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52 Site Suitability 2013 Depth of Naturally Occuring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? • If yes,what is the depth of naturally occurring pervious r taterial? If not,what is the depth of naturally occurring pervious material? On-Site Review Deep Bole Number: Date: Tinie: Location(identify on site plan): Land UseNegetation:Lawdgrass Landform: Position of Landscape: Distance from: Open Water Body Possible Wet Area Drinking Water Well Depth from Surface (Inches) ay-1-15 -1i Soil Horizon A a GI CZ Slope(%): Fee: Feel Feel Weather:Cool &Overcast Drainageway Property Line Other Surface Stones: none DEEP OBSERVATION HOLE LOG Soil (Mansell) Mottling Soil Texture (USDA) Soil Color e , C2, Si . t asaC SH T.P.# 1-1 Feet Feet' Feet Other(Structure,Stones,Boulders, Consistency,%Gravel) E Std -c Ca...• •••,S Parent Material(geologic) Deoth to Groundwater: Standing Water in the Hole: Estimated Seasonal High Ground Water: > Depth to Bedrock: > Weeping from Pit Face: BOARD OF HEALTH MEMBERS JAY FLEITMAN,M.D.,ACTING CHAIR SUZANNE SMITH,M.D. DONNA C.SALLOOM DIRECTOR OF PUBLIC HEALTH XANTHI SCRIMGEOUR,MHEd,CHES, (413)587-1214 FAX(413)587-1221 CITY OF NORTHAMPTON MASSACHUSETTS 01060 OFFICE OF THE BOARD OF HEALTH pay,, CS- 7 (Jew co,is�i-ucri/.. on/ # 02T°, 1 OW VU ("Jew C (1 u Succeas4,3 LA Norle-•d Site Suitability for On-Site Sewage a IHs p osal to 212 MAIN STREET NORTHAMPTON,MA 01060 Project Number ( •Performed by.TM M '++.t,• 4 Health Inspector: r% D ,oh 1 Site Address i( I 14' Date: 7/1* /t 3 (N Equipment Operator: Ic1 Celiurc, x New Construction 0 Client Name &Address Repair y Office Review 'ublished Soil Survey Available: No 0 Year Published Publication Scale luricial Geologic Report Available: No 0 Year Published Publication Scale lood Insurance Rate Map: Above 500 year flood boundary 0 Within 500 year flood boundary 0 ✓etland Area: i 1 Yes 0 Soil Map Unit Yes 0 Geologic Material(Map Unit) Landform Drainage Class Soil Limitations National Wetland Invetory Map(Map Unit) urreat Water Resource Conditions(USGS): Range: Above Normal 0 ther References Reviewed: I., Zeta Month Normal 0 Within 100 year flood boundary 0 Wetlands Conservacy Program Map(Map Unit) Below Normal 0 Tc 1-i :gin Saturation id Saturation depth_ :asurement depth :asurement ipsed Time to 6" Percolation Test Results Time Measurement d ...-re_P Begin Saturation End Saturation Time 1�t C9n Measurement ,.a. 1 Oa 04-- 14.ord -Q-C" 9"depth Measurement rotation Rate <Imin.ra { tom of Percolation Test Hole: I�' °��'^' a.11o•at termination forSeasonatfiigk W to Tabor 4.II ow 5_ 6"depth Measurement Elapsed Time 9"to 6' �S 1.kb-1$. thod Used Depth observed standing on observation hole> Depth to soil mottles inches PereolahonRate' Bottom ofPercolation Test Hole: ❑ Depth weeping from side ofobservation hole_inches ❑ Ground water adjustment_ inches. x Well Number Reading Date Index well level