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;: \: ` a II PERCOLATION TEST LOG Time: c2:00
I Date: gl2. t/j 7
Map/Lot No. (3 2(87Arirlress: / �2ie/%)e;;5 Z • I
Rn gin eer://larCs9 ' S" '- - y) TZ re- Health Agent: /41,4 / c *./
Expansion Area: Yes: J No: Suitable/Subsurface Sewage: Yes: No:
-
1 Expansion Area Tested: Yes No: Leaching Field- Pits: Trenches:
I
If No, Why? Unsuitable: Why? i
1
Well: Town Water-. Subdivision/Owner's Name: t
SKETCH.: ® �';
1 - - „-
' 1----- J
J
j �- ‘ i
81
UP
Notes /yi42 e.."1/ S . ./..},n/e Water At �Ft
DEEP OBSERVATION T.F LOG —
Depth
( iSes7tace — C �: �_ . o a = ol Color Soil Mote Other
(seuwre Stora,Boulders.
craw.%moi) ,
0 — L/ t1 'tl tkTNk
(WYiaS� Ca1cs��
i o, - a.c. c Cm 7
8 cr
1 � G.,-c
+'vo 62 wE
DEEP OBSERVATION HOLE LOG
Depth fromSuniace Soil Horizon Soil Texture sail Color Soil Meting Other
(inches) (USDA) (Structure Stcmes,Boulders,
co,%Gravel)