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S ANN E D PERCOLATION TEST LOG Time: ' 1r
Dater
I
Ma o. 76Address: P / 49irpvi.e 1 Engineer: At rt,/ pk Health Agent: ---
I E nsion Area: Yes: Suitable/Subsurface Sewage: Yes: No:
xP No. _
Exprnsion Area Tested: Yes No: Leaching Field: Pits: Trenches: t
If No, Why? Unsuitable: Why?
Well: Town Water: Subdivision/Owner's Name: g
z
SKETCH:
..i i : .
-Il
Notes: ."(/r/ ‘I/ Water At /i616 -ft—
,
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Mothng Other
(niches) (USDA) (Structure,Storm,Boulders,
C nsizt cy.%Gravel)
j 1 !' S /e %— A'4" -1 ( // 40 _
/47
9 s foyp_ 7‘ -(#170`14) glaP
Al
C ). SVY 9 `�C4, Afir'
DEEP OBSERVATION HOLE LOG
Depth fromSurface Soil Horizon Soil Texture Soil Color Soil Motring Other
(inches) (USDA) (strumurt,Stones,Boulders,
Consistency.%Gravel)