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Percolation Test Log
�:._....,._....... �._......, . .,._...PERCOLATION TEST LOGvy . .._ _.M. .._._ �..._� Time: U ��._. __, 4 • Date: t •- / '1' r. 1 Map/Lot No. Address: /0/ l c7 Nici t . Engineer: ? . h-c ,EN t Health Agent:',,S (2,pi ko,"Ail i& i i Expansion Area: Yes: No: Suitable/Subsurface Sewage: Yes: No: fExpansion Area Tested: Yes No: Leaching Field: Pits: Trenches: If No, Why? Unsuitable: Why? f Well: Town'Water: Subdivision/Owner's Name: {...... • .....,......._................-.._............ti._ _ .................. .. .............._............... .... .._......._.._.... ...�...� SKETCH: J . GARAae dECess poo/ .tAN ic 1 , UN der 3 grc-/5 • = . . Drt tie 0 04 . JDF / j Ivo C,, IAte . . 10e.e.P G,o/� Notes: Water At t ti Ft. DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon • Soil Texture Soil Color Soil Motting Other (inches) (USDA) (Structure,Stones,Boulders Consistency,Y.Gravel O . 6 '' r ) ,, r�6 - isn b I_ S /o l (R 1-// , .� 3 �,. .3 S Iu % . ,, ..., y ,0(..S • DEEP OBSERVATION HOLE LOG Depth fromSurface Soil Horizon Soil Texture Soil Color , Soil Motting Other (inches) (USDA) (Structure,Scones.Boulders, Consistency,%Gravel 7 t Qrc, — . L0//tet .. _ 1 4 , .. a .N-1