174 Site Review 2000 PERCOLATION TEST(S)
Time: Time:
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
rl
Time at 12"
9"
fi
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 I percolation test must be performed in both the primary area AND reserve area.
•
Performed by IMEM performed b
Witnessed by Witnessed by
Comments_
ion Address or Lot#
NORTHAMPTON BOARD of HEALTH- Title 5 - Site Review
leer
Land Use
Landform
'osNon on Landscape(sketch on the back)
yen Water Body feet
ssible Wet Area feet
Time 17 V 4
Weather
Slope
Vegetation
Distances
Drinking Water Well
Drainage Way
Owner
Ut-ov a4 i
Surface Sto
c 1
Phone#
yes
Start Time
Stop Time
feet Property Line
feet Other
feet
feet
a Hole#:
opt from
ice(Indies)
Soil Horizon
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF TWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Other
Soil
(Sbucture,Sto nes,Bauder%Consistency %Gravel)
Soil Texture
(USDA)
Soil CoV
(Munse
I)
'anent Mabal(peobglc) I
Depth to groundwater Sandrg Water in the Hole
Estimated Seasonal High Ground Water
Depth to Bed
wasp m M10
7 Igo
Pn Face I /�
fep Hole#:
Depth from
udace(Inches)
I(
Soil Horizon
DEEP OBSERVATION HOLE LOG'
'MINIMUM OF IWO HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA
lolI Color Soil
(Munsell) MOWi
Soil Texture
(USDA)
Other
(SWcture,Sto nes.Boulders,Consuteiwy,%Gravel)
Parent Maviai(geologic) I
Depth to groundwater. Standing Water in the Hole
Estimated Seasonal High Ground Wate r
Depth to Bed
Weepi
fro m Pit Face