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` '' ,a ' LZ,-- PERCOLATION TEST LOG - Time: ,' /
Date:
l Map/Lot No. 3q t Address: -qC 5f-11,efd AVeglai i
Engineer: C 6-�C�/4Q,01,/ Health Agent: , --
E Rnsion Area: Yes: No: Suitable/Subsurface Sewage: i
xp _ Yes: No: i
ExpRnsion Area Tested: Yes No: Leaching Field: Pits: Trenches: i
If No, Why? Unsuitable: Why?
I.
Well: Town Water: Subdivision/Owner's Name: €
SKETCH: -4 rg-- i
2.-
)' 4
. I %.-----//"7.** *-------..---‘). .
CL...gt"
Notes: •- )� J / c /, -//` Water At j
' --_y GJ�I lviP /
DEEP OBSERVATION HOLE LOG ` —
Depth n-omSurface Soil Horizon Soil Texture Soil Color Soil Motnng Other
(inches) (USDA) (s¢ucurte,swum,Boulders,
Consistency.%Greve1)
,4/
Sf/- .2 ',. / r, L- S / 1 )1*- 7P 3e aa-/-6.#--
z - i C C 2,c i / ,i_,q -3:)_f Pi(
9'-6i:4'1 ry1ksi
.ern/�keey
DEEP OBSERVATION-HOLE--LOG__ _Depth aomSurface Soil Horizon Soil Texture Soil Color Soil Plotting Other
(inches) (USDA) (struccure,stones,Bookie's,
_ Consistency,%Gravel)