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254 Perc Lot 1 2019 CITY of NORTHAMPTON Loo / PUBLIC HEALTH DEPARTMENT Public Health Director—Merridith O'Leary �p Municipal Building—212 Main Street—Northampton, ALL 01060 Phone (413)587-1215—Fax(413)587-1221 http://www.northamptonm a.gov/245/Health Perc Test/Soil Evaluation Form Property Address:xq o ,k Owner's Name: Coilyayi 110 Date: .i 1450 n Performed by: I� 1�. eASS Witnessed by: ('� l G�,S�"�e'�i ) ��; 1 6L No. of Bedrooms: 13, E /- ®�l �s� Garbage Grinder? 'Yes rir V Fee Paid? Yes lk No ;n Sketchy of property`and location of deep holes/perc(s) ;€ 17, F I Percolation Test tips Perc Hole# 1 �, 2 3 4 Elev: Elev: _ ` Elev• Elev• 'F Start pre-soak End pre-soak ih f P; s 3 ^Time @ 9 t ° 33 j % ge " Time @ 6" 1/1 "Wi�'�'� ..E °'""., Elaps&time ' _,L 570�t k 9"-6" Rate (min/in) k 3 t"k 4 �_i; •'i � 'fit r �' �s '�� '� '���,r Js�=,,�' 3!+ ��� �} NCEPr0 rhe ,1j e'er Berkshire $ ^f,3` 5 1 '. mar ra ' u.aoar w6esign t' '4 r ,a�" . o-' am u Group,Inc. r C '' yA+.1�/ Y s, ' 1k mrae,6w o,,, ^�wmure ---_—_---__ � �':',r-s''°, - y, .3�-�.',i � •'w �� � �y s� �: \� < J �r} k 1'1P,��. r�y�� r.�; �'r�'��� 5! L.�•msmxstrm.,el �ym.y,,,9�i TN }. 0. '� "„ '.z .�� '..�,` � �" e ,..//'�us:;3�..•, "{�w� .fig�_f ^w ,asE 3,,,:x-' t.'v+� .. ,.,< ��`4�*".;�•� i!` ,'�`� l r�'t'uirnx .�,�^•,. tyd i > � Y f 4.; .`"4t•;"^w.r .- +""' �, €. ^ +�VERNAC P '' �" Cr ',,Y""s1 ssazarcc"'° m�„„,�ma9 "'y a ✓ .`` ', ! 4 r %`" l { ;, f. q}r O'$ FFER '�'. ( �"�'.,J�i-�"�•'� i".;,i'',�+y;. *.,4_.�q.� , tip, �.' ,g.r., ` � t � `�.A, P '9aT, �''�q 0�-v Z__4 , _ e• "�°'�aw+;.`�; :.`}'t.t �5.'c.�'::y �..- �Y1 .s.� �•' �` �• � �.K„�s`.., ' r;; '� :�'ZONEF3R°�.}...,g•'> s+, �.: -i :+r{tt' .`3•s. -_�.m.m.a, y� d f { � i��w�� '^�'. -t f ��' :•l ��'�' •"D'�_ {. y�c`�", �4 ..,�( q,:. „x;s.: -d...a„ s. 1 if;. �: � ���...�'..., >•'v fr Lr^ ` `">. 1. �. �. / ,.�` 'v'A -. .R8 l �> `� ,y armo.,n,.. ;..,,.a,a,vw�v«.>r. -_ V, .} _S R �.,►+tx✓1• ,. �,a. SCE LSIOWEF��Q�.: t.;: t,�r� �7 �•` ,.t � � "�.,'�, f : 'f:' �� 'a+m»..A..�r*�.e'°,,`'°'... a+` � y � •T ,(aT'. �.;�.`+l 'r� ..�„�':, ,', ," .�°+..,�,` v4n,;:` -� „'�"�-� yr' �% '-> •�'` "'��'K.r,,:"„+",'�^m•.n ,-� t / x ,`.r' 7 i •,, ,BFFER(w� .v"' • f t` . i t' ,' 7a --• '., % y2..`a.; -�„ -`, z.. fr GoifCo s ..� •'�, e:-.` , :: i , '-.•.:=o..+{i I'!„.'�t:;- 3 ,.,,5� Y �� """'.' t �t �..' 'S,:/'�,.a ,,y, a, •.ry k •�.; P�2S4 Ofd ut5e Irk*' l q 4 No Wilson Rd, ff a , OVtNUAY t rthampton L10A Irl .:, t._ I t�`lj'f,� �.i< �.,� :`' _ ,* # � •.... „»ski#Y��n zk:A� wr-� .: r ,� + � ,kl ,. ,.�u �.a^kn .r�l, xf>;' ._._.-a:: / ff' 7/.z`n,> a6r"r .3-, ,•g.-,';;r ;�, .'. t4'.. . . �:;,o ,$,+' ', ?i�,•. ­x... "WZ + "�''' .i +, i Ytx�f+.<�0 v 'j�r. �;r f .r' ,�, 4 $5;.;_.-y_ "�y x',ass°'l'•�.. "'."h"�,. +#¢"'` at :s. %'�'-_ �$ i - ¢�,,�s� ` .�..� ,��..}�^ --�.' ..a• �, �4 �` ��, r€ I ;Y ..� ', �Ae x ` % e :, t ! y� 't i' •f € ` 2, Al g`�.'t`�'....;.a v-ii• �-'� ��`{,r;i.,,.,:,;��r d ,.j x.,J""`.i^'`� ,,"=y, m,i• ,+ r� _�, .�:r4 .v."S _ ,�+ '�- Y ( `a'°�`w " y @ ,, ,yr,..� �.,.,,• Y' ,1t;�;, .. 'e* �.; x�+i. t r.�� .&{ft,` .-'��d'w� ;w �.. �f #�� t y�'r � "'-''$ z .4* � v� � ;.x .' a `_ O,S7 :,., REIiM a'Lx. :� � .'" -� •?� . �`., � � rs, F. F7 t - x F c ' u1N7 r w EMl7ENTST ! 6 - t1 0 4 F' \s`; .' :r r a�E.-:a�, '�. ,�• �.1�r4•j': _' � �;^`r x. .� "' ' >r`d`'"1�� • 3- t1x�'' .X'%�- ,yr�� i, -� `�'" x_:''+" °�i "'JW-1 J `; ',�< � 9 ✓ SBASE MAP HEET 1 OF 1 €vti no,..� �� "`^^ir..,r "� �� ; ,� '¢ rd ^� �f,&�{�t #r �t I t,;r d k.;.;r -t •�'"'r:;?� .s...; m, mg um:a4, • ,:.r e... .� w t1 r k x} -W• tu ,Y Y - -... ---_ �"'--._--•_ 1 , ` �,�r.M,f+ 74 . .". +dia` to -. k ,sar•.wrv;; r-- _JZSry_r�'u_ ,'Y rid,} "1 ".' a't 3k i '�&` l 'ins t tj$$ L r ^wb.„, ��a��,�� t ;6 ` �' � �R�,., ?.'�f >�'- �'•�i( ,� r',w, .Y'6�� F #� Y� °u"` �' i� -¢, Rrn,4,p _ •, � ii�-• � j »so-, .�, V ��� � '.� ,� , ' �t�l:•-�`..-'�,r��t�+ Z NI G TABCE ,/ s¢r¢.q ztpnp,o /// 45'63419 .vawnu,� , It Sv CITY of NORTHAMPTON PUBLIC HEALTH DEPARTMENT Public Health Director Merridith Q'L ary tWW.1tC Municipal Building—212 Main Street,..,Northampton, 1124 01060 Ott Phone (413)587-1215—Fax(413)587-1221 http://www.northamptohma.gov/245/Health Perc Test/Soil Evaluation Form Y Property Address: 0 r f Owner's Name: in f Date: iD $ 1 d. ^� N _ cJ Performed �t by: Witnessed by: ri -- No. of Bedrooms: �z ' r 000� Garbage Grinder? s il'� t i 4ort S .:� Fee Paid? Yes o Sket ' ofproperty location of deep holes/perc(s) fj Percolation 'st' Pere Hole# ] 2 3 4 Elev: �i3 ���. Xev Elev: Elev: Start pre-soak 1030 End pre-soak g� 4 11 1A ( .< n u a M lme @d 4 1 01" >. a" Time @ 6" , 00 " i .�K -. I E19ps&dtinV X I P6. JL I ..IL I Ej L tom, K: L 9"-6" Mtn Rate (min/in) - - r u 5, , t Owner Address