
DEEP OBSERVATION HOLE LOG'
---r••-•-^ MIWMUM Ur mu RQLESREQWREDATE#ERYPROPOSED DISPOSAL AREA
Depth from Soil Horizon Sol Texture Sol Color Sol
Surface(Inches) Otter
(USDA) (Memel) Molting (Stricture,Stones,Boulders.Consistency.%Gme)
(7 A
i•
•; �.
�(a v�-- .;
li r
Parent Mahal(gedogc) I I Dent,to Bedrock I
Depth to groundwater. Standing Water in the Hole I Weeping from Pd Face
Estimated Seasonal High Gmund Water
S
[T,iait@1; vt1 .>4 ' o1. 1r5!
/2r f I
PERCOLATION TEST(S)
Time: I J lime: 1
Observation Hole #1 Observation Hole #2
Depth of Perc 36 k Depth of Perc /
Start Pre-soak —) ,, /y Start Pre-soak 7V'�
Li 7
End Pre-soak , ; End Pre-soak 3 go i / /3 ki----
Time at 12" — Time at 12'
- ', S5 3 , -f0 to
Time at 9' a Time at 9" I '
Time at 6" ' Time at 6"I 0(--0 L S v
Time(9"—6") 3// ✓. Time(9"—6') L y-/ 3
Rate Min./Inch Rate Min./Inch
.2 >�I
/62 Vv"I (,—
*minimum or 1 percolation test must be performed in both the primary area AND reserve area. [
Performed by I Performed by
Witnessed by Witnessed by _
Comments:
Location Address or Lot#
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Owner
Deep Hole#:
•
DEEP OBSERVATION HOLE LOG*
—.mu..uti:try n vtea ncuUIRGDATEVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Indies)
Date
Li/(1//
Time
Deep Hole#:
Owner's
Address
'- ?7
Engineer
i
io ' n f
I
, . _.
Weather
Phone
Land Use
Sal Horizon
%Slope
Surface Stones
Soi
Mowing
Landform
(Structure.Sores,BaMetsgCons'¢t¢nay,%Grew
V-!etatton Siert Time /// „9
Position en Landscape(
Open Water Body
toll on the back)
feet
Distances
Drinking Water Well
Stop Time
feet
Property Line
feet
Possible Wet Area
feel
Drainage Way
feet
Other
feet
I
Weeping from Pit Face
Deep Hole#:
•
DEEP OBSERVATION HOLE LOG*
—.mu..uti:try n vtea ncuUIRGDATEVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Indies)
Soil Hovixl
Texture
USDA)
Sal Color
(Munsen))
Deep Hole#:
1
'- ?7
DEEP OBSERVATION HOLE LOG`
*MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
io ' n f
I
, . _.
it
Depth from
Sal Horizon
Soil Texture
Soi Color
Soi
Mowing
l
(Structure.Sores,BaMetsgCons'¢t¢nay,%Grew
� - -
-.
1
i
l'
I I
�-!_/. ��_ // r--1
�°
atra
Parent M ,(geologic) 1 I Depth to Bedrock
Depth to groundwater. Standing Water in the Hole I
I
Weeping from Pit Face
Estimated Seasonal High Ground Water
^iti' b
Deep Hole#:
•
DEEP OBSERVATION HOLE LOG*
—.mu..uti:try n vtea ncuUIRGDATEVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Indies)
Soil Hovixl
Texture
USDA)
Sal Color
(Munsen))
Sod
Mott q
Other
(Structure,Stones,Boulders.Consistency,%Grew
io ' n f
I
, . _.
it
Parent Maial(geologi) I I . .i to Bedrock
I to.mundwaler.
.r Stand .Water b she Hole
Estimated Seasonal
-Weeping from Pd Face I .
High Ground Water
l
PERCOLATION TEST(S)
Time: Time: j
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
Start Pre-soak Start Pre-soak
End Pre-soak End Pre-soak
Time at 12" Time at 12"
Time at 9" Time at 9"
Time at 6' Time at 6"
Time(9"—6') Time(9"—6")
Rate Min/Inch Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
• + _... r • • `.. •
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Owner
Date i ,.
Time
Sod Horizon
Address
t
Engineer I
Weather
Phone ft I
Land Use
(Structure,Stones
%Slope
Surface Stones
Landform
Depth to groundwater Standvg Water in the Hole
V-atation
„tart ime
Pwitionn Landscape(s onthehack)
Distances
Drinking Water Well
Slop Time
feet
I
Open Water Body
feet
Property Line ,
feet
Possible Wet Area
feet
Drainage Way
_ feet
Other
feet
DEEP OBSERVATION HOLE LOG`
Deep Hole it MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sod Horizon
Sol Tate
(USDA)
Soa Color
(Moser)
Sod
Montag
Other
(Structure,Stones,Boulders.Consistency,%Graven
f
� J
(Structure,Stones
Other
Parent Matiial(geologic) I I Depth to Bedrock 1
Depth to groundwater Standvg Water in the Hole
I Weeping from Pit Face 1 3y
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
•
--- •....-^•
MINIMUM Ur IWV HL ±SHEQUIREDATEVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sal Hodmn
San Terhae
(USDA)
Sd Cob'
(Maser
Sod
MotEg
(Structure,Stones
Other
Parent Mahial(geologic) I 1 r..., to Ben
I
Depth to groundwater Standbg Water in the Hde
Weeping from Pd Face
Estimated Seasonal High Ground Water
11
PERCOLATION TEST(S)
Time: I lime:
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
Start Pre-soak Start Pre-soak
End Pre-soak End Pre-soak
Time at 12° Time at 12°
Time at 9' Time at 9°
Time at 6° Time at 6"
Time(9'—6°) Time(9"—6°)
Rate Min/Inch Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
- -
�, --_ Ns J w QtA 3 �w V A-47/�
Date
S��il /41
Time
Sol Texture
(USDA)
Owner's
Address
( /
I
Engineer
I
Tt1W
Weather
Phone p
Land Use
/ J ..a ,. ;
l
IU `%` S/i//
t
zz
/D151/
%Slope
Surface Stones
Landform
//G I Weeping gam Pit Face I
V=!etatlon
Start Time
faixtape(.sketdi on the badJ
Distances
Drinking Water Well
Stop Time
Open Water Body
feet
feet Property Line
feet
Possible Wet Area
feet
Drainage Way
feet Other
feet
•
DEEP OBSERVATION HOLE LOG*
- r
—,.......m%or I..v nvaca HCwma Al evens PHUPU.Ito DISPOSAL AREA
Depth from
' Surface(Inches)
Sol Hainan
Sol Texture
(USDA)
Sod Color
(��
Sal
Muffing
Other
(Sbucture,Stones,Boukbrs,Consistency,X GreueQ
Tt1W
1
�
Ir
p
/ J ..a ,. ;
l
IU `%` S/i//
t
zz
/D151/
V
Parent Mahal(gecbgb) I I Depth to Bedrock I
Depth to groundwater Standing Water in the Hole
//G I Weeping gam Pit Face I
Estimated Seasonal High Ground Water
/r"
DEEP OBSERVATION HOLE LOG*
•
--
wroseum ur I WV twin REQUREDATEVERYPROPOSED DISPOSAL AREA
Depot from
Surface(Inches)
Sod Homo
Sol Texture
(USDA)
Sod Cobr -
(Mussed)
- Sol
Molting
Other
(Structure.Stones.Boulders.Consistency,X Gravel)
— 9
p
U "A j'l CI(/)_.
/
Parent Mahial{geo$ogbl I 1 Depth to Bedrock
I
Depth b groundwater Standing Water in the Hole
1
.Weeping from Pit Face
1
Estimated Seasonal High Ground Water
1 -'
cf-'= I ' !' /0 I
PERCOLATION TEST(S)
Time: I II Time: I
Observation Hole #1 Observation Hole #2
Depth of Perc ' `/ Depth of Pere U
Start Pre-soak /I ? Start Pre-soak / •�1 `
O/ ? 1( cU
"
End Pre-soak �� End Pre-soak C> ,�
Time at 12" Time at 12" Y 'K
/ Time at9° Time at9" `I [H I
VTime at 6" Time at 6" 3 1 LI U IN--
Time(9'—6') lime(9'-6") / ,C5
Rate Min/Inch 10\I, \h'N \ Rate Min/Inch 5
-minimum of 1 percolation test must be performed in both the primary area AND reserve area
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHAMPTON BOARD of HEALTH- Title S-
Location Address or Lot# ,/ Owner
Date
Time
Sol Tevbte
(USDA)
Owner's
Address
Soi
Mottling
Engineer I
Weather Phone#
Land Use
Other
(Shan,Sbcs•Boulders,Consetenq•.%Gravel)
%Slope
I Surface Stones
Landform
Parent Mabel(geologic) I I Drythb Bedrock
V 'etation Start Time
PCMboio lint ®pe(sketh
Open Water Body
on be back)
feet
Distances
Drinking Water Weil
Stop Time
feet Property Line
feet
Possible Wet Area
feel
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG*
Deep Hole#: " 'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Son Horizon
Pi
Sol Tevbte
(USDA)
Sod Color
(Morsel)
Soi
Mottling
Ober
(SVOChua Stones,Boulders,Consistency.%Gavel)
Soi Color. ...
(Mimsd)
- Soi
Molting
Other
(Shan,Sbcs•Boulders,Consetenq•.%Gravel)
Parent Mabel(geologic) I I Drythb Bedrock
Depth to groundwater SbnGmq Water in the Hole
I Weeping from Pit Face
Estimated Seasonal High Ground Water
DEEP OBSERVATION HOLE LOG'
---r•.
mummy a(Jr
IWL i nutt5HtQUIREU Al-EVERY
PROPOSED DISPOSAL AREA
Depth from
Surface(Inches)
Sol Hors=
Sol Tune
(USDA)
Soi Color. ...
(Mimsd)
- Soi
Molting
Other
(Shan,Sbcs•Boulders,Consetenq•.%Gravel)
ihbo gramdv2b: Sbnrdg Water in be Hob
sbmated Seasonal High Gmud Water
Depth b Bedrock
f .Weepig nom Pi Face
_.._ I LflI HI
PERCOLATION TEST(S)
Time: Time:
Observation Hole #1 Observation Hole #2
Depth of Perc /{r, Depth of Perc
0"''- Start Pre-soak I rJ Start Pre-soak
End Pre-soak t End Pre-soak
• Time at 12" Time at 12°
Time at 9" Time at 9'
Time at 6° Time at 6"
Time(9"—6") Time(9'—6")
Rate Min./Inch Rate Min./Inch
'minimum of 1 percolation test must be performed in both the primary area AND reserve area.
Performed by I Performed by
Witnessed by Witnessed by
Comments:
.dtion Address or Lot#
Engineer I
Land Use
Landform
NORTHAMPTON BOARD of HEALTH- Title 5- Site Review
Time
Owner's
Address
Weather
Owner
Positron on Landscape(skeMh on the balk)
Open Water Body
Possible Wet Area
%Slope
V tetation
Surface Stones
Phone#
feet
feel
Distances
Drinking Water Well
Drainage Way
C'cr'Time
Stop Tore
feet Property Line
feet
Other
feet
feet
Deep Hole#: In
Depth from
Sudace(Indies)
Soil Raton
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOVL AREA
Sol Toshio
(USDA)
Sod Color
Sol
Matting
I
Parent Mehra!(geologic)
Depth to groundwater Stewing Water ill the Hole
Estimated Seasonal High Ground Water
Other
(Structure.Stones,Booklets.Consistency.%Gravel)
Depth b Bedrock I
Weeping from Pd Face
Deep Hole#:
Depth from
Surface(Inches)
Hommn
DEEP OBSERVATION HOLE LOG`
'MINIMUM OF TWO HOLES REQUIRED ATEVERYPROPOSED DISPOSAL AREA
d Te Mre
(USDA)
Mo
Parent Mahlal(geologic)
Depth to groundwater. Star* Water b the
Estimated Seasonal Hgh Ground Water
Other
(Structure Stones Bouden Consistency %Grave(
I
l
Lo Ihcll V 6)�<C 7i7 al€7i1 I
PERCOLATION TEST(S)
Time: I Time: I
Observation Hole #1 Observation Hole #2
n
Depth of Pere Depth of Pere
Start Pm-soak Start Pm-soak
End Presoak End Pm-soak I
I
Time at tT- Time at 12"
Time air „ Time at 9'
if r
Time att' , ;. Time at 6" -6%
Time(9'-6") �r Time(9"—6') (7 /
Rate Min./Inch ,( Rate Min./Inch
•min4num of 1 percolation test must be performed in both the p^rnary area AND reserve area. )
■ ■ '.` • •
Performed by I Performed by
Witnessed by Witnessed by
Comments:
NORTHA PTON BOARD of HEALTH- Tide 5- Site Review
Location Address or Lot#
Owner
Date /
Land Use
tandform
Poslbm on Landscape(sketch on the bad)
0.en Water Bod
Possible Wet Area
Dee. Hole#: /
Depth
Rare )
feet
feet
Sod Horizon
®
%Slo.e =- Phone#
Surface Stones
V station
Distances
Drinkin• Water Well
Dralna e W
Start Time
Stop Time Mina
feet Other� 1111111111101
DEEP OBSERVATION HOLE LOG*
'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Soi Texture
illaqinIEMMIESPIEMENI
SDA
Parent gum
l ... ..tc
., b.roundwater Ste j W-
Estimated Seasonal H",h Grourd Water
Dee Hole#:
Dept from
Surface nches
Parent
trial
DEEP OBSERVATION HOLE LOG`
'MINIMUM OF IWO HOLESREQUIRED AT EVERY PROPOSED DISPOSAL AREA
-- SW Wr
c
nb mundwabr. Stand Waerb Ne Hole
Estimated Seasonal H Ground Wafer
s
ill-,rriC.DrSfirriti wl1.si 571itTiI / , 76(. I\
r,.±_ 1 4 /Dr la I
PERCOLATION TEST(S)
I Time: I I Time: I I
Observation Hole #1 Observation Hole #2
Depth of Perc Depth of Perc
_./5
r Start Pre-soak i� -
�,,- Start Pre-soak / I , c) ,k _ -, '/
End Pre-soak End Pre-soak
Time at 12" Time at 12"
, Li Time at 9" Time at 9"
a Time at 6" Time at 6" �f V
Time(9'—6") Time(9"—6") , .f%
Rate Min./Inch Rate Min/Inch A
I 'minimum of I percolation test must be performed in both the primary area AND reserve a (
■ • 7 • •
IPerformed byy f I Performed by I I
Comments:
•