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�` ay PERCOLATION TEST LOG 20NNe Time: " t
�J (fifth
J Date: dT Zo
Map/Lot No. 0 -1 " yl�n Address: 2 ( ht(0 .3(S 76 . K� #i
Fn pneer: paw_ [Y 1 a cin Health Agent: 1 0 ►, #. €
Expansion Area:Yes:. No: _ Suitable/Subsurface Sewag-: es: No: i
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Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: I
If No, Why? Unsuitable: Why? i
• Well: Town Water Subdivision/Owner's Name: F
e
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DFRP OBSERVATION HOLE LOG
Depth fromSutface Soil Horizon Soil Tease Soil Color Soil Motes other
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Carcustency.%Garen
0'— 12 a IU yiz 42- -
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DEEP OBSERVATION HOLE LOG
--D-aptla fromSuaaee Soil Horizon Soil Texthre Soil Color Soil Noting Otte
(inches) (USDA) Ptrucrare,stones,Baakkes,
. [arsiamee.%Gr dl
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,.cDepth from Surface Sop HoruDEEPon SeOBSEKVATION HOLE LOG
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Soil Color Soil Mottling Other
Ilk
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I 4•41
cn
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,--1 a DEEP OBSERVATION HOLE LOG
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Depth from Surface Soil Horizon Soil Texture Soil Color Soil Mottling Other
t, I 'n f (Inches) (USDA) (Munsell) (Structure.Stones.Boulders,
[z] t Consistency.%Gravel)
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