422 Site Review 2001 1=41.MM:a Pacitial I
, I ,.. /
PERCOLATION TEST(S)
Time: II Time:
Observation Hole #1 Observation Hole #2
Depth of Perc , t-, Depth of Perc
Start Pre-soak Start Pre-soak
End Pre-soak `:" End Pre-soak
r • tN, 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 >-.\t,. 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 I Witnessed by
Comments.
NORTHAMPTON BOARD of HEALTH- Title 5- Site Rev!
ocation Address or
Lot# 11)-72f �,
.----
T-f - [ 1:11(/ lv�'l,7%4
te a
1
r
I D/
Time
Soil
Mottling
Owner's
Address
gineer I
Weather Phone ft 1
Land Use
It Slope
Surface Stones
Landform
I Weeping from Pit Face I -`'0 S
V:!etagon Start Time
Poston op Landscape(
Dpen Water Body
etch on the bad)
feet
Distances
Drinking Water Well
S:np Time
feet Property Line
feet
'ossihle Wet Area
feet
Drainage Way
feet Other
feet
DEEP OBSERVATION HOLE LOG*
up num w: 'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
Depth from
Taos(Inches)
Soil Horizon
Soil Texture
(USDA)
S&Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Consistency,%Gravel)
arent Matrlal(geologic) I I Depth to Bedrock I
arent Mattel(geologic) 1 I Depth to Bedrock I J `'
Depth to groundwater Standing Water in the Hole
I Weeping from Pit Face I -`'0 S
Estimated Seasonal High Ground Water
rD Hole#• i.
DEEP OBSERVATION HOLE LOG*
*MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISP
epth from
lace(Inches)
Soil Horizon
Soil Texture
(USDA)
Soil Color
(Munsell)
Soil
Mottling
Other
(Structure,Stones,Boulders,Conseteray,%Gravel)
arent Matrlal(geologic) I I Depth to Bedrock I
Depth to groundwater Standin Water in the Hale
I Weeping from Pit Face I
Estim ted Seasonal High Ground Water