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`'' ` """ PE�2COLATIGN TEST LOG Time: 10:00
r���� � �p� 5�
=Lo t No. ;S tree t: Lfl►I' ,�D� COOLIDGE RD., W.Y. Date: 10/13/82
Engineer: LEIBEi�N keal th Agent:
Ex�ansion �rea:Yes : No: Suitable/Subsurface Sewage:Yes :_No:_
--.--
ExFansion Area Tested:Yes : No: Leaching Fie1d:�Pits :_Trenches :
Tf No-Why? Unsuitable: Why?
Well : Town Water: Subdivision/Owners Name: �-
, �
Sketch: �� � i/ Test #i Test #2
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8 '
�n ,3—,��:, 9 '
10 '
Gk.a�u.m.,�- �,�i 7 11 ' _
12 '
Notes : Water At: Ft.
� Fee: 1$ 0.00
• , � � PERCOLATION TEST LOG Tin�e: ���Y S^
Lat I�a. /Street: �o [ 4 �od _ Dafie: _��–c��--
�,.._ � ____T_ .�.�... ,
Engineer: Mc�a(nm.,,�, (��- �, kealth Agent:
.—� �
Expansion Area:Yes: No: Suitable/Subsurface Sewage;Yes : No:
Expansion Area Tes_ted:Yes: No: Leaching Field:_Pits :_Trenches :
lf No--Why? Unsuitable: Why?
Wel.l: Town Water: Sub�livision/Owners Name:
Sketch: Test #1 Test �2
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11 '
12 '
Notes : water At:�Ft.
r.�j',�sd� `� c��.��+-�w. N��- – 'Fee: 1$ 0 .00
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' WILLTAM LIEB�FlMAId H.P.E, ��
� ` 2�5 Timber Lane (Marstons Kill�) �
` Wea�.t Barrlstable, �I���achu�etts 02668
PMon� 4�8_2�92
OBSERVATION HOLE�, LOGS i� PERCf3LATZQN TEST RESULTS
LOCATION: l�.o T �/D(o Co O L�d�!�.�t�A�D DATE:�gG E tit R�E i� �? I q 7�
-TOWN/VILL�+iGE: ��,�T ,�12�'c7UTh� INSPECTOR�A�.E K�,�2NES
OGJNER OF PROPERTY: /�/J�,,,►, �s�p�r./ ����u Qv�,� BACK HOE: . C' '6`�� � . ;
APPLICANT: S R p,,f,E HOLE SI�E #1 :�„7�xB ��/o' �,p.
HOLE SIZE #2:
PERSON MAKING TEST:���,`!�M L'i�6tERMqN .
LOCATZON OF TEST HOLE � PITS :
Reserve Area Available TEST H(3LES
Yes � No (] � NO.1 N0. 2 ;
• Soil Log Perc Test� �Soil Log �
Test Hole (s} in Primary and : o �� �� �� Results � �
�' Reserve Area „ „�v✓ , I
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Yes � No� y ✓ d�✓v �.o'`+"� � SvBso,�
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R�mark� :�;a►���� L E v�L_ 3'��' �1�'-��s: _ ___
4 ' GDA2SE St��VD ,�
o N 2�2 I 78 TE'STS �� s ��L, ._�,i �'f�, • �
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u (In/��✓��-'�v,�SS�D �y � �:A�J�S� ;�• '�} ` ",y � �
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Subdivi�ion Name: ;;,! rt Yi' ''
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� LIEBERM ' 1 IZ
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SUITA�L� FOR SUB SURF�CE SEWA{�E - Field , Trench ❑ , Chamber� � , � �
- SUBJECT' TO �PPROV.�L BY THE GOV--• �
�RNING BO�,RD OF HEALTH --W//Tiy Pits� , Galleys❑ .
W,�Tt�K2 '7"A�G E VA�/A�t/G� •
U�iSUITABLE FOR SUB SURFACE SEWAGE: Reasons
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