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254 Perc Lot 3 2019 CITY of NORTHAMPTON L o+ �5 PUBLIC HEALTH DEPARTMENT Public Health Director—Merridith O'Leary Wll. [NN4A Municipal Building—212 Main Street—Northampton, MA 01060 Phone (413)587-1215—Fax (413)587-1221 http://www.northamptonma.govl245IHealth Perc Test/Soil Evaluation Form Property Address: a$y 018 WA on Owner's Name: Vhf l L1 ealy (I3 �- Date: Performedby: Grp E?(S S ` f Witnessed by: ('� No. of Bedrooms: G n kin whnew /L)4— Garbage Grinder? ,Yes No- w= Fee Paid? Yes No Sketch of property and'location of deep holes/perc(s) Percolation Test ¢" Perc Hole# 1 � 2 k 3 4 El ev: Elev: 351 Elev: Elev• Start pre-soak End pre-soak f "Ji 1 Time @ 12' t r [[ } // ty t . ' . Time @9 F t 4i Time @ 6" C_. .i " tfe _` �i 11 _ Elapse`d-timeIL -L-LI. I ,, � g I � .. _ �._ . 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