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2022 Percolation Test Log
4~:.. 5 .. _"PERCOLATION~TEST LOG Time: ;0�.. A Date: -///,�,:P Map/Lot No. Address: '/U EXe itc„-,, /e04--E) Engineer: IJoi,t.. Cc,e-e--- aa,,, Health Agent: ,OA/l. / ,a / Expansio i a: Yes: No: Suitable/Subsurface Sewage: Yes: No: Ex A _ e`Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: Why? Well: Town'Water: Subdivision/Owner's Name: I.. w .._........... , SKETCH: J__....__.._............... _ __.....�._.,. C rl i77,81J - � �.� I ) , - . • j o I., kf J i 1, Notes Water- �i -Ft: — DEEP OBSERVATION HOLE LOG Depth;romS,rface Soil Horizon . Soil Texture Soil Color Soil Motting Other ( ches (USDA) IStmaura;Stoner,Boulders. Consistency,%Gravel) 0 - Imo '` Ls loyQ3h I Z. - �o n �S /Dyr25/0' ' 3 0 6 C wt S /o Q 7/� ' y • DEEP OBSERVATION HOLE LOG • Depth fromSurface Soil Horizon . Soil Texture Soil Color , Oth (inches) (USDA) Soil Molting (structure.spa Boulders. Consistency,%Gravel)