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PERCOLATION TEST LOG Time: ; Q
Date:
Ma-p/Lot No.017,2g� Address: 7I � �vtf lAwr tL
P gi eer_ DI rfoi 1 Y K/l/ i r Health Agent: /'Q� i
• NI e
Expansion Area:Yes:, o: _ Suitable/Subsurface Sewage: Yes: No:
Expansion Area Tested_ Yes No: Leaching Field= Pits: Trenches: 1
If No, Why? Unsuitable: Why?
Well: Town Water Subdivision/Owner's Name: t
SKETCH: ,(
1 \ VV.
Notes:
• Water At 125 Ft
DEEP OBSERVATION HOLE LOG
Depth f om.Sudaee I Soil HorizonSoil Moore Soil Color Soil Motnag Other
(inches) I (USDA) (Savmae,Stamm.seddees.
%Gravel)
D f if- te-, loy1LI/i
L '4o b Ls /oy,e_ lfr
4D - 0
C VYS 2-S% 7/L/
l22
•
DEEP OBSERVATION HOLE LOG
Depth fromS(nrdce Soil Horizon Soil Tee Soil Color Soil Mating Other
(inches) (USDA) .
Can:i.mr.%Gravel)