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Percolation Test Log
t;. .._..._,......,..._ . .._..._...... PERCOLATION TEST LOG Time: r: �M _ t Date: 5 ra- Z Map/Lot No. Address: V 6t-.j! 'ee•I 7 . ��j Engineer: \N"1,o ru it; A•' ,Ai , Health Agent: ` . e r e.Q r,. - Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: Expansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: Why? Well: Town'Water: Subdivision/Owner's Name: L.... . , ............_.....,.:_..Y.,.,....<........_:_.._........: -,. .,.._,.. ....._.. ..._...,...._._._......._ ......_,._......,......,. _._.,.. ._...........-..._. ._. SKETCH: ,, IN oi-t- L.=) • C .°"'S 5 °if i Notes: o vc . i Water At: • Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon . • Soil Texture Soil Color Soil Motting Other (inches) (USDA) • (Structure,Stones,Boulders Consistency,%Gravel) 0 ... S '1 A A on /a 4' ag iI Imot n• S / 0)/R Y4: • a �- m (`5 a._s1 • DEEP OBSERVATION HOLE LOG • Depth fromSurface Soil Horizon . Soil Texture Soil Color , • Soil Motting Other (inches) - ' (USDA) .. (Structure,Stones.Boulders, Consistency.%Gravel) Prc .